Virtual Provider in Triage (VPIT)
Reengineering the ED Front Door
A proven front-end model that places a provider at arrival - reducing walkouts, accelerating care, and improving ED throughput.
ED performance improves measurably when VPIT is active.
85%
Fewer walkouts
35-50%
Faster door-to-provider
Across diverse
ED settings
Academic, community, and rural environments
Recover lost
ED revenue
Convert walkouts into completed encounters
Most ED delays begin
at the front door
Delayed provider evaluation
Rising walkouts and leakage
Low-acuity patients competing for beds
Limited visibility into waiting room risk
A provider at arrival - not after the wait
With VPIT, a provider evaluates each patient within minutes of arrival for an early medical screening exam and initial orders. This speeds up the entire process for both high- and low-acuity patients.
VPIT transforms the waiting room into an active clinical environment.
Step 1 — Arrival & Triage
Immediate intake with rapid clinical context established.*
Step 2 — Virtual Provider Connects
Provider evaluation begins within minutes of arrival.
Step 3 — Medical Screening Exam
Early medical screening exam drives immediate clinical decision-making.
Step 4 — Orders & Treatment
Orders and treatment are initiated at the front of the visit — not after the wait.
Step 5 — Discharge or Escalation
Patients are discharged early or escalated with a head start on care.
*a nurse triage is not required prior to VPIT assessment
VPIT compresses wasted time at the front of the ED visit—accelerating care from the moment of arrival.
Proven Impact Across Diverse ED Settings
85% reduction
in walkouts
Peak-to-trough improvement in high-volume academic ED
50% faster
door-to-provider
Sustained improvement across multiple sites
>50% LOS reduction for low-acuity
Virtual discharge pathway impact
Improvement in patient experience
Arrival process domain
Results observed across academic, community, and rural emergency departments
Featured In & Recognized For Innovation in Emergency Care
Becker’s Hospital Review Feature
Telehealth Program of Excellence Award
Presented and consulted with:
ACEP • AACEM • EDBA
• Intermountain Health • Christiana Care • Owensboro Health • Albany Med
Awards & Recognition
2025 Telehealth Program of Excellence (SC Telehealth Summit)
MUSC Innovation Shark Tank Winner
Peer-reviewed Publication
Annals of Emergency Medicine: 2026.
VPIT changes the sequence of care
Traditional: arrival → triage → wait → provider → workup.
VPIT: arrival → provider → early workup → faster disposition.
By aligning provider evaluation with the point of arrival, VPIT accelerates decision-making and shortens the path to definitive care or discharge.
Why most VPIT implementations fail
Workflow redesign. Not just software
EHR integration and documentation logic
Staffing model discipline
Escalation pathways and governance
J. Danny Park, MD FACEP
Marc Bartman, MD FACEP
Built by operators, not vendors
We designed and scaled VPIT across multiple ED environments—academic, community, and rural.
We don’t deliver concepts.
We deliver operational models that perform in real-world conditions.
Assess
Current state analysis and feasibility assessment.
Design
Workflow, staffing, and governance optimization.
Implement and Scale
Pilot, optimize, and scale with ongoing partnership.
Bring VPIT to your emergency department
We help health systems assess fit, design the model, and execute implementation.
Request a Strategy Call
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