What challenges did Nebraska Medicine face before AI implementation?

Physician burnout rates were rising, with some spending twice as much time on administrative tasks as direct patient care. Administrative workload created after-hours work and reduced clinician satisfaction. Inefficient clinical documentation processes limited patient-focused time. Pressure to maintain high documentation accuracy and compliance amidst growing patient volume.

What was the impact of the AI solution?

Reduced physician burnout by up to 70%. Realized more than 50% efficiency gain for radiologists. 30% increase in patient self-service and satisfaction. Doctors redirected more time to patient care than administrative tasks.

Source

Microsoft

Nebraska Medicine slashes clinician burnout with AI-driven ambient documentation

Use case typeClinical documentationUpdated Jun 13, 2026

Nebraska Medicine partnered with Nuance and Microsoft to implement ambient clinical intelligence solutions in clinical settings. By combining Nuance's speech recognition (Dragon Medical) and Microsoft Azure AI, ambient clinical documentation now automates the creation and filing of medical records. Doctors can now focus more on patient interactions instead of paperwork, as the AI processes and transcribes conversations directly into the electronic health record (EHR). Voice biometrics and conversational AI ensure secure and accurate handling of sensitive patient data. The solution integrates with EHR systems for real-time context awareness and documentation accuracy. The approach addresses growing physician burnout, which had previously resulted in doctors spending more time on administration than patient care. Nebraska Medicine’s leadership expects meaningful improvements in operational efficiency and satisfaction. The project also involves migration of Nuance’s infrastructure to Azure, enhancing overall cloud-based healthcare delivery.

Organization: Nebraska Medicine
Industry: Healthcare
Location: United States
Published: October 2019

Reported outcomes

−70%

quantified impactOther quantified impact

+50%productivity+30%quantified impact

Strategic outcomes

Employee experienceReduced clinician burnoutNew product / capabilityAutomated clinical documentationCustomer experience & trustImproved patient self-service and satisfactionSpeed & agilityRedirected time to patient care

Primary read

Use case focus

Showing 3 of 3

1Automated Clinical Documentation with Ambient AI
2Voice-driven Electronic Health Record Population
3Reducing Healthcare Provider Burnout with AI

Physician burnout rates were rising, with some spending twice as much time on administrative tasks as direct patient care.
Administrative workload created after-hours work and reduced clinician satisfaction.
Inefficient clinical documentation processes limited patient-focused time.
Pressure to maintain high documentation accuracy and compliance amidst growing patient volume.

Deployed ambient clinical intelligence (ACI) powered by Nuance's Dragon Medical platform and Microsoft Azure AI.
Integrated speech recognition and conversational AI for real-time clinical documentation.
Utilized voice biometrics, ambient listening, and machine learning for secure, context-aware data handling.
Migrated Nuance’s healthcare solutions and internal infrastructure to Microsoft Azure.

Technologies

Azure AI Dragon Medical AI Voice Azure ML Azure

Reduced physician burnout by up to 70%.
Realized more than 50% efficiency gain for radiologists.
30% increase in patient self-service and satisfaction.
Doctors redirected more time to patient care than administrative tasks.

Architecture

Ambient clinical intelligence services capture the doctor-patient conversation using Nuance’s Dragon Medical platform, transcribe and process it through Azure AI and machine learning, and insert structured notes into the EHR. Voice biometrics and conversational AI authenticate and contextualize data. Nuance’s internal healthcare infrastructure is hosted on Microsoft Azure.

Implementation partners1

Nuance

Sources & evidence1

Groundedness: Unavailable

Primary source

AI-generated summary. Verify important details with the linked sources before relying on this case.

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