PainFlow encodes your providers' controlled-substance and procedure rules into a structured rooming workflow any medical assistant can run on day one. It produces consistent, audit-defensible notes no matter who you hire.
PHI-free by design. No backend, no database, no BAA needed for the core product.
When a seasoned MA leaves, the rooming knowledge goes with her: which questions to ask, which counts to run, when to hold an injection. The next hire relearns it from scratch, and your notes get thinner while they do. PainFlow holds the protocol so the person running it can change without the quality dropping.
Replacing a departed MA runs roughly $14,200, and medical assistants are the #1 turnover role in ambulatory practices.
The most common DEA audit findings are incomplete charts and refill documentation. Not fraud, just gaps: a pill count that never made it into the note, a refill date nobody computed, a screen that got skipped on a busy day. PainFlow makes the count, the math, and the screen part of rooming, so the record is complete before the provider ever opens the chart.
DEA audits most commonly cite incomplete charts and refill documentation.
Structured input on the left. Deterministic output on the right. Every number in the note came from a field the MA filled, not from a language model.
Any signs of active infection at or near the injection site?
Most recent A1c on file
Established patient returns for chronic pain follow-up. Interval history reviewed with the patient during rooming.
MedicationsOxycodone 10 mg reported, 3 tablets remaining against an expected range of 2 to 5: within expected range. Next refill calculated for 07/19/2026 based on the reported directions.
Health changesNo new falls, hospitalizations, or medication reactions reported this interval.
Procedure screeningRight knee steroid injection requested. No signs of active infection at the site. Most recent A1c 9.1, above the clinic threshold for steroid injection. Likely requires provider review before proceeding.
To completeProvider assessment · plan · injection decision
Synthetic data shown. Nothing in this note is generated by a language model. The counts, the ranges, the refill date, and the screen results are read straight from the fields the MA completed. For controlled-substance documentation, a made-up number is a liability, so PainFlow does not invent one.
A staff rooming in the live demo.
PainFlow enforces the protocol your physicians already follow. It never makes a clinical decision, and it uses suggest-and-defer language throughout.
The MA walks a structured flow on the clinic's existing iPad: pill counts with expected-range math, patch tracking, refill-date math, health-change screens, UDT workflow, and injection-eligibility gates.
An active infection halts the injection. An out-of-range A1c flags a steroid injection for review. An off-range count surfaces. The rules are your providers'; PainFlow enforces them and defers the clinical call back to the provider.
PainFlow generates a complete, deterministic HPI from the fields and copies it to the clipboard. The provider pastes it straight into athenaOne. No EHR integration, no IT project, no BAA.
Because those capture data. PainFlow enforces protocol.
A scribe documents what is said in the exam room. It never sees the pill count, because the count happens in rooming, before the provider walks in and before anyone speaks. It never blocks an injection at an out-of-range A1c. It never computes a refill date. Built-in screeners collect answers; they do not gate a procedure or run the math.
PainFlow produces deterministic output from structured fields, not a probabilistic summary of a conversation. For controlled-substance documentation, a made-up number is a liability, so nothing in a PainFlow note is generated by a language model. This is not an AI scribe, and that is the point.
PainFlow is built on one rule: protected health information never leaves your device. There is no server to breach and no database to lose, because none exists.
No patient names or identifiers. Answers live only in the active session on the iPad, in temporary memory. Sessions clear automatically: 20 minutes after copy, or after 10 minutes of inactivity.
The app runs entirely in the browser on your device. There is no backend and no PainFlow account system. The note reaches athenaOne by clipboard paste on the same iPad, not across the internet.
Runs as a web app on the iPads you already have. Deployable without EHR integration, without an IT integration, and without a BAA for the core product. Your compliance officer is welcome to review the architecture with us directly.
No analytics, no advertising, no crash reporting, no tracking on any screen where patient information appears. There is nothing to leak because there is nothing collected.
Where the line sits: because PainFlow never creates, receives, maintains, or transmits PHI on our side, our working position is that no business associate agreement is needed for the core product. Your compliance officer should confirm that conclusion for your practice. Device passcodes, screen safeguards, and staff training stay on your side, exactly as they do today.
We encode your providers' protocols and maintain them as the rules and regulations change. The tool is how the service is delivered; it is never sold on its own.
A fixed-fee engagement to encode your clinic's controlled-substance and procedure protocols into the rooming workflow. The range depends on protocol depth: more gates, more procedures, more medication logic.
A flat monthly retainer covering protocol updates, regulatory changes, and new-MA support. When the rules change or you hire, the workflow stays current without a new project.
Honest about what is here today and what is next.
Controlled-substance agreement tracking with renewal dates, and UDT cadence by risk tier: the documentation spots incumbents leave unproductized.
Writing structured fields straight into the EHR instead of a clipboard paste. Under research; clipboard paste is the supported path today.
The same controlled-substance gates, counts, and UDT cadence port directly to office-based addiction medicine, the designated next vertical.
The live demo runs on synthetic data only. Room a patient, hit a gate, and read the deterministic note it produces.