Adoption and Use of LLMs at an Academic Medical Center
The authors introduce ChatEHR, an internally developed, vendor-agnostic system for integrating large language models (LLMs) directly into clinical workflows within an academic medical center's electronic health record. By enabling real-time access to longitudinal patient data through both automated tasks and an interactive chat interface, the platform successfully reduces manual documentation burden and facilitates decision-making. The authors also establish a robust framework for governance, continuous performance monitoring, and value assessment, demonstrating a replicable model for other health systems.