Intermountain Health: Dragon Copilot for clinical notes

Intermountain is a nonprofit health system that, as of February 2026, ran 34 hospitals and more than 400 clinics with over 68,000 caregivers. Its clinicians faced burnout and heavy documentation work, and earlier aids such as front-end speech recognition, dictation and EHR templates eased the load only in part. Leadership treated documentation as a workforce problem, not only a workflow one.¹²

Intermountain first adopted DAX Copilot, the ambient documentation product that preceded Microsoft Dragon Copilot, in 2021, and in May 2024 HIT Consultant reported an enterprise-wide DAX Copilot deployment for physicians and advanced practice providers. Microsoft's story describes the move to Dragon Copilot, which listens to the visit and drafts notes inside Epic, the enterprise EHR Intermountain adopted in September 2025.

Accenture shaped the adoption and training program. During a 13-week deployment from April to June 2025, 894 clinicians were trained in person, 496 joined online classes and 67 support staff were trained as instructors. A physician pilot started in July 2025, go-live followed in early September 2025, and clinicians get specialty-specific workflows and live coaching. The story does not explain why the training window comes before the pilot. In July 2026 an Intermountain informatics leader presented the move from pilot to enterprise scale in a Scottsdale Institute webinar.¹²³

In our view, two things are worth copying. Intermountain paired licenses with a structured training and coaching program run with a partner, and its headline figure comes from EHR usage telemetry rather than a staff survey, which makes it easier to reproduce. Other health systems can run the same comparison of encounters with and without the tool on their own EHR data. Caveats: the 27% comes from Microsoft's internal analysis and we found no independent publication of it, and effects on burnout are described only in words. Intermountain had used the predecessor product since 2021, so a system starting from scratch should expect a longer ramp. Teams that already document efficiently should measure their own baseline first, since the gain depends on how much time notes take today.