Our technology
Transforming healthcare through technology and IT solutions
Our innovative technology experts transform healthcare by developing and delivering products and platforms to support our care network.
For decades, the Information Technology Group at HCA Healthcare has served as a technology pioneer on a scale that has resulted in remarkable change for the organization and the healthcare industry at large.
Services provided by ITG
HCA Healthcare is focused on continuing to develop comprehensive, local healthcare networks that deliver high-quality, convenient care to our patients. Our approximately 7,500 ITG colleagues* provide innovative technology solutions, services and support across the HCA Healthcare enterprise to advance and enhance healthcare, enabling our physicians, nurses, clinicians and colleagues to provide high-quality, patient-focused care. (*As of April 2025)
Ramiro Duran
Who ITG serves
Our technologists provide solutions to HCA Healthcare’s 190 hospitals and approximately 2,400 ambulatory sites of care in 20 states and the United Kingdom. In 2024, ITG’s technologies and services supported:
44M
patient encounters
9M+
emergency room visits
2M+
admissions
300K+
colleagues
215K+
Babies delivered
Our work at ITG
Our technology and digital agenda, coupled with our care transformation and innovation work, equates to better tools for our clinicians and more transparent care for the patients we serve.
Automation
Our Automation Center of Excellence (ACoE) consults, identifies and qualifies automation opportunities. Through continual investments in technology and colleague education, the ACoE provides world-class technology platforms and tools to enable meaningful and relevant automation across the HCA Healthcare enterprise.
Our recent automation successes include:
- Billing bot — Though automation, a bot monitors purchase order request queues, creates purchase orders and distributes orders to select vendors using preferred send/receive options.
- Patient information automation — Saving approximately 250 hours of work each day, a patient-focused automation searches insurance details and auto-documents patient registration materials.
- Education credits automation — Moving from an Excel spreadsheet to automation, Galen College of Nursing’s transfer credit approval process transitioned from a lengthy process to one that now takes minutes.
Care transformation and patient experience
Our Care Transformation and Innovation (CT&I) group aims to deliver breakthroughs in patient and care team outcomes through the clinically led integration of technology into care. To enable success, CT&I and ITG integrate innovative ideas from our front-line clinicians and develop, implement, measure and scale solutions across the enterprise.
- Staff scheduling — Using a machine learning algorithm, our teams have created more balanced, equitable and transparent hospital schedules that contribute to having the right people in the right places at the right time to help deliver the best care for our patients.
- Documentation gains — Utilizing ambient speech recognition (ASR) technology and natural language processing (NLP) algorithms, our teams are alleviating documentation burdens for our physicians.
- Workflow analyses — A range of initiatives are underway to improve workflows and efficiency in our hospitals. Real-Time Locating Systems (RTLS) technology provides insight into the location of people, patients and assets. Call and text analysis is eliminating inefficiencies and admin burden, and an automated system in the emergency room is accelerating patient registration.
Data, storytelling and patient care
As a learning health system, HCA Healthcare analyzes data from approximately 44 million patient encounters each year. This data enables our teams to discover new insights and enhance and innovate new care models to help improve patient care.
Our applications include:
- SPOT (Sepsis Prediction and Optimization of Therapy) — SPOT, one of the first enterprise predictive analytics tools developed by our teams, is an algorithm-based alerting system that helps our clinicians more quickly identify patients with sepsis. HCA Healthcare was recognized by The Joint Commission and the National Quality Forum with the 2019 John M. Eisenberg Patient Safety and Quality Award for our work with SPOT.
- NATE (Next-Gen Analytics for Treatment and Efficiency) — Developed internally, NATE provides a flexible, holistic digital visualization of our hospitals and the patients within, integrating real-time facts and predictive analytics so that clinicians and facility operators have a clearer understanding of what's happening in a facility and what's likely to happen in the future.
Harnessing the cloud
Our multi-year partnership with Google Cloud will help create a secure and dynamic data analytics platform for HCA Healthcare and enable the development of next-generation operational models focused on actionable insights and improved workflows.
World-class clinical systems and solutions
ITG is dedicated to providing world-class tools and resources to our clinicians so they can deliver the best possible care to our patients.
