Your EHR Says It Has AI. Here Is What That Actually Means.

Your EHR holds the record. palmER helps you finish the shift.

The software your hospital buys does not have to define how you work. palmER puts EM-native MDM writing, clinical answers, consult preparation, chart review, and discharge documents beside the EMR you already use. Keep multiple workups moving and finish the paperwork without waiting for a hospital rollout.

Try every palmER tool free for 30 days. No credit card. No automatic billing.

What native EHR AI can do

EHR AI can describe several different features. Check which ones your system has:

• Template suggestions: Select an existing template or smart phrase from the chart context. You still fill it in.
• Autocomplete: Predict the next words as you type. You are still writing the chart.
• Structured extraction: Pull diagnosis codes, medications, or vitals into chart fields.
• Navigation and inbox assistance: Help find an EHR function or draft a portal reply.
• Ambient documentation: Draft notes from a captured conversation, sometimes through a partner scribe. Evaluate that product's actual output.
• Clinical assistance: Some products also offer chart summaries, clinical answers, suggested orders, coding support, and specialty documentation.

A template picker and an ambient scribe do different work, even when both are called AI. Some EHR offerings include specialty documentation. The built-in label alone does not tell you how well the tool handles your ED charts.

The ED chart has to follow the encounter

Results arrive after you leave the room. You reassess the patient, discuss the case with a consultant, and change the plan. Your MDM needs to show how those details affected your decisions.

When comparing tools, check how new information reaches the draft. A note written from the first conversation can look finished while the workup is still underway. It must distinguish pending results and the current plan from decisions already made.

What a standalone tool adds

A dedicated tool is worth testing when you want help with these tasks:

• The HPI and physical exam should exist as drafts before you leave the room.
• The MDM should name the differential, the data reviewed, the risk, and the disposition reasoning, written so it shows your reasoning and supports the level you earned.
• Consult calls, reassessments, and discharge instructions should be captured as you do them, not reconstructed from memory.
• You should be able to try it this week, on your own shifts, without a hospital build.

Hospital-purchased tools arrive on the hospital's timeline. A self-serve tool arrives on yours.

How to test the difference in one week

Use 5 charts from a real shift: 2 chest pains with different dispositions, 1 abdominal pain you admitted, 1 discharge you were confident about, and the messiest one on the board.

Ask the built-in AI to do what it does on those charts, then run the same 5 through the standalone tool. Compare the MDM. Does it name the conditions you ruled out and the evidence against them? Does it state the risk of the disposition decision? Does it include the reassessment? Would a coder score it at the level you worked?

Then check the details that decide adoption. Can you review and edit every word before it enters the chart? Does the tool keep patients separate when you switch between 4 of them? Does it survive an interrupted encounter and a late result?

Use the palmER trial to put the complete workflow to work. Measure the time you spend finishing each chart, preparing a consult, and producing discharge documents. That is the work your subscription should help take off your plate.

For more on comparing corrections and review time, use our AI scribe evaluation guide.

How palmER fits beside your EHR

palmER was built by emergency medicine physicians as a standalone tool for emergency and urgent care documentation. It does not replace your EHR or require a hospital integration. It works beside any EMR through reviewed copy and paste: you draft in palmER, read every line, and paste the final text into the chart. The clinician decides what enters the medical record.

Ambient Scribe drafts the HPI and Physical Exam from the bedside conversation. It also picks up the results, plans, consults, reassessments, and disposition you discuss and adds them to your MDM. Edit them anytime in the MDM section. You paste the chart into the MDM Assistant, and palmER brings the chart and captured details together in a structured MDM draft in seconds: differential, risk, data reviewed, and disposition rationale, written so it shows your reasoning. New details from later ambient sessions update the existing MDM automatically. Chart CheckER reads the finished note for gaps before you sign, and palmER tracks your patients through the shift so the chart waiting on one more result stays visible. It also answers your clinical questions, drafts consult calls, and writes your discharge papers, work and school notes included.

Audio is not stored. Patient data auto-deletes within 24 hours. Nothing you enter is used to train AI models. The trial is self-serve: 30 days, no credit card, no IT ticket, and you can run the 5-chart test above on your next shift.

From critical care and procedures to sepsis, palmER also spots documentation needs and drafts the supporting notes, so your chart reflects the care you delivered.

Unlimited access to every tool is $199/month. Approved students and residents pay $49/month after verification and approval. Start with the full-access trial before you subscribe.

Start your free 30-day trial of palmER and put it to work on your next patient. No credit card. No automatic billing.