Transforming Clinical Workflows with Microsoft Dragon Copilot’s Partner-Driven AI Innovations

Healthcare software integration is notoriously complex, demanding technical rigor, regulatory compliance, organizational alignment, and workflow transformation. Clinicians face an overwhelming cognitive load—during a typical primary care visit, a physician may juggle over 150 discrete data points and make a dozen crucial decisions in less than 15 minutes. In this environment, AI must do more than offer intelligence—it must deliver the right information, at the right time, without increasing administrative burden or disrupting the clinician’s focus on patient care.

Microsoft is expanding Dragon Copilot by enabling an open ecosystem of developer-built AI solutions for specific tasks and specialties, allowing healthcare organizations to access clinical intelligence at the point of care while further streamlining workflows, reducing administrative burden, boosting productivity, and enhancing revenue integrity.

Dragon Copilot’s partner-driven AI extensibility empowers technology providers to deliver specialized solutions directly into clinical workflows, accelerating AI adoption at the point of care and enabling better outcomes for patients and clinicians. By opening Dragon Copilot, Microsoft enables the creation of seamless, scalable solutions that help clinicians reduce administrative tasks and improve patient care. Developers gain an opportunity to collaborate with industry leaders, shape healthcare technology, and deliver impactful AI applications for clinicians and patients.

Partner Success Spotlight: Canary Health’s Innovative Solution

Canary Speech is a Utah-based, AI-powered voice biomarker health tech company, utilizing patented real-time vocal analysis to screen for mental health and neurological disorders. Canary’s technology swiftly captures and analyzes speech data supporting clinicians in identifying cognitive and behavioral changes. Recently, Canary Speech launched Canary Ambient™, an API-first solution for real-time voice analysis in healthcare and contact centers. This software provides actionable insights from patient-clinician conversations by tracking speech patterns for real-time assessments of cognitive and behavioral health conditions. Canary Speech advances speech and language applications across health systems, payers, and pharmaceutical markets.

The collaboration with Dragon Copilot is seamless and secure. Canary Speech receives patient audio—ideally during the encounter—via infrastructure designed to enable HIPAA compliance and newly developed endpoints. Their AI processes the audio, then surfaces summarized cognitive and behavioral assessments using Microsoft’s Adaptive Card framework. These interactive cards appear natively within Dragon Copilot, enabling clinicians to quickly review findings and to initiate follow-up assessments or treatment plans—all without leaving their workflow.

The Canary Speech solution with Dragon Copilot is currently and being validated with real clinicians and patients. It demonstrates how Dragon Copilot can share not only encounter audio, but also clinical notes, patient context, and relevant history with trusted partners—expanding the universe of AI-powered insights available at the point of care.

How AI Applications Work: Technical Enablement for Continuous Innovation

Dragon Copilot’s extensibility framework supports partners in surfacing AI insights and enrichments at multiple points in the clinical workflow:

• Pre-encounter – Provide AI-generated insights to clinicians before they see the patient, supporting preparation and personalized care planning.
• During encounter – Surface real-time, contextual recommendations while the provider is examining the patient, ensuring decisions are timely and informed.
• Post-encounter – Deliver follow-up insights after the clinical note is generated, enabling comprehensive care coordination and outcome tracking.

Microsoft’s Adaptive Card framework makes it easy for developers to build interactive platform-agnostic content blocks that integrate directly into Dragon Copilot. These cards support rich text, reference links, action buttons, and in-card feedback, creating a unified and intuitive user experience for clinicians.

The following diagram shows the data flow between Microsoft Dragon Copilot and partner endpoints that provides extensions such as Canary, via infrastructure designed to enable HIPAA compliance, access to the encounter audio data. In addition to audio, other data elements such as turn transcript and the clinical note can also be made available to extensions.

Driving Innovation Together through Partnership

Our commitment to driving innovation through collaboration is sustained by actively engaging with partners and continually analyzing the market to keep our solutions effective and aligned with evolving needs. At this time, we have a growing list of early partners that have signaled interest in bringing their solutions to the point of care, through Dragon Copilot and help to represent the leading edge of healthcare technology, each bringing specialized expertise and transformative solutions to the table. Their work exemplifies how collaborative innovation can address real-world challenges across the care continuum.

