Hospital Medicine
AI Medical Scribe for Hospitalists
Purpose-built documentation for inpatient hospital medicine. From admission H&Ps through daily progress notes, discharge summaries, and structured handoffs across complex multi-morbid patients.
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Documentation Challenges in Hospital Medicine
Managing 15-20 patient panels with daily notes for each
Writing comprehensive discharge summaries under time pressure
Structured sign-out and handoff documentation for cross-cover
Capturing complexity and acuity for accurate billing
Coordinating documentation across multiple consulting services
Note Types for Hospital Medicine
Purpose-built templates for every encounter type
Admission H&P
Comprehensive history and physical with problem-based assessment and plan
Progress Notes
Daily SOAP notes organized by problem with overnight events and plan updates
Discharge Summaries
Complete discharge documentation with hospital course, reconciled medications, and follow-up
Handoff Notes
Structured sign-out with active issues, anticipatory guidance, and code status
Key Features for Hospital Medicine
Built specifically for your workflow
Problem-Based A&P
Automatically organizes assessment and plan by active problem list
Rounding Mode
Multi-patient encounter tracking for efficient morning rounds
Discharge Automation
Generates discharge summaries pulling from the entire admission
Billing Optimization
Captures complexity to support appropriate inpatient E&M levels
Handoff Generation
Structured I-PASS sign-out from the day's documentation
Common Hospital Medicine Conditions
Common Hospital Medicine Procedures
Calculators that can activate in Hospital Medicine
Registry entries whose specialty scope includes Hospital Medicine. Each page lists the inputs the note needs, the scoring criteria, the interpretation bands and the cited sources.
- 4Ts Score for Heparin-Induced ThrombocytopeniaEstimates pre-test probability of heparin-induced thrombocytopenia (HIT) to guide confirmatory testing and management
- ABCD2 ScoreEstimates short-term stroke risk after TIA
- ARISCAT ScorePredicts postoperative pulmonary complications to guide perioperative respiratory optimization
- AUDIT-CBrief alcohol screening tool (USPSTF-recommended) for hazardous drinking
- Berlin Questionnaire for OSAScreens for obstructive sleep apnea risk to guide polysomnography referral
- BISAP ScorePredicts mortality in acute pancreatitis within 24 hours of presentation using readily available parameters
- BODE IndexPredicts mortality in COPD patients using body mass index, airflow obstruction, dyspnea, and exercise capacity
- Body Mass Index (BMI)Classifies weight status relative to height to guide nutritional counseling, surgical risk, and metabolic assessment
- Body Surface Area (Mosteller)Calculates body surface area for chemotherapy dosing, cardiac index, and renal function estimation
- Braden Scale for Pressure Injury RiskPredicts pressure injury risk to guide prevention interventions in hospitalized and immobilized patients
- C-SSRS (Columbia Suicide Severity Rating Scale)Structured assessment of suicidal ideation and behavior for risk stratification
- CAGE QuestionsScreens for alcohol use disorder
- Calcium Corrected for AlbuminAdjusts total calcium for hypoalbuminemia to determine true calcium status
- Calculated Serum OsmolalityEstimates serum osmolality from basic metabolic panel to evaluate osmolar gap and dysnatremia
- Caprini VTE Risk ScoreStratifies VTE risk in surgical patients for prophylaxis decisions
- CHA2DS2-VASc ScoreStratifies stroke risk in non-valvular atrial fibrillation to guide anticoagulation decisions
- Child-Pugh ScoreClassifies cirrhosis severity and prognosis
- CIWA-ArObjectifies alcohol withdrawal severity for symptom-triggered treatment
- CKD-EPI GFREstimates glomerular filtration rate for CKD staging
- Clinical Frailty Scale (Rockwood)Categorizes frailty status to guide treatment intensity, surgical candidacy, and prognostication in elderly patients
- Cockcroft-Gault Creatinine ClearanceEstimates creatinine clearance for renal drug dosing adjustments, particularly DOACs and renally-cleared medications
- COPD Assessment Test (CAT)Quantifies COPD symptom impact on daily life for treatment monitoring and GOLD group classification
- Corrected QT Interval (QTc)Corrects QT interval for heart rate to identify clinically significant QT prolongation and torsades risk
- CURB-65 ScoreEstimates pneumonia mortality and guides disposition
- Drug Abuse Screening Test-10 (DAST-10)Screens for drug use problems and quantifies severity of drug-related consequences
- Duke Activity Status Index (DASI)Estimates functional capacity in METs for perioperative cardiac risk assessment
