How Cleveland Clinic rolled out ambient AI: 6 notes

Cleveland Clinic launched an ambient AI scribe for all of the health system’s U.S. outpatient clinicians in spring 2025.

Here’s how the rollout went, according to an Aug. 14 Cleveland Clinic article:

1. In 2024, Cleveland Clinic piloted five ambient listening vendors with the help of 250 physicians representing over 80 specialties and subspecialties, dividing them into groups of 50. The evaluation process used both objective and subjective data, examining accuracy, time spent closing charts in the EHR, and pre- and post-use surveys about cognitive burden, worry, and feelings of burnout.

2. Rohit Chandra, PhD, chief digital officer of Cleveland Clinic, and Associate Chief Medical Information Officer Eric Boose, MD, were leaders on the pilot project.

3. Cleveland Clinic selected Ambience Healthcare based on the software’s performance and potential to collaborate on additional tools such as creating clinical orders and recommending billing codes.

4. The rollout happened in three phases, with live virtual training sessions for groups of 50 three times a day. Within 15 weeks, 4,000 of 6,000 eligible physicians and advanced practice providers were actively using the tool.

5. Cleveland Clinic providers have employed the software to document and summarize 1 million patient encounters to date, with active users incorporating it into 76% of their scheduled office visits. The ambient AI has lowered the average time clinicians spend writing and reviewing notes in the EHR by 2 minutes per appointment and 14 minutes a day.

6. Quantifying return on investment will take more time and deeper analysis, the health system said, with potential benefits including in billing and reimbursement, increased patient access and more effective caregiver retention and recruitment.

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