What stood in the way
Clinicians across the network were losing two-plus hours every day to documentation — much of it after their last patient, the so-called pajama time that drives burnout and attrition. Earlier generative pilots had been pulled because they hallucinated findings and miscoded encounters, exactly the failure modes a clinical setting cannot tolerate. Any system had to be measurably accurate against the chart and defensible under audit before it could touch a patient note.
Notes are drafted from the visit and the existing record, keeping terminology, coding, and the chart accurate rather than fluent-but-wrong.
Every statement links back to its source in the encounter or record, so clinicians verify in seconds and quality teams can audit after the fact.
A clinical eval suite gates every release on citation accuracy, coding correctness, and hallucination rate — so accuracy is measured, not asserted.