- Duke Treadmill ScorePredicts prognosis from exercise treadmill testing and identifies low-, moderate-, and high-risk patients
- FIB-4 IndexNon-invasive assessment of liver fibrosis
- Fontaine Classification for PADStages peripheral arterial disease severity using clinical presentation
- Fractional Excretion of Sodium (FENa)Differentiates prerenal from intrinsic renal failure
- Free Water DeficitEstimates free water needed to correct hypernatremia based on total body water and measured sodium
- Glasgow Alcoholic Hepatitis ScoreAlternative severity score for alcoholic hepatitis that identifies patients likely to benefit from corticosteroid therapy
- Glasgow Coma Scale (GCS)Assesses impaired consciousness and coma severity
- Glasgow-Blatchford Bleeding ScoreIdentifies low-risk upper GI bleed patients safe for outpatient management
- Glucocorticoid Equivalence CalculatorConverts between glucocorticoids using equipotent dose equivalency for taper planning and medication switches
- GOLD COPD ClassificationClassifies COPD severity by spirometry and symptom burden using the GOLD 2024 framework for treatment guidance
- GRACE ACS Risk ScorePredicts in-hospital and 6-month mortality in acute coronary syndrome patients using the GRACE 2.0 simplified model
- Harvey-Bradshaw IndexSimplified assessment of Crohn disease activity for treatment monitoring and clinical decisions
- HAS-BLED ScoreEstimates 1-year major bleeding risk in AF patients on anticoagulation
- HEART ScorePredicts 6-week risk of major adverse cardiac events in ED chest pain patients
- Hinchey ClassificationStages complicated diverticulitis severity by degree of peritoneal contamination to guide surgical vs medical management
- Hoehn and Yahr ScaleStages Parkinson's disease severity based on motor symptom distribution and balance impairment
- Ideal Body Weight (Devine)Calculates ideal body weight for lung-protective ventilation tidal volume and medication dosing
- KDIGO AKI StagingStages acute kidney injury severity to guide management and prognosis
- LDL Calculated (Friedewald Equation)Calculates LDL cholesterol from standard lipid panel when direct LDL is unavailable
- Light's CriteriaDifferentiates transudative from exudative pleural effusions to guide diagnostic workup
- Lille ModelPredicts response to corticosteroid therapy at day 7 in severe alcoholic hepatitis; identifies non-responders who should stop steroids
- Maddrey's Discriminant FunctionQuantifies severity of alcoholic hepatitis and identifies patients who may benefit from corticosteroid therapy
- Maintenance IV Fluids (4-2-1 Rule)Calculates hourly maintenance IV fluid rate using the Holliday-Segar method based on body weight
- Mayo Score for Ulcerative ColitisAssesses disease activity in ulcerative colitis for treatment decisions and clinical trial endpoints
- Mean Arterial Pressure (MAP)Calculates mean arterial pressure to assess end-organ perfusion adequacy
- MELD-Na ScoreQuantifies end-stage liver disease severity for transplant prioritization
- Modified Centor / McIsaac ScoreEstimates likelihood of group A streptococcal pharyngitis to guide testing and antibiotic decisions
- Modified Duke CriteriaClassifies likelihood of infective endocarditis based on clinical, microbiological, and echocardiographic findings
- Modified Medical Research Council Dyspnea ScaleGrades dyspnea severity for COPD symptom assessment and treatment decisions
- Modified Rankin Scale (mRS)Measures degree of disability and dependence after stroke or neurological event
- Morphine Milligram Equivalents (MME)Converts opioid prescriptions to standardized morphine equivalents to assess cumulative opioid burden and overdose risk
- Morse Fall ScalePredicts fall risk in hospitalized patients to guide prevention interventions
- National Early Warning Score 2 (NEWS2)Standardized early warning score to detect clinical deterioration in hospitalized patients and guide escalation of care
- NYHA Functional ClassificationClassifies heart failure severity by functional limitation to guide treatment escalation and prognostication
- Padua VTE Risk Assessment ScoreStratifies VTE risk in hospitalized medical patients to guide thromboprophylaxis decisions
- Pediatric Early Warning Score (PEWS)Identifies pediatric patients at risk for clinical deterioration to trigger timely escalation
- PERC RuleRules out PE when all criteria absent AND pre-test probability <=15%
- PLASMIC ScorePredicts probability of severe ADAMTS13 deficiency (TTP) in adults with thrombotic microangiopathy to guide urgent plasma exchange
- PREVENT 10-Year Total CVD Risk (AHA)Estimates 10-year risk of total cardiovascular disease (atherosclerotic CVD plus heart failure) to guide primary-prevention decisions. Supersedes the Pooled Cohort Equations and does NOT use race.
