Maria — Physician Associate / Nurse Practitioner
Sees a similar mix of acute and chronic primary care visits as the physician, but with co-sign and supervision rules that vary state by state. May be the first-touch clinician for many patients.
Pain Points
- Second-class user experience. EHRs that treat PA/NP as second-class users — co-sign queues that are awkward, scope-of-practice rules that are hard-coded for MDs only.
- Prescriptive authority gaps. Differential prescriptive authority by state, especially for controlled substances under EPCS, that the system fails to enforce or reflect in the UI.
- Invisible co-sign status. Limited visibility into which of their notes the supervising physician has actually reviewed.
Goals within REV.health
- First-class clinician role with explicit supervisor mapping, clean co-sign queues, and a per-state scope-of-practice policy engine.
- Same ambient scribe and coding-assist experience as the physician, with co-sign attestations captured in the audit trail.
- Real-time prescriptive-authority guardrails — controlled substance schedules, formulary, supervising-physician requirements — enforced at the point of prescribing.
Modules Touched
Clinical Documentation · eRx / EPCS · Coding / CDS · Task Management
Day-in-the-Life Workflow
- Review schedule — 12 patients today, 3 requiring co-sign from Dr. M.
- Check co-sign queue — 4 notes from yesterday awaiting supervisor review.
- Conduct visit — same ambient scribe experience as physician; note drafted in SOAP sections with audio-linked audit trail.
- Prescribe — EPCS guardrail flags controlled substance, requires supervisor attestation before the Rx is sent.
- Draft note — note marked "Awaiting co-sign", auto-routed to Dr. M's queue in Task Management.
- Review co-sign status — 3 of 4 yesterday's notes now signed, 1 still pending.
- Dashboard shows: 12 encounters, 3 pending co-sign, 2 refill requests.