Medical Documentation Automation
Generative AI

Automating Medical Documentation Process with Generative AI

Esther Lai
May 7, 2024

Healthcare organizations are navigating challenges around patient-centricity and clinician experiences. Nowadays, patients expect digital experience and personalization, with 82% of patients expecting healthcare to be easily accessible on their mobile devices. Yet, many healthcare systems still rely heavily on paper-based methods and legacy digital platforms. Healthcare workers spend significant amounts of time and effort manually documenting patient information, which can be prone to errors and inconsistencies. This also complicates the adoption of new technologies, contributing to the slowdown in the transition to fully digital environments. 

Not only does the lack of digitalized, automated documentation practices negatively affect the efficiency of healthcare delivery and the accuracy and accessibility of patient data, but it also poses challenges to data integration. These fragmented data from different systems and formats make sharing and analyzing medical records difficult, challenging collaboration and continuity of care. The result of these challenges is delayed or, worse, undelivered patient care, let alone the exhaustion it adds to healthcare workers. 56% of the surveyed nurses reported experiencing symptoms of burnout. 

It shows that the status quo is simply not enough. These challenges highlight, again, the need for an automated solution that can streamline the documentation process, improve accuracy, and enhance information accessibility. 

With the increasing amount of patient data and the demanding nature of healthcare professionals' work, finding ways to automate the documentation process has become a universal theme in the industry. For example, the Ontario government has recently announced that they are implementing a list of initiatives to speed up digitalization and innovation in healthcare. Aiming to help doctors, physicians, and other primary care providers put patients over paperwork, these initiatives are projected to free up to 95,000 hours annually for physicians to put back into their practices caring for patients.

In fact, 75% of leading healthcare companies are experimenting with generative AI as a solution to these challenges, while 92% of leading healthcare companies overwhelmingly see promise for generative AI to make a difference.

Working with leading healthcare organizations, we see how technology can change the system. With the objective of empowering healthcare professionals to provide optimized patient care at every step of their workflow, from pre-care to post-care, Bitstrapped is innovating the medical document process with Generative AI, providing a transformative way for medical records to be created and managed. 

How Automating Medical Documentation with Generative AI Improves Healthcare Work

Automating the medical documentation process with generative AI brings numerous benefits to healthcare organizations and professionals. It reduces the administrative burden on healthcare professionals, allowing them to spend more time caring for patients instead of doing duplicative, tedious, or unnecessary paperwork, with 56% of physicians indicated that AI can best help with administrative burdens through automation. Tasks that would typically take healthcare professionals hours to complete can now be completed in a fraction of the time. By automating the creation of clinical notes, generative AI frees up valuable time that can be better utilized for more important aspects of patient care, which are direct patient interaction and critical decision-making, leading to improved overall efficiency and productivity.

Generative AI has also demonstrated positive effects on the accuracy and quality of medical documentation. Errors due to human fatigue or oversight can be minimized, ensuring that healthcare providers have access to reliable and up-to-date information, while enhancing information accessibility and data interoperability. This can ultimately result in reduced medical errors, better collaboration, and continuity of care.

Our Healthcare Document Intelligence is a foundational infrastructure for processing healthcare documents, including specific AI model functionality for healthcare claims, lab requisition documents, EHR patient documents, and transcripts. The solution empowers healthcare organizations to deliver faster, more efficient patient care by streamlining legacy workflows reliant on human processes, physical documents, and data entry.

Learn more about Bitstrapped’s offering - Medical Document Intelligence.

Understanding the Applications of Generative AI in the Healthcare Industry

By integrating and analyzing data across the then disconnected silos, generative AI creates tremendous opportunity to raise the bar on both efficiency and effectiveness throughout every step of health care delivery. Consider these cases that we’ve worked on:

Billing and Insurance Claims

Administrative cost takes up 15-30% of healthcare spending in the United States, with half of the amount being hospitals’ management of billing and insurance-related. This expenditure doesn’t even account for the time cost, of which is borne by patients and their families, spent on fighting for insurance coverage and clarification on billing. Through our recent work on LLM with a clinical intelligence company that provides intelligent prior authorization, we know that AI holds the potential to address the challenges here, to break the silos between insurers, hospitals, and consumers by serving as a springboard to better quality outcomes by aligning physicians and health plans on evidence-based care paths for the patient's entire care journey.

Medical Reporting

Traditional reporting systems often face inefficiencies, inaccuracies, and delays in data retrieval and analysis. Through the adoption of AI, healthcare organizations can streamline reporting processes, ensuring faster access to critical information and more accurate insights. Several healthcare organizations that we’ve worked with have implemented our AI solution to automatically generate a list of clinical writing, including summaries of medical condition, diagnosis, structured records and inferred entities in clinical notes.

