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Zero Documentation

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A Hospital with Zero Documentation

You can’t automate chaos. We’re redesigning workflows and deploying technology at scale to eliminate documentation burden—freeing your people to focus on what matters: patient care.

The Challenge

Healthcare documentation has become a workforce crisis, consuming 40% of clinician time, costing health systems $30MM annually, and fueling burnout while pulling resources from patient care.  

The Opportunity 

Systematic sludge elimination is the key to unlocking trapped capacity, redirecting time to mission-critical work, and generating measurable financial value without proportional headcount increases.

This AVIA Nexus Collaborative aims to provide: 

AVIA Challenge to the Healthcare Industry to Unlock 100M Hours Trapped in Documentation Sludge by 2030

AVIA's Industry Challenge

Collectively unlock 100M hours trapped in documentation sludge by 2030

Commit to meaningful reductions in documentation sludge to unlock clinical and administrative hours that can be returned to patient care and meaningful work.

Documentation sludge is unnecessary or redundant documentation and workflows that consume up to 40% of clinician time without improving care. It shows up as excessive data entry, manual workarounds, and outdated practices that persist out of habit or risk aversion. While often invisible on balance sheets, documentation sludge quietly drives burnout, drains capacity, and erodes clinical and financial performance.

An autonomous enterprise is not defined by digital tools or isolated AI solutions, but by an operating model where workflows are intelligent, adaptive, and self-orchestrating. In an autonomous health system, technology manages transactional work while humans focus on judgment, empathy, and complex decisions, allowing operations to continuously optimize. True autonomy requires eliminating workflow friction and documentation sludge before scaling automation or AI.

AVIA helps health systems drive applied transformation by eliminating documentation sludge and redesigning work, not by selling tools or hype. Through programs like the Zero Documentation Nexus Collaborative and Industry Challenges, AVIA aligns executive and operational leaders, provides proven frameworks, and enables peer learning. The result is measurable impact, including hours recaptured, capacity unlocked, and scalable progress from pilots to execution.

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