Extract searchable and actionable data from physician notes
A software solution that analyzes written language
Clintegrity 360 | NarrativeSearch is a clinical data-extraction tool built on Nuance’s Clinical Language Understanding (CLU) technology. CLU is a software that analyzes written language much like a human does when he reads, gleaning from text relevant information about a patient. After that, CLU structures information into discrete, standardized data. Clintegrity 360 | NarrativeSearch thus takes unstructured, narrative-based clinical documentation and instantly converts it to patient data that can be searched and utilized for regulatory and other clinical initiatives. Because the data can now be accessed, clinicians can continue to dictate using their preferred workflow.
- Unlock, transform and understand insights trapped within narrative documentation
- Concurrent review of information helps physicians take action while patients are still in the hospital
- Allows clinicians to continue using preferred dictation methods
- Web-based application improves user access
- Includes unique and powerful data extraction and on-demand reporting capabilities
Create searchable documents while maintaining preferred workflow
Physicians document patient information using their preferred workflow, dictating or typing the EHR or through the transcription platform. Clintegrity 360 | NarrativeSearch takes unstructured, narrative-based notes and converts them—in real time—to actionable, discrete data. Data then becomes available for searches and queries. Queries can be created, stored, shared and maintained by users. Clintegrity 360 | NarrativeSearch processes each document individually to create patient lists that flag patient’s documents as having met or not met the query parameters. Unlike retrospective, academic, analytical databases, Clintegrity 360 | NarrativeSearch enables concurrent and clinically actionable searches.
- Automated patient action lists
- On-demand semantic search capabilities
- Ability to export data in multiple formats
- Easy-to-use tool that does not require advanced programming knowledge
Point of Entry program
The best way to get the record straight—right from the start
As more and more patients are admitted through your emergency department (ED), accurate documentation is becoming critically important. Due to the complexity of ED cases, the hectic work environment and the need to make rapid decisions, in many cases patient acuity is inaccurately reflected because there's not enough documentation of the patient's clinical situation. Staff may accurately document the injury that brought the patient in, but miss secondary diagnoses and/or pre-existing conditions. What's more, a problem list isn't usually created until the patient is moved onto the floor...if ever. Improving the quality of the clinical documentation promotes better communication and creates an opportunity to positively impact clinical outcomes.
Nuance has developed a powerful solution and a new clinical staff position to help you ensure better clinical outcomes and accurate reimbursement.
Because documentation of critical information starts in the emergency department, the Point of Entry program starts there too—evaluating the severity of illnesses, assessing present-on-admission (POA) conditions, determining patient status (observation or in-patient), ensuring compliance with quality core measures, creating a problem list at the point of entry and enabling more accurate documentation. The Point of Entry program builds on the foundation of Clintegrity CDI and takes it even further, providing comprehensive clinical integration management.
With this new solution comes a new clinical role—the Clinical Integration Specialist (CIS). This individual works closely with your clinical team to ensure all clinical observations are documented appropriately from the ED to discharge.
- Perform hands-on patient assessments
- Identify and secure documentation of POA conditions
- Assist with quality indicators such as core measures and patient safety indicators
- Establish a problem list at the point of entry
- Facilitate accurate, compliant clinical documentation by providing concurrent support to physicians
- Review medical records for completeness and accuracy
- Maintain liaison with ED and in-patient case manager and CDS