AMIA study asks: What is the most accurate & efficient way to input data into an EHR?

A recent 2018 study conducted by the Journal of American Medical Informatics Association asked a simple but important question: which is a more accurate and efficient way to input data into an EHR—speech recognition software, or manual typed entry?

Most people would assume that speech recognition would be both more efficient and more accurate, but the results of the study point in a surprisingly different direction.

The study focused on emergency department physicians—each physician was assigned 8 standardized clinical documentation tasks using a commercial EHR and Dragon Medical. These tasks were split between simple and complex tasks, and levels of efficiency and accuracy were measured for each task completion.

The results of these tests show that medical speech recognition on its own does not improve the efficiency of entering patient documentation. The numbers are quite surprising and are not inflated due to experience with the EHR or speech recognition.

For the tasks undertaken in the study, creating EHR clinical documentation with the assistance of speech recognition was nearly 20% slower for both simple and complex tasks.

In addition, there were far more system/integration errors, including network transmission delays of the speech recognition or data going to the incorrect location in the chart. The report further emphasizes that these errors could be avoided with more seamless integration of the speech recognition products or more speech-friendly EHR design.

And this is the important caveat to the study’s findings: Speech Recognition itself can be much more efficient and accurate for inputting data into the EHR, but this requires better integration between EHRs and speech recognition solutions.

The benefits of better integration is clarified in the study’s conclusion discussion—the authors write that the combination of speech recognition and natural language processing found time and usability benefits within EHR use. The report further defines that if EHR companies would help design their EHRs with speech recognition in mind (versus just keyboard and mouse), additional efficiencies will be realized, particularly in the area of system integration.

The take away here is important: EHRs have grown into more complex applications due to various regulatory requirements, payer needs and the desire to improve patient outcomes. As a result, stand-alone speech recognition requires additional functionality and integration to be of value to the input process of patient records.

The need for a fully integrated solution to help reduce the burden of entering patient documentation is the only way to add this kind of valuable functionality, save physicians time, and reduce input errors. There are 3 primary needs to ensure these user efficiencies are achieved:

  • Medical speech recognition must be used with the proper input device for the task of capturing the clinicians’ words and converting those into text.
  • Artificial Intelligence and Natural Language Processing technologies must be employed to intelligently take the text from the speech recognition software and parse out the structured data elements the EHR is expecting.
  • Seamless integration must occur with the EHR via their own supplied interfaces (APIs) so the resulting data, both narrative and structured, is placed in the proper areas of the EHR without having to navigate from screen to screen and with the required coding in place.

At NoteSwift, we’re passionate about meeting this need for physicians. Our fully integrated solution, Samantha, is available now with seamless interfaces using the EHRs APIs into many EHRs. Samantha works with any speech recognition software and provides the artificial intelligence, natural language processing, and complete “out-of-box” seamless integration necessary to not only save physicians hours of time, but also improve the accuracy of their EHR notes and better patient outcomes.

This study is another example of the fact that technology alone does not make our health care better. However, when we can bring together powerful technologies like speech recognition, artificial intelligence, and natural language processing into integrated solutions, we can create better EHR workflows for physicians and help them focus on what’s most important—caring for patients.

Click here to access the complete AMIA study: Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.

 


About Wayne Crandall

Wayne Crandall’s career in technology spans sales, marketing, product management, strategic development and operations. Wayne was a co-founder, executive officer, and senior vice president of sales, marketing and business development at Nuance Communications and was responsible for growing the company to over $120M following the acquisition of Dragon and SpeechWorks.

Wayne joined NoteSwift, Inc. at its inception, working with founder Dr. Chris Russell to build the team from the ground up. As President & CEO, Wayne has continued to guide the company’s growth and evolution, resulting in the development of the industry’s first AI-powered, real-time EHR transcriptionist, Samantha(TM).

New White Paper: Physician Burnout by the Numbers

It’s no secret physician burnout is a serious problem:
  • 88% of physicians surveyed said they felt “moderately to severely” stressed and burned out on a given workday (1)
  • More than 80% of physicians surveyed said their organization is doing “nothing” to help them deal with stress and burnout (1)
  • Physician burnout is linked to a 16% decrease in patient satisfaction and an 11% increase in reported medical errors (2)

In a new white paper, Physician Burnout by the Numbers: Examining the Power of A.I. to Reduce Physician Burnout, NoteSwift partnered with Dr. Robert Van Demark, Jr., to explore how artificial intelligence technology has to potential to significantly reduce physician burnout.

In this paper, you’ll find the following:
  • Compilation of recent data and studies on the symptoms and causes or physician burnout
  • Research connecting physician burnout to employee retention
  • Examination of how EHR use contributes to the burnout crisis
  • A look ahead to emerging solutions to this crisis

Dr. Van Demark, Jr., a board-certified orthopedic surgeon and Clinical Professor, Section Head of Orthopedic Surgery at the University of South Dakota – Sanford School of Medicine, has been practicing medicine for more than four decades, and is an advocate of A.I. in healthcare.

