The past decade of EHR conversations has circled the same frustration: tools built to support clinicians often slow them down instead. The stagnation lasted long enough that many stopped expecting progress at all. Something different is happening now, and AI is playing a noticeable role in that shift
Why the EHR Conversation Is Changing
In a recent conversation, Troy Wasilefsky, Chief Revenue Officer at Greenway Health (Greenway), spoke candidly about the forces reshaping ambulatory IT and why he believes the EHR market is entering a new phase shaped by practical applications of AI.
Key Takeaways
- The EHR market is ripe for disruption. Wasilefsky sees a long-stagnant market and believes vendors willing to rebuild workflows with AI can finally deliver what clinicians expected years ago.
- AI is breaking down the walls inside ambulatory practices. Tasks once reserved for billing and operations are moving into the encounter itself, without adding work to clinicians.
- AI is becoming the most practical engine for change. Greenway believes owning both the EHR and the automation layer allows them to fundamentally redesign workflows rather than bolt on another tool.
The EHR Market Is Ripe for Disruption
After a decade of incrementalism, Wasilefsky argues the ambulatory EHR landscape has stalled. Many products look and feel the same as they did years ago, even as expectations rise due to better digital tools in other industries.
His assessment was blunt: “I think that you’re being too kind in suggesting that the market’s been stable. I think it’s been stagnant…complacent…and frankly hasn’t been serving the customers all that well.” That sentiment reflects what many clinicians and IT teams have been feeling. It also explains why he sees room for a shift driven by AI-enabled workflows.
AI Is Blurring the Lines Between Clinical and Business Workflows
While many organizations still treat clinical documentation, billing workflows, and patient engagement as separate problem spaces, Wasilefsky believes those divisions only exist because technology forced them to. AI allows tasks to move upstream into the clinical encounter, where the data is freshest.
“We’ve brought into the clinical encounter elements that traditionally are RCM because that’s the place to do it,” he explained. “You can rethink that whole journey in a much more seamless, more natural way.”
Wasilefsky sees AI taking on the repetitive RCM and administrative work that often bogs down practices, freeing staff to focus on exceptions and edge cases that truly require human judgment.
AI Is Becoming Healthcare’s Most Practical Engine for Change
When asked why this moment feels different, Wasilefsky pointed to how physician practices are talking about AI. They’re not asking for AI as a technology; they’re asking for outcomes. Less time charting. Fewer billing gaps. Cleaner data flowing into the record. And because AI can now work quietly in the background of clinical and business workflows, its impact doesn’t depend on training clinicians to work differently.
“The technological architecture and the technology available at the time has never allowed EHRs to do what they need to do,” he said. “Today it’s a completely different story. We can create an EHR that can do those things.”
AI is not Just Incremental Benefit for Physician Practices
AI is here to stay, but healthcare leaders are still weighing whether it brings incremental gains or something more foundational. In Wasilefsky’s view, it is doing both and may finally allow EHRs to finally catch up to the vision. He believes an EHR that supports the work instead of shaping it will unlock benefits that clinicians have been waiting on for years.
Learn more about Greenway Health at https://www.greenwayhealth.com/
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