palmERAmbience.palmER.
Ambience is a hospital documentation and coding platform. palmER is your shift, handled.
From the first workup to the last discharge, palmER puts MDM writing, clinical answers, consult preparation, and chart review in your hands. Built by emergency physicians. Ready for your next shift.
Ambience is a hospital documentation and coding platform.
Ambience is a health-system workflow platform with ED MDM, patient lists, Chart Chat, and discharge tools. Its public access path is demo-led.
palmER is your shift, handled.
Keep multiple workups moving. Turn your chart into an EM-native MDM, get clinical answers, prepare consult calls, and review the chart before you sign. palmER also spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes. Finish with discharge instructions, work notes, and school notes. All in one subscription.
You signed one note. What else still exists?
Ambience does not publish a product retention window; customer agreements and BAAs govern product data. palmER never stores ambient audio and deletes patient data within 24 hours.
Your signed note belongs in your EHR. The drafts, transcripts, and questions that helped you get there don't need a permanent home in your AI tool. With palmER, they expire automatically.
What the public documents say.
Ambience's public website privacy policy excludes product offerings and says customer agreements and BAAs govern provider-customer data; it does not publish a product retention or model-training window.
Help on shift. Patient data gone within 24 hours.
Audio is never stored. Transcripts, drafts, edits, and questions automatically delete within 24 hours. Patient data is never used to train AI models.
palmER and Ambience compared.
Ambience describes ambient multi-speaker capture, translation, Live Audio Recap, and specialty notes across the visit.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters and adds the results, plans, consults, reassessments, and disposition discussed to the MDM, where they can be edited anytime; audio is transcribed and immediately discarded.
The ED page explicitly describes HPI, ROS, and physical-exam intake; adaptive exam templates are also described.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Public materials describe Epic Haiku and MyList workflows plus schedule/problem-list integration with Epic, Athena, and Cerner.
Works alongside any EMR without requiring an integration.
The checked public pages use demo/contact calls to action and do not publish a price.
$199/month for clinicians. Approved students and residents pay $49/month after verification. Both include unlimited access to every tool.
No public self-serve trial or trial terms were found on the checked product and ED pages.
Every tool free for 30 days. No credit card and no automatic billing.
Ambience has an explicit ED product page and ED-specific workflows, while the platform also serves 200+ specialties.
Built specifically for emergency medicine and urgent care by emergency physicians.
Multi-specialty; emergency medicine is not the primary audience.
Emergency and urgent care medicine.
Explicit ED MDM / Impression and Plan generator covering labs, imaging, consults, and admission considerations.
Writes a structured MDM from the chart and the clinical details captured by Ambient Scribe: differential, data reviewed, risk, clinical reasoning, and disposition.
A dedicated pasted-chart-to-ED-MDM workflow was not established in the reviewed pages.
Paste your chart to draft an EM-native MDM in seconds. Review and update it as the encounter progresses.
ED Impression and Plan/MDM is described, but a separate structured differential-diagnosis output is not documented.
Most Serious and Most Likely differential panels generate alongside the MDM.
Supports ED visit hopping and patient-list synchronization with Epic MyList.
Tracks active and completed patients as multiple workups progress throughout the shift.
Patient Summary, schedule/problem-list synchronization, and chart context are described; a standalone full chart viewer is not documented.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
Chart Chat answers questions using the patient chart.
Ask clinical questions with the case in context. palmER also spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes.
Referral Letters are publicly listed; specialty-specific consult scripts are not documented.
ConsultER generates structured specialty consult scripts.
Coding and compliance advisors are described, but a dedicated clinician chart-quality review workflow is not explicitly documented.
Reviews the chart for missing or incomplete documentation before you sign.
The checked public pages do not describe an ED reference library or medical-reference workflow.
Integrated palmEM AI knowledge base for instant EM clinical reference.
