Perspectives

Ambient clinical documentation is a passive voice capture system that converts a clinical encounter into a structured EHR note without physician dictation or manual data entry. The pipeline moves from audio capture through ASR into an LLM that extracts clinical intent, and terminates in an EHR write-back that populates discrete structured fields. The compliance, integration, and governance architecture around that pipeline determines whether the system reaches production.

Health system CTOs managing home health operations are facing a structural inflection in 2026. The forces are not new, referral leakage, compliance fragmentation, and data sovereignty concerns have been building for years but they are converging at a point where the architectural cost of a generic licensed platform is measurably higher than the investment cost of building to spec.

Forward Deployed Engineers (FDEs) are engineers embedded directly within customer environments to build and deploy production systems against real enterprise data. The role was pioneered by Palantir and is now being adopted widely across AI companies as organizations struggle to operationalize AI inside complex enterprise architectures. What distinguishes an FDE from a traditional consultant or solutions architect is ownership: they build production systems, iterate after launch, and often feed operational insights back into the platform or delivery infrastructure.