EHRs and agentic AI: Balancing human and automated collaboration

Progress in artificial intelligence moves from automatic learning models that analyze data to algorithms that you can work on with the minimum human participation through clinical and administrative workflow and facing the patient.
Amnesty International, or independent factors, are higher than standard artificial intelligence by the ability to make decisions independently to achieve a goal, rather than just production production from inputs to help human decisions or simplify tasks.
The growing momentum behind Agency AI in healthcare was a hot theme at the World Himss25 Exhibition for this month, from the exhibition hall to the major education and address sessions. But all discussions indicated the main challenge of health care: The use of parenting technology to improve processes is one thing, but carefully navigating the dangerous complications of the use of independent artificial intelligence in clinical care is completely another.
Artificial intelligence agents can help doctors meet the demand for care, such as sneezers and usual tasks. But they are not a substitute for making the doctor’s decisions. Since healthcare organizations are looking for Alectic AI to deal with a more sophisticated multi -step workflow within EHR and beyond, caution should be taken when spreading these tools in clinical settings.
Governance and policy of artificial intelligence health
A controversial draft law in the US House of Representatives in January and pointed to the Parliamentary and Trade Committee, Hr238 It would amend the Food and Drug Law and Federal Cosmetics to enable artificial intelligence A drug qualification.
But many technology developers believe that independent artificial intelligence is not ready to be used to describe other aspects of care.
Many clinical leaders and information technology that we talked to before, during and after Himss25 pointed to the importance of building confidence and ensuring transparency in its function as the largest obstacles to adoption in care management systems.
At Himss25, artificial intelligence experts urged caution. At Himss AI at the Health Care Forum earlier this month, for example, Dennis Chornenky, Senior artificial intelligence consultant in UC Davis Health pointed out that governance did not keep pace with the progress of technology, and that the current AI’s healthy regulations were designed for machine learning models-and not to independent artificial intelligence decisions.
Move very quickly with artificial intelligence factors, and the result can be to make biased decisions and potential risks to patient safety. The main information officials are under pressure to adopt them, “but they have to guarantee safety” Prepare to treat artificial intelligence and upcoming automation disorderChorinki said.
“How do they do this if they do not have the appropriate governance mechanisms that have been prepared?”
Aicic AI and follow the patient
The primary driver for the adoption of AICEAC AI in all organizations is to reduce the work of computer work on doctors and administrative employees.
Epic Merging artificial intelligence through applications and GPS factors To improve clinical efficiencySeth Howard, Executive Vice President of Research and Development at EPIC, told Health care news In front of Himss25.
“For example, we expect artificial intelligence agents to help prepare before the visit by chatting with patients about their needs, identifying lost tasks (such as laboratories), helping to schedule and complete these tasks, and create an easy -to -read summary,” he said.
Garrett Adams, Vice President of EPIC for Research and Development, used an assistant post -surgery agent at the conference.
He said that the multimedia follow -up of the wrist surgery that uses the sound and the image reaches the patient, “chatting with them in a conversation way.” The patient asks about the wrist recovery and sharing a picture of him or a video clip of it.
The agent can conclude the angle that the patient can fold their wrist after surgery and compare it to patients at the same point in recovering in the Epic’s Cosmos database. Based on this point in their recovery, the agent indicates that the date of follow -up may not be required because the patient “is going well incredibly.”
The patient is asked if they want to cancel the appointment and send the patient’s request to cancel the care team to confirm.
“This human investigation is still on these follow -up things, make sure the man’s right,” Adams said.
While the patient’s assistant worker after surgery is still with the patient, he can also make an appointment for influenza divorce.
“The combination of video inputs, the patient continues, the tone of conversation, the visions of the universe data, the closure of the care gap and the scheduling functions in the workflow of the agents – this patient had a somewhat smooth interaction,” he said.
Also in Himss25, Zoom Workplace launched doctors with a general experimental version of the notes surrounding use during remote health care dates as well as for personal appointments.
“When you finish the appointment, as a doctor, you quickly get the memo, then you review and amend,” said Reto Mukirji, head of enlargement products, accelerating business and preparing, in an interview on the Himss25 presentation floor. And she said, “Then, press the button, you can send it to the EHR system.” “This is just a starting point in automating the clinical workflow.”
