The whole site,
condensed.

An AI education and implementation company for independent private practices — not hospital-affiliated, any size, MDs, DOs, NPs, and PAs. We measure where your practice's hours actually go, then teach your team to run AI tools themselves. We're not doing it for you. We're teaching practitioners to do it themselves — because your practice is different from their practice.

Dx is clinical shorthand for diagnosis — the thing every treatment depends on getting right. 80 is four score: a working lifespan, the long view. Diagnose the practice properly, then build for the long run. The tagline says the rest: Advance Your Practice.

No — dX80 isn't a software company. We assess your practice, design the documentation workflow, and teach your team to run it on tools chosen to fit your systems and budget. Any tools you adopt, you buy directly from their vendors.

Right now our default in-room recorder is Plaud. If Plaud isn't a fit for your environment, we'll either design around another HIPAA-ready tool or tell you we're not a fit.

Daina Tirrell, BSN, RN — founder and CEO. A woman-owned, clinician-run company: clinical floors first, AI fluency second. Technical infrastructure is handled by Mike Tirrell, who built a nationally recognized consulting firm and is fine not being the face of this one. Full story on the About page.

In-person assessments are Vegas-area only for the founding cohort — quality control means being physically present, and being present means staying close to home. The Resource Library, self-install guides, and education content are national. If you're outside Vegas, apply anyway: your application timestamps your place in line for when the map expands.

Posted openly, no sales call required: a full engagement — ADPIE Assessment through a 90-day implementation — starts at $7,000 for a solo clinician and scales with practice size and complexity, quoted at intake before anything is booked. We split it into two payments: one-third to book your ADPIE day, two-thirds to book your rollout — nothing is scheduled until the corresponding payment is fully collected. The founding five pay $0 for both, for a 90-day implementation plus 90 days of follow-up optimization — six months total — in exchange for documented before/after case studies. That exact offer isn't repeated once the five are filled. One more thing, stated plainly: our work is free for the founding five, but every practice still pays vendors directly for any tools they choose to adopt (a documentation recorder, AI subscriptions, etc.). Full terms on the ADPIE page.

No. dX80 provides education and measurement. Decisions about HIPAA compliance, patient care, and legal risk belong with your attorney, your compliance officer, and your clinical judgment. We'll show you where the risk lives; what you do about it is counsel's job. Details in our Privacy & Terms.

Assess, Diagnose, Plan, Intervene, Evaluate — the nursing process, the same framework every registered nurse runs on every patient of every shift, applied to the practice itself. Standard engagements run the full cycle over 90 days; the founding five get 90 days plus 90 days of follow-up optimization.

The assessor never enters an exam room and never records patient information. The protocol logs activity codes and timestamps only — how the clinical day spends its minutes, not what happens inside a visit. Your patients see a posted observer notice. No PHI. Ever. And the person holding the clipboard is always a registered nurse licensed in Nevada — not a consultant with a checklist.

A registered nurse licensed in the state of Nevada. Strictly. No exceptions. Two reasons. First, RNs have lived HIPAA from the inside — it's trained, tested, and enforced against their own license, so protecting patient information is instinct, not a policy they skimmed. Second, nurses know how to move through a physician's day without disturbing it — where to stand, when not to speak, what an interruption actually costs mid-clinic. A vendor rep knows neither.

Good — because the assessment only works if you don't change anything. Your clinic day runs exactly as normal; the observer's entire job is to not interfere. Your actual time cost: a short intake before, and a 45-minute review call after. The measured day belongs to your patients, as always.

The catch is stated on the page: your documented before/after becomes the case study that makes the paid version defensible. Practice name stays private. That's the entire trade. And if you want the reason that still makes sense after the excitement fades: roughly 20% of healthcare professionals admit to using unauthorized AI at work. This assessment doubles as the compliance audit you already know you owe your license.

Daina reads every application personally and replies within 5 business days — usually faster. Founding invitations go to the five most qualified independent private practices; everyone else holds a timestamped place in line for when standard pricing opens up. No payment information is collected at application.

Then you're exactly who this helps. A scribe is a tool; dX80 is the workflow and the measurement around it. In one validation study, AI scribe drafts contained errors in 70% of notes, most often information left out — which is why a clinician still has to review and sign every note. We're vendor-neutral: we don't sell the scribe, we measure whether it's actually saving your practice time, fix the workflow around it, and train your team to catch what it misses. If your current tool is working, we'll tell you. If it isn't, we'll show you where it's leaking. (Source: Biro et al., J Med Internet Res, 2025 — in the Resource Library.)

Honest answer: we don't promise a specific number of hours saved, because the independent evidence on AI documentation is mixed — some clinicians save real time, others mostly feel a lighter day. What we guarantee is the structure: a defined engagement with a measurement before and a measurement after, so you're never guessing whether it worked. You keep your own before/after data, whatever you decide next. We'd rather measure honestly than sell you a number we can't stand behind.

Not yet. The founding five assessments come first, and the founder runs those personally — that's the whole point of them. Hiring opens when the waitlist outgrows one nurse. It will.

Registered nurses, licensed in Nevada — exclusively, for every practice-facing assessor role. Same reasons we give physicians: RNs carry real HIPAA fluency under their own license, they know how to be present in a clinic without disrupting it, and ADPIE is the nursing process — the only people who should run it professionally are the people who were trained on it professionally.

Two things. First, follow @dx80official — that's where hiring will be announced first. Second, arrive AI-literate. Get comfortable with Plaud — our default in-room documentation tool — and, as one path among several, Anthropic publishes free official Claude courses with completion certificates at anthropic.skilljar.com. Costs nothing but hours. A Nevada RN license plus real AI-tool familiarity plus a short note about why you want this puts you at the top of a very short pile. No promises on timing — but the pile is real, and it's being kept.