Abstract
OBJECTIVES: To report on the feasibility of a simultaneous, enterprise-wide deployment of EHR-integrated ambient scribe technology across a large academic health system. MATERIALS AND METHODS: On January 15, 2025, ambient scribing was made available to over 2400 ambulatory and emergency department clinicians. We tracked utilization rates, technical support needs, and user feedback. RESULTS: By March 31, 2025, 20.1% of visit notes incorporated ambient scribing, and 1223 clinicians had used ambient scribing. Among 209 respondents (22.1% of 947 surveyed), 90.9% would be disappointed if they lost access to ambient scribing, and 84.7% reported a positive training experience. DISCUSSION: Enterprise-wide simultaneous deployment combined with a low-barrier training model enabled immediate access for clinicians and reduced administrative burden by concentrating go-live efforts. Support needs were manageable. CONCLUSION: Simultaneous enterprise-wide deployment of ambient scribing was feasible and provided immediate access for clinicians.