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Electronic Health Records

Oracle’s Patient-Facing AI May Challenge Industry’s Comfort with Complexity

With its latest move to embed conversational AI into the Oracle Health Patient Portal, Oracle has entered a delicate corner of healthcare: the interface between patients and their own medical data. This shift, announced during the Oracle Health and Life Sciences Summit in Orlando, aims to give patients plain-language summaries of their diagnoses, test results, and treatment options, an advance that reflects growing interest in patient-centric AI but also surfaces new regulatory and operational questions.

Tampa General: Embedding Public Health Into the EHR Interface

Hospitals have long struggled to translate their clinical reach into broader public health impact. With the decision by Tampa General Hospital to enable organ donor registration directly through its MyChart interface, a new model is quietly taking shape, one that positions the electronic health record (EHR) not just as a data repository, but as a civic engagement tool. While subtle in execution, this integration could mark the beginning of a broader recalibration in how health systems activate digital tools for population-scale outcomes.

AI-First EHRs Must Prove They Can Cut Risk, Not Just Clicks

Oracle’s announcement of a newly built, AI-powered electronic health record (EHR) system is as ambitious as it is emblematic. In declaring that “the EHR had to be reimagined from the ground up,” the company aims not just to enter the modern health IT arms race, but to reset the terms.

Epic’s Late Entry into AI Scribes Signals a Shift in EHR Strategy

Epic Systems is preparing to launch its own AI-powered ambient scribe this month, marking a strategic shift that could alter competition in one of health IT’s most dynamic segments.

ICE Access to Medicaid Data Erodes the Firewall Between Healthcare and Immigration Enforcement

A new federal agreement granting Immigration and Customs Enforcement (ICE) access to the personal data of all 79 million Medicaid recipients represents a seismic shift in the role of health agencies, recasting them as silent collaborators in immigration enforcement and jeopardizing public trust in safety-net healthcare systems.

Navigating Regulatory, Workforce and Market Shifts in Agentic Document Processing

One week after outlining how Hyland’s agentic document processing can establish enterprise intelligence (see Part 1), healthcare organizations must now prepare for the broader ecosystem shifts this technology will drive. Regulators are intensifying scrutiny of autonomous AI engines, workforce roles are evolving in response to agents handling routine document tasks, and vendor dynamics are reshaping procurement strategies. Leaders who addressed platform foundations in Week 1 must now build on that groundwork to manage emerging policy mandates, reskill staff for oversight functions and negotiate robust contracts with both established and niche AI providers.

Building Enterprise Intelligence with Hyland’s Agentic Document Processing

Agentic document processing is redefining how healthcare organizations manage unstructured clinical content, and Hyland’s next-generation solution exemplifies this shift. By embedding semantic, context-aware intelligence into enterprise workflows, Hyland enables autonomous agents to interpret, reason over and act on documents—transforming vast repositories of healthcare records into decision-grade data and orchestrating end-to-end processes across electronic health record (EHR), revenue-cycle and care-coordination systems.

FHIR at a Crossroads for Real-World Evidence

The Electronic Health Record Association’s June 23 comment letter arrives just weeks after the Food and Drug Administration opened Docket No. FDA-2025-N-0287 to explore whether HL7 FHIR can carry real-world data into formal submissions. Representing almost thirty vendors, the EHR Association applauds the inquiry yet warns that inconsistent coding practices, limited lineage metadata, and opaque de-identification workflows still undermine research-grade reliability. FDA’s docket signals a strategic shift from viewing FHIR solely as a messaging format to considering it a regulatory substrate that could align clinical care documentation with pharmaceutical evidence pathways.

VMH’s Leap into EPIC and What Comes Next

Veterans Memorial Hospital in Waukon, Iowa is set to convert to EPIC on Saturday, June 14. This is not just a software update, it marks a strategic shift toward interoperability and data-driven care at a regional level. Supported by over a dozen experts from University of Iowa Hospitals and Clinics, VMH has spent the past year preparing every department, from billing to emergency services, for this launch. UIHC’s model of annual sponsorship provides dedicated on-site support during go-live week, a best practice increasingly recommended by healthcare transformation experts. By aligning with EPIC, VMH joins a growing network of rural hospitals transitioning to the same digital infrastructure used by major health systems.

AI-Enhanced Chart Review Is an Urgent Redesign of Clinical Work

Stanford’s ChatEHR pilot is more than a clever proof of concept. It represents a necessary confrontation with the cognitive overload and administrative drag embedded in modern EHR systems. Rather than tacking on another layer of vendor gloss, Stanford has begun reengineering the clinical experience by embedding large language model capabilities directly within existing workflows. The result is not just faster access to patient data but a systemic reorientation of how clinicians prepare, reason, and act.

From Pilots to Platforms: Why Australia’s Statewide EHR Models Matter for U.S. CIOs

Australia’s digital health transformation is no longer a patchwork of pilot programs. With Tasmania and Victoria moving forward on enterprise-scale electronic medical records and virtual care infrastructure, the message for global health systems is clear: platform-level investments in data interoperability, clinical integration, and telehealth aren’t aspirational. They’re operational.

Federal EHR Leaders Prioritize Ambient Dictation, Offline Functionality, and Interagency Interoperability

As the Department of Defense and the Department of Veterans Affairs prepare the next wave of their joint EHR deployments, program executives are placing new strategic weight on functionality once considered peripheral. Ambient voice technology, offline documentation, and site-level interoperability have emerged as defining requirements for a federal electronic health record system built for operational environments, not just clinical ones.

Cloud EHRs Are Coming Fast, But Who’s Rebuilding the Clinical Workflow?

U.S. health systems are charging into the cloud with extraordinary speed. According to a recent Deloitte survey, 90 percent of provider organizations now prioritize electronic health record modernization. Intermountain Health and UPMC are transitioning to Epic on AWS and Azure by the end of 2025, while Broward Health has committed $250 million to move from Cerner to Epic. The stated motivations—interoperability mandates from the Office of the National Coordinator for Health Information Technology (ONC) and adoption of SaaS-based AI modules like Epic’s sepsis prediction—reveal a trend that is more technical than clinical source.

Can Deregulation Coexist With Safety and Trust? What EHRA’s Proposals Mean for Providers

The Association’s recommendations to ONC suggest eliminating or easing numerous certification components — from Real World Testing and AI transparency to interoperability and safety usability checks. While each change is framed as a way to reduce administrative burden, the net result may be a dramatic shift in where, how, and by whom digital safety and reliability are maintained.

EHR Deregulation or Disruption? Inside EHRA’s Vision for a Leaner Certification Future

The EHR Association’s recent letter to ONC/ASTP, sent amid a broader deregulatory wave from the Trump administration, outlines an ambitious overhaul of the federal Certification Program for health IT. Framed as a call for “real-world value and feasibility,” the recommendations cover everything from simplified testing to the removal of entire certification criteria — and they raise pressing questions about where the line lies between strategic deregulation and systemic risk.