Uptake of Generative AI Integrated With Electronic Health Records in US Hospitals

Which US hospitals used generative artificial intelligence (AI) in 2024?In this survey study of 2174 nonfederal US hospitals, 31.5% reported using generative AI in 2024 and 24.7% planned to do so in 1 year. Independent hospitals and those with high Medicaid discharges were more likely to have no implementation plans, while those that reported robust local evaluation of predictive AI were more likely to plan to use generative AI in 1 year than to currently use it.The findings of this study suggest that by the end of 2025, half of nonfederal acute care hospitals in the United States will use generative AI; there is evidence of a digital divide, whereby some hospitals adopt these tools without complete safeguards.

Corresponding Author: Jordan Everson, PhD, MPP, Office of the National Coordinator for Health Information Technology and Assistant Secretary for Technology Policy, US Department of Health and Human Services, 330 C St SW, Washington, DC 20201 (Jordan.everson@hhs.gov).

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