Scribeable for Hospitalists & IM

If you round, you know.

Rounding Mode — built because I was charting 18 patients from memory at the end of rounds.

The AI scribe built for hospital medicine. One continuous recording across the list. AI segments by patient. Chart-aware notes that carry across days. Rolling quality-gap surfacing at every daily note. Your account, not your hospital's.

Built by Scott Kohlhepp, DO — IM resident, Orlando Health. Rounds at 6am tomorrow.

The Hospitalist Workflow Enterprise Scribes Don't Serve

Why inpatient AI scribing is underserved.

Charting 18 patients from memory at the end of rounds

Rounds wrap at 11. You sit down and can't reliably remember whether bed 14 said "full code" or "comfort measures." You know clinically, but the note has to be precise — and precise requires memory you ran out of three patients ago.

Outpatient-first scribes that break on inpatient

Every ambient scribe was tuned for the outpatient visit. One encounter, one recording, one note. Rounding breaks every assumption in that design. So you either start/stop at every door (no one does), or you stop using the scribe on inpatient.

Quality gaps that live in the stay, not the chart

VTE prophylaxis ordered day 1, held day 2 for a procedure, not restarted. Diabetic glycemic management that never got titrated. Antibiotic stewardship missed at day 3. Every measure is scoped to the stay — and nothing surfaces the gap at the daily note.

Your templates belong to the hospital, not to you

Two years of refined H&P and progress-note templates. The day you change jobs, they stay behind. Starting over at the new place. Nobody should accept that as the default.

Built for the hospitalist workflow, specifically.

Not an outpatient product with an inpatient mode bolted on.

Rounding Mode

One continuous recording across the whole list. AI segments by patient transition — you don't manage boundaries. 15-18 patient notes drafted from a single session.

Continuous recordingAuto-segmentationiOS + web

Chart-aware generation

Today's note knows yesterday's. Medication trajectories, lab trends, open quality gaps, disposition conversations — all carried forward, surfaced at the next daily note.

Multi-day contextRolling trajectoryContinuity of care

Rolling quality-gap surfacing

VTE prophylaxis held. Glycemic management overdue. Antibiotic stewardship at day 3. Each gap surfaces at the daily note — inverting the default of waiting for you to go looking.

Stay-scoped measuresDaily surfacingInpatient-specific

Specialty-depth A&P

Notes that document the case, not just the encounter. Differentials preserved. Clinical reasoning captured during rounds, not reconstructed afterward. Billing anchored in-line.

Two-pass verificationHCC + MIPS in-noteCoder-ready

Cross-coverage as a first-class artifact

Declare cross-coverage at encounter start. Structured sign-out on demand. Overnight events reference what the returning team needs to know — not as an email blob, as a document.

Sign-out generationCross-coverage labelingHandoff docs

Your account. Your templates.

The account is subscribed by you, not by your hospital. Templates travel with you to your next job. Locums, moonlighting, academic, private — one documentation practice across all of them.

Clinician-ownedPortableEmployer-independent

The rounding day, end-to-end.

Target: 1-1.5 minutes per patient post-rounds, on a 15-18 patient list.

1

Before rounds

Pre-rounds summary per patient — overnight events, medication changes, vital trends, I/Os, open quality gaps — composed from notes and chart context you've captured in Scribeable across the stay. (Direct SMART on FHIR integration is on the roadmap; today the summary draws from your Scribeable encounter history.)

2

During rounds

Rounding Mode on at bed 1. Leave it on. Speak to the patient, family, and team as you would anyway. Think out loud when it helps — the A&P captures it. Turn off after the last bed.

3

After rounds

Review 15-18 generated notes. 1-1.5 minutes per patient. Check medications (highest error density), A&P, disposition. Address quality-gap nudges. Sign in order of rounding.

4

Day 2 and beyond

Pre-rounds summary reflects yesterday's note. Open quality gaps carry forward. Today's note anchors to yesterday's A&P — trajectory-aware, not starting fresh each morning.

Case studies publishing Q4 2026.

We do not publish synthetic or composed testimonials. Real user quotes will appear here when the first hospitalist case studies finish. If you pilot Scribeable on your service and want to co-author a case study, email [email protected].

Founder-voice essays for hospitalists.

Written by Scott. Not marketing copy. Not ghostwritten. Published on Scribeable Substack, LinkedIn, and SHM's The Hospitalist when accepted.

Publishing soon

Charting 18 patients from memory at the end of rounds

By the time you're on patient 14, you cannot reliably remember whether patient 9's daughter said "everything" or "just not CPR." You know clinically she's DNR/DNI. But the specific words she used — you are honestly not sure. This is the nominally-invisible mental tax of hospitalist documentation.

Publishing soon

The quality gap that lives in the hospital, not the chart

Inpatient quality measures are scoped to the stay, not the encounter. VTE prophylaxis ordered day 1, held day 2 for a procedure, not restarted. The measure quietly misses. The hospital's quality metrics quietly degrade. Rolling quality-gap surfacing inverts the default.

Your account. Not your hospital's.

You pay for Scribeable. You own the account. Your templates, your documentation patterns, your quality-gap dashboards — they belong to you. Change jobs, they come with you. Pick up a locums week, the tools are already there. Start moonlighting, nothing to reconfigure.

  • No enterprise procurement required
  • No multi-year contract
  • No hospital IT integration required (browser extension + clipboard)
  • Full note export at any time, in a format you own

Try it on a full rounding list.

One or two patients isn't a fair test. Rounding Mode compounds with list length. Run it on a full rounding list for two weeks, decide on real clinical data — not a demo. 14-day trial, no credit card, cancel anytime.

Questions about fit for your service? We answer directly: [email protected]