Two environments of using chart summary.
Pretty sophisticated AI governance model at Hartford.
AI governance in action using Chart Summary as example.
AI pointed mainly at notes in this version described.
Strategic alignment evaluation. Risk assessment and mitigation. Then straight to pilot, not in a sandbox.
Ambulatory use dropped quickly. Inpatient team was ‘party central’ very happy. Draft hospital course was precisely what was wanted.
Ambulatory was not recommended for broad deployment. not wrong, it was incomplete and less relevant.
Example: weight loss in patient but it could not see the lung mass in radiology study. Perceived by clinician as misleading.
Lesson:
Clinicians don’t want chart summaries they want context aware insights with no blind spots.
Problem based summary way too much. This is only 6 paragraphs out of 21 problems for one patient. Not really decreasing cognitive load.
Governance of AI: shelved it to re evaluate in a future time.
Epic now planning on major augmentations to OP chart summary as a result.
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