“As a practicing physician, I’ve felt the weight of added regulations, new technologies, and the pressures that come with our daily work,” explains Dr. Van Demark, Jr. “Like you, my goal is to focus on improving patient care, and I believe our way forward looks brighter with emerging A.I. solutions.”

Click here to download the free white paper: Physician Burnout by the Numbers: Examining the Power of A.I. to Reduce Physician Burnout.

 

Sources:

(1) VITAL WorkLife & Cejka Search (2015). 2015 Physician Stress and Burnout Survey.
(2) Advisory Board (2016). Combating Physician Burnout; Five Insights to Help Restore the Balance.

Samantha for athenaClinicals EHR Product Update – October 2018

We’ve released several exciting new features recently, making Samantha for athenaClinicals EHR an even more robust and effective solution to the pervasive problem of physician burnout.

Please don’t hesitate to reach out at any time with questions. You can also click here to schedule a live demo of Samantha for athenaClinicals EHR for your practice.

New Features & Product Enhancements

  • Previous Encounter Templates: Users can now dictate, “apply template previous encounter” in both Review of Systems and Exam sections of the note to automatically apply the values applied during the patient’s previous visit.
  • Applying “All Normal” to Templates: Users can now dictate “apply [template name] all normal” and Samantha will automatically update the template, instead of the user having to manually navigate through each section and select “Normal.” 
  • Note Section Templates: Users who commonly dictate the same note sections for each patient encounter can now use Note Section Templates to automatically pre-fill the section headers, making it easier to dictate the note.
  • Support Added for Additional Note Sections: Samantha now supports Order Sets, Patient Instructions, Discussion Notes, Patient Education, and Surgical History. 
  • Improved Speech Recognition Performance: We’ve improved Samantha’s speech recognition performance to make it easier to document.
  • Improved Matching Ability: We’ve made improvements to Samantha’s matching capabilities, resulting in better terminology matches and fewer displays of the Corrections Window. 
  • Improved Overall Speed: We’ve made improvements to Samantha’s speed, including at log-in, launch, and microphone handling, to make the documentation process even faster.
  • Dragon Medical One (DMO) is now supported: Users can dictate directly into the Samantha Soap Note window using DMO.

 

Want more information about Samantha for athenaClinicals EHR? Email samantha@noteswift.com, or click here to schedule a live demo for your practice.

 

Samantha for Allscripts Professional EHR Product Update – August 2018

At NoteSwift, we’re committed to continuously improving our revolutionary EHR Virtual Assistant, Samantha for Allscripts Professional EHR. Regular updates and feature enhancements are included as part of our low monthly or annual subscription pricing — users never pay for updates.

We’ve released several exciting new features and functions recently, making Samantha an even more effective solution to the pervasive problem of physician burnout and EHR documentation fatigue.

Take a look at some of our latest features and product enhancements below, and please don’t hesitate to contact us at any time with questions. You can also click here to schedule a live demo of Samantha for Allscripts Professional EHR your practice.

New Features & Product Enhancements

  • Easily update past encounters from previous days: Provides users the ability to return to a previously-started note and make additions, edits, and corrections (if necessary) prior to sign off.
  • Full support of the E&M calculator to help make sure patient encounters are coded correctly and include the necessary documentation to ensure claims are approved for payment.
  • Dictate ICD-10 codes directly into Samantha: As a user preference, instead of dictating the full diagnosis (e.g., a user can dictate “Diagnosis: M61.261” instead of dictating “Diagnosis: Paralytic calcification and ossification of muscle right lower leg.”)
  • Visual display for the status of each patient encounter: Users can easily identify which stage the patient encounter is currently in: scheduled, in process, or completed and signed-off.
  • Patient Words are displayed from the Reason for Visit in the Samantha summary window: Users can see all relevant patient information in one place.
  • Dragon Medical One (DMO) is fully supported: Allowing users to dictate directly into Samantha Soap Note window with DMO.
  • Reduce clicks by using the enter key in the Date Range box to accept changes and dismiss the box. No more having to click “OK” to accept the input.

New athenahealth Research Cites Need for Technology Solutions to Combat Physician Burnout

New research by athenahealth reinforces the need for a technology-focused approach to combating the pervasive problem of physician burnout, with one-in-five physicians reporting that their EHR directly contributes to burnout.

“The goal of every physician is to have an impact on patients’ lives, whether by cutting them open to fix a problem, curing them with medicine, or educating them to preserve the health and well-being that remains,” says athenahealth Chief Medical Officer Todd Rothenhaus, MD, in a recent athenainsight article, Technology’s Role in Fixing Physician Burnout.

