Integrating clinically led technology to enhance patient care
At HCA Healthcare, technology and innovation are central to how we care for patients, empower colleagues and advance our shared mission.
Our Digital Transformation and Innovation group (DT&I) and Information Technology Group (ITG) collaborate closely to design and scale solutions to strengthen our digital infrastructure by modernizing systems and simplifying workflows to enhance patient and colleague experiences.
Underlying this work is the strong technology foundation built by ITG teams across cybersecurity, software engineering, network, cloud and infrastructure. These capabilities serve as the backbone of our digital transformation efforts and are focused on making our platforms secure, resilient, scalable and ready to support innovation at an enterprise scale.
Together, our teams are focused on building technology that positively impacts our patients, communities and colleagues – a critical component of our strategy to improve more lives in more ways. These efforts are seeking digital and artificial intelligence (AI)-enabled innovation across the organization as part of our efforts to leverage data, automation and emerging technologies. This will help us improve patient outcomes, increase efficiency, strengthen the connection of our care networks and create more time for our teams to do what matters most: caring for our patients.
Responsible and
transformative innovation
At HCA Healthcare, we aim to redefine the future of healthcare for all by turning clinician insight into action. We strive to create advancements that set new care delivery standards. Our processes reflect our commitment to responsible innovation to develop new technologies, whether driven by automation, artificial intelligence (AI) or data, to advance our core mission while maintaining privacy and accountability.
Our responsible adoption of AI at HCA Healthcare begins with a clear commitment to the importance of safety, privacy and trust. Technology may power progress, but our people give it a purpose. Every colleague playing a role in these efforts is tasked with assessing the output and upholding the pillars that guide our Responsible AI Program.
We define the responsible
use of AI as
- Safe and secure
- Private
- Transparent
- Fair and impartial
- Robust and accountable
Hendersonville Medical Center
Technology-enabled progress
across the enterprise
With approximately 47 million annual patient encounters in 2025, our integrated technology platforms and advanced analytics provided insights needed to make better clinical and operational decisions enterprise wide.
From tools that streamline workflows to platforms that enhance collaboration, we ask our teams to adapt to meet the needs of our patients today while preparing for tomorrow.
To enhance our networks of care, ITG and DT&I worked with our clinical and operational teams to implement digital initiatives that help improve care delivery and support HCA Healthcare’s strategic priorities.
Keeping patients connected to care
Our advancements in technology and innovation are more than just tools; they reflect how we embrace the responsibility of caring for others. We assess ways to enhance our communication with patients to help connect them with the care they need.
Expanse
MEDITECH Expanse is HCA Healthcare’s modernized electronic health record (EHR) platform. A cloud-based system, Expanse is designed to create workflow efficiencies and enhance care coordination. A modern EHR will give our colleagues more time to focus on delivering direct, compassionate care to our patients.
Through Expanse, we also aim to reduce unnecessary variation by facility and create standardized data. This will not only ensure access to real-time data for data-driven decision making, but standardized workflows will also enable scalable innovation more quickly across the enterprise.
In 2025, HCA Healthcare launched a waved enterprise rollout schedule to implement Expanse at all HCA Healthcare facilities currently using MEDITECH Magic as their EHR by the end of 2028. The first of five enterprise implementation waves have been completed.
As of January 2026, 50 acute-care facilities across our Capital, East Florida, Gulf Coast, North Florida, San Antonio, TriStar and U.K. divisions are now live on the Expanse EHR. By skillfully applying automation technologies across a range of implementation tasks, HCA Healthcare has been able to execute implementations more efficiently and expects to accelerate upcoming waves, enabling this foundational technology to be deployed to more facilities, more quickly, across the enterprise.
Consult-A-Nurse
Consult-A-Nurse is our 24/7 nurse advice line, where patients get free, direct access to experienced, licensed nurses who answer questions and direct them to the care they need. In June 2025, HCA Healthcare began work to scale this service across all our communities, aiming to simplify access to care and provide a consistent, patient-centered experience.
350,000+
Callers supported by Consult-A-Nurse in 2025 – a 5.1% increase from 2024 – expanding access to care and advancing our mission to care for and improve human life.
Nurse Handoff
As part of our commitment to improve the way our care teams deliver care and operate on a day-to-day basis, HCA Healthcare has continued to partner with Google Cloud to leverage technology designed to address industry-wide challenges and support caregivers. HCA Healthcare has developed a generative AI-powered Nurse Handoff tool on Google Cloud to help reduce administrative and cognitive burden by streamlining tasks, including the transfer of patient-specific information between nurses during shift changes. Using generative AI, the Nurse Handoff tool is a digital product trained to help distill the most relevant clinical insights and capture critical shift-to-shift handoff communication. Across HCA Healthcare facilities, this is a process that occurs approximately 68,000 times per day.
Traditionally completed at the bedside and executed manually, nurse handoffs are critical to ensuring continuity of care and patient safety. Guided by our approach to responsible AI, clinician input remains central to the evolution of Nurse Handoff, keeping nurses at the heart of innovation and reinforcing the importance of human expertise.
Maternal Fetal Wellbeing
HCA Healthcare and GE HealthCare have collaborated to develop CareIntellect for Perinatal, a maternal-fetal platform designed to enhance labor and delivery care. Informed by clinicians and built on clinical insights, CareIntellect for Perinatal provides care teams with real-time data to streamline critical labor monitoring and perinatal workflows to support timely clinical decision-making.
By integrating advanced data models and clinical decision support, CareIntellect for Perinatal helps identify risks, simplify physiological monitoring and reduce manual tracking, allowing nurses to stay focused on direct patient care. The platform offers real-time support in monitoring, assessments and timely interventions, and uses AI to reduce subjectivity and guide decision-making — especially in high-risk maternal-fetal cases. With a consistent user experience across locations, we believe clinicians can confidently manage patient information and strengthen communication of details of mom and baby’s health.
Ambient Clinical Documentation
Reducing the administrative burden of clinical documentation on providers is a long-standing, industry-wide challenge. HCA Healthcare has deployed Commure’s ambient speech technology, and together with our providers, continue to refine clinical workflows to support accurate and timely documentation. HCA Healthcare is one of the first health systems to scale a tool, designed to allow providers to use a hands-free device to create accurate and timely medical notes extracted directly from conversations with patients, which is utilized with our patients’ consent. Using speech recognition and generative AI, Ambient Clinical Documentation helps create draft versions of notes for the provider through predictive models.
The adoption of Ambient Clinical Documentation continued to spread across care settings. In the inpatient environment, 20 facilities across our divisions have implemented the tool, with 58% of hospitalists now generating notes using the tool and nearly 90% of history and physical (H&P) notes being completed within 24 hours. A pilot of AI-generated discharge summaries is also showing promising early results, which may further streamline provider workflows. There are also nine facilities using the technology in their Emergency Departments with an overall adoption rate of 80%. In ambulatory care, over 400 physicians and advanced practice providers are now active users of the tool, which we believe delivers more than an hour of time savings per provider each day and contributes to increased satisfaction and more time for direct patient care.
Guided by our mission and strengthened by collaboration between ITG, DT&I and our clinical and operational partners, HCA Healthcare is working to harness technology to shape the future of healthcare — and to deliver smart systems and positive outcomes for those we serve.
