Knowtex published Ambient AI, Built for the Nation's Largest Health System, detailing its deployment of ambient clinical intelligence within the U.S. Department of Veterans Affairs health system and its integration with CPRS for nationwide scaling in primary care.

In Kansas City, a 90-day evaluation of 18 primary care providers showed unanimous willingness to continue using ambient scribe, with most saving one to two hours of after-hours work and patient experience improving (listening carefully 95.8%, trust in the primary care team 95%).

Knowtex is a San Francisco-based, women-founded company backed by Y Combinator, AWS, UCSF Rosenman Institute, and MedTech Innovators, delivering EHR-agnostic, workflow-integrated ambient clinical intelligence.

Knowtex went live at the Kansas City VA Medical Center in October 2025, with four additional pilot sites in January 2026 and a nationwide production go-live in February 2026 spanning 10 VISNs and 79 VA Medical Centers.

Knowtex emphasizes specialty-specific workflow logic (oncology, orthopedics, mental health, primary care) and treats VA as a proof point for scalable architecture, with phased expansion into more specialty care.

In October 2025, Knowtex won a $15 million VA contract to deploy its ambient documentation platform after VA evaluated more than 150 solutions in its AI Tech Sprint.

Knowtex CEO Caroline Zhang says ambient AI can lessen documentation burden under federal security requirements and EHR constraints, enabling national deployment.

By February 2026, Knowtex received approval for nationwide primary care implementation, extending ambient scribe support across 10 VISNs and 79 VA Medical Centers.

The white paper frames ambient AI as a solution to clinician documentation burden, aiming to reclaim time, reduce burnout, and improve care while ensuring EHR integration, security, and scalable nationwide deployment.

The white paper is available at knowtex.ai/resources, with media contact details provided for Knowtex.