“Cutting, curing, and educating; that’s all there is. Everything outside of the conversation the doctor has with the patient, the decisions they make together, and the procedures they perform, is wasted work for the physician.”

A recent Medscape survey of 15,000 practicing physicians found that as many as two-thirds of the physicians polled experience some level of depression or burnout. 56% of the physicians polled said “fewer bureaucratic tasks” would help alleviate the problem, while 39% suggested “fewer work hours” would be beneficial.

“There is no more compelling argument for health IT growth and innovation than the risk we currently face: the demise of the physician and the unhappiness of doctors nationwide,” says Dr. Rothenhaus. “Our challenge, together, is to make technology the solution rather than the cause.”

Technology has a unique potential to take on the cumbersome administrative and clerical tasks that directly contribute to physician burnout. NoteSwift Founder and Chief Medical Officer Dr. Chris Russell created NoteSwift for exactly that reason — to remove the clerical burden of EHR documentation so he could get back to what he loved about practicing medicine: caring for patients.

SamanthaTM, the award-winning EHR Virtual Assistant from NoteSwift, Inc., allows physicians to complete an entire patient note from a single screen, by simply dictating or typing the entire narrative of the patient encounter and letting Samantha’s A.I.-driven technology:

  • intelligently parse the input,
  • identify structured data elements,
  • ensure the information is entered in terminology the EHR expects,
  • intuitively assign all required codes,
  • prepare orders and e-prescriptions for sign-off, and
  • automatically place all of the data into the correct fields, check boxes, and menus of the EHR.

Physician burnout is a huge problem, and it’s not going away. Schedule a virtual demo of Samantha for athenaClinicals to see how she can alleviate the clerical burden of EHR documentation to reduce physician burnout, saving users 6-8 hours a week on charting while improving reporting accuracy.

For more information, please contact us.

NoteSwift, Inc., Announces Availability of Samantha™ Virtual Assistant Development Toolkit

EHR Vendors can seamlessly integrate Samantha™ into their EHRs to speed up patient documentation and reduce physician burnout

Boston, Mass. — June 20, 2018 — NoteSwift, Inc., the leader in EHR Virtual Assistants, specializing in easing the burden of entering patient documentation, is announcing the availability of Samantha as an API toolkit for EHR vendors. Samantha can be seamlessly integrated into users’ workflow to help alleviate the frustration of patient charting. There are a myriad of studies defining the dissatisfaction and challenges with entering patient documentation, and the burden of administrative tasks driven by EHR use, which is leading to physician burnout.

Samantha’s award-winning technology uses artificial intelligence to analyze the narrative from a physician’s encounter with a patient and enters the complete details into the EHR automatically. Using any medical speech recognition product, a physician simply dictates the narrative of the patient encounter, and then Samantha’s intelligence goes to work. She parses the text and identifies the structured data elements, ensures the terms said are entered as the EHR is expecting, and assigns all required coding. Samantha then seamlessly enters all of the information into the various fields and layers of menus and check boxes of the EHR — all from a single screen, and with just a few clicks.

The new Samantha Software Development Kit (SDK) gives EHR vendors a sophisticated new tool to help alleviate the burden of entering patient documentation, decrease the time spent on entering patient notes, and reduce clicks. Samantha is easy to use, driving higher levels of satisfaction for users, ultimately helping ensure license annuities. It is the ideal solution for EHR companies who want to give their users access to an artificially intelligent virtual assistant with minimal up-front cost and development efforts.

Product capabilities include:

  •     A simple-to-use API enabling EHR vendors to integrate patient note entry functions into the EHR, which can support discrete and structured entry into the note, as well as utilizing other automation methodologies the EHRs have already implemented such as templates, item sets, and macros.
  •     Cloud services or on-premises use fitting the existing deployment model of the EHR.
  •     Medical speech recognition agnostic, allowing health networks and practices to use their previous investments in products such as Nuance Dragon® Medical One, Nuance Dragon® Medical Practice Edition, M*Modal Fluency Direct™, nVoq SayIt™, and others.

“With NoteSwift directly supporting some of the top EHRs in the market, many specialty EHRs have been inquiring about how to port Samantha to their platform, which has driven the need for a development toolkit for Samantha,” says Wayne Crandall, President and CEO of NoteSwift. “Our team has created a simple set of APIs that allow EHR vendors to easily integrate the functions of Samantha into their workflow.”

About NoteSwift 
NoteSwift was founded by practicing Neurologist Dr. Chris Russell to improve efficiency and productivity with his own practice’s electronic health records. Dr. Russell’s unique combination of expertise in medicine and software development helped him integrate his EHR with speech recognition software to go beyond narrative dictation.

