Joshua Biro, Jesse M Pines, Sudha Jayaraman, Vamsi Chagari, Raj Ratwani
Ambient AI technologies are increasingly marketed as solutions to reduce clinician burden and improve care efficiency; however, real-world performance varies widely across clinical settings. Health care provider organizations face challenges in determining which aspects of ambient AI performance matter most and how to obtain meaningful information about those aspects from vendors or through internal evaluation. This article presents a shared mental model to guide health system leaders in conceptualizing ambient AI performance across 3 interdependent dimensions: technical, interface, and system level. For each dimension, we outline the types of information relevant to assessment; what vendors should reasonably be expected to provide; and how health care provider organizations can conduct their own evaluations to contextualize, verify, or supplement vendor claims. By integrating both vendor and health system perspectives, this work offers a grounded, practical structure to support organizations of all sizes in understanding and making informed decisions about ambient AI technologies.