Dr. Simpson describes a pragmatic trial with a 9 month pilot followed by system-wide deployment.
Dr. Simpson describes our methods and need to pivot some methods as governance decisions changed. Our learning health system statistics team helped with our analysis. decreased burnout and less time in notes. Lots of FOMO from non pilot users. Long waiting list. Then we pivoted at 9 months to an enterprise license. And then we gave advance access to all physician builders and smart users. We gave all day teams meetings. After about a month up to 2000 users. Now at 3000 users. Now 60000 notes a week. Top percentile users. Emergency medicine. We believe going live all at once across all areas was the right decision. Medical student concerns. Teaching them critical thinking while writing the note is at risk.









