Who We Are

A first-of-its-kind collaboration between UCSF Health and the Department of Medicine’s Division of Clinical Informatics and Digital Transformation.

Our interdisciplinary group of informaticists, clinicians, data engineers, and researchers, collaborates to ensure that enterprise AI models deployed in clinical care across the health system are comprehensively evaluated and continuously monitored. We also contribute to advancing the science and methods of AI monitoring in healthcare. 

Meet the team

What We Do 

Monitor AI across the health system to ensure it is effective, safe, and unbiased.

We develop comprehensive measurement sets and monitoring frameworks that evaluate AI’s impact across key domains critical to healthcare. Our gold-standard approach is designed around ethical and trustworthy principles, ensuring that AI serves as a beneficial tool in improving healthcare delivery and clinical outcomes.

Our Mission  

Build an automated AI monitoring platform that delivers continuous, reliable oversight of AI tools deployed across UCSF’s health system.

We aim to improve clinical and operational performance and ensure safety, equity, and transparency. The IMPACC platform also fuels research that redefines how AI is monitored in healthcare, setting new standards for responsible oversight and accountability to ensure these tools are safe and effective for patients nationally. 

IMPACC News

"Our findings suggest that Al scribes are widely perceived by physicians as a valuable tool and therefore help promote physician wellbeing. A different type of benefit - objective time savings-are concentrated among physicians with higher baseline documentation time." Julia Adler-Milstein, PhD Lead author and chief of DoC-IT

UCSF Study Identifies Varied Benefits from AI Scribes with Implications for Return on Investment

Findings show AI scribes reduce documentation burden, but benefits vary by physician baseline efficiency. Read more here.

$3,044 increase in annual revenue per doctor when using Al scribes, a 5.8% increase in RVUs (Relative Value Units, or revenue-generating "points" for medical services)

UCSF Study Finds AI Scribes Associated with Increased Physician Productivity and Revenue

Research published in JAMA Network Open shows 5.8% RVU increase among AI scribe adopters, with no rise in claim denials. Read more here.

More IMPACC News

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Conferences and Presentations 

Our team has been proud to contribute to leading conferences across medicine, machine learning, and health policy. Explore highlights from previous conferences to see how our work is helping define standards for trustworthy AI in healthcare.

UCSF Research AI Day

Machine Learning for Health (ML4H) 2025

AMIA 2025

AMIA CIC 2025

AI Monitoring Existing Evidence 

Subjective and Objective Impacts of Ambulatory AI Scribes.

Adler-Milstein J, DeMasi O, Soleimani H, Beck S, Byron ME, Oates A, Thombley R, Yazdany J, Murray SG.

Ambient Artificial Intelligence Scribes and Physician Financial Productivity

Holmgren AJ, Fenton CL, Thombley R, Soleimani H, Croci R, DeMasi O, Byron ME, Murray SG, Adler-Milstein J, Yazdany J.

Development and preliminary testing of Health Equity Across the AI Lifecycle (HEAAL): A framework for healthcare delivery organizations to mitigate the risk of AI solutions worsening health inequities

Kim JY, Hasan A, Kellogg KC, Ratliff W, Murray SG, Suresh H, Valladares A, Shaw K, Tobey D, Vidal DE, Lifson MA, Patel M, Raji ID, Gao M, Knechtle W, Tang L, Balu S, Sendak MP.

Are Artificial Intelligence-Generated Replies the Answer to the Electronic Health Record Inbox Problem? 

Rotenstein LS, Wachter RM.

Current Use And Evaluation Of Artificial Intelligence And Predictive Models In US Hospitals

Nong P, Adler-Milstein J, Apathy NC, Holmgren AJ, Everson J.

The Limits of Clinician Vigilance as an AI Safety Bulwark.

Adler-Milstein J, Redelmeier DA, Wachter RM.

Next-Generation Artificial Intelligence for Diagnosis: From Predicting Diagnostic Labels to "Wayfinding"

Adler-Milstein J, Chen JH, Dhaliwal G.