When you build a new house, who gets to decide which hammer type (claw hammer, framing hammer, dead blow hammer, common hammer, sledge hammer, blocking hammer, brick hammer …) will be used during construction?

Is it the home developer?

No.

Is it the home buyer?

No.

It’s the carpenter, because he or she is the one using the tool, and he is she is directly responsible for the product.

So, when it comes to using applying artificial intelligence to EHRs, who should decide the how and when of this crucial decision?

The Healthcare CEO? The COO? the Head of IT? The patient?

Unless they are willing to be fully responsible for the product—which in this case is the patient outcome—the answer again is of course no.

The physicians should have the final say on EHR “improvements” because it’s their tool.

Unless, of course, it’s not.