Healthcare

Transforming Primary Care with AI: Tom, Nabla & the Future of Health

Published on
April 7, 2025

2025 and the breaking point in healthcare

Healthcare in 2025 is under more pressure than ever. Across Switzerland, France, the EU, and MEA regions, hospitals and eldercare institutions are struggling.

In Switzerland, the Swiss Federal Office of Public Health projects a shortage of 65,000 healthcare workers by 2030.

In France, SAMU services report delayed emergency responses due to GP shortages.

The European Union is short more than 1.2 million healthcare workers, and over one-third of doctors are over 55.

In France, general practitioners have declined by 9% in the last decade.

Chronic conditions now account for 85% of all deaths in the EU, and France reports that 5.6% of its adult population lives with coronary heart disease (https://ec.europa.eu/eurostat).

The Reality on the Ground:

👉🏻 Healthcare systems are stretched.

👉🏻 Staff are tired.

👉🏻 Patients wait longer.

👉🏻 Outcomes suffer.

So what happens when the care model is no longer sustainable? What if the solution isn’t just to hire more people, but to think differently about how care gets delivered?

That’s the idea behind solutions like Tom, from Lumeris, and Nabla Copilot, a generative AI assistant for healthcare professionals.

These two tools are designed not to replace clinicians but to support and enhance their work.

Meet Tom and Nabla: Scalable digital support for care teams

Imagine adding two new hires to your care team—except they don’t need an office, don’t take breaks, and don’t mind working nights, weekends, or holidays.

Meet Tom.

  • He’s methodical, tireless, and multilingual. It acts as a tireless care coordinator.
  • Tom ensures no follow-up falls through the cracks.
  • He texts your patients reminders about preventive screenings, checks in on chronic care milestones, and helps coordinate care across multiple providers.
  • It continuously pulls in real-time data, follows clinical guidelines, considers social determinants of health, and personalizes interventions—all while reducing the documentation and coordination burden on staff.
  • Created by Lumeris, Tom is your proactive outreach expert who never forgets and never stops (https://www.lumeris.com/Tom).

Now meet Nabla.

  • Nabla sits quietly in the consultation room, listening carefully—not to replace the doctor, but to take notes, update the patient file, and generate a complete SOAP note before the patient has even left the room.
  • Built in France, Nabla is already helping over 50,000 clinicians globally recapture the joy of medicine by reducing admin work and EHR overload.
  • Nabla listens during the consultation and drafts complete clinical notes in under 20 seconds.
  • It’s fast, secure, and privacy-conscious (HIPAA- and GDPR-compliant, with no data stored).
  • And it speaks 35 languages — including English, French, Spanish, or Arabic.

Together, they’re not just tools.

They’re colleagues.

One works between visits, ensuring patients stay connected.

The other works during the visit, giving clinicians the space to fully engage, undistracted.

"AI should be used to restore the joy of medicine." — Dr. Alexandre Lebrun, CEO of Nabla

Stress & automation relief – Support the workforce

Healthcare workers are leaving the profession at record rates. In a recent EU-wide survey, 59% of nurses said they’re considering leaving the sector in the next five years (https://www.euro.who.int).

Among physicians, job satisfaction is declining. The causes? Too much admin. Not enough patient time. No room to breathe.

Supporting the Workforce: From Stress to Strategy


Healthcare professionals across Europe—and globally—are reaching a breaking point.

Not because they lack resilience or commitment, but because the system keeps pulling them away from what matters most: meaningful patient care.

Too much admin.

Too many systems to update.

Not enough time to actually care.

"Stress and anxiety don’t come from caring too much—they come from being unable to care the way you want to." — Bee’z Consulting

It’s a pattern we hear again and again.

Teams stretched thin.
Evenings lost to charting.
Constant interruptions.
It’s not just draining—it’s unsustainable.

That’s why tools like Tom and Nabla aren’t just tech upgrades. They’re strategic support.

Tom acts as a digital care coordinator.

It brings together clinical data, social factors, and care guidelines to support proactive outreach and follow-up—without adding more admin to the day.

Nabla lightens the cognitive load in the consultation room.

It listens, drafts complete SOAP notes in seconds, and integrates directly with the EHR. There’s no data storage, it’s fully compliant, and supports 35+ languages.
But most importantly? It gives clinicians their focus back.

Together, these tools free up time. Not for more reporting—but for more care.

This isn’t about replacing the workforce. It’s about supporting it.


👩🏻‍⚕️ Shifting attention from screens to patients.

👨🏽‍⚕️ Reducing pressure without compromising quality.

💡 Protecting the human side of healthcare by redesigning how we work.

Because when care teams are supported, everything flows better — from outcomes to morale.

Scenario – Thomas, the Overworked GP

Thomas is a general practitioner in Lausanne.

His patient list has ballooned to 1,800. Before, he spent hours every evening catching up on notes, lab results, and missed follow-ups.

Now, Nabla transcribes consultations and drafts the record automatically. Meanwhile, Tom sends out his patient reminders.

