The exam takes an hour. The report takes another.
Hunting a several-hundred-page e-folder, re-typing the audiogram and the intake, then keying it all into the portal. Thirty to sixty minutes per report, often after your last appointment.
Kofiko is a human-in-the-loop assistant for audiology DBQs. It reads the intake and audiogram, finds the evidence in the record, and prepares the entries with a source on every one. You review, correct and submit. Clinical judgment stays with you, and the Veteran's record stays where it belongs.
Hunting a several-hundred-page e-folder, re-typing the audiogram and the intake, then keying it all into the portal. Thirty to sixty minutes per report, often after your last appointment.
Under time pressure, consumer AI tools are tempting. But a Veteran's record in one of them sits outside any retention policy or audit trail, and your name is on the report.
The numbers
Set the sliders to your own caseload. Figures use the 30–60 minute baseline and the 10–15 minute development target; they are projections, not validated results.
Midpoints used: 45 min today, 12.5 min target, 48 working weeks.
Reports per year
2,880
Documentation hours today
2,160
Hours back per year (target)
1,560
≈ 39 working weeks, or roughly 1,560 more Veteran appointments at one hour each. Or simply: evenings.
Veteran records you had to take outside the portal
When the help lives inside the workflow
0
Why Kofiko
You leave the portal because the portal gives you no help. Put the help inside it and both problems close at once.
Speed
BeforeManual documentation and portal entry
With KofikoAutomated extraction and prepared entries
BeforeSearching lengthy records page by page
With KofikoRelevant evidence surfaced with source references
BeforeDocumentation limits appointment capacity
With KofikoRecovered time can support more Veteran appointments
BeforeReports slip past appointment hours
With KofikoReports completed and submitted sooner
Retention
BeforeLeaving the portal to get help from consumer AI tools
With KofikoThe help is inside the workflow; there is no reason to leave
BeforeNo idea where a pasted record went or how long it persists
With KofikoOne governed path; hosting, access and retention are known
BeforeCompliance rests on your personal habits
With KofikoCompliance is built into the tool you use
BeforeNo record of what the AI did to your report
With KofikoEvery value sourced, every step logged, every fill verified
How it works
Protection you can point to
Where a Veteran's record went, who saw it, how long it was kept, and what the AI did with it. Today those answers depend on what you did on your own machine. With Kofiko they are properties of the tool, not of your memory.
Records are processed inside the workflow, never on a personal device or in a consumer tool. Hosting, access and retention periods are fixed and documented.
Every extracted value and proposed entry carries a page citation or the rule that produced it. The model points at evidence; it cannot invent it.
Correct, reject or confirm any output. Nexus opinions and clinical questions are yours alone and are never filled by AI.
A completeness check before filling; a read-back from the portal after, diffed against what was approved. Every step is logged.
FAQ
No. Nexus opinions and every clinical question are clinician-only fields that the system never fills. Kofiko proposes documentation entries from the records and the audiogram arithmetic, shows its reasoning, and waits for you to confirm, edit or reject.
It stays inside the workflow. Hosting location, access controls and retention periods are fixed and documented, so protecting the record no longer depends on what you do on your own device.
Every field carries a badge. Values read from a digitally filled form are deterministic. Values the model read from a scanned page are cited to that page. Rule-based proposals show the rule and the numbers it used.
The hearing loss and tinnitus DBQ first. Audiology is where the workflow and its value are being validated before other C&P specialties.
Not yet. 30–60 minutes is a working baseline and 10–15 minutes is a development target informed by initial testing. Validation across representative audiology cases is the next milestone, and a pilot is the way to measure it on your own caseload.
A walk-through on a synthetic Veteran case: scan, analysis, records search, final check and portal fill, with every decision point shown and nothing leaving the workflow. About twenty minutes.
Thanks, . We'll be in touch at to schedule a time.
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