Personalize Doctor Recommendations

Another prominent AI use case in healthcare we’ve worked on is personalizing healthcare through the matching of physician preferences to patient profiles and needs. Leveraging AI, healthcare systems can loook deeper into patient data, considering not only medical history but also preferences and values when making a personalized recommendation. This approach enables more nuanced and tailored matches between patients and doctors, fostering stronger therapeutic alliances and improving treatment adherence, achieiving enhanced patient satisfaction, optimized resource utilization, and ultimately redefine the quality of healthcare delivery.

To learn more about Bitstrapped’s customer success stories, click here to request the document.

Building Blocks for Successful AI Applications in Healthcare

Google Cloud has identified 3 important ”P”s as key ingredients to build successful AI-based applications in the cloud that can help transform your business at the pace and scale necessary to capitalize and be a first mover in this AI era:

  1. Proximity – keeping your data and your applications as close together as possible to maximize performance, and reduce latency. Enable real-time capabilities and personalization for customer experiences.
  2. Platform – an integrated tech stack and platform… not just models, to help deliver real business value from application building, in a secure, scalable, and reliable way. Innovate and deliver actual business value for crucial use cases.
  3. Productivity – bringing AI-assisted productivity tools to the organization, especially on the developer side, to help solve problems and build things faster, to optimize cost and reduce operational inefficiencies. Create more time for innovation, spend less worrying about operational toil.

As a Generative AI launch partner of Google Cloud, we are experienced in guiding our clients through the adoption of Gen AI to unlock transformative value within their healthcare use cases. We understand that every organization is at a different stage of their Data to AI journey. Whether you're just starting to explore AI possibilities or seeking to optimize existing AI implementations, our tailored approaches cater to your unique needs and objectives. Discover how HCA Healthcare is redesigning patient care with generative AI and Google Cloud to help improve workflows and allow physicians and nurses to spend more time with patients.

At Bitstrapped, we offer comprehensive support to ensure seamless integration and AI acceleration. Our team collaborates closely with clients to identify opportunities for leveraging AI to address specific challenges and enhance operational efficiency, accelerate time-to-value, and drive sustainable growth.

Learn more about Bitstrapped’s offering - Medical Document Intelligence.

Addressing Concerns and Misconceptions about Automating Medical Documentation with Generative AI

While the benefits of automating medical documentation with generative AI are evident, there are still concerns and misconceptions surrounding this technology. One common concern is the fear of job loss for healthcare professionals — generative AI is not intended to replace healthcare providers but rather to assist them in their work. By automating certain tasks, healthcare professionals can focus on more complex and critical aspects of patient care. The result of the collaboration between HCA Healthcare, one of the largest healthcare providers in the US, and Google Cloud presents compelling evidence: the implementation of generative AI technology in HCA Healthcare hospitals has empowered healthcare professionals to spend more time with patients by reducing the burden of time-consuming documentation tasks. Physicians and nurses are now able to focus their expertise on delivering personalized care, building stronger patient-provider relationships, and addressing the unique needs of each individual. 

Data privacy and security are also important considerations when implementing generative AI in medical documentation. Healthcare organizations must ensure proper safeguards are in place to protect patient information and comply with relevant regulations. This includes implementing secure data storage, encryption, and access control measures. Google Cloud has a set of protocols to ensure that any sensitive data can be protected–no matter the scale and speed at which they operate, providing digital assurances that health information is protected and complies with key regulations such as HIPAA. Meeting these instrumental needs makes Google Cloud Platform an ideal cloud provider for healthcare organizations looking for a secure place to store health data. 

To learn more about how Google Cloud safeguards healthcare data security, read more in this article and this whitepaper

Future of Generative AI in Healthcare

Automating the medical documentation process with generative AI holds immense potential for improving efficiency, accuracy, and overall quality of care in the healthcare industry. By leveraging this innovative technology, healthcare organizations can streamline their documentation processes, enhance information accessibility, and ultimately deliver better patient outcomes. As generative AI continues to evolve and advance, we expect to see its growing impact on medical documentation, revolutionizing how healthcare professionals create and manage medical records.

Additionally, the development of more sophisticated large-language models (LLMs) will enable generative AI to understand and generate medical documentation with greater nuance and context sensitivity. This advancement will likely lead to even higher accuracy in clinical note generation, diagnosis suggestions, and treatment planning, offering a more personalized approach to patient care. By investing in scalable data and AI development that ensures robust ethical standards are in place, the healthcare industry can look forward to not just incremental changes but a radical enhancement of how medical care is delivered and managed, as we continue to explore and innovate within this space.

Article By

Esther Lai