YOUR PRACTICE. YOUR SYSTEMS. YOUR ELVES.

Build the practice on your terms.

We’re building toward a future where clinicians can create and operate the systems their practices need, with Elves that carry business context forward and become more useful through feedback. PPS’s 18 years of experience is the foundation.

Build your Elf Memory and control ↓

BUILT ON PPS EXPERIENCE

Ownership is the destination.

The ambition reaches beyond a task board or a single software platform. Elves should help a practice build its own workflows and systems, potentially including its own EHR. That is future direction. Today, you can have an Elf provisioned and use the current planning, tracking, and drafting capabilities agreed for your practice.

We bring the experience of starting 6,000 practices and helping more than 50,000 providers through PPS. We’re working to turn that accumulated judgment into reusable guidance, useful tools, and increasingly capable agents.

OUR BAA COMMITMENT

Healthcare work deserves clear safeguards.

A Business Associate Agreement belongs in the conversation about your Elf, alongside the work it will do and the information it will handle.

Discuss BAA coverage →

Agree on the scope before patient data.

Before using Elf with protected health information (PHI), confirm the covered services, required safeguards, and signed Business Associate Agreements for your practice and the providers handling that information.

Creating an account or preparing an Elf brief does not establish BAA coverage. Keep patient information out until the applicable agreements and configuration are confirmed.

A BAA defines responsibilities. It works alongside technical and operational safeguards; it is not a blanket compliance certification.

THE VISION WE’RE BUILDING TOWARD

Systems of your own. Elves that grow with you.

Our ambition is to help clinicians build and run the systems their practices need. These are planned capabilities and design commitments. Specific controls and release dates will be published as they become available.

PLANNED WORKSPACE

A place to build your practice

A free self-directed workspace for plans, tasks, resources, and saved progress. Structured plans, proformas, and exports are also planned, with free and paid boundaries still to be decided.

FUTURE SYSTEMS

Your workflows. Your software.

Elves that help build systems around the way you practice. Our ambition extends to an EHR shaped around your practice. A custom EHR is a future direction, not an available clinical product.

GROWING AGENT CAPABILITIES

A fleet with shared purpose

Specialized Elves working together across practice operations, finances, and growth. Today’s Administrator, CFO, and Marketing modes are a starting point; coordinated autonomous fleet work is a future capability.

MEMORY DIRECTION

Context shaped around you

Memory that reflects your business, priorities, and decisions, with ways to inspect and correct what your Elves retain. The current product has a memory foundation where enabled; those broader controls are planned.

LEARNING IN DEVELOPMENT

Smarter in ways that matter.

We’re building Elves that carry useful lessons from one task to the next. Your feedback should mean fewer repeated instructions, better follow-through, and help that fits the way your practice works.

SOVEREIGNTY COMMITMENT

Control you can understand

Build toward clear choices about data location, access, retention, portability, and model use. These are commitments guiding development, not a claim that every sovereignty control is available today.

See current foundations and future commitments →Tell us what your practice needs →

MEMORY, LEARNING & DATA SOVEREIGNTY

Make the commitments. Show the controls.

Control should be something you can inspect and use. We’ll distinguish what your configured practice can do now from the capabilities and choices still being developed.

CURRENT PRODUCT FOUNDATIONS

Practice context and permissions

Practice records, saved conversations, and document drafts provide context for work.
A configurable memory layer can carry selected facts, decisions, and preferences between conversations where enabled.
The product separates practice and clinician memory scopes and applies membership and role permissions. Shared practice facts and a clinician’s private context have different access rules.
Agent actions depend on enabled capabilities and connections. Sending has a separate authorization and delivery step.

Ask us to confirm memory and access settings for your practice. These foundations do not establish practice-controlled hosting, complete data residency choice, or customer-held encryption keys.

COMMITMENTS GUIDING DEVELOPMENT

More control as capability grows

Make retained memory inspectable and correctable, with explicit retention and deletion controls.
Offer clear choices for data location, portability, access, and model processing as supported options are built.
Help your Elf carry useful lessons from your feedback into later work, and evaluate whether that makes the help more useful.
Keep learning scoped to the practice by default. Require explicit permission before using practice data to improve shared models.
Keep authority explicit. Becoming more capable must not silently grant an Elf more permissions.

These are design commitments for the future learning and sovereignty model, not a statement that the full model or all controls have shipped.

Smarter over time. In ways that matter to you.

That’s what we’re building toward: an Elf that remembers your preferences, builds on your feedback, and helps with the work your practice cares about. Today’s memory features depend on your configuration. We’re adding broader learning features so useful lessons carry forward and you spend less time repeating yourself.

Know where processing happens.

The current hosted product uses service providers for storage and model processing. Do not assume that data stays on practice-owned infrastructure or that every provider, location, and training-use option is selectable. Ask us about the actual configuration and whether it meets your data needs.

Big ambition. A concrete place to start.

Have an Elf configured for the work your practice needs today, and help shape what comes next.

Build your Elf ↗