BriefCase vs AI products for drafting discharge summaries, documenting patient care and revenue cycle management

Both tools aim to integrate seamlessly into existing healthcare workflows. Aidoc's BriefCase is integrated into the Aidoc platform and offers mobile access for care team collaboration. Epic's AI solutions are embedded directly into its EHR system, with tools like 'Art' designed to streamline clinical documentation and 'Emmie' for patient-facing assistance in MyChart. While Epic's AI tools are associated with a better EHR experience for users, a training gap appears to limit the full benefit clinicians see.

Aidoc's BriefCase is FDA-cleared and focuses on AI-powered communication and collaboration for critical medical imaging findings, with a strong emphasis on triage and notification for time-sensitive conditions like intracranial hemorrhage and pulmonary embolism. Aidoc has numerous FDA clearances across various acute indications, including a recent clearance for a comprehensive foundation model AI with 11 new indications, demonstrating high sensitivity and specificity in studies. Epic's AI offers a broader range of applications, including drafting discharge summaries, patient care documentation, and revenue cycle management. While Epic's AI aims to reduce administrative burden and improve clinical workflows, there is a noted lack of rigorous evaluation, including randomized controlled trials, to assess the usability, utility, or safety of its generative AI features in real clinical workflows.

Aidoc's BriefCase has enterprise pricing starting around $50,000 per site per year, with additional modules costing $8,000 to $15,000. This pricing model is transparent and allows for a clearer ROI calculation based on reductions in door-to-treatment times. Epic does not publicly publish pricing, with costs for its EHR system (which includes AI features) ranging from $100,000 to over $30 million upfront, plus significant ongoing costs. Epic's AI features may have a hybrid pricing model with some flat fees and some consumption-based charges, which can make budgeting difficult and has been described as 'tokenomics' by some CIOs.

Epic's AI solutions are deeply embedded within its widely adopted EHR system, which is used by over 85% of its customers and holds a significant market share in acute care hospitals. This inherent integration provides a strong foundation for enterprise-wide deployment and scalability across various clinical and administrative workflows. Aidoc's BriefCase is also designed for large hospitals and health systems, with over 500 hospitals globally using its platform, and its aiOS platform is built to sustain AI performance at a foundation-model scale. However, Epic's established presence as an EHR leader gives it an edge in terms of pervasive enterprise integration and a broader range of AI applications across the entire health system.

Epic demonstrates strong innovation by embedding a wide array of AI tools directly into its EHR, covering diverse areas like clinical documentation (Art), patient engagement (Emmie), and revenue cycle management (Penny). Epic is also developing an AI validation software suite to help healthcare organizations test and monitor AI models, including generative AI, and has released it as an open-source tool. Aidoc is innovative in its focus on AI-driven critical finding detection and communication for medical imaging, with multiple FDA clearances and the development of a comprehensive foundation model AI (CARE) for triage. Aidoc is also working on automated draft report creation. However, Epic's broader scope of AI applications across the entire healthcare ecosystem, including patient-facing tools and a platform for creating customizable AI agents (Agent Factory), suggests a wider innovative reach.

Epic, as a major EHR vendor, has a well-established support ecosystem, including an Epic Help Center and resources for developers integrating with their AI systems. They also offer an 'AI Readiness Sprint' to help organizations align their processes for AI adoption. While Aidoc provides analytics for customers to monitor AI performance and adoption, and emphasizes transparency with model cards, the extensive existing documentation and support infrastructure of a large EHR vendor like Epic likely provides more comprehensive support and documentation for its integrated AI tools.