User Guide

Around Notes Documentation

Learn how to get the most out of Around Notes — from building your first note to fine-tuning templates and reviewing AI-generated content.

User Guide

How Around Notes Works

Around Notes is an AI-powered inpatient documentation workspace. It works from the chart data and clinical context you already have — not from a recording — and produces complete, structured inpatient notes in your style. A second AI, trained independently, reviews every draft for errors before you sign. No scribe required. HIPAA compliant, SOC 2 certified, and a BAA is signed with every licensed medical user at account setup.

See it in action

The workflow, step by step

Step 1 — Load your data and notes. Around Notes uses two input areas. The Data Bin holds raw chart data from your EMR — vitals, labs, imaging results, med list, problem list. Paste it in as a block; Arno reads it as-is. The Note Bin holds text-based notes: prior H&Ps, yesterday's progress note, transfer phrases, consult recommendations, outpatient notes, scribe transcripts. Drop in whatever gives Arno the most useful context. You control what goes in — a stripped-down snapshot works, but the more clinical context, the better the output.
Step 2 — Add your clinical prompt. In the note builder, type or dictate a brief prompt — the same way you'd tell a senior resident the plan. Direct and clinical. This is where your reasoning lives: what you think is going on, what you're doing about it, what's pending, what you're watching. It doesn't need to be complete — Arno fills in the structure around your thinking.
Step 3 — Apply your templates and settings. Before generating, you can apply custom templates that reflect how you document: your preferred A&P structure, service-specific checklists, billing MDM logic, instructions to always include or avoid certain things, even your specialty and tone. Templates can be built once and reused across every note. Settings let you control formatting, level of detail, and style — so the note sounds like you, not like a generic AI output.
Step 4 — Generate your note. Hit Generate and Around Notes builds the complete note — typically in 60 seconds or less on standard mode, under 30 seconds on Fast Mode. While the note is generating, you can keep rounding. The note is waiting when you come back.
Step 5 — Review the MOUSE AI integrity check. Once the draft is ready, MOUSE AI — a second AI trained separately from the note writer — reviews it against your raw input data, not just the narrative. It flags internal contradictions, common inpatient errors, and missing follow-ups: a DVT ppx plan that conflicts with a GI bleed, missing antibiotic culture follow-up, a creatinine that should have triggered a dose adjustment. These are suggestions, not clinical advice. You review and decide.
Step 6 — Paste into your EMR. The finished note is plain text. Copy it and paste it into any EMR — Epic, Cerner, Meditech, or any other system. No integration required, no formatting conflicts. What you see is what you paste.

What’s included

  • All inpatient note types

    H&Ps, progress notes, discharge summaries, consult notes, A&P-only notes. Around Notes handles the full range of inpatient documentation — including complex multi-problem patients and long hospital stays.

  • Custom templates

    Build reusable templates for your service: hospital-specific checklists, MDM documentation for billing, formatting preferences, specialty logic, and anything else that belongs in every note you write. Apply them in one click.

  • HIPAA safe + SOC 2

    Zero data retention with our AI partners. Patient data is never used for model training and never sold. A BAA is signed with every licensed medical user during account setup.

  • Fast Mode

    Notes in under 30 seconds using a faster model — documentation becomes a quick step between patients rather than a task you save for the end of your shift.

  • MOUSE AI integrity review

    A second AI trained to be skeptical reviews your draft against the raw data you provided — not just the generated note. It’s a safety and quality layer built into the workflow, not an add-on.

  • No scribe required

    Around Notes works from the data you already have. There’s no recording device, no ambient microphone, no scheduled encounter window, and no dependency on patient participation. Document on your timeline.

Pro tips

Pro tip: Inherited a confusing note from a colleague? Drop it into the Note Bin with the latest chart data and ask Arno to rewrite it in your style. Instant clarity on even the messiest handoffs.

Pro tip: Picking up a new service? Load the H&P and last progress note into the Note Bin, paste today’s labs and vitals into the Data Bin, and generate. You’ll have a clean, current assessment before you walk into the first room.

Pro tip: Around Notes adapts to how you document — from a dense academic A&P with formal differentials to the tight, efficient style of a seasoned hospitalist. Set your preferences once in templates and every note sounds like your best version of a note, not a generic one.

Pro tip: Discharge summaries don’t have to read like a Wikipedia article. Use a custom DC summary template to keep them tight, clinically useful, and actually readable by the next provider.

MOUSE AI — Built-in integrity review

MOUSE AI is a second AI that reviews your draft independently — it was trained separately from the note-writing model, and it checks the draft against your raw input data, not the finished narrative. It looks for internal contradictions (a diagnosis that doesn’t match the objective data), common inpatient safety gaps (DVT prophylaxis on a GI bleeder, aggressive fluids alongside Lasix), missing culture follow-up, anticoagulation logic errors, and plan inconsistencies across problem areas. It surfaces these as flagged items for your review — this is a documentation quality tool, not clinical advice. You remain the clinician.