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OvaFlow

Solutions

Who are you here for?

IVF runs on handoffs between nurses, physicians, the lab, pharmacy, the procedure team and the patient at home. Pick a side to see what OvaFlow changes for you.

Why it exists

Built for the people who hold the cycle together.

Prototype walkthrough · Fictional patient data
  • Companion, not replacement

    A compact rail beside the chart that opens into a full workspace without losing your place.

    How the companion works
  • Source on every fact

    Every instruction traced to its signed source, and every change carried to the work it affects.

    Sources & signed changes
  • Wrong-chart stops

    If the open chart isn't the patient the work belongs to, placement stops and the draft is kept.

    All safeguards

Expanded workspace My work queue (prototype walkthrough) at two points in the same day: before and after an explicit handoff acceptance. Fictional patient data.

Eight roles

Start from the problem you already know.

Each page begins with the moment that goes wrong today, then shows how OvaFlow is designed to answer it, with the walkthroughs to prove it.

One evening

Every step of one trigger night has an owner.

Elena's trigger evening crosses a physician, two nurses and Elena herself. Each step belongs to one named person, and work changes hands only when someone accepts it.

Fictional patient data
  1. 17:10 PDT

    Dr. Mira Lee

    Signs the revised trigger instruction.

    REI physicians
  2. 20:22 PDT

    Elena Rivera

    Reports she injected at 20:20. The clinic keeps it in her words.

    Patients & families
  3. 20:26 PDT

    Nora Ruiz, RN

    Offers the evening callback to Alex. Until Alex accepts, Nora still owns it.

    Nurse coordinators
  4. 20:28 PDT

    Alex Kim, RN

    Accepts the callback. Clinical review stays with Dr. Mira Lee.

    Nurse coordinators

One cycle, eight roles

How one IVF cycle moves across all eight roles.

A fertility cycle does not fail inside a single job description—it fails in the handoffs between them. Trace six high-consequence cycle windows across nursing, physicians, the lab, pharmacy, procedure teams, practice leadership, patients, and third-party reproduction [1, 2, 3].

Fictional patient data
  1. 01D−14 to D0 · Cycle Start

    Workup, PGT-M prep & dual-track PA readiness

    Partner workups, PGT-M family reference samples, specialty pharmacy cold-chain PA, and itemized financial estimates converge on Day 1.

    • Physicians
    • Pharmacy & finance
    • Embryology & lab
    • Third-party
    Without a companion
    Medical CPT prior authorization clears while specialty pharmacy injectables or a PGT-M family reference sample are still pending.
    What OvaFlow checks
    Anchors PA, cold-chain receipt, PGT-M lab acceptance, and separate partner/donor charts to the D0 stimulation start date [1, 5].
    Stays in the EMR or lab
    Clinician e-prescribing, medical suitability decisions, and source fee schedules.
  2. 0207:30–16:45 · Stimulation Day

    Morning monitoring, consult capture & expected assays

    Ultrasounds, consent-gated consult notes, and external estradiol/progesterone assays build toward afternoon protocol decisions.

    • Nurse coordinators
    • Physicians
    • Procedure teams
    Without a companion
    Placed dictation isn't saved in the EMR, or an afternoon coverage offer to an evening nurse is mistaken for an accepted handoff.
    What OvaFlow checks
    Verifies Save Draft in the EMR, tracks expected lab results until reviewed, and keeps sender ownership until coverage is accepted [2].
    Stays in the EMR or lab
    Diagnostic interpretation, protocol dosing, and official chart storage.
  3. 0317:10–20:28 · Trigger Night

    Signed trigger change, wrong-chart stop & 8:20 PM report

    Dr. Mira Lee signs Trigger v3 (20:00 PDT, replacing v2 at 20:30 PDT); Nora Ruiz, RN publishes in the EMR; Elena Rivera reports injecting at 20:20 PDT and Alex Kim, RN accepts the callback.

    • Physicians
    • Nurse coordinators
    • Patients & families
    Without a companion
    A revised instruction lands in the wrong open chart, an older text link shows a superseded 8:30 PM time, or a callback closes physician review.
    What OvaFlow checks
    Blocks wrong-chart placement, redirects older patient links to v3 (20:00 PDT), preserves 20:20 PDT patient words, and keeps physician review open [2, 3].
    Stays in the EMR or lab
    The physician's signed order and the clinic's portal publication action.
  4. 04Nov 1 · 06:30–08:45 PST

    Four-way retrieval slot commit, witnessing & PACU discharge

    Across the DST fallback, Physician, Anesthesia, OR, and Embryology align on the 07:00 PST retrieval slot and Day+1 recovery ownership.

