Documentation Capture Model Comparison
Point and Click
An industry survey reveals these key findings from clinicians:- 93% negate that working with an EHR reduces time spent documenting care
- 67% respond that using a keyboard and mouse to document within an EHR proved to be a serious impediment to efficiency and therefore an obstacle to adoption.
- 97% prefer a narrative — rather than structured data entry — as the more valuable resource in treating patients.
- 96% believe that the patient’s individual story becomes lost using data entry.
Several studies and publicly available data echo the same observations:
- The AC Group reports a 73% failure rate of EHRs due to usability frustrations. "Failure" was defined as not using EHR for 80% of their patients.
- The group also reviewed 573 charts and found that entering data into the EHR took an average of 9 times longer than dictating a patient encounter.
- If a health care provider sees an average of 20 patients each day, this translates to 180 minutes a day. The result: Providers either will see fewer patients or work longer hours.
Front End Speech
Front-end speech recognition, where words are displayed as they are spoken, require the provider to be responsible for engine training as well as, editing and signing the document.- Even with the latest advancements in speech recognition software, shortcomings can induce errors in the transcribed reports and thus seriously affect the outcome of treatment.
- In many cases, SR means tethering physicians to a workstation, sometimes a specific workstation that recognizes their voice.
- In order for SR to be as accurate as possible, a user must immediately correct the errors made by the software so the program will "learn" the intricacies of the user’s speech patterns.
- Accuracy rates are touted to range from 70-99%, but even at 99% accuracy documents will require editing to ensure the 1% does not impact patient care
- Front-end SR takes considerably longer to use effectively than it does to simply dictate.
The Emdat Approach
Provider documentation complements the implementation and utilization of an EHR system.A hybrid approach accomplishes documentation goals without affecting physician performance.
- Capitalizes on dictation, the most efficient means of documenting patient encounters.
- Narrative documents can be quickly reviewed and distributed to external systems.
- Supports Meaningful Use requirements by auto-popultaing EHR data templates with data derived from dictation.
- Trained medical professionals transcribe documents in a medical transcription platform that integrates closely with EHRs, providing content review and quick turnaround
