Memorial Regional Health System is a network of 12 hospitals and 50 outpatient clinics across three states. They employ over 15,000 healthcare workers including physicians, nurses, and administrative staff.

Current Situation:

• Physicians are copying patient notes into ChatGPT to generate summaries and referral letters.
• The compliance team discovered 47 incidents of PHI (Protected Health Information) being pasted into public AI services in the past quarter.
• IT has blocked access to consumer AI tools, causing physician satisfaction to plummet.
• Doctors are now using personal devices to access AI, making the problem invisible to IT.
• The CIO is under pressure from both the compliance officer (concerned about HIPAA violations) and the CMO (concerned about physician productivity and burnout).

Requirements:

• HIPAA compliance with full audit trails.
• Integration with existing Epic EHR system.
• Role-based access (physicians see different data than nurses or billing staff).
• No PHI should leave the hospital's controlled environment.
• Physicians want natural language access to patient data for clinical decision support.