- PSI/PORT ScoreStratifies pneumonia severity into risk classes to guide site-of-care decisions (outpatient vs inpatient vs ICU)
- qSOFA ScoreIdentifies non-ICU patients with infection at high mortality risk
- Ranson's CriteriaEstimates pancreatitis severity and mortality based on admission and 48-hour parameters
- Revised Cardiac Risk Index (RCRI)Estimates perioperative cardiac risk for non-cardiac surgery
- Revised Geneva ScoreClinical prediction rule for estimating pre-test probability of pulmonary embolism
- Rockall ScorePredicts rebleeding and mortality risk after upper GI bleeding based on pre- and post-endoscopy factors
- Rutherford Classification for PADClassifies severity of peripheral arterial disease for treatment planning
- Serum Anion GapEvaluates metabolic acidosis etiology
- Sgarbossa CriteriaIdentifies acute MI in patients with left bundle branch block or ventricular paced rhythm
- SIRS Criteria (Systemic Inflammatory Response Syndrome)Identifies systemic inflammatory response to guide early sepsis recognition and management
- Sodium Corrected for HyperglycemiaCorrects measured sodium for glucose-induced dilutional effect to reveal true sodium status
- Sodium Correction RateMonitors sodium correction rate in hyponatremia to prevent osmotic demyelination syndrome
- SVS WIfI ClassificationStratifies threatened limbs by wound, ischemia, and foot infection severity for amputation risk estimation
- TIMI Risk Score (UA/NSTEMI)Estimates mortality and adverse outcomes in unstable angina/NSTEMI
- TIMI Risk Score for STEMIPredicts 30-day mortality in patients with ST-elevation myocardial infarction
- Transtubular Potassium Gradient (TTKG)Assesses renal potassium handling to differentiate causes of hyperkalemia and hypokalemia
- Wells' Criteria for DVTRisk-stratifies patients suspected of deep vein thrombosis to guide diagnostic workup
- Wells' Criteria for PERisk-stratifies patients suspected of pulmonary embolism
Related Specialties
AI Medical Scribe for Hospitalists
Purpose-built documentation for inpatient hospital medicine. From admission H&Ps through daily progress notes, discharge summaries, and structured handoffs across complex multi-morbid patients.
Documentation Challenges in Hospital Medicine
- Managing 15-20 patient panels with daily notes for each
- Writing comprehensive discharge summaries under time pressure
- Structured sign-out and handoff documentation for cross-cover
- Capturing complexity and acuity for accurate billing
- Coordinating documentation across multiple consulting services
Note Types for Hospital Medicine
Admission H&P
Comprehensive history and physical with problem-based assessment and plan
Progress Notes
Daily SOAP notes organized by problem with overnight events and plan updates
Discharge Summaries
Complete discharge documentation with hospital course, reconciled medications, and follow-up
Handoff Notes
Structured sign-out with active issues, anticipatory guidance, and code status
Key Features for Hospital Medicine
Problem-Based A&P
Automatically organizes assessment and plan by active problem list
Rounding Mode
Multi-patient encounter tracking for efficient morning rounds
Discharge Automation
Generates discharge summaries pulling from the entire admission
Billing Optimization
Captures complexity to support appropriate inpatient E&M levels
Handoff Generation
Structured I-PASS sign-out from the day's documentation
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