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Healthcare · MediCore Health

Clinical Document AI cuts physician paperwork by 62%

A 14-hospital network automated clinical documentation and discharge summaries with a HIPAA-compliant LLM platform.

62%

reduction in documentation time

2.1 hrs

returned to each physician daily

38%

faster coding & billing cycle

94%

physician adoption after 90 days

The Problem

Physicians at MediCore's 14 hospitals were spending 3+ hours daily on clinical documentation, discharge summaries and referral letters. Burnout was rising, documentation quality was inconsistent, and coding delays slowed reimbursement by weeks.

The Solution

RippleCode built a HIPAA-compliant clinical documentation platform on a private Azure OpenAI deployment. Ambient encounter notes, structured EHR data and lab results feed a RAG pipeline that drafts progress notes, discharge summaries and referral letters for physician review. A guardrail layer enforces terminology standards and flags low-confidence sections, with every draft requiring clinician sign-off.

Architecture

  • Private Azure OpenAI deployment inside the client's tenant (no PHI leaves the boundary)
  • FHIR-based integration layer with the Epic EHR
  • RAG over clinical guidelines and hospital protocols using pgvector
  • Human-in-the-loop review UI embedded in existing clinician workflow
  • Full audit trail and model-output evaluation pipeline

ROI

The platform paid for itself in 5 months through recovered physician capacity and faster reimbursement cycles — an estimated $8.4M annual value across the network.

Engagement

Client
MediCore Health
Industry
Healthcare
Service
Artificial Intelligence
Timeline
16 weeks from discovery to first-hospital rollout; full network in 7 months

Technologies

Azure OpenAIFHIR / HL7Next.jsPythonPostgreSQL + pgvectorAzure Kubernetes Service

RippleCode understood clinical workflow better than vendors we'd worked with for a decade. Our physicians actually thank us for this system.

Dr. Anita Deshpande

Chief Medical Information Officer, MediCore Health

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