• Artisight’s Smart Hospital Platform, brings hands-free, device-free documentation directly to the bedside. By pairing a clinician’s unique voice profile with their secure RTLS badge, Artisight eliminates logins and shared device interactions to allow care teams to focus on patients, not paperwork. Ambient documentation runs seamlessly in the background, generating accurate clinical notes while freeing clinicians to deliver more meaningful, face-to-face care. This integration streamlines workflows, reduces administrative burden, and drives measurable improvements in efficiency, compliance, and the overall patient experience.
• Atropos Health is the leader in translating real-world clinical data into personalized real-world evidence (RWE) and insights. Atropos Health is the developer of GENEVA OS®, the operating system for rapid healthcare evidence across a robust network of real-world data. Healthcare and life science organizations work with Atropos Health to close evidence gaps from bench to bedside, improving individual patient outcomes with data-driven care, expediting research that advances the field of medicine, and more. We aim to transform healthcare with timely, relevant real-world evidence.
• Cohere Health’s prior authorization application automates care requests, eliminating the administrative burden for clinicians and enabling real-time care approvals. Cohere's solution provides critical transparency right at the point of care while collecting relevant clinical documentation, patient summaries, and orders. It shares prior authorization requirements and offers in-the-moment guidance to physicians, helping them secure faster approvals and ensure patients receive the care they need more quickly.
• Elsevier's ClinicalKey AI delivers fast, reliable clinical insights at the point of care—combining proprietary medical content, leading textbooks, top scientific journals, government publications, and clinical guidelines into one trusted platform. Powered by advanced AI and backed by expert human review, it ensures answers are clinically relevant and backed by research. With privacy built in and citations clinicians can trust, ClinicalKey AI helps healthcare professionals make confident, informed decisions faster.
• hellocare.ai is a leading provider of AI-assisted virtual care solutions. Headquartered in Clearwater, FL, the company supports more than 80 health systems across the U.S. and is rapidly expanding globally. hellocare.ai helps health systems deliver high-quality, patient-centered care while improving clinical efficiency and staff wellbeing. Its fully integrated platform includes AI-Assisted Virtual Nursing, Virtual Sitting, Patient Engagement, Digital Whiteboard, Digital Room Signage, Ambient Documentation, Hospital-at-Home, Remote Patient Monitoring (RPM), and Digital Clinic, seamlessly embedding into existing healthcare EHRs, infrastructure, and care delivery models to power the next generation of healthcare.
• Humata Health is revolutionizing clinical clearance, moving beyond the narrow confines of traditional prior authorization to address the entire patient journey, from referrals and specialty drugs to post-acute care. By bringing providers and payers together on a single, shared infrastructure, its technology uses powerful AI and automation to streamline fragmented approvals. This collaborative approach unlocks faster, smarter, and more confident decisions, ensuring patients receive the appropriate care they deserve, exactly when they need it. Driven by a vision to see care move forward, Humata Health is built for yes.
• Lightbeam Health Solutions helps healthcare organizations manage and scale population health programs to improve performance within risk-based contracts. Leveraging clinical, health plan, and social determinants of health data, Lightbeam identifies and delivers actionable insights to clinicians and patients for proactive intervention. Proven outcomes include quality improvement, risk adjustment accuracy, reduced cost of care and avoidable utilization, and a better experience for clinicians and patients alike.
• Optum is collaborating with Microsoft to integrate ambient listening technology into clinical settings with Optum Real, helping physicians reduce documentation time and focus more on patient care. This integration supports smarter, real-time clinical workflows through AI-powered automation.
• Pangaea Data’s AI platform helps close care gaps by finding untreated and under-treated patients – including those who are undiagnosed, misdiagnosed, or miscoded – across hard-to–diagnose conditions. Seamlessly integrated with electronic health record (EHR) systems, the platform processes patient’s medical records along with their conversation with the treating clinician at the point of care, empowering clinicians to address care gaps without disrupting workflows. This enables better outcomes, lower costs through earlier diagnosis, smarter triaging, and more appropriate levels of revenue through faster pre-authorizations and treatment initiation. Built and deployed on Microsoft Azure, the platform ensures full compliance with privacy standards.
• Press Ganey turns patient-clinician conversations into actionable insights. By analyzing both content and tone alongside patient experience data, the platform helps organizations address concerns early and gives clinicians a more complete understanding of their patients.
• As AI reshapes healthcare, Regard is working towards its mission to ensure every patient receives exceptional care while giving physicians more time with their patients. Regard’s Proactive Documentation platform reviews all data in the medical record, and from physician-patient conversations, to recommend diagnoses to providers and surface critical clinical context. This diagnosis-first approach delivers accurate documentation at the point of care, supporting both clinical and revenue cycle teams, by ensuring no critical information is missed.
• Rhyme eliminates prior authorization through touchless workflows and a new sustainable approach to gold carding. They help 89 of the largest hospital systems and over 300 payers work together to process over 5 million auths per year, save millions of dollars, reduce claim denials, lower patient costs, and accelerate time to care.

Through these strategic collaborations, Dragon Copilot continues to expand its reach and deepen its impact, supporting a dynamic environment where developers, clinicians, and organizations can thrive. The collective expertise of our partners is not only shaping the future of healthcare technology but also driving meaningful change for patients and clinicians everywhere.

Join Us in Shaping the Future of Healthcare AI

Enabling partner-driven AI applications into Dragon Copilot ushers in a transformative period of collaborative innovation in healthcare. Through Dragon Copilot’s extensibility framework, we’re accelerating the delivery of clinical intelligence, reducing friction, and ensuring that every provider has the insights they need to deliver the highest quality care. Whether you’re building the next breakthrough AI application or seeking to bring transformative solutions to clinicians worldwide, we invite you to join our community.

Ready to shape the future of healthcare AI? Explore our developer resources, connect with our team, and become a Dragon Copilot extensibility partner today.

• Read through our documentation on how extensions for Dragon Copilot work and how to build your own - https://learn.microsoft.com/en-us/industry/healthcare/dragon-copilot/extensions
• Check out the sample repo with sample code, and more – https://github.com/microsoft/dragon-copilot-extension-samples
• Contact mailto:dragon_extensions@microsoft.com  

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Generative AI Disclaimer: Generative AI does not always provide accurate or complete information. AI outputs do not reflect the opinions of Microsoft. Customers/partners will need to thoroughly test and evaluate whether an AI tool is fit for the intended use and identify and mitigate any risks to end users associated with its use. Customers/partners should thoroughly review the product documentation for each tool.