The public website privacy policy excludes product offerings and defers provider-customer data handling to customer agreements and BAAs; no product retention window is published.
Encounter audio is not stored. Patient data automatically deletes within 24 hours and is not used to train AI models.
Less charting. More shift handled.
An ED MDM is the starting point. palmER brings it together with clinical answers, consult preparation, multiple active workups, chart review, and discharge documents. Critical care, procedure, and sepsis documentation are part of the same workspace.
You can choose palmER yourself and use it beside any EMR. Get every tool free for 30 days, then $199/month. No credit card to start and no automatic billing.
- $199
- 30
- 24h
Asked often. Answered plainly.
Is palmER a good Ambience alternative?+
Yes. palmER was built for emergency and urgent care clinicians who want help with their entire shift: EM-native MDM, multiple active workups, clinical answers, consult preparation, chart review, and discharge documents. You can start yourself, use it beside any EMR, and try every tool free for 30 days.
How does Ambience fit emergency medicine?+
Ambience supports emergency medicine as one of multiple specialties; it is not exclusively positioned for the ED. palmER was built specifically for emergency medicine and urgent care.
Does Ambience offer a public free trial?+
No public self-serve trial or trial duration was found on the checked pages. palmER offers a 30-day free trial with no credit card required.
What does Ambience cost?+
Ambience does not publish a price on the reviewed pages; access starts with a demo request. palmER is $199/month for unlimited access to every tool. Approved students and residents pay $49/month after verification. The full-access 30-day trial requires no credit card and ends without automatic billing.
What does Ambience retain after an encounter?+
Ambience's public website privacy policy excludes product offerings and says customer agreements and BAAs govern provider-customer data; it does not publish a product retention or model-training window. palmER never stores encounter audio, automatically deletes patient data within 24 hours, and uses AI providers under zero-retention agreements.
How does palmER compare on MDM?+
Paste your chart and palmER builds a structured ED MDM, including clinical reasoning, differential, data reviewed, risk, and disposition. You do not need to write out the reasoning first. palmER also uses the results, plans, consults, reassessments, and disposition you discuss during ambient scribing, and updates an existing MDM when you discuss something new. Ambience also publicly describes ED MDM generation. With palmER, chart review, clinical answers, consult preparation, and discharge tools are included in the same subscription.
What about EHR integration?+
Public materials name Epic Haiku/MyList and schedule/problem-list integrations with Epic, Athena, and Cerner. palmER works alongside any EMR without requiring an integration. You review the documentation and copy the final version into the chart.
Every claim about Ambience on this page is grounded in the vendor's own public materials, linked below. Claims about palmER come from palm-er.com.
- Ambience homepage ↗
Ambience is a health-system workflow platform with ED MDM, patient lists, Chart Chat, and discharge tools. Its public access path is demo-led.
Reviewed
- Ambience products ↗
Lists Patient Summary, patient-list/schedule synchronization, Chart Chat, coding, referral letters, and an ED MDM Generator.
Reviewed
- Ambience Emergency Department ↗
Describes ED HPI/ROS/PE intake, visit hopping, mobile/offline workflows, Epic Haiku, and ED Impression and Plan/MDM with labs, imaging, consults, and admission considerations.
Reviewed
- Ambience clinicians ↗
Lists ambient scribing, HPI, patient instructions, ED Impression and Plan, Chart Chat, summaries, coding, referral letters, and named EHR context integrations.
Reviewed
- Ambience privacy policy ↗
Says the public website policy excludes product offerings and customer agreements/BAAs govern provider-customer data; no product retention window is stated.
Reviewed
Read the full write-up: palmER vs Ambience
Vendor plans and features change. Sources and review dates are listed above. Send a correction if a detail has changed.
Put palmER to work. Your next shift is on us.
Start with your next patient: scribe the encounter or paste your chart, generate the MDM, and prepare the discharge. Get every palmER tool free for 30 days. Then $199/month. No credit card to start and no automatic billing.