skin testing
Sixty Days of Medora Inside a Working Allergy Practice
2026-09-07 · 2 min read
Most AI vendor claims come from demos. These numbers come from Allergy
Affiliates, the working allergy practice where Medora runs every clinic
day — real patients, real nurses, real Friday-afternoon chaos.
The numbers, measured over 60 days
312 skin tests documented through the structured SPT workflow — provider
orders, nurse testing with photo capture, structured wheal and flare entry
in millimeters, controls validated on every panel.
Provider sign-off: from 18 minutes to 4. That is the time between "the
draft exists" and "the physician has reviewed and signed it." It fell
because the draft arrives allergy-structured with Evidence Mapping — every
supported line links to the transcript that produced it, so review is
verification, not reconstruction.
Every note clinician-signed. Zero notes entered the record without
physician review. That is not a statistic, it is a design rule — but 60
days proved the review gate does not slow a working clinic down; it sped
sign-off up, because trust with verification beats re-reading everything.
What the numbers don't show
The nurses decided the workflow. Photo capture originally interrupted
the testing rhythm; the current flow exists because the testing nurses
redesigned it. AI suggestions never enter a measurement — the nurse's
reading is always the record.
Paper stayed as a fallback during rollout, and that was the right call.
A clinic cannot bet a testing day on new software; it earns trust panel by
panel.
The EMR mattered. The practice runs IMS Meditab, and the signed note
lands in the chart natively. That removed the copy-paste step that
standalone scribes leave behind — the most common complaint we hear from
practices switching to us.
Why we publish this
We would rather show you a real clinic's sixty days than a highlight reel.
If you want to pressure-test any of it, ask us to walk through the same
workflow live on a synthetic patient — skin testing included.