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The Copy & Paste Problem in EHR Patient Documentation

Skyrocketing rates of physician burnout and provider frustration with the time required to enter records into the EHR have driven the widespread use of copy and paste when entering patient information into electronic health records.

Back in 2017, a study published by the Journal of the American Medical Association reviewed thousands of EHR records and found that only a small minority of them were manually entered – but more than 80 percent of the notes were imported or copied from elsewhere.

The team analyzed 23,630 inpatient progress notes written by 460 caregivers who were direct care hospitalists, residents and medical students.

Researchers found that 46 percent of notes were copied, 36 percent were imported, and just 18 percent of the text was entered manually.

Accuracy, security and patient safety are all put in peril when copying and pasting from one patient note into another. Additionally, inaccurate and incomplete records can result in delayed or denied reimbursements for the practice.

The ECRI Institute published its “Health IT Safe Practices: Toolkit for the Safe Use of Copy and Paste” guidelines in 2016 in an effort to educate the medical community about best practices for utilizing copy and paste in EHR documentation.

According to the 58-pages of the ECRI Institute’s guidelines, adopting safer copy-and-paste practices would require each practice to implement a series of cumbersome steps, including establishing new levels of staff training and oversight, flagging pasted material for easy identification, distinguishing between appropriate and inappropriate times to copy/paste, and more.

It’s clear that putting the new processes into action could undermine any speed improvements derived from copying and pasting.

Fortunately, there is a better way to enter patient notes.

NoteSwift (founded by a practicing physician) has developed an A.I.-driven EHR Transcriptionist – Samantha – that simplifies patient note entry and eliminates the need to copy data.

Samantha takes the physician’s narrative input (either typed manually, or from any medical speech recognition tool) and intelligently parses the information to identify structured data elements, assign required codes, and present the complete patient note to the user for verification. Samantha then enters the entire patient note into the correct menus, fields, and check-boxes of the EHR automatically, saving time, virtually eliminating clicks, and ultimately helping to reduce physician burnout.

With Samantha, the increased speed encompasses all aspects of the patient note, including entering narrative text and structured data, navigating from screen to screen, looking up complaints, and completing and sending prescriptions and lab orders.

Want to see Samantha in action? Contact us to schedule a live demonstration for your practice.

 

Three Ways A.I. is Improving EHR Performance

NoteSwift CEO Wayne Crandall discusses “Three Ways A.I. is Improving EHR Performance” on Healthcare IT Today this week.

From the article:

“Let’s be honest — we can all see the immense promise of a healthcare world fully connected through EHR systems, but first (and even second) generations of EHR software have not yet achieved that promise. Many practices have had the opposite experience; instead of benefits and promises, their EHR systems have been frustrating, cumbersome, and difficult to manage.

But don’t give up! Advancements in artificial intelligence are rapidly improving the ability of EHRs to become more accurate, more user-friendly, and more connected.

Here are three major ways artificial intelligence is improving the world of EHR:

  1. Advances in Voice Dictation for Note Entry

Voice dictation is already a valuable tool for many doctors to make EHR entry take less time — in fact, 62% of doctors already use voice dictation software to assist with their EHR entry, and nearly another 20% have plans to add voice dictation to their workflow in the coming year. Natural Language Processing (NLP) continues to make voice dictation more accurate and more useful for physicians and staff.

  1. Structured Data Elements

Long the Achilles heel for EHR entry, structured data elements are the vital data formatting structure that allows practices to use their EHRs to achieve Meaningful Use and participate in HIE requirements. According to many researchers, unstructured data is the cause of much of the adoption and transition pain practices feel around EHR use. Many practices simply dump old data into their new EHRs, which both fails to meet MU requirements and reduces the physician’s ability to actually use the data to improve patient care. A.I.-powered solutions such as Samantha, the real-time EHR transcriptionist from NoteSwift, are using artificial intelligence to turn dictated patient narratives into structured data at the time of entry.

  1. Heuristic Learning and Clinician Review

A recent study noted that there is currently a 7.4% error rate in voice dictation data entry when not supported by software optimization and clinical review tools. Thankfully, artificial intelligence solutions are rapidly improving the accuracy of dictation while also offering clinicians more robust tools for quickly and effectively reviewing and approving EHR entries. Samantha from NoteSwift features A.I.-powered heuristic learning technology that improves clarity and accuracy of the EHR entry every time a physician uses the solution. So, the more you use it, the better it performs.”

Read the full post on Healthcare IT Today.

Ready to see how Samantha’s A.I.-powered technology saves physicians 6-8 hours a week over traditional documentation methods? Contact us to schedule a live demonstration of Samantha, the real-time EHR transcriptionist.

 

NoteSwift CEO discusses “The Financial Cost of Physician Burnout” on Healthcare IT Today

NoteSwift CEO Wayne Crandall is featured on Healthcare IT Today—the newest site from the team behind EMRandEHR.com and HealthcareScene.com—discussing The Financial Cost of Physician Burnout.

From the article:

Over 54% of doctors are now expressing mild to severe levels of burnout, which affects both their personal health and the quality of care they can provide. Burnout leads to poor job satisfaction, negative workplace culture, increased medical errors, and a poor patient experience.

But the negative impact of physician burnout doesn’t end there—recent studies have begun measuring the financial impact of physician burnout on small practices, hospitals, and health systems.

Consider the following numbers:

Download the free white paper: Physician Burnout by the Numbers

Dr. Christine Sinsky, vice president of professional satisfaction at the American Medical Association, sees the clear connection between physician burnout and EHR requirements.

“We have to recognize the exacting toll that the first generation of electronic health records have had on physicians,” Sinsky said.

“I would identify it as one of the most important drivers of physician burnout.”

