What was the impact of the AI solution?

Early users report measurable reductions in time spent on clinical documentation, leading to increased clinician efficiency and satisfaction. There are reported improvements in patient communication turnaround times due to AI-assisted messaging. The AI agent and copilot deployment is expanding across various clinical settings, demonstrating scalability and operational benefits in healthcare workflows.

Source

MicrosoftProductionEvidence: Low40/100

Epic Embraces AI: Healthcare AI Agent and Copilot Implementation in US Health Systems

Use case typeClinical documentationUpdated Jun 13, 2026

Several US health systems including UC San Diego Health have adopted AI solutions to alleviate clinician inbox overload, reduce documentation time, and provide timely insights within clinical workflows. These systems implemented Epic's AI features powered by Microsoft technology such as Azure OpenAI and Microsoft Fabric. Key AI capabilities deployed include ambient scribe with Nuance Dragon Ambient eXperience, generative AI-based note drafting, patient messaging automation, and natural language query analytics within Epic's EHR system. The solutions leverage Microsoft Fabric for secure data governance and conversational data analysis, integrating the AI agent and copilot functionalities to streamline clinical documentation, patient communications, and clinical workflow efficiency. Early adopter feedback highlights significant documentation time savings, improved clinician satisfaction, and ongoing expansion of AI-assisted workflows across ambulatory and inpatient settings.

Organization: UC San Diego Health
Industry: Healthcare
Location: United States
Published: October 2025

Reported outcomes

Strategic outcomes

New product / capabilityDeployed AI agent and copilot workflowsCustomer experience & trustImproved patient communication turnaroundSpeed & agilityReduced manual documentation burden

Why do we believe this deployment?Customer identity, provider attribution, maturity, and source checks

Customer: UC San Diego Health
Provider: Microsoft
Maturity: Production
Linked source: MH Healthcare

Key AI capabilities deployed include ambient scribe with Nuance Dragon Ambient eXperience, generative AI-based note drafting, patient messaging automation, and natural language query analytics within Epic's EHR system

Customer identity supportedSource describes one deploymentMaturity supported

Primary read

Use case focus

Showing 3 of 4

1AI Agents
2Generative AI
3Ambient Clinical Documentation

US health systems face significant clinician inbox overload, excessive time spent on documentation, and lack of timely clinical insights affecting care delivery and clinician burnout.

UC San Diego Health and other health systems piloted and deployed Epic's AI innovations embedded in the Epic EHR using Microsoft Azure OpenAI for generative AI features and Nuance Dragon Ambient eXperience for ambient scribe.
Microsoft Fabric is utilized to securely govern and enable analysis of the conversational data generated by these AI interactions.
The integration enables AI agents and copilot functionalities that listen ambiently during clinician-patient interactions, draft notes, automate patient messaging, and allow natural language queries for clinical data analytics.
This AI-enhanced workflow reduces manual documentation burden and improves communication efficiency across care teams.

Technologies

Azure OpenAI Microsoft Fabric Nuance Dragon Ambient eXperience DAX Copilot

Early users report measurable reductions in time spent on clinical documentation, leading to increased clinician efficiency and satisfaction.
There are reported improvements in patient communication turnaround times due to AI-assisted messaging.
The AI agent and copilot deployment is expanding across various clinical settings, demonstrating scalability and operational benefits in healthcare workflows.

Implementation partners1

Nuance Dragon Ambient eXperience

Sources & evidence1

Evidence: Low40/100Evidence strength