Streamline Clinical Documentation
Because clinicians didn't go to medical school to type.Streamline Clinical Documentation
According to a study by Archives of Internal Medicine, internal medicine residents spend more than four hours daily on documentation. That doesn’t leave much time for patient care. Streamlining clinical documentation with speech recognition solutions not only gives clinicians more time to spend with patients, it also ensures physicians have the most current, comprehensive clinical data. Speech-assisted clinical documentation solutions give clinicians the best of both worlds – a way to preserve the physician record while populating the EHR.
Are you looking for ways to...
- Simplify clinical documentation?
- Get critical results into the hands of clinicians as fast as possible?
- Allow clinicians more time to spend with patients?
- Improve physician productivity with the EHR?
- Capture the complete physician record?
- Capture structured data for the EHR?
- Improve physician satisfaction?
Nuance Healthcare Solutions...
Streamline clinical documentation
As critical as clinical documentation is to ensuring quality care, clinicians would rather spend their time providing care than documenting it. Nuance’s speech recognition solutions streamline clinical documentation, which allows you to:
- Improve quality of care by getting the best clinical information into clinicians’ hands ASAP: Speech-enabled documentation puts critical information in the hands of the people who need it most when they need it most. Dictaphone® Enterprise Speech System and eScription improve workflow and quality by streamlining the processing of medical records in six key steps:
- Clinicians dictate via telephone or digital recorder
- The dictation is processed through intelligent background speech recognition
- Through priority rules with audit trails, formatted draft documents are routed to MTs
- MTs quickly edit the draft documents – much faster than typing from scratch
- Edited documents are sent back to clinicians who review, revise and e-sign
- Signed-off documents are distributed automatically through network printers and fax machines to pre-designated clinicians and departments.
PowerScribe® 360 can help reduce radiology report turnaround by more than 80%. Dragon® Medical Practice Edition and Dragon® Medical Enterprise Network Edition allow physicians to dictate in near real-time into their EHRs using their own words, letting them instantly review, sign, and make their notes available for other clinicians.
- Improve documentation quality while spurring EHR adoption: For documenting clinical encounters, studies show physicians prefer traditional, unstructured dictation to the point-and-click user interfaces now used for structured data input because dictation and transcription help preserve the physician narrative.
Whether a physician dictates patient information directly into the EHR using Dragon Medical or opts for background speech recognition (with help from an MT editor) using Dictaphone Enterprise Speech System or eScription, speech recognition contributes to more detailed electronic medical notes and supports meaningful use of the EHR.
In addition, Nuance is creating solutions that use advanced Clinical Language Understanding (CLU) to bridge this gap. These solutions will process text documents produced with Dragon Medical, Dictaphone Enterprise Speech System and eScription dictation and speech recognition systems, and then extract and structure for the EHR such key medical data as problems, medications, allergies, procedures, vital signs, social history and lab results. Another of these CLU-enabled solutions, Computer-Assisted Physician Documentation (CAPD), will inform and guide physician documentation, allowing them to use narrative while providing structured data for such organizational requirements as populating the EHR and ICD-10 coding.