AdventHealth is a hospital system operating across nine states, serving millions of patients each year. Like many large health systems, it faces tight margins, growing demand and increasing administrative complexity.

Much of that pressure shows up in day-to-day workflows. Physician advisors reviewing cases for utilization management often spend about 10 minutes per case, not on a single task but on a sequence of steps: reading charts, identifying relevant details, checking criteria and drafting structured rationales. Across hundreds or thousands of cases, that time adds up quickly.

The burden extends beyond clinical roles. Teams in finance, HR, IT and other functions spend significant time drafting documents, summarizing information and preparing materials that are necessary but time-consuming. As a result, many operate in what leaders describe as “constant operations mode,” with limited capacity for higher-value work.

At the same time, interest in AI was already emerging inside the organization. Employees were experimenting with chatbots, even as formal policies restricted their use.