The whole site,condensed.

A consulting company for independent private practices, not hospital-affiliated, and our focus is AI. We run the 90-Day Documentation Turnaround: we measure where your practice's hours actually go, rebuild the documentation workflow around the tools you already run, and train your team to operate it day to day.

We sell no software and earn nothing on the tools you adopt, so there is no subscription to lock you into and no product we have to defend. Engagements are scoped and end on a date. Nothing auto-renews.

Independent private practices, not hospital-affiliated, typically two to fifteen clinicians under one roof. License level doesn't change the count: MD, DO, NP and PA all count the same. For the Founding Five, a solo practice counts too.

What matters more than headcount is who decides. This works when the person carrying the documentation burden can authorize the engagement without a committee, which describes most independent practices and almost no hospital system. If your practice is larger than that and you still want to talk, apply and say so.

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 and build the documentation workflow, and train your team to run it on tools chosen to fit your systems and budget. Any tools you adopt, you buy directly from their vendors.

The recorder we most often recommend right now is Plaud, when it fits the practice. You buy it directly and it is yours, not ours. The workflow itself is vendor-neutral, and we change tools when the evidence or the environment calls for it. If Plaud isn't right for your environment we design around something that is, or we tell you we're not a fit. We will tell you what we know about any tool's terms and data handling; whether it meets your practice's obligations is a call for you and your counsel.

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. Full story on the About page.

In-person assessments are Vegas-area only for the founding cohort, because the observation day is conducted in person and that sets a service radius. The Resource Library, self-install guides and education content are national. If you are outside the Vegas area, apply anyway and say so: we will tell you plainly that you are outside the current service area, and we can let you know if that changes.

This is priced for a practice that already knows documentation is costing it hours and wants that fixed properly. If you're still deciding whether AI is worth your attention, start with the library and the free time study. Both are free and neither one needs us. The full 90-Day Documentation Turnaround, from the two on-site days through the day-90 re-measure, starts at $7,000 for a solo clinician and scales with practice size and the number of clinicians. You get the exact number for your practice before anything is booked.

How payment works. The first third makes you a client and opens onboarding, which you can work through while you pay. Pay the remainder on whatever schedule suits you, one payment or ten, with no deadline. Once the full amount is in, our scheduler opens to you and you book your own assessment day from what is available, up to 60 days out, first come, first served.

The founding five pay nothing for a 90-day implementation plus 90 days of follow-up optimization, in exchange for documented before and after data that we use to know the method works and to price the paid version honestly. What we may do with that data is defined in the founding-cohort agreement. That exact offer is not repeated once the five are filled.

Either way, every practice pays vendors directly for any tools they choose to adopt: a documentation recorder, AI subscriptions, and the like. Full payment and cancellation terms are in our Privacy and Terms.

No. dX80 provides education, measurement and implementation, not professional advice. 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 and 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 observer logs activity codes and timestamps only: how the clinical day spends its minutes, not what happens inside a visit. The tool used has no field for a patient name, a chart, or a clinical detail. Whether to post a notice telling patients an observer is present is your call, under your own policies. dX80 does not require it and does not supply it. We never enter a patient room, and we never record a patient interaction in any way, for any reason.

And the honest part, because this cannot be engineered away: an observer standing in a working practice will overhear clinical conversation, the same as any staff member or vendor on site. The observer is not collecting it and makes no recording of any kind, and does not follow anyone into an exam room. The observer is a registered nurse, bound by the confidentiality terms of our engagement with you.

Every observation day is run by a registered nurse licensed in the state where your practice operates. That is a standard, not a preference: the observer sees the most incidental patient information and has the most opportunity to disrupt your day, so it is a nurse's job.

Implementation is a different job from observation. Building a documentation workflow means working inside the systems you already run, and that work can put us in contact with protected health information. Where it does, we execute a business associate agreement before it begins. Implementation is currently done on site, on your equipment, and patient records stay on your systems. Personnel other than the observing nurse, including our systems administrator, may be present for that work. It is scheduled with you in advance and covered by the same agreement.

Good, because the assessment only works if you don't change anything. Your clinic day runs as normal; the observer's job is to not interfere. For the observation day itself, your time cost is a short intake before, a review call after that we keep to 45 minutes or less, and a brief survey. The measured day belongs to your patients.

Be clear-eyed about the rest of it, though. Implementation is the part that costs you real time: we ask that you run the majority of eligible visits through the new workflow for 90 days, and your staff train on it. That is the actual commitment, and it is the reason this works.

The catch is stated on the Turnaround page: your documented before and after is what lets us know the method works and price the paid version honestly. Your practice name stays private, and what we may do with the data is defined in the founding-cohort agreement.

What you also get is a written inventory of the technology your practice runs on the record: your EHR, the tools around it, and any AI already in use that you want to improve or expand. Most practices have never had that in one place.

What we cannot do is audit what your staff might be using unofficially. Nobody gets honest answers to that question from an outside observer, and we will not pretend otherwise. What we can do is help you put governance in writing so it stops being a guess. The starting templates are in the Govern stage of the free library.

Daina reads every application personally, and you will hear from her within twenty-four hours. Applications are reviewed in the order they arrive, and the five founding invitations go to the practices that fit the engagement best, so applying early does not reserve a spot.

If you are a fit for the founding cohort, we will get on a call. If you are not, we will tell you what you are a fit for, including what a standard engagement would cost your practice, and point you to the resources that help most in the meantime. 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 of 44 draft notes, errors appeared in 31 of them, 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.

Biro et al., J Med Internet Res, 2025. Forty-four simulated encounters across two products, not a review of live notes. In the Resource Library.

dX80 sells no software and earns nothing from the tools we recommend, so we have no stake in defending a tool that has stopped being the right one. We stay current on this market: what is launching, what is changing, and what is genuinely improving. During an active engagement, when the AI in your practice no longer fits the way you work, we will say so, and we will help you work out what replaces it. After an engagement ends, that market-watching is a separate and optional arrangement, never bundled into the engagement you already paid for.

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 commit to 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 and after data, whatever you decide next. We'd rather measure honestly than sell you a number we can't stand behind.

It ends. The implementation is scoped to 90 days, 180 for the founding five, and nothing auto-renews. In some cases we keep working for up to another 60 days at no additional charge, if that is what it takes to get the three workflows running the way we agreed. That is our call, not an automatic extension, and it never turns into a bill. At the final re-measure we sit down with your own before and after numbers and you decide what you want next.

Most practices run the workflow themselves from there, which is what the training is for. What a practice cannot easily do alone is keep watching the market: which tools changed, what is newly worth adopting, what quietly stopped working. If you want us doing that for you, that is a separate and optional arrangement, decided at the re-measure and never bundled into the engagement you already paid for.

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

Registered nurses, licensed in the state where they will work. Right now that means Nevada, for every practice-facing assessor role. Same reasons we give physicians: ADPIE is the nursing process, RNs work inside healthcare privacy requirements every day, and they know how to be present in a clinic without disrupting it.