Nikhil Buduma on Turning Clinical Pain Points into an AI Product

Описание: a16z general partner Julie Yoo talks with Nikhil Buduma, CEO and cofounder of Ambience Healthcare, to discuss how AI is transforming clinical workflows. They cover the early days of deep learning, why Ambience started by running a medical practice before building a platform company, and what it takes to achieve high clinician adoption rates at major academic medical centers. They also dig into the challenge of building products when AI capabilities change every few months, the real ROI that's finally converting CFOs, and why this might be the moment to reimagine the legacy EHR stack.

00:00 - Introduction
03:16 - Using Transformers in Production and Seeing the Exponential Coming
08:14 - Why Providers Went From Tech Laggards to Fastest AI Adopters
15:25 - The Last-Mile Problem: EHR Context, Decision Traces, and Defining Quality
20:30 - Agents, New Systems of Record, and Building a Layer on Top of the EHR
24:47 - From Copilot to Virtual Care Team: Expanding Access Without Burning Out Clinicians
35:37 - Proving Hard ROI: How CFOs Are Starting to Believe in AI
44:49 - Why There's Finally Hope for Clinicians, Patients, and Healthcare

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