In late 2017, the NoteSwift team launched the next evolution of Dr. Russell’s vision, Samantha™ (Semi-AutonoMous Adaptive Note Transcription Heuristic Algorithm). Because Samantha™ enables providers to complete patient notes easily — intelligently identifying the structured data elements within the narrative text, automatically assigning all required codes, and seamlessly integrating with the EHR — providers can not only complete patient documentation faster, but also more accurately.

For more information, email samantha@noteswift.com.

Samantha by NoteSwift selected as Allscripts 2018 Innovation Winner & May 2018 Allscripts “App of the Month”

Samantha, the EHR Virtual Assistant from NoteSwift, was selected as the Allscripts ADP 2018 Innovation Award Winner, and has been named Allscripts App of the Month for May 2018.

Allscripts VP & General Manager Tina Joros penned a blog post featuring our revolutionary AI-driven technology:

Physician burnout is a well-documented issue. More than 40% of over 15,500 physicians polled in a recent MedScape study reported experiencing burnout. Three of the top reasons cited in the study related to clerical tasks and the time burden of EHR documentation:

  • Too many bureaucratic tasks (e.g., charting, paperwork) – 56%
  • Spending too many hours at work – 39%
  • Increasing computerization of practice (EHRs) – 24%

This is a significant problem facing hospitals, health networks and medical practices of all sizes and specialties, and Allscripts is committed to designing and integrating with technology that minimizes the clerical burden of EHR documentation.

For example, one solution that has been shown to help ease the burden of EHR documentation is speech recognition, which helps with inputting the narrative of the note and navigating the EHR. But Dr. Chris Russell, a practicing neurologist, realized that technology needs to go beyond dictation to truly help providers.

It needs to intelligently understand the narrative, identify the required structured data elements, ensure terminology is correct and automatically place data into all the appropriate areas of the EHR — without having to manually click through every screen and option.

SamanthaTM, The EHR Virtual Assistant from NoteSwift, Inc. does exactly that.

Read the full post, “Adding artificial intelligence to speech recognition for more efficient EHR documentation,” on the Allscripts blog.

Want to learn more about how Samantha’s patent-pending technology can help alleviate the burden of EHR documentation to reduce physician burnout?

Register for the Allscripts App of the Month Webinar next Wednesday, May 30 at 1:00 pm EST to hear first-hand from Neurologist and NoteSwift founder Dr. Chris Russell about how Samantha has helped him save both time and money while increasing reporting accuracy and improving outcomes.

NoteSwift’s AI-Powered EHR Virtual Assistant Makes Healthcare IT News’ HIMSS18 Round Up

NoteSwift’s revolutionary EHR Virtual Assistant, Samantha™ for athenaClinicals, was featured at the athenahealth booth at HIMSS 2018 in Las Vegas, with NoteSwift CEO Wayne Crandall participating in a fireside chat entitled “Here & wow! How AI is enhancing workflow and removing friction.”

Samantha’s AI-powered technology caught the attention of the Healthcare IT News team, who included it in their post-HIMSS18 look on what’s coming next for EHRs: Next up for EHRs: Vendors adding artificial intelligence into the workflow

From the article:

Athenahealth, for its part, brought a virtual assistant called Epocrates Connect that it said improves connectivity via smartphones and in late January the company partnered with NoteSwift to inject AI into the workflow with a focus on making charting easier for doctors.

Read the full article on Healthcare IT News.

NoteSwift CEO Wayne Crandall on Relentless Health Value Podcast

Wayne Crandall, CEO of NoteSwift, discussed EHR usability challenges and the burden on physicians, the potential of AI to help overcome some of those challenges and minimize that burden, and our own EHR Virtual Assistant solution, Samantha™ (Semi-AutonoMous Adaptive Note Transcription Heuristic Algorithm) on the latest Relentless Health Value Podcast.

Listen to the Podcast: EP173 – Artificial Intelligence vs Clicking Around in EHRs, With Wayne Crandall From NoteSwift.

Business Insider: athenahealth adds AI-powered EHR service – Samantha™ by NoteSwift

Business Insider announced NoteSwift’s partnership with athenahealth‘s ‘More Disruption Please’ program to bring Samantha™, our patent-pending EHR Virtual Assistant, to athenaClinicals users.

From the article:

The virtual assistant, dubbed Samantha, is designed to remove administrative burdens related to documentation. Samantha’s advanced AI capabilities enable physicians to save six to eight hours each week by reducing the need to manually input details from a patient’s appointment.

Instead, a physician can type or dictate the patient’s narrative to Samantha. Samantha can then parse the information, assign all required coding, and prepare orders and ePrescriptions for physician sign-off. This can all be done from a single screen and with just a few clicks.

This solution could help reduce physician burnout but also provide opportunities to increase engagement with patients.