Industry background

St. John’s Health helps reduce documentation burden for physicians

Hospital physicians use Oracle Health Clinical AI Agent to help draft clinical notes, freeing up time for patient care and limiting after-hours work.

United States | Healthcare

Our physicians love this solution—they can leave at the end of the day with all notes complete for the first time in their careers.
Emily GrahamInformatics Supervisor, St. John’s Health

Video: St. John’s Health is Helping Reduce Documentation Burden for Physicians (2:30)

St. John’s Health, an independent community hospital in Jackson Hole, Wyoming, serves both a rural population and a seasonal influx of millions of tourists. The organization’s chief informatics challenge was the heavy administrative and cognitive burden that growing documentation requirements—and earlier EHR implementations—placed on clinicians. Manual note-taking slowed down workflows, introduced the risk of incomplete or delayed documentation, and made it harder for staff to balance patient care with regulatory, billing, and coding demands. The tipping point came as staff burnout increased, and it became clear that physicians were spending too much time after hours completing charts, which affected morale, patient throughput, and revenue cycles. St. John’s Health was already seeking solutions and evaluating other vendors when Oracle Health Clinical AI Agent—a cutting-edge AI and voice-powered tool tightly integrated with Oracle Health Foundation EHR—became available. Solving these issues was vital not only for operational efficiencies but also for clinician well-being, patient safety, and the hospital’s ability to serve its unique and growing population.

“We chose Oracle Health Clinical AI Agent for seamless EHR integration and proven support from Oracle’s team,” said Emily Graham, Informatics Supervisor, St. John’s Health.

Why St. John’s Health chose Oracle

St. John’s Health selected Oracle Health Clinical AI Agent to reduce clinician administrative burden after considering multiple documentation and workflow solutions. A key reason for choosing Oracle was the tool's deep integration with the hospital’s existing Oracle Health Foundation EHR, enabling streamlined, voice-driven clinical documentation and navigation directly within current workflows. Additionally, unlike other competitors, Oracle’s solution offered end-to-end ambient listening that takes in the entire patient-physician encounter and drafts concise, accurate notes for review and approval, supporting requirements for billing, coding, and continuity of care. This ongoing collaboration and the potential for expanded AI capabilities cemented Oracle as the best fit for St. John’s Health.

Results

After deploying Oracle Health Clinical AI Agent, St. John’s Health experienced a breakthrough in clinical documentation and productivity. Using the AI-powered, voice-enabled solution, five pilot family medicine physicians were able to complete all their clinical notes by the end of each clinic day—an unprecedented achievement in their careers—reducing after-hours charting and the associated burnout. Since that time, St. John’s Health has continues to roll the product out to more providers and staff. Physicians now spend more face-to-face time with patients during appointments, unconstrained by the need to juggle computers or manual note-taking, significantly improving the patient experience and restoring focus on compassionate care. The tool’s ambient listening and direct EHR integration deliver quick, accurate clinical notes that support compliance, billing, and coding requirements, helping limit queries and expediting downstream workflows for coding, claims, and referrals. Office staff have noticed a quick turnaround on referrals, while coders and auditors have reported fewer documentation gaps to chase. St. John’s Health expects that limiting late or missing documentation will help improve revenue cycle metrics and reduce claim denials, supporting stronger financial performance for the independent hospital.

Since implementation, St. John’s Health providers have reduced average adjusted physician documentation time by 74% and average adjusted time spent in the EHR by 41%,[1] helping providers focus more on delivering exceptional patient care.

Additionally, employee morale has improved, with clinicians consistently reporting less cognitive burden and higher job satisfaction. The success of the initial pilot has generated demand across other departments, including specialty clinics and nursing, and St. John’s Health plans further expansion as Oracle releases new features such as chart review and order creation. With this solution, St. John’s Health has set a new standard for using AI in a rural hospital setting, achieving measurable productivity gains and reinforcing its commitment to delivering top-tier care to residents and visitors alike.

[1] Legal disclosure: Among St. John’s Health providers using Clinical AI Agent >50% of their notes (39 out of 53 physicians) during the comparison period. Data pulled from Lights on Network and Oracle Health Advance comparing 8/1/23 - 10/31/23 to 8/1/25 to 10/31/25.

Partners

St. John’s Health implemented Oracle Health Clinical AI Agent in collaboration with Oracle’s healthcare team. The pilot rollout took several weeks, and the experience was highly collaborative, with hands-on support and responsive feedback throughout.

Learn more at oracle.com/health.

About the company

St. John’s Health is an independent community hospital in Jackson Hole, Wyoming, serving locals and millions of visitors annually.

Learn more about St. John’s Health