From Inconsistent Manual Triage to Protocol-Driven Clinical Assessment
ESI scores vary 20–30% between triage nurses. The agent applies one validated protocol to every contact.
Primary care waits average 26 days, and 46% of ED visits belong in lower-acuity settings.
ESI scores vary 20–30% between triage nurses. The agent applies one validated protocol to every contact.
46% of ED visits are lower-acuity. The agent routes those patients to urgent care or telehealth first.
After-hours calls are 30–40% of primary care volume. The agent covers them 24/7 with the same protocol.
Six pillars — symptom intake to EHR handoff.
Every hour of sepsis treatment delay increases mortality by 7%. Manual triage carries an 8–12% under-triage rate. Deflecting 40% of unnecessary ED visits at a $2,050 average cost differential transforms the financial model.
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It runs structured symptom interviews across digital and phone channels, generates ESI-aligned acuity scores, and routes patients to the right care setting — supporting, not replacing, licensed triage nurses.
ESI (five-level) is the default; CTAS, MTS, and ATS are alternatives. Pathways and thresholds are customisable, version-controlled, and gated by clinical governance sign-off.
Escalation is hardcoded and cannot be suppressed. Sepsis, stroke, cardiac, respiratory, or haemorrhage red flags send the patient to 911 or ED and alert the on-call team within 60 seconds.
Epic via FHIR R4 (MyChart + Interconnect), Cerner via Millennium FHIR and CDS Hooks, athenahealth via REST. Every EHR write is labelled AI-generated with model version and confidence score.
Yes — deployed under a BAA with PHI encrypted in transit (TLS 1.3) and at rest (AES-256), role-based access, and immutable audit logging. PHI is never used for training without de-identification and a DUA.
Symptom interviews in 10 languages, including Spanish, Mandarin, Vietnamese, Arabic, and Tagalog. Voice calls route to Language Line for medical interpretation; triage output is documented in English.
The agent handles the 4–6 minutes of structured intake, so nurses open a pre-populated screen with an acuity recommendation and confidence score. Their role shifts to clinical validation.
Standard go-live is 8–10 weeks: governance and BAA, EHR FHIR integration, channel setup, supervised parallel pilot, then full activation. Prerequisites: EHR API credentials and a clinical informatics lead.
Basic symptom triage software collects a complaint and offers generic advice. Bonami patient triage software runs a validated interview, ESI-scores every contact, routes to the right setting, and escalates red flags in 60 seconds.
It supports your nurse triage team, not replaces it. The nurse triage software handles intake and produces an acuity recommendation with a confidence score, connects to your existing patient triage system via FHIR, and leaves every score for a licensed clinician to validate.