Seeing the problemwas never the problem.

dX80 was started by a nurse who worked a floor where the numbers were known, repeated, and never acted on.

“You already carry the clinical risk. You shouldn't have to carry the vendor research too.”

Daina Tirrell, BSN, RN

The dX80 origin story

dX80 founder Daina Tirrell, BSN, RN, trained as a nurse in Chicago before moving to Las Vegas and working the hospital floors through the COVID years. She saw the burnout happen in real time, all around her. The hospitalists were carrying nearly fifty patients at a time. Nurses had seven patients a shift. And the patients were the ones who suffered.

She burned out in the post-COVID fallout, along with most of the people she started with. When she and her husband Mike found out they would be having a baby boy that fall, she took it as the way out of bedside. Being home with her son was the plan, not the consolation prize. Mike left his W2 the same month and launched Four Score Solutions, the AI-first consulting firm he still runs.

After her son was born she took a few hours a week at an outpatient practice to keep her nursing license current. Within six months she had moved off the clinical side entirely, onto the technical, case management and sales work that practice had nobody else to do, and she was building all of it with AI.

Since then she has gone through the tools herself. Physicians are not short on options. New tech vendors appear overnight, each solving a single piece of the practice. But each vendor is paid to make its own product work and to keep getting paid for it. None of them are paid to care how their piece lands next to what a practice already runs. The chain linking those pieces together never existed.

dX80 is that chain. Measure the practice first, connect the pieces it already owns, measure again. What a physician would do with that time is not the point. Having the choice is.

The patient loads above are what Daina saw on her own floors, not published research. Every statistic dX80 publishes carries its source.

Who you'll be working with

Woman-owned.Clinician-run.

Observation days are nurse-only. The systems work happens under clinical direction, scheduled with you in advance.

Daina Tirrell, BSN, RN
Founder and CEO

Daina Tirrell, BSN, RN

Registered nurse. ICU, med-surg, COVID units, case management, private practice. Former Team USA athlete, invited to compete in front of the International Olympic Committee in France. The clinical voice in every engagement, and the reason there is one.

Mike Tirrell
Technical infrastructure

Mike Tirrell

Founder of Four Score Solutions. He grew it tenfold in under three years into a multimillion-dollar AI-first consulting firm. He builds and maintains the systems behind dX80, under clinical direction. Observation days are nurse-only.

AI workflows for independent private practices, designed by clinicians, owned by you.

We measure where your practice's hours actually go, then rebuild your documentation and admin workflows around the systems you already run. Clinician-run, vendor-neutral, and we earn nothing on any tool you adopt.

RNClinician-designed

Built by a nurse who has written the notes, chased the orders and closed the charts. ICU, med-surg, COVID units, case management, private practice. Every observation day is run by a registered nurse licensed in your state.

DxDiagnosis comes first

Nothing gets installed until we have measured your actual clinic day and put the diagnosis in writing. Two days on site, then a written finding, then a plan you approve before anyone touches a workflow.

AIRun before it was recommended

dX80's AI came out of a company that runs on it day to day, not from a vendor demo. The free time study and every piece in the library were built with it.

Nothing to sell you

dX80 sells no software and earns nothing on the tools we recommend. No commissions, no referral fees, no reseller margin. Our only product is judgment.

Two days on site. Then ninety days of building.

On-site observation days run in the Las Vegas valley. The library is free everywhere.