    • Procedure teams
    • Embryology & lab
    • Physicians
    • Nurse coordinators
    Without a companion
    A rescheduled slot is booked before all four roles commit, pre-op anesthesia questions go unseen, or PACU discharge lacks a Day+1 owner.
    What OvaFlow checks
    Requires 4-way slot commitment, surfaces pre-op questions, hands specimen checks to lab witnessing, and names a Discharge owner [1, 4].
    Stays in the EMR or lab
    Anesthesia clearance, surgical notes, OR time-out, and electronic lab witnessing.
  5. 05Day 1–7 & Transfer Prep

    Biopsy lineage, media lot trace & exact-embryo warming

    Trophectoderm Biopsy A/B tracking, culture-media lot recall review, and single-embryo warming authorization for frozen embryo transfer.

    • Embryology & lab
    • Physicians
    • Third-party
    Without a companion
    A non-surviving embryo during warming triggers an automatic backup warming, or a media lot recall is traced through paper binders.
    What OvaFlow checks
    Authorizes one exact embryo per warming decision, tracks Biopsy A/B lineage, and routes lot-recall cases to Lab Director closure [4].
    Stays in the EMR or lab
    Embryo grading, PGT interpretation, bench witnessing, and cryo tank inventory.
  6. 06Always-On & Long-Term

    Practice-wide governance, downtime reconciliation & patient pauses

    Screen-share automation pauses, post-outage paper reconciliation, departing-staff handoffs, donor updates, and patient-chosen pauses.

    • Practice leaders
    • Third-party
    • Patients & families
    • Nurse coordinators
    Without a companion
    Downtime paper logs never re-enter the queue, routine reminders keep firing after a loss/pause, or Attempt #1 clearance is reused for Attempt #2.
    What OvaFlow checks
    15-min screen-share pause, ONC SAFER downtime reconciliation, attempt-bound clearance, and 'Your pause, your pace' [2, 6].
    Stays in the EMR or lab
    Medical Director sign-off, legal parentage counsel, and 21 CFR 1271 donor determinations.
Six handoff windows across an IVF episode, showing which roles share the baton, what can slip without a companion layer, and what stays in the clinic's own systems.Fictional cycle model · Fictional patient data
Role-by-role comparison

What each role owns, what OvaFlow shows, and what stays in the EMR.

OvaFlow companionQueues · Diffs · Handoff checks
Clinic systems of recordEMR · e-prescribing · Lab witnessing · Portal
Where handoffs slip today

Offered shift coverage mistaken for accepted responsibility; wrong-chart or duplicate portal sends.

What OvaFlow shows

My work queue (Needs action / Waiting / Completed), wrong-chart stop, and EMR readback before resend.

What stays in clinic systems

Nurses review and publish in the EMR; OvaFlow never sends clinical instructions on your behalf.

Where handoffs slip today

Placed dictation assumed saved; unsigned proposals confused with signed orders; callbacks closing MD review.

What OvaFlow shows

Consent-gated capture with EMR Save Check, 'Awaiting clinician approval' separation, and signed-change ripple.

What stays in clinic systems

Physicians review, decide, e-prescribe, and sign; a draft or callback never replaces a signature.

Where handoffs slip today

Paper-binder media lot recalls, missing PGT-M reference samples, and automatic second-embryo warming.

What OvaFlow shows

PGT-M critical path, Biopsy A/B lineage, named-reviewer lot recall trace, and exact-embryo warming lock.

What stays in clinic systems

Witnessing, embryo grading, and physical cryo inventory stay with qualified lab staff and lab systems.

Where handoffs slip today

Specialty pharmacy PA unresolved on Day 1; cold-chain delivery unconfirmed; mid-cycle insurance drift.

What OvaFlow shows

D−14 to D0 medication line to patient 'Received', prescriber-routed changes, and rebuilt revised estimates.

What stays in clinic systems

Prescribers own medication changes in eRx; financial status never establishes clinical suitability.

Where handoffs slip today

Moved retrieval slots booked without all four teams committed; overdue outside labs; unowned PACU discharge.

What OvaFlow shows

4-way slot commitment (MD, Anesthesia, OR, Lab), pre-cutoff lab alerts, and named Day+1 Discharge owner.

What stays in clinic systems

Booking a room never establishes anesthesia clearance, surgical readiness, or clinical discharge.

Where handoffs slip today

Stale text links showing retired injection times; fear of reporting a late shot; reminders after a pause.

What OvaFlow shows

Current signed instruction first, 'Call me' without marking taken, 8:20 PM honest report, and 'Your pause, your pace'.

What stays in clinic systems

Zero medical advice or symptom triage; questions go to your clinic and urgent needs to the 24/7 line or 911.

Where handoffs slip today

Unpauseable background scripts, unreconciled EMR downtime paper logs, and blanket 'connected' vendor claims.

