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The Next Phase of AI in Healthcare IT: Adoption, Scale, and Results
Understanding AI Adoption in Healthcare
Healthcare organizations have moved beyond asking whether AI belongs in healthcare. The focus now is on scaling AI from isolated pilots to sustainable, enterprise-wide outcomes.To better understand how healthcare leaders are navigating this transition, Connection and CNXN Helix™ Center for Applied AI and Robotics brought together more than 20 healthcare IT executives from health systems, academic medical centers, community hospitals, and rural healthcare organizations. Through executive discussions and live polling, participants shared their experiences with AI adoption, governance, security, data readiness, ROI, vendor strategy, and enterprise deployment.
The insights that follow highlight the opportunities, challenges, and priorities shaping healthcare AI adoption today.
The Next Phase of AI in Healthcare IT: Adoption, Scale, and Results
Understanding AI Adoption in Healthcare
Healthcare organizations have moved beyond asking whether AI belongs in healthcare. The focus now is on scaling AI from isolated pilots to sustainable, enterprise-wide outcomes.To better understand how healthcare leaders are navigating this transition, Connection and CNXN Helix™ Center for Applied AI and Robotics brought together more than 20 healthcare IT executives from health systems, academic medical centers, community hospitals, and rural healthcare organizations. Through executive discussions and live polling, participants shared their experiences with AI adoption, governance, security, data readiness, ROI, vendor strategy, and enterprise deployment.
The insights that follow highlight the opportunities, challenges, and priorities shaping healthcare AI adoption today.
Key Survey Findings

AI is already in production.

Organizations are focused on operational outcomes.

Adoption matters as much as the technology.

Governance must extend beyond committees.

ROI requires clear ownership and measurement.

