Chartis, a healthcare advisory firm, reports in its latest Health System Digital Transformation Survey that hospitals are accelerating digital and AI strategies to counter mounting pressures around affordability, access, and care quality. Executives from 150 health systems

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state that long-standing challenges can no longer be addressed through incremental improvements, with 61% citing unaffordable care, 52% noting poor management of patient wellness, and roughly half reporting delays in access to primary and specialty services. 

The survey shows that 91% of leaders believe operations must “fundamentally change” over the next five years to remain viable, and 90% have already prioritized digital and AI capabilities to support this shift. Chartis Chief AI & Digital Officer Tom Kiesau emphasized the urgency, saying, “We may finally be at a tipping point if 90% of healthcare executives agree on the need for fundamental change.”

Executives expect AI-enabled tools to help transform access, personalize patient experiences, and match staffing and resources to demand, forming the foundation of proactive care models. Nearly nine in ten respondents believe digital-first experiences and digitally enabled care will define top-performing systems, reducing the importance of organizational size as a differentiator. With prevention-focused models gaining momentum, the report concludes that the next five years will determine whether health systems capitalize on AI-driven transformation or continue to rely on reactive approaches that no longer meet patient or operational needs.

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