Generative AI in Admission Notes and Diagnostic Completeness: A Pilot Study.
Admission history and physical (H&P) notes influence inpatient documentation, risk adjustment, and reimbursement. In high-acuity settings, time constraints and fragmented chart data contribute to under-documentation of comorbidities. Generative AI systems that draft admission notes from existing electronic health record data may improve documentation completeness, but real-world inpatient performance remains insufficiently characterized.
Author(s): Camargo Rodrigues, Alfredo, Misurac, Jason M, Knake, Lindsey A, Barker, Kevin, Blum, James M
DOI: 10.1055/a-2876-0998