What OvaFlow shows

Practice-wide episode overview, 15-min pause with chart re-check, downtime reconciliation, and per-operation clinic testing.

What stays in clinic systems

Administrative privilege never grants clinical signing or unrestricted access to private patient threads.

Where handoffs slip today

Consents filed on the wrong chart, Attempt #1 clearance reused for Attempt #2, and unshared donor health updates.

What OvaFlow shows

Separate charts linked to one plan, audited consent move, attempt-specific clearance, and multi-clinic donor notices.

What stays in clinic systems

Relationship links never merge records; legal clearance and 21 CFR 1271 eligibility stay with qualified professionals.

Across all eight roles, work changes hands only when the receiving person accepts it, and clinical signing, prescribing, and witnessing stay in the clinic's own systems.

Boundaries, FAQs & sources

What OvaFlow coordinates—and what never leaves your EMR.

Clear operational boundaries across clinical, laboratory, financial, and family-facing workflows, backed by published reproductive medicine and health-IT standards.

What OvaFlow coordinates across the clinic
  • Explicit handoff state across every departmentDistinguishes 'Coverage offered' from 'Coverage accepted' so no callback, lab check, or departing staff queue falls between shifts [1, 2].
  • Signed-source provenance from order to patient phoneLinks every prepared nursing instruction, OR slot commitment, and patient card back to the clinician's current signed revision [2, 3].
  • Pre-commit safeguards beside the clinic's own EMRChecks active patient identity (wrong-chart stop), confirms Save Draft in the EMR, and reconciles portal logs before any resend [2].
  • Separate tracks where clinical and regulatory norms demand itKeeps clinical vs. financial readiness, shipping vs. clinical-use release, and partner/donor/carrier charts distinct [4, 5, 6].
What stays with your clinicians & systems of record
  • Never replaces your EMR, portal, eRx, or lab witness systemOvaFlow is a companion coordination layer; your existing systems remain the authoritative system of record [1, 4].
  • Never prescribes, diagnoses, triages symptoms, or ranks embryosAll clinical decisions, medication orders, symptom evaluations, and embryo selections stay with licensed clinicians and embryologists.
  • Never publishes to patients or mutates charts autonomouslyAuthorized staff review and complete chart-facing actions inside the clinic's own EMR under a four-step operation contract.
  • Never hides scope timing or unverified EMR stepsEach EMR operation is tested in your clinic one at a time, and pilot vs. post-pilot / later-phase scope is labeled plainly.
Q01How does OvaFlow connect work between clinic staff and patients without replacing our EMR or patient portal?

During the first clinic pilot, OvaFlow sits beside your existing fertility EMR (such as nAbleIVF, eIVF, or Artisan) as a companion panel and full workspace for clinical and operational staff, while patients continue using your existing channels. In the planned post-pilot patient companion expansion, patient-facing cards read from the same clinician-signed source and feed honest medication reports and callback requests back to your team's queue.[1][2]

Q02Why does OvaFlow treat 'Coverage offered' and 'Coverage accepted' as two separate states?

In a busy IVF clinic, dropping a message in a group chat or reassigning a row at 4:45 PM does not guarantee the receiving nurse or clinician has seen it. Following ONC SAFER closed-loop principles, OvaFlow keeps the current owner responsible until the receiving person explicitly accepts that specific scope of work.[2]

Q03What happens across roles when a physician signs an amended trigger time or protocol change?

When the physician signs a new revision (for example, Trigger v3 moving Elena Rivera's Oct 30 injection from 20:30 PDT to 20:00 PDT), OvaFlow marks v2 as superseded, prepares the updated patient instruction for nursing review in the EMR, flags the linked retrieval slot for 4-way procedure team commitment, and redirects any older patient text links to the current v3 instruction.[2][3]

Q04Are all eight role workflows included in the first clinic pilot?

Daily-care coordination across nurse coordinators, physicians, pharmacy/financial readiness, procedure teams, third-party chart safeguards, and practice leadership is the core focus, while the patient companion is planned for after the first pilot and broader embryology/cryo and long-term continuity come in a later phase—even though recorded prototype walkthroughs are available on this site today.

Q05How does OvaFlow protect clinical authority and regulatory boundaries across all eight roles?

Every role page states both what OvaFlow shows and what stays elsewhere: physicians decide and sign; nurses review and publish in the EMR; embryologists perform bench witnessing and exact-embryo warming decisions; financial counselors manage source-backed estimates without affecting clinical suitability; and patients always reach human clinicians (with the clinic's 24/7 line and 911 displayed) rather than automated symptom bots.[1][4][5][6]

Next step

Bring your roles. We'll walk your day.

A walkthrough built around the people on your team and the handoffs between them. Fictional records only; please don't send patient data.