- Electronic health record (EHR) modernization — The implementation of our new Expanse EHR platform at all HCA Healthcare acute care facilities will help create efficiencies for our care teams, improve the coordination of care for our patients, enable enterprise data insights and power innovation.
- Virtual nursing — Our technology-rich program supports our team at the bedside, alleviating workload, providing enhanced satisfaction for patients and nursing staff, and providing nurses new opportunities.
- Robots — To provide an extra set of hands for repetitive tasks, tech-friendly mobile interactive robots have and will continue to serve the units and departments of HCA Healthcare facilities by performing a variety of tasks to create efficiency for our care teams.
Operational resiliency
Our enterprise resiliency program is focused on enabling our operation, and in turn our clinicians, to provide care to patients regardless of IT system outages through crisis management, business continuity and disaster recovery pillars.
In 2022, our ITG Service Management organization supported 9 million configuration items that included servers, endpoints, workstations, and network and mobile devices. The ITG team responded to more than 2.2 million incidents, resolving 94% of incidents within defined time to resolution service levels.
HCA Healthcare's culture and people
HCA Healthcare provides our approximately 7,500 ITG colleagues with a variety of opportunities for growth. Whether developing capabilities at our corporate headquarters or contributing in a local facility or division, you'll be supported and empowered to grow both personally and professionally.
Developing future leaders
Emerging Leaders Program
This cohort-based development program prepares high-potential colleagues for senior leadership roles within ITG and HCA Healthcare. Participants in the intensive 18-month manager and peer-nominated program are directors, managers or similar level positions. In ITG chief information officer (CIO) ranks, 13 are Emerging Leader Program graduates.
Aspiring Managers
This nine-month annual program prepares ITG staff-level colleagues for management positions though a series of meaningful initiatives and the HCA Healthcare Leadership Institute’s Leadership Essentials custom curriculum.
Technical Residency Program
Providing opportunity to top talent from local technical schools, candidates of this full-time, six-month program gain real-world experience within the field of information technology while also gaining a strong understanding of the culture and vision of ITG.
IT Director Development Program
This nine-month, staff level-focused program dives deep into must-have knowledge of managing IT and associated efforts for an HCA Healthcare hospital or facility location.
Pathways Internship Program
For those with an interest in IT planning and development, project management, business analysis and operations, process improvement, programming, web design, social media, security and testing, the Pathways Internship program for rising college seniors or first-year master’s students provides unique experience and executive mentorship. This paid summer program is based in Nashville, Tennessee.
IT Healthcare Connection
This is a meaningful and innovative healthcare immersion program held in Nashville, Tennessee, for IT colleagues. The week-long program hosted at local hospital locations by executive leaders and clinicians connects technologists to the hospital bedside. Whether on a patient unit or in the operating room, the program is one of the most sought after at HCA Healthcare and illustrates the impact IT has on patient care.
Enhancing professional growth
Through internal and external best-in-class training and certification programs, ITG colleagues have rich opportunities to enhance their professional growth by newly acquiring or recertifying nationally recognized technical certification and/or subject-specific formal and online offerings.
The comprehensive workforce development programs offered by HCA Healthcare and ITG provide holistic training opportunities including self-guided learning paths and certification for some of the most sought after skills in the information technology space. Offerings include architecture, engineering and cloud learning paths as well as automation, platform, security, and product and project management certifications.
Our culture of service
Caregiving is in our DNA, so it’s only natural that our colleagues are involved in caring for our local communities.
Supporting each other and our communities
ITG colleagues are encouraged to volunteer in the communities we serve. In 2024, HCA Healthcare colleagues logged nearly 240,000 volunteer hours and contributed more than $18 million to community organizations with HCA Healthcare matching.
Nashville Technology Council
ITG is proud to support the Nashville Technology Council (NTC). Our ongoing collaboration advances the diverse technology ecosystem in Nashville by connecting members; attracting, growing and retaining tech talent; and providing opportunities to reinvest in the community. At the annual independent and peer-voted NTC Awards, ITG colleagues have been recognized in the categories of Cybersecurity Leader of the Year, Innovator of the Year, Data Scientist of the Year, Emerging Leader of the Year, CTO of the Year and Software Developer of the Year.