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AI Voice Agents – A Discussion with EvergreenHealth

August 27, 2025
John Sambrook, President

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AI Voice Agents – A Discussion with EvergreenHealth

It's late August 2025. The levy-lid-lift bond issue has passed… For Evergreen, what's the prudent course of action?
August 27, 2025 — John Sambrook, Common Sense Systems, Inc.
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The Cast & Context

EvergreenHealth

Community-focused, resource-conscious healthcare system serving Eastside communities with commitment to quality care and fiscal responsibility.

Competitors

Providence and other scaled systems with technology advantages, larger budgets, and aggressive expansion strategies.

Stakeholders

Patients seeking accessible care, providers managing workload, staff facing burnout, and taxpayers supporting the mission.

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The Inciting Incident

AI is Here

Early adopters are already deploying voice agents and AI tools, showing measurable improvements in efficiency and patient satisfaction.

Larger Systems Moving Fast

Major health systems are investing heavily in AI infrastructure, creating competitive advantages in patient access and operational efficiency.

Risk of Falling Behind

Delayed adoption could lead to market share erosion and diminished community influence as competitors gain technological edge.

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The Temptations

Option 1: Ignore AI

  • Short-term savings
  • Avoid risks
  • Long-term irrelevance
  • Competitors advance

Option 2: Dive in Blindly

  • Fast positioning
  • Early advantage
  • Wasted resources
  • Safety & workflow risks
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The Obstacles

Regulation & Compliance

HIPAA, state rules, and evolving AI governance create uncertainty.

Integration Complexity

EHR integration, workflow disruption, and IT demands pose challenges.

Staff Adoption

Training needs, change resistance, and workflow adaptation.

ROI Uncertainty

Unclear metrics, variable outcomes, long-term ROI concerns.

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The Core Dilemma

How can Evergreen act prudently — neither paralyzed by caution, nor reckless with hype?

The challenge: balance innovation with responsibility, competitive pressure with patient safety, and fiscal prudence with strategic necessity.

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The Turning Point

Doing Nothing is Also a Choice

Inaction carries competitive risk. While competitors advance, EvergreenHealth risks losing market position and community influence.

Structured Action Creates Edge

Thoughtful, measured AI adoption can create sustainable competitive advantages while maintaining EvergreenHealth's commitment to quality and community.

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Voice agents as a gateway to broader AI strategy

Already Proven

Levy Success

EvergreenHealth has demonstrated community trust and strategic execution with the successful bond measure.

Natural Fit

Perfect Match

Patient access, call centers, and staff support align perfectly with voice agent capabilities and current needs.

Builds AI Literacy

Safe Start

Controlled, impactful implementation creates organizational AI competency without overwhelming risk.

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A Prudent Path Forward

Pilot Phase

Launch patient scheduling and community outreach voice agents in controlled environments with clear success metrics.

Evaluate Outcomes

Measure cost savings, patient satisfaction scores, and staff efficiency improvements with rigorous data analysis.

Strategic Expansion

Extend to clinical documentation support and revenue cycle optimization based on pilot learnings.

Governance Structure

Establish cross-functional AI oversight committee for ongoing strategy, ethics, and implementation guidance.

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The Benefits

Defend Market Share

Compete effectively against Providence and larger systems by leveraging technology to enhance patient experience and operational efficiency.

Improve Patient Experience

Reduce wait times, improve access to information, and provide 24/7 support capabilities that enhance community satisfaction.

Reduce Staff Burnout

Automate routine tasks, improve workflow efficiency, and allow clinical staff to focus on high-value patient care activities.

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Call to Action

Let's define Evergreen's first pilot together — where can a voice agent make the biggest impact, quickly and safely?

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Future Vision

EvergreenHealth: Compete with giants — not by being bigger, but by being smarter with AI.

Thoughtful innovation, community focus, and strategic AI adoption create sustainable competitive advantage.