Customer growth artificial intelligence with caution
Meanwhile at Himss25, the intelligence of the Interesty Information Technology Infrastructure Infrastructure A new EHR appeared for the first time supported by artificial intelligence It is called Intellicare. In addition to the surrounding listening and the features of the intrusive intelligence to simplify administrative tasks, an artificial intelligence assistant can create the patient’s automatic history summary and express the required icons of the filter within the revenue cycle management system.
The seller takes a cautious approach to the use of AICERIC AI to make direct clinical decisions, focusing on human oversight and focusing preliminary efforts on administrative tasks. For example, in addition to the diagnostic menu.
“My feeling is that the artificial intelligence agent and open sources models are the two topics for this year for 2025, from the point of view of artificial intelligence,” said Don Woodlock, head of global health care solutions, before Himss25.
He said that there is a greater ability to put in the administrative burdens of doctors by automating tasks such as sending messages, dealing with requests and dealing with previous licenses, by enabling artificial intelligence to think about the necessary set of steps and allow them to collect them together. It goes beyond the surrounding observation, “making follow -up and updates to the graph and we will see to what extent we have reached.”
He added that the developers “do not pay the AI agency.” What are the positives and negatives of that? What are the risks? Do we remove a level of supervision of the doctor? “
With automation operations such as sending medical prescriptions and referrals, Girish Navani, CEO of EclinicalWorks, said it tends more to pump the elimination of the factors you deal with.
“There is a time and a place where customers will even be in support of the clinical decision,” Navani Navani said. Health care news In hisss25.
“But this is not the explanation of the problem for this day. We focus on managing the revenue course, transferring the excessive administrative pregnancy and the work that takes place today-which does not contain clinical decisions-and the creation of independent agents to work during everyone’s sleep.”
Eclinicalworks offered Practical applications From Agentic intelligence, such as its own AI’s document intelligence tool that automatically extracts patient data from the documents received – with PDF, fax or CCDA formats. The company said it could accurately match the data with patients for 75-85 % of these documents. There is also the Healow Genie factor, which can provide patients with immediate answers to common inquiries around the clock throughout the week by voice, text, or chat.
However, for complex questions, Genie escalates inquiries to human factors.
Athenaheld was also gradually for several years on how to combine advanced features in it Products that support artificial intelligence. Recently, the company offered the EHR customers surrounding, a summary and a Salesforce’s AgentFORCEWhich provides workflow tasks to the agent for the summary of internal patients, missed deadlines, care gaps and pharmacy orders.
In the clinical workflow, AI agents automate the provider’s tasks such as following up the laboratory results and pre -required requirements.
But Elisia Pasoleno, Vice President of ATHENHEANHELTH in analyzes and Amnesty International, also stressed the importance of human oversight.
After Himss25, she said: “I look at artificial intelligence, the agent, or not, as the ability to remove some mechanically guided thinking, create the task, and the things they have to enter into the system in exchange for thinking that is decision -making and their application of medical knowledge.”
RCM Driving Ai AI
Now that AI’s health care technology has advanced to a place where decisions can independently make, many EHR sellers are more daring to implement administrative advantages in RCM.
“You can really direct artificial intelligence about the task or target, and it can move through it independently or independently with a group of parameters you give,” Pasoleno said.
Automation through a wide range of creditors, service providers, specialties and other exchange of revenue cycle is now possible with artificial intelligence, and the sellers look forward to addressing this friction.
She said, “It allows us to work with motivated motives or automating certain types of tasks, as there is a group of options that are not completely written and not necessarily flow,” she said.
Navani said that ECW is highly focused on AICEC AI in its RCM products.
“We have a large group of RCM ourselves, a thousand employees,” he said. “We have encountered seven or eight agents who can start mainly in doing what we have, then running. Productivity is ridiculed of the plans. You can talk about a full set of 50 people who do something else now, because the agent can do this work.”
In addition to processing electronic data and independent paper, the ability to manage the verification of the claim coding and compliance on its own is enormous, indicating that the company will get more data about the event later this year.
Andrea Fox is a great health care editor.
Email: Afox@himss.org
Healthcare is Hosz News.