"For every hour of patient care, doctors spend two hours on the EHR. We need to reverse that ratio." — Dr. Eric Topol (https://www.ted.com/talks/eric_topol_can_ai_catch_what_doctors_miss)

Scaling care without scaling headcount

With a projected shortage of over 1.2 million healthcare professionals in the EU, leaders need ways to grow services without growing teams.

This allows teams to manage more patients without lowering care quality.

How health leaders can justify the investment

Hospital GMs, HR leaders, and procurement managers often face this question: is it worth it?

The answer increasingly is: yes.

Here’s why:

  • Staff Retention = Cost Reduction: Replacing one nurse can cost CHF 80,000+ in training, recruitment, and lost productivity. Burnout prevention tools like Nabla protect your workforce.
  • Avoided Admissions = Financial Win: EU data shows each avoidable hospital stay can cost €3,000–€7,000. Predictive outreach cuts these significantly.
  • Admin Savings = Higher Capacity: More time with patients = better outcomes + more throughput. Nabla users report seeing 1–2 more patients/day.

Reduced Readmissions and Better Patient Flow

Avoidable hospitalizations cost time, money, and lives.

Consistent follow-up reduces the risk of escalation.

  • Tom enables automated follow-up outreach and early detection of worsening symptoms
  • Nabla ensures critical next steps are documented in real time, reducing gaps in care
"When care is coordinated and proactive, readmissions fall—and patients stay healthier longer." — Bee’z Consulting

Case Studies: Real-World Impact of Nabla

Case Study 1: Knownwell Clinic

  • Background: Knownwell, a healthcare provider, sought to enhance patient care and reduce clinician burnout by improving documentation processes.
  • Implementation: Knownwell integrated Nabla into their clinical workflow, leveraging its AI capabilities to streamline documentation.
  • Outcomes:
  • 24% Reduction in Documentation Time
  • Elimination of After-Hours Work
  • Improved Note Accuracy

Source: Nabla Blog – https://www.nabla.com/case-studies/knownwell

Case Study 2: Navina AI Implementation

  • Background: Navina, an AI healthcare startup, aimed to improve clinical insights and patient outcomes through AI integration.
  • Implementation: Navina's AI technology was integrated with electronic health record systems to provide clinical insights, flag potential diagnoses, and identify risk factors.
  • Outcomes:
  • Enhanced Clinical Insights
  • Improved Patient Outcomes
  • High Physician Satisfaction

Source: Business Insider – https://www.businessinsider.com/navina-ai-health-startup-series-c-funding-2024-11

Human Touch, Restored

There’s a fear that digital tools will depersonalize care.

But in reality, they often do the opposite.

When used right, they remove noise from the system and create space for empathy.

"Every minute saved from admin is a minute gained for connection." — Bee’z Consulting

Nabla helps doctors look their patients in the eye again. It eliminates the need to stare at a screen while patients describe their symptoms.

And Tom ensures that between visits, no one gets left behind.

Scenario – Carla, the Caregiver in a Residential EMS

Carla works in a Swiss eldercare home. Her day is packed: meals, medications, companionship, charting.

Before, she spent an hour a day following up with family members and updating paper logs.

Now, her tablet sends out automated daily status updates to families and prompts wellness checks when a resident logs an unusual sleep pattern.

"The gift of time from these tools could be the biggest transformation of all." — Dr. Eric Topol

Tech Adoption – Digital Care Is Now a Frontline Necessity

COVID accelerated digital health adoption, but 2025 is the year it becomes the standard—not the exception.

The WHO projects a global shortage of 10 million health workers by 2030.

In Europe, remote monitoring, digital triage, and intelligent care assistants are filling gaps, especially in underserved areas.

"We no longer have a technology choice. We have a leadership choice." — Bee’z Consulting

"These tools are not replacements—they're the beginning of a renaissance in human care." — Dr. Eric Topol

For Healthcare Leaders:

  • Waiting is the riskiest option
  • Incremental pilots are low-risk, high-learning steps
  • Co-designing with staff creates ownership and success

What Not to Do: Common Pitfalls in AI Adoption

Even the best-intentioned digital transformations can go off track. Here are some of the most common missteps healthcare leaders should avoid:

  • Skipping the Pilot Phase: Jumping straight into full-scale deployment without testing can lead to poor adoption and wasted resources. Always start small, measure, iterate.
  • Letting Procurement or IT Lead Alone: AI in care delivery is not just a tech purchase—it’s a cultural shift. Ensure operations, HR, and frontline staff are involved from day one.
  • Ignoring Staff Concerns: Clinicians who feel unheard or overwhelmed are unlikely to embrace change. Build trust through co-design and feedback loops.
  • Focusing Only on Cost Reduction: While savings matter, the real return is in outcomes and human connection. Frame the value story around patient care and team well-being.
  • Assuming One Size Fits All: Every care setting is different. Customize your workflows, language prompts, and escalation rules to your teams’ real context.
“You don’t build transformation from the top down. You build it with the people who carry the care, day in and day out.” — Bee’z Consulting

Value-Based Care and Chronic Conditions

The shift toward value-based care is no longer theoretical—it’s an operational reality. In this model, hospitals and clinics are rewarded for keeping people healthy, not for filling beds.

