clinical_documentation · healthcare · workflow
Included Health builds Wordsmith, an internal GenAI platform powering healthcare documentation, RAG, and agentic workflows
Included Health's data science team needed to modernize NLP capabilities last advanced in 2021, and care coordinators were spending time on manual documentation after every member encounter. The team also lacked a unified, secure way to route LLM requests across cloud providers in a HIPAA-regulated environment.
How it works
Common implementation structure
How this type of workflow is generally built, generalized across documented cases — not tied to any one vendor's stack. Click any stage to read what happens there. Specific products that implement these stages appear in “Tools commonly seen” below.
Stage 1 · Member interaction triggers workflow
Care coordinators were writing manual documentation after each encounter with a member, creating the need for automation.
Tools used
GPT-4OpenAI Python SDKGoogle VertexAIAWS BedrockAzure OpenAIMLServerHuggingFaceMLFlowWhisperKubernetesKarpenterLlamaIndexConfluence
Outcome
Wordsmith was deployed across multiple production applications: ChatIH reached 400 internal users, a Confluence agent was adopted by over 80 engineers, Ghostwriter automated care coordinator notes, Coverage Checker launched to the first external customer, and Clinical Scribe automated clinical documentation.
Results
Volume400
Running sinceMarch 2023
Grounding & classification
Source type: technical build writeup
48 fields verified against source quotes.
agentic workflowcontent generationdata extractiondocument airagspeech to textsummarizationcall recordingchat transcriptclinical noteknowledge basemedical recordmeeting recordingmetric backednamed customerproduction runtime claimedsource backedtools describedworkflow describedhealthcareautomation rateemployee productivitytechnical build writeupback office opsclinical documentationcustomer supportmedical records processingagentic task executiondocument to recordrag answering