Apps/The assistant
Nina
The assistant inside Nuvero. She reads the chart so you do not have to hunt through it, drafts what you were about to write, and listens to the visit so the note is waiting when it ends. She suggests. You decide.
Built · in testingIn the N-box, the chart and the visit
Nina's draft
From the visit · 5 suggestions, 3 accepted
- Story · blood pressure
Home readings in the 130s over 80s since lisinopril went to 20 mg. Dizziness on standing for two weeks after the change, now resolved.
In the note - Story · right knee
Two weeks of medial right knee pain, worse on stairs. No locking or giving way.
In the note - Review of systems
No chest pain, headache or ankle swelling.
In the note - Exam · right knee
Tender along the medial joint line. No effusion. Full range of motion.
Edit Accept - Assessment and plan · I10
At goal on lisinopril 20 mg. Continue. Recheck in three months.
Edit Accept
What she does
Three jobs, in the places you already work.
Nina is not another screen to open. She is in the N-box when a message arrives, on the chart when you have a question, and in the visit when it starts.
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Replies Built · in testing
A patient writes. A draft is waiting.
- A reply drafted from the message and the patient's own chart
- What she read is listed under the draft: the medication, the call, the appointment
- It sits under the message, apart from the reply box, until somebody chooses to use it. Nina does not send
- A clinical question is not answered. It is passed to the provider, and the draft says so
- What she drafted and what was sent are both kept
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Answers Built · in testing
Ask about a chart in a sentence.
- "When was his last A1c?" "Is she due for anything?" "What did we decide last time?"
- Every answer names where it came from: the result, the visit, the order
- When the chart does not hold the answer, she says that, and does not guess
- She reads only what the person asking is allowed to open
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Scribe Built · in testing
The visit is the note.
- Records the visit once the patient has agreed, and writes it down as it is said
- Tells the provider's voice from the patient's
- Drafts each part of the note: the story, the review of systems, the exam, the assessment and plan
- Her answers arrive on the visit, for the note type you picked: filled in one at a time, or all at once
- Nothing is in the note until the provider accepts it, and Nina never signs
In the N-box
The reply is drafted. The decision is yours.
Most messages from patients ask something the record already answers. Nina finds the answer, writes the reply, and shows her working. What needs a clinician goes to one.
A draft, with what it was drafted from
The appointment time came from the calendar. The dose change and the phone call came from the chart. The question about stopping a medicine was not hers to answer, so she did not.
- Use it, change it, or leave it and write your own
- Nothing leaves without a person sending it
- Clinical questions go to the provider
Nina
From the patient · today, 8:12 am
My blood pressure pills make me dizzy when I stand up. Should I keep taking them? Also, when is my next appointment?
Nina suggests · not sent
Hello Daniel. Your next appointment is today, October 8, at 11:15 am with Dr. Sorensen. I have passed your question about the dizziness to Dr. Sorensen, who will answer it. If you feel faint or the dizziness is severe, call the office or 911.
What Nina read
- MedicationsLisinopril raised to 20 mg on July 9Chart
- Phone call, Sep 12Dizzy on standing after the dose went upChart
- Next visitToday, 11:15 am · Chronic care follow-upCalendar
Left for the provider. Whether to keep taking a medicine is a clinical answer. Nina did not write one, and sent the question to Dr. Sorensen.
In the visit and on the chart
Listen once. Ask anything.
Okonkwo, Daniel
Listening
As it is said
- Provider
How have the home readings been since we went up on the lisinopril?
- Patient
Mostly one-thirties over eighties. I was dizzy standing up the first couple of weeks, but that went away.
- Provider
Good. Any chest pain, headaches, swelling in the ankles?
- Patient
No. My right knee has been bothering me for two weeks, though. Worse on the stairs.
- Provider
Let me look at it. Tender along the inside here? Any locking or giving way?
Scribe
The visit written down as it is said, with the provider and the patient told apart. When it stops, the note is drafted from it.
A design for what is being built. Sample data.
Brooks, Elias
41 y
Ask Nina
His last A1c was 7.7% on October 4. It has come down from 8.4% in July, when metformin was moved to once a day.
Where that is from
- Hemoglobin A1cResult, Oct 4 · 7.7%, down from 8.4%Result
- Visit, Jul 9A1c 8.4. Metformin moved to once daily extended releaseVisit
Yes. A diabetic eye exam has been due since September 8, and the ophthalmology referral from July 9 has not come back.
- Diabetic eye examCare due · overdue 30 daysCare gap
- Ophthalmology referralOrdered Jul 9 · still outOrder
Ask Nina
A question about one chart, answered in a sentence, with the result, the visit or the order it came from underneath.
A design for what is being built. Sample data.A recording, from start to finish
What happens to what is said.
A visit is the most private thing a practice holds. This is the whole path of a recording, and where it ends.
The patient agrees
A consent form at intake tells them an assistant is used and asks whether visits may be recorded, and the provider confirms at the visit. A patient who says no is not recorded, and the visit goes on without Nina.
The visit is recorded
From the phone in the room. Its status bar says that Nina is listening for as long as she is, and it can be paused. Nothing is recorded on the computer.
It becomes text
The recording is turned into words, with who said them.
The recording is deleted
As soon as it is text. The audio is not kept.
The note is drafted
Suggestions for each part of the note, for the provider to accept, edit or discard.
The text is deleted
The transcript is a working draft. It is removed two weeks after the visit is closed, or sooner or later if your practice sets it so, and never kept past thirty days. The signed note is the record.
What Nina will not do
Rules, not settings.
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Decide
She drafts and suggests.
- She never signs a note
- She never sends a message
- She never places an order or changes a medication
- What she wrote is marked as hers until a person accepts it
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Guess
An answer comes from the record.
- Every answer and every draft lists what was read
- When the record does not hold it, she says so
- A clinical judgment is left to a clinician
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Wander
She sees what you may see.
- She reads only what the person asking is allowed to open
- What she was asked and what she answered are recorded, with who asked
- Your patients' records are not used to train a model
Where it stands
Being built now.
We would rather tell you than have you find out. Nothing on this page is open yet; the screens are designs for what is being built.
- Built · in testing
Replies and answers
They will come with Nuvero, at no extra charge, for a practice that switches Nina on.
- Built · in testing
Scribe
An add-on: $79 a month for each provider who uses it. A provider who does not record in a month is not a seat that month.
The rest of the suite
Every app works from the same record.
She suggests. You decide.
Tell us you are interested and we will write when Nina opens.
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