palmERSuki.palmER.
A health system-purchased ambient documentation tool integrated with several major EHRs. Access is sales-led rather than self-serve, and public materials do not describe an ED-specific MDM workflow.
Suki
Suki is selected and deployed by a health system. Direct self-serve signup and public pricing are not offered, and the published retention period for audio and transcripts is 30 days.
When palmER is the right call.
When the chart is written between rooms, not after a scheduled visit. Chart-paste MDM with a real differential, a patient board for the shift, structured consult scripts, and a pre-sign-off check. Available directly, with no health-system purchase or IT rollout required. Encounter audio is never stored, and patient data automatically deletes within 24 hours.
You signed one note. What else still exists?
AI documentation can create more than the note you sign: audio, transcripts, draft notes, edits, prompts, and questions. What remains depends on the tool, the vendor's terms, and sometimes your health system's contract.
What the public documents say.
Audio and transcript are each deleted after 30 days, but the final clinical note is retained for the entire service contract, no separate window is published for pre-signature drafts, and the privacy policy holds an open-ended retention clause that can extend beyond the relationship. De-identified data is used for model training.
No lasting shadow record.
Encounter audio is never stored. Inputs, transcripts, chats, drafts, and questions automatically delete within 24 hours. AI providers operate under zero-retention agreements.
Seventeen rows. No spin.
Supports many specialties; emergency medicine is not called out as a core focus on the homepage.
Built by board-certified emergency physicians for ED/UC workflows.
Homepage names voice-enabled editing, problem-based charting, and orders generation; ED-specific MDM depth is not publicly described.
MDM Assistant generates differential, risk stratification, disposition, and a Clinical Insights sidebar (Most Serious / Most Likely).
Ambient Documentation is the core product.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters; audio is transcribed in real time and immediately discarded.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Paste a full chart into the MDM Assistant for a complete, defensible MDM in seconds.
Public materials name clinical reasoning and Q&A, but not a structured ED differential.
Most Serious and Most Likely differential panels generate alongside the MDM.
Patient Mode panel for active and completed patients across the shift.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
Q&A and pre-charting support are named.
palmER Colab side panel inherits patient and conversation context automatically.
ConsultER generates structured specialty consult scripts.
Public materials describe revenue-cycle support, not a clinician-facing pre-sign ED chart review.
Chart CheckER flags documentation gaps, billing opportunities, and medico-legal vulnerabilities before sign-off.
Integrated palmEM AI knowledge base for instant EM clinical reference.
Audio and transcript are each deleted after 30 days, but the final clinical note is retained for the entire service contract, no separate window is published for pre-signature drafts, and the privacy policy holds an open-ended retention clause that can extend beyond the relationship. De-identified data is used for model training.
Audio is never stored: it is transcribed in real time and immediately discarded. Everything else, inputs, transcripts, chats, and generated drafts, auto-deletes within 24 hours, and AI providers operate under zero-retention agreements.
Pricing is not public; purchase is arranged through a health system.
Two tiers publicly listed: Clinician at $199/month and Trainee at $49/month for verified students and residents.
30-day free trial, no credit card required.
Lists integrations with Epic, Oracle Health, athenahealth, and MEDITECH.
Works alongside any EMR via copy and paste; no direct EHR integration.
Health systems and health-technology partners; access is organization-deployed.
Emergency and urgent care clinicians, groups, and health systems.
Built broad, or built for the ED.
Suki is available when a health system chooses and deploys it. palmER can be started directly and is built around ED charting: chart-paste MDM, Differential Diagnosis and Clinical Insights, a patient board, ConsultER, and Chart CheckER.
- 15s
- 30
- 24h
Asked often. Answered plainly.
How does Suki fit emergency medicine?+
Suki supports emergency medicine as one of multiple specialties; it is not exclusively positioned for the ED. palmER is purpose-built around emergency-department documentation: chart-paste MDM with Most Serious / Most Likely differential, multi-patient panel, ConsultER, Chart CheckER, and the integrated palmEM AI clinical reference.
Does Suki offer a public free trial?+
No public self-serve trial; access is arranged through a health system. palmER offers a 30-day free trial with full access to every tool, no credit card required.
What does Suki cost?+
Pricing is not publicly listed; purchase is arranged through a health system. palmER is publicly listed at $199/month for clinicians. Approved students and residents can apply for the $49/month trainee rate. The 30-day free trial includes every tool and requires no credit card.
What does Suki retain after an encounter?+
Audio and transcript are each deleted after 30 days, but the final clinical note is retained for the entire service contract, no separate window is published for pre-signature drafts, and the privacy policy holds an open-ended retention clause that can extend beyond the relationship. De-identified data is used for model training. 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?+
The palmER MDM Assistant takes a full pasted chart and returns a complete MDM with clinically appropriate differential diagnoses, risk stratification, justification for orders and consultations, shared decision-making documentation, and support for appropriate E/M billing levels. The Most Serious and Most Likely differential panels and Clinical Insights sidebar generate alongside the MDM. Public materials for Suki do not detail an equivalent ED-specific MDM workflow.
What about EHR integration?+
Lists integrations with Epic, Oracle Health, athenahealth, and MEDITECH through a health-system deployment. palmER works alongside any EMR via copy and paste, there is no integration step or IT setup required.
Every claim about Suki on this page is grounded in the vendor's own public materials, linked below. Claims about palmER come from palm-er.com.
- Suki, homepage ↗
Health-system purchasing, multi-specialty ambient documentation, EHR integrations, and clinical-reasoning and revenue-cycle modules.
- Suki, security and compliance FAQ ↗
"The original audio recording is permanently deleted after 30 days"; the transcript likewise; the final clinical note is retained for the duration of the service contract; ML training uses de-identified data.
Fairness note: vendors update positioning, pricing, and features over time. If something on this page is out of date, tell us. A physician reviews every report, and the page gets refreshed, whichever way the correction cuts.
Try the one built for your shift.
Start a trial tonight, paste your messiest chart, and read what comes back. Thirty days free, no card, no auto-billing.