Nearly one in three nonfederal acute care hospitals in the U.S. reported using generative artificial intelligence integrated into their electronic health record in 2024, according to a national survey analysis published Dec. 12 in JAMA Network Open.
The findings are based on a survey of 2,174 nonfederal U.S. acute care hospitals using data from the 2024 American Hospital Association Information Technology Supplement, fielded from April through September.
Key findings from the survey include:
- Thirty-one point five percent of hospitals reported current use of generative AI integrated into the EHR, while 24.7% said they planned to adopt it within a year — suggesting about half of U.S. hospitals could be using the technology by the end of 2025.
- Forty-three point seven percent of hospitals were classified as delayed adopters, meaning they reported no plans to implement generative AI, expected adoption in five years or were unsure.
- Adoption was more common among health system–affiliated and teaching hospitals, as well as hospitals using Epic EHRs. Independent hospitals and those with a high share of Medicaid discharges were somewhat less likely to report adoption or near-term plans.
- Hospitals with prior experience using predictive AI were significantly more likely to adopt generative AI, though those with the most robust AI evaluation practices tended to move more cautiously.