AI-enabled tools like Tom and Nabla make this possible. Tom’s ongoing engagement supports preventive care milestones, while Nabla’s real-time documentation improves care coordination and reduces administrative burden.

"Managing chronic care is about consistency and connection—AI helps us finally deliver both." — Bee’z Consulting

According to the European Observatory on Health Systems and Policies, chronic care pathways must be redesigned to improve navigation, monitoring, and communication.

Tom vs. Nabla – Feature Comparison Table

AI in Action: A Day in the Life of a Digital-Enhanced Team

Let’s imagine three scenarios that show how these tools reshape care delivery:

🏥 Outpatient Clinic in Lyon

Dr. Maëlle starts her morning consults. Nabla listens as she evaluates Mr. Bernard, a 67-year-old diabetic with hypertension. While she talks, Nabla transcribes, codes ICD-10, and drafts the SOAP note. Meanwhile, Tom reminds Bernard’s wife of his overdue eye screening.

🧓 EMS Facility in Geneva

Carla checks overnight activity logs. Tom has flagged irregular sleep in two residents and scheduled wellness calls. Nabla formats Carla’s updates into the shared EHR, giving her time back to spend with residents.

👨‍⚕️ Rural GP in Morocco

Dr. Amine uses Nabla in offline mode, syncing later with the national health system. Tom helps manage voice-prompted follow-ups for elderly patients, increasing compliance by 28%.

From Reactive to Proactive: Why Predictive Care Wins

Tom’s reminders and Nabla’s real-time assistance enable care that anticipates needs.

According to Deloitte’s 2024 Global Health Outlook, predictive models reduce unnecessary hospitalizations by up to 32%.

"Predictive care turns information into anticipation—and that’s how we save lives." — Bee’z Consulting

Ethical Considerations & Workforce Planning

  • Data Privacy & Consent: GDPR compliance is only the start. Transparency matters.
  • Bias in AI Models: Localized training reduces inequities.
  • Job Transformation: AI doesn't eliminate roles—it changes them.
"If AI is to support human work, it must be human-first by design." — Bee’z Consulting

Healthcare leaders must adapt workforce planning by:

  • Redesigning training programs
  • Reinvesting saved time into strategic or relational care
  • Leveraging real-time data to manage workloads equitably

Conclusion: A Call to Rebalance the System

Documentation has overtaken diagnosis. Burnout is widespread.

But the right digital tools — like Tom and Nabla — can help restore what healthcare has always been about: people.

"The gift of time from these tools could be the biggest transformation of all." — Dr. Eric Topol

Expert Voices: What Leaders Are Saying

“This isn’t about AI replacing doctors. It’s about AI replacing their keyboard.” — Dr. Alexandre Lebrun, CEO of Nabla

“In rural settings, digital tools make care equitable—not futuristic.” — WHO Regional Report, 2024

For Health Leaders: Implementation Checklist

Integrating tools like Tom and Nabla doesn’t require a full systems overhaul. In fact, most leaders can pilot them within weeks. Here’s a high-level roadmap:

Leadership Checklist: Are You Ready?

✅ You’re prioritizing operational excellence initiatives.

✅ Burnout or retention challenges exist.

✅ You’re involved in value-based care or chronic disease programs.

✅ Your teams complain about documentation or follow-up gaps.

✅ You’re looking for ways to scale care without adding headcount.

AI-Enabled Care Tool Implementation Roadmap

  1. Assess the Gap: Identify admin time sinks and care delays.
  2. Pilot the Tools: Choose 1 unit or department. Run for 4–6 weeks.
  3. Measure Impact: Use KPIs like documentation time, readmission rate, and clinician satisfaction.
  4. Co-Design Rollout: Involve staff early. Tailor workflows and training.
  5. Expand Intelligently: Scale what works. Adjust as needed.
"The best digital transformations start with human insights and small wins." — Bee’z Consulting

FAQs:

1. Is this replacing human jobs?

No. This kind of solution handles repetitive tasks so human teams can focus on care.

2. Is it safe in patient communication?

Yes. It follows privacy rules and always operates with oversight.

3. Can this work in eldercare or EMS facilities?

Yes. In fact, it works best where staffing is tight and coordination matters most.

4. What kind of training is needed?

Minimal. Most teams can get started with basic onboarding.

5. How soon can we see results?

Typically within 4–6 weeks. Especially with reduced admin time and better patient follow-up.

6. Can Tom or Nabla integrate with our national EHR system?

Yes. Both tools offer open API models and are currently integrated with major platforms like Epic, Cerner, and several EU regional EHRs.

7. What if my clinicians are not tech-savvy?

Nabla has a zero-click mode that listens in and works in the background. Most GPs learn it in under 30 minutes.

8. Is this GDPR compliant?

Yes. Both providers have end-to-end encryption, EU-based hosting, and comply with GDPR, HIPAA, and other local privacy regulations.

#BeezConsultingCH #HealthcareLeadership #PrimaryCare2025 #OperationalExcellence

Bee'z Consulting

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