Atrius Health, Massachusetts’ largest independent physician group, has announced a very interesting strategy to reduce burnout—they are attempting to reduce the total number of mouse clicks required by their physicians by 1.5 million a year.

How can this strategy be effective? Because EHR workflows have become bloated, increasingly regulated, and directly connected to reimbursement, which forces physicians to handle most of the tasks. Making the EHR workflow simpler, more intuitive, with less clicks and more accuracy is a primary way we can all help physicians reduce levels of burnout and improve patient care at the same time.

Read the full post, “The Financial Cost of Physician Burnout,” on Healthcare IT Today.

Want to see how NoteSwift is helping physicians reduce burnout by reducing clicks and saving time on EHR documentation? Contact us to schedule a demonstration of Samantha, the real-time transcriptionist.

 

Samantha™ Named One of “Top 9 Apps in the Allscripts App Store” for 2018

We’re proud to announce that Samantha, the real-time transcriptionist for Allscripts Professional EHR, was selected as one of the Top 9 Apps in the Allscripts App Store for 2018 by Tina Joros, JD, Vice President & General Manager, Open & Allscripts Practice Management Business Units.

In the latest Allscripts eMagazine, she compiled a list of the 9 best third-party apps featured in the Allscripts Developer Program Store, examining not only how each can be used, but also how it brings value to the user, and, ultimately, the patient.

“Samantha leverages the Allscripts Open platform to seamlessly integrate with Professional EHR, and to support any existing templates, order sets or workflows a practice may already have in place,” Joros explains.

“Samantha’s A.I. technology makes entering all the contents of the note as easy as writing it down on paper or using a dictation recorder, automatically capturing all the structure, codes and special formatting elements required in today’s complex healthcare environment.”

Click here to view the full list of the Top 9 Apps in the Allscripts App Store – 2018.

Want to see for yourself how Samantha saves Allscripts Professional EHR users an average of 6-8 hours each week on patient charting? Click here to schedule a live demo of Samantha, the real-time transcriptionist for Allscripts Professional EHR.

Healthcare IT News: Athenahealth partners with NoteSwift on AI-powered EHR documentation

Healthcare IT News featured the NoteSwift and athenahealth partnership to bring our revolutionary artificial-intelligence (AI) powered EHR Virtual Assistant, Samantha™, to athenahealth’s 106,000 physicians via the athenahealth Marketplace.

From the article:

Physicians have a new virtual assistant for their EHR, and her name is Samantha. The technology was launched this past year by Boston-based NoteSwift, and now the AI-powered clinical documentation tool is joining with athenahealth to help docs with their charting.

Samantha technology can digest the doctor’s narrative – whether dictated or typed – and uses AI to parse the information, detect structured data, assign the necessary ICD-10, SNOMED or CPT codes, prepares orders and electronic prescriptions for physician sign-off.

The tool gets that data into the right fields of the EHR, according to NoteSwift, saving the clinician time – as much as eight hours per week – and helping ensure accuracy.

Read the full article on Healthcare IT News: Athenahealth partners with NoteSwift on AI-powered EHR documentation.

NoteSwift Partners with athenahealth’s ‘More Disruption Please’ Program to Automate EHR Documentation, Save Physicians Time & Reduce Burnout

NoteSwift Launches SamanthaTM, The Virtual Assistant for athenaClinicals® EHR

Boston, Mass. – Jan. 30, 2018 – NoteSwift, Inc., a provider of EHR virtual assistant solutions, today announced a partnership with athenahealth, Inc. through athenahealth’s ‘More Disruption Please (MDP) program. As part of the athenahealth® Marketplace, this newly integrated EHR virtual assistant, SamanthaTM, is now available to athenahealth’s growing network of more than 106,000 healthcare providers to help physicians reduce EHR documentation time while increasing reporting accuracy.

“NoteSwift is excited to partner with athenahealth to disrupt the EHR market, removing administrative burdens that cause physician burnout and decrease patient interactions,” said Wayne Crandall, President and CEO of NoteSwift.

“Our revolutionary new EHR virtual assistant, Samantha, saves physicians 6-8 hours each week by eliminating the need to manually enter details of the patient encounter.”

“Instead, Samantha’s advanced artificial intelligence creates the entire patient note from a single screen and with just a few clicks. A physician simply types or dictates the patient narrative and Samantha’s patent-pending technology intelligently parses the text, identifies structured data elements, assigns all required coding, and prepares orders and ePrescriptions for physician sign-off. Samantha then places all the information into the correct fields of athenaClinicals® EHR automatically–just as if it had been typed in manually.”

athenahealth is a network-enabled, results-oriented services company that offers medical record, revenue cycle, patient engagement, care coordination, and population health services for hospital and ambulatory clients. The company’s vision is to build a national health information backbone to help make healthcare work as it should. As an MDP partner, NoteSwift, Inc., joins a network of like-minded healthcare professionals who are looking to disrupt established approaches in healthcare that simply aren’t working, aren’t good enough, or aren’t advancing the industry and help providers thrive in the face of industry change.

To learn more about NoteSwift’s new integrated application, Samantha, please visit NoteSwift’s product listing page on the Marketplace.

 

About NoteSwift, Inc.

NoteSwift was developed and incorporated in 2012 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 2017, the NoteSwift team launched the next evolution of Dr. Russell’s solution, Samantha™ (Semi-AutonoMous Adaptive Note Transcription Heuristic Algorithm). Because Samantha™ enables providers to complete patient notes easily and automatically assigns all required coding, providers can not only complete patient documentation faster, but also more accurately, improving reimbursement rates and reducing costly claim denials.

For more information, visit noteswift.com or connect on Twitter, LinkedIn, Facebook, and YouTube.

 

Media Contact:
Liz Treichler
Communications Director
512.699.4558
ltreichler@noteswift.com