Strategic partnerships matter more than point solutions.
Change Happens. EXPERTISE WINS.™
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How are you consuming AI today?
Microsoft Copilot or other Microsoft AI tools
18%
Third-party healthcare applications
18%
EMR-native AI capabilities
16%
AI embedded in core systems
11%
AI embedded in productivity tools
11%
Internally built AI solutions
11%
Cloud AI platforms
7%
Other
5%
AI embedded in security tools
2%
We are not currently consuming AI
AI in Healthcare Is Already Here
Most participants reported active AI deployments across clinical, operational, and administrative environments. Organizations are leveraging a mix of EMR-native capabilities, Microsoft Copilot, third-party applications, and cloud-based AI platforms.
The Use Cases Driving Investment
Healthcare organizations are prioritizing AI investments that remove friction from existing workflows—not futuristic use cases. Clinical documentation, revenue cycle optimization, prior authorization, document intelligence, and patient access ranked among the highest-value opportunities.
Clinical Priorities |
Operational Priorities |
|---|---|
| Clinical documentation | Denials management |
| Revenue cycle optimization | Prior authorization support |
| Prior authorization | Claims automation |
| Patient access | IT service desk automation |
| Document intelligence | Staff productivity |
Which AI use cases are most important to your organization over the next 12 months?
1. Clinical documentation
2. Revenue cycle optimization
3. Prior authorization
4. Patient access
5. Document intelligence
6. Denials management
7. Population health analytics
8. Security and compliance
9. Contact center automation
10. HR and workforce intelligence
11. Executive reporting
12. Supply chain optimization
Which non-clinical AI use cases would be most valuable to your organization?
Denials management
17%
Prior authorization support
14%
Claims or billing workflow automation
12%
IT service desk automation
12%
Supply chain and procurement insights
9%
Staff productivity
9%
Executive dashboards
7%
Call center summarization
5%
Compliance reporting
5%
Contract or policy document analysis
5%
HR and workforce insights
3%
Other
2%
Ambient Documentation Is a People Problem
Ambient documentation highlights a common AI challenge: value alone does not drive adoption. Some organizations saw strong clinician demand, while others watched pilots stall because providers did not see enough reason to change their workflow.“We had a pilot of some ambient learning in our clinic areas, and it just died. The clinicians, for some reason, were just not interested. And I think that’s sad, because it’s a really great tool.”Director of IT Service Delivery
Academic Medical Center
Leaders pointed to practical adoption drivers: physician champions, proof of time saved, peer support, and attention-to-workflow pain points like pre-charting and note review.
Electronic Health Records Are the Hub for AI in Healthcare
The EHR is becoming the hub for healthcare AI because the data, workflows, and integration paths already live there—but the strategy is not platform versus vendor. Healthcare leaders are standardizing where core platforms like Microsoft, Epic, Oracle Health, ServiceNow, and Google Cloud are strong, while reserving experimentation for specialty AI tools that solve problems the platform does not.How much of your AI activity is connected to the EMR today?
Mostly through EMR-native capabilities
33%
Mostly outside the EMR
27%
Mix of EMR-native and third-party tools
20%
Not connected to the EMR yet
7%
Not applicable
7%
Unsure
7%
Where do you see the biggest need for AI to pull intelligence from existing applications and data sources?
EMR / clinical systems
18%
Revenue cycle systems
16%
Data warehouses / analytics platforms
13%
Claims / billing systems
11%
Document repositories
10%
Financial systems
8%
HR / workforce systems
6%
Contact center platforms
5%
Microsoft 365 content
5%
Security / compliance systems
5%
Other
3%
Governance, Risk, and ROI
Governance emerged as one of the biggest barriers to scaling AI safely, with healthcare leaders rating their confidence at 3.8 out of 5 on average. While committees and checklists are important, leaders emphasized the need for governance that operates in the flow of work—with clear accountability, risk-based controls, and technology that can enforce policy at scale.The strongest models separate decision-making from execution: committees define what is safe, allowed, and funded, while operational teams translate those decisions into working policy and platforms enforce controls. Cybersecurity exposure and PHI / privacy concerns ranked as the top risks, followed by hallucinations, bias, and regulatory compliance. Proving ROI also requires stronger operating discipline, including clearer use-case prioritization, baseline metrics, post-pilot adoption planning, and business ownership.
Which AI risks concern you most?
PHI or data privacy exposure
18%
Cybersecurity exposure
18%
Hallucinations or inaccurate outputs
12%
Bias
12%
Regulatory compliance
12%
Lack of auditability
8%
Shadow AI usage
8%
Poor explainability
4%
Vendor lock-in
4%
Other
4%
Lack of human oversight
2%
What would make AI ROI easier to prove?
Clearer use-case prioritization
19%
Baseline process metrics
12%
Post-pilot adoption plan
12%
Cost reduction model
10%
Risk reduction measurement
10%
Stronger business ownership
10%
Executive dashboard
7%
Productivity measurement
7%
Clear comparison between pilot and production outcomes
7%
Better vendor reporting
5%
Other
2%
Beyond the Data: The Real Challenge Is Turning AI into Value
While governance, security, and compliance remained important considerations, healthcare leaders consistently raised broader concerns around scaling AI beyond initial use cases. Organizations expressed enthusiasm for ambient clinical documentation but greater uncertainty around expanding AI into clinical and operational workflows, managing new AI-related costs, and selecting vendors that can provide long-term stability and support.The takeaway was clear: healthcare AI is no longer a future initiative—it’s already in use across the enterprise. Success will depend less on adopting more tools and more on choosing the right workflows, establishing governance that enables progress, driving user adoption, and continuously measuring outcomes. The organizations that do this well will be best positioned to turn AI investments into meaningful results.
Choosing the Right Partner
One of the sharpest lessons from healthcare leaders was that a successful pilot can still become a liability if the vendor cannot last. A tool may prove its value in a controlled deployment, but if the company changes direction, leaves healthcare, or cannot support long-term adoption, the organization is left to rebuild from scratch. Leaders emphasized the need to understand not only what a vendor can do, but what business they are in, how committed they are to healthcare, and what accountability they are willing to put behind their claims.“You’re going to save me 30 percent. Great. Are you going to guarantee the 30 percent? It’s interesting how that conversation then changes.”VP and CTO
Large Health System
When evaluating AI solutions, which partner model do you prefer?
Existing strategic technology partners
40%
Depends on the use case
20%
Specialty healthcare AI vendors
13%
Internal build-first approach
13%
Trusted advisor or consultant
7%
Unsure
7%
Broad platform providers
Which companies or platforms are most influential in your healthcare AI roadmap?
Microsoft
22%
Epic
17%
ServiceNow
12%
Oracle Health
10%
Google Cloud
10%
UKG
7%
Internal development platforms
7%
Specialty healthcare AI vendors
5%
Other
5%
Salesforce
2%
Meditech
2%
AWS
Capability is often the easiest thing to evaluate. The harder questions are how the model was trained, whether it uses the organization’s data, how that data is protected, what the contract actually guarantees, and whether efficiency claims hold up once the tool is live. In healthcare, a new AI solution is rarely just a tool. It requires integration, workflow redesign, validation, training, and clinical trust before it can scale. The strongest partners are the ones that understand that reality and remain accountable after the pilot ends.
Turning AI Strategy into Outcomes
Every healthcare organization is at a different stage of its AI journey, but the challenges are increasingly familiar: identifying the right use cases, preparing data, establishing governance, measuring outcomes, and scaling success across the enterprise.The CNXN Helix™ Center for Applied AI and Robotics helps organizations navigate this journey and move from AI exploration to measurable business value. As our dedicated AI practice, CNXN Helix combines expertise across AI strategy, data, infrastructure, automation, governance, security, and industry-specific solutions to help customers deploy AI responsibly, accelerate adoption, and achieve meaningful outcomes at scale. Whether you’re launching your first AI initiative or expanding mature AI programs, the CNXN Helix team is here to help.
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