Japan Community Healthcare Organization Osaka Hospital (JCHO Osaka Hospital), Fujitsu Japan Limited, and Fortience Consulting Inc. have announced the commencement of a project aimed at establishing a system for the safe utilisation of generative AI across all medical operations at JCHO Osaka Hospital.
This initiative, formalised through an agreement signed on February 13, 2026, seeks to achieve work style reform and sustainable hospital management by leveraging the expertise of Microsoft Japan Co., Ltd.
In this project, Fujitsu Japan will introduce and provide generative AI-powered services for creating discharge summaries and nursing handovers at JCHO Osaka Hospital. Scheduled for operation in June 2026, the project will involve developing internal guidelines for generative AI utilisation, establishing an information infrastructure, and building operational governance to promote and embed generative AI usage throughout the hospital.
The three parties and Microsoft Japan aim for this project to serve as a model case for AI adoption in public and general hospitals nationwide, and will also share their knowledge with other medical institutions, contributing to the acceleration of AI adoption and digital transformation (DX) in healthcare.
Dr. Ryuji Hamamoto, Representative Director, Japanese Association for Medical Artificial Intelligence said: “This is an excellent project that safely implements generative AI for clinical document creation and integrates governance and education. Ensuring safety, reducing the burden on those working in the field, and improving quality is extremely important. I look forward to this project’s nationwide expansion.”
Currently, medical institutions face urgent challenges in balancing improved medical quality with work style reform and ensuring sound financial management. The adoption of technologies such as AI is therefore imperative. However, disparities in IT literacy among staff and a shortage of digital talent often lead to AI being used only partially, posing challenges for its sustained adoption.
Since November 2024, JCHO Osaka Hospital, with support from Microsoft Japan and Fortience Consulting, has been implementing generative AI for non-clinical tasks, such as creating meeting minutes and building a chatbot system for staff using Retrieval-Augmented Generation (RAG). Having achieved good results in these areas, the hospital has now expanded its collaboration to apply generative AI to clinical domains.
As the first phase of generative AI application in clinical domains, Fujitsu Japan’s generative AI-powered medical document creation support service will be introduced for approximately 16,000 discharge summaries annually at JCHO Osaka Hospital.
Additionally, generative AI will be utilized in nursing to summarise key points for handover tasks. These efforts aim to improve operational efficiency, enhance medical quality, and promote work style reform.
Prioritising safety and security in medical settings, a mechanism for continuous utilisation of generative AI will be established. JCHO Osaka Hospital will develop operational rules for handling data and generative AI output results on Microsoft Japan’s AI platform, emphasising security, privacy, and compliance, given the confidentiality of medical information. This will systematise operational governance for generative AI utilisation, adhering to legal and ethical considerations.
Based on the generative AI implementation expertise of the four parties, Fortience Consulting will lead the formulation of a basic policy for generative AI utilisation. This will include developing operational guidelines for other medical institutions to adopt generative AI and usage guidelines for healthcare professionals.
Fortience Consulting will also provide and support the implementation of educational programs to enhance overall digital literacy within the hospital and ensure the sustained adoption of generative AI.
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