Rudy Lai

AI @ HCA Healthcare

Largest hospital system
Industry
Last updated
July 3, 2025 at 10:44 AM

Summary

  • HCA Healthcare has steadily increased its adoption and expansion of AI technologies from 2023 through mid-2025, focusing on generative AI and ambient AI solutions that streamline clinical documentation, facilitate handoffs, and improve emergency room workflows across its network of over 180 hospitals.
  • Key leaders including Michael Schlosser, MD, MBA (SVP Care Transformation and Innovation) and Sam Hazen have been instrumental in guiding HCA’s AI strategy, emphasizing a multi-year trajectory towards AI-enhanced administrative, operational, and clinical outcomes with partnerships like Google Cloud and Commure.
  • AI use cases have evolved from pilot programs involving 75 emergency room physicians in 2023 to wider rollouts across clinical documentation, nurse communication, medication error detection, and stroke detection, demonstrating HCA’s commitment to reducing administrative burden, enhancing clinician workflows, and ultimately improving patient care and safety.

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5 AI Use Cases at HCA Healthcare

Stroke Detection
2025
Traditional
Generative
Agentic
Outcome
HCA implements the Viz.ai augmented intelligence platform that automatically detects large vessel occlusions via CT imaging, enabling faster diagnosis and treatment of stroke patients in clinical workflows. [1]
Medication Safety
2024
Traditional
Generative
Agentic
Outcome
Risk
AI-enabled wearable cameras and related technologies are deployed to detect potential medication errors in hospital settings, enhancing patient safety through real-time monitoring and alerting. [1]
Operational Efficiency
2024
Traditional
Generative
Agentic
Outcome
Costs
HCA leverages ambient AI platforms to support administrative and operational functions across its hospital network to optimize resource allocation, scheduling, and patient flow management. [1]
Handoff Communication
2024
Traditional
Generative
Agentic
Outcome
Risk
AI-powered tools help nurses and clinicians effectively transfer patient information during shift changes, improving accuracy and completeness during handoffs and thereby supporting continuity of care. [1]
Clinical Documentation
2023
Traditional
Generative
Agentic
Outcome
Costs
HCA Healthcare uses AI technologies, including generative AI, to automatically create and streamline clinical notes from physician-patient conversations and other clinical interactions, reducing documentation burden on providers and enabling more time for patient care. [1][2]

Timeline

2025 Q3

1 updates

HCA piloted a nurse-approved generative AI tool to enhance patient information exchange and implemented Viz.ai augmented intelligence software for automatic detection of large vessel occlusions (LVO) on CT imaging, highlighting extended AI applications in clinical diagnostics.

2025 Q2: no updates

2025 Q1: no updates

2024 Q4

1 updates

Leaders including Sam Hazen highlighted extensive AI-driven healthcare transformation plans. HCA co-developed a multi-specialty, EHR-agnostic ambient AI platform with Commure, pursuing broader clinical and operational AI integration including AI-enabled wearable cameras to detect medication errors.

2024 Q3

1 updates

HCA continued integrating AI in clinical operations and released guidelines for responsible use of generative AI technologies, signaling mature governance alongside technological adoption to improve clinical care and workflows.

2024 Q2

1 updates

HCA committed to expanding AI and advanced documentation platforms, including cloud storage and generative AI, with plans for broader rollout of AI tools automating clinical documentation in ERs, scaling beyond initial pilots across its 184 hospitals.

2024 Q1

1 updates

HCA piloted Google's generative AI technology to aid nursing handoff documentation at two hospitals, aiming to improve the seamlessness of shift changes. Leadership, including Dr. Michael Schlosser, articulated the vision of AI enabling clinicians in care transformation.

2023 Q4: no updates

2023 Q3

1 updates

HCA Healthcare began deploying generative AI solutions in collaboration with Google Cloud, piloting tools to assist physicians and nurses by improving workflow efficiency and creating medical notes from physician-patient conversations. A pilot equipped 75 ER physicians across four hospitals with Google's AI technology.