Rudy Lai

AI @ HCA Healthcare

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

Summary

  • HCA Healthcare has steadily expanded its implementation of generative AI tools since Q3 2023, initially piloting AI solutions for physician-patient conversation note-taking and emergency room documentation, growing to broad deployments across nearly 180 hospitals by mid-2024.
  • Leadership figures such as Dr. Michael Schlosser (SVP Care Transformation and Innovation) and Sam Hazen have publicly articulated strategic visions focusing on AI's role in improving clinical workflows, administrative functions, and patient safety, supported by partnerships with major technology companies like Google Cloud and Commure.
  • By Q3 2025, HCA has moved towards advanced AI use cases including AI-assisted fetal heart rate monitoring, medication error detection via AI-enabled wearables, and nurse handoff communication improvements, demonstrating a clear trajectory from pilot projects to scaled adoption aimed at reducing costs, risks, and improving clinical outcomes.

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5 AI Use Cases at HCA Healthcare

Patient Safety
2025
Traditional
Generative
Agentic
Outcome
Risk
HCA deploys AI-driven solutions such as AI-assisted fetal heart rate monitoring and wearable cameras to detect potential medication errors, thereby reducing clinical risks and enhancing patient safety outcomes. [1][2]
Stroke Detection
2025
Traditional
Generative
Agentic
Outcome
HCA utilizes AI platforms like Viz.ai to automatically detect large vessel occlusions (LVOs) in stroke using CT imaging, enabling faster diagnosis and treatment, ultimately improving clinical outcomes. [1]
Operational Management
2024
Traditional
Generative
Agentic
Outcome
Costs
Using AI, HCA is enhancing administrative functioning and operational processes, including documentation automation and data-driven workflow improvements, resulting in cost efficiencies and optimized resource management. [1][2]
Nurse Handoff
2024
Traditional
Generative
Agentic
Outcome
AI-powered tools at HCA improve nurse handoff communication by streamlining and ensuring accuracy in transferring patient information between shifts, which enhances clinical workflows and patient safety. [1][2][3]
Clinical Documentation
2023
Traditional
Generative
Agentic
Outcome
Costs
HCA Healthcare uses generative AI technology to extract key information from physician-patient conversations and automate clinical documentation, reducing the administrative burden on clinicians and allowing more time for patient care. [1][2][3]

Timeline

2025 Q4: no updates

2025 Q3

5 updates

HCA's AI strategy centers on dominating healthcare AI through actionable data, innovation, and strategic partnerships (notably with Google), focusing on clinical safety via tools like AI-assisted fetal heart rate monitoring and Viz.ai for stroke detection. Nurse handoff processes are streamlined through generative AI applications, evidencing mature internal use centered on patient safety and workflow efficiency.

2025 Q2: no updates

2025 Q1: no updates

2024 Q4

4 updates

HCA focused on expanding AI to improve administrative functioning, operational management, and clinical outcomes. Collaborations with vendors like Commure developed EHR-agnostic ambient AI platforms. Research indicated AI-enabled wearable cameras could identify potential medication errors. Executives Sam Hazen and others shared perspectives on AI’s transformative healthcare impact.

2024 Q3

2 updates

HCA formalized ethical guidelines for the responsible use of generative AI assistive technologies and emphasized ongoing AI adoption to improve clinical and operational processes.

2024 Q2

3 updates

HCA expanded its AI use, focusing on digital transformation with intelligent applications; plans announced to broaden AI tool use for automating clinical documentation in emergency rooms across their 184-hospital network. New technology commitments included advanced documentation platforms and cloud storage integrated with generative AI.

2024 Q1

2 updates

HCA continued piloting Google's generative AI technology to aid nurse handoff documentation processes at two southern hospitals. Dr. Michael Schlosser publicly outlined his AI vision focusing on enabling clinicians through AI enhancements.

2023 Q4: no updates

2023 Q3

4 updates

HCA Healthcare initiated AI pilots involving generative AI for extracting information from physician-patient conversations to create medical notes and equipped 75 ER physicians across four hospitals with Google's AI technology. The company began deploying generative AI across its large hospital network.