Southwest General's Oracle Health Clinical AI Agent Cuts EHR Time per Patient 18.6% Across 18 Specialties

Southwest General, a health system in Middleburg Heights, Ohio, cut average time in the EHR per patient by 18.6% and after-hours work by 14.15% after rolling out Oracle Health Clinical AI Agent Clinical Note across 18 ambulatory specialties. Clinicians generated about 81,800 notes with the tool between February 2025 and January 2026, according to Oracle; the time savings compare EHR data from October to December 2025 with the same months of 2024. "With Oracle Health's AI capabilities embedded directly within our EHR, we're already seeing measurable improvements in provider satisfaction and a more seamless, connected patient experience," said Jae Zayed, vice president and chief information officer at Southwest General. Demand for primary and specialty care is rising across Northeast Ohio and the greater Cleveland region, and clinicians are expected to see more patients each day while keeping up with growing administrative work, much of it done after hours. Clinical Note is a voice-enabled agent built into the Oracle Health Foundation EHR. It listens to the patient-clinician conversation and drafts a structured note that is ready within seconds of the appointment ending, so the clinician can review and approve it before seeing the next patient. Oracle's clinical agents run on Oracle Cloud Infrastructure and use semantic reasoning to interpret clinical meaning, and multiple agents share context in near real time to automate steps of the workflow. Southwest General plans to add further AI capabilities as they become available, including chart search, automated order creation, AI physician dictation and nursing documentation.