Speech vendors pulled out all the stops at HIMSS. New systems provide greater flexibility and further accelerate speech workflow to drop report turnaround times to mere minutes. At HIMSS, it was clear that speech recognition is moving beyond conventional approaches. Vendors showed various applications designed for mobile devices and smart phones that allow physicians and care providers to dictate and document on the fly. Other new solutions wed speech and structured reporting to further bump productivity.
Crescendo launched a front-end speech recognition module of its MD Center-XL application. The company also highlighted an HL7 bidirectional interface between its dictation/speech recognition system and PACS.
With the launch of this foreground module, MD Center-XL allows physicians to oversee the entire documentation workflow, from dictation and correction to sign-off and final report distribution, using one single interface.
In the front-end workflow, this system automatically produces text as the doctor dictates. Once the dictation is complete, the physician can use voice commands to navigate, edit, format, spell, play, fast forward, rewind, select and sign-off the report without using the mouse or keyboard. Personal voice glossaries can be created for word expansion to further accelerate the correction process. The saved voice glossary expansion can support any formatting, including numbering, attributes and positioning.
Automatic template fill-in further shortens the entire report creation process to a few clicks or voice commands. When a doctor creates a new dictation, the system creates the database record, recalls the template, populates the demographics and displays information on the screen in less than one second; the system then populates the database record accordingly. This feature is particularly useful for "normal findings" and is configurable by work type.
The ability for users to use back-end or front-end speech recognition allows healthcare facilities to leave their document creation options open: switching from back-end to front-end recognition may compensate for transcription resource shortage or periodic peaks of activity. A facility may also decide that short reports can be reviewed by authors in foreground mode, while more complex and detailed work can be routed to transcription for correction as a standard or on the fly. Authors can switch from front-end to back-end mode while logged in, so users don't have to exit the application and log on again. If they lack time or are interrupted in the middle of the correction process, they can save ongoing work for later completion or decide to send the report to transcription. Authors can sign off the report using the same application once the correction phase is complete. Finally, even once a job has been sent to transcription, it is still possible to edit it using voice commands. Automatic and predefined distribution occurs after the report has been signed off, and is configurable by work type, author, department and facility.
The Crescendo HL7 bidirectional interface between its dictation/speech recognition system and PACS allows all information to be exchanged electronically (x-ray, voice, and patient report/data), contributing to increased efficiency and reliability of data. Completed results are uploaded from the dictation database to the PACS or RIS where they will be centrally stored. From a user’s perspective, the integrated PACS dictation eliminates duplication of efforts, manual data entry and related errors. Radiologists can begin their dictation immediately without the need to log on twice or manually enter details such as bar codes. Patient information is automatically passed on each time a new image is brought to the screen thereby ensuring optimal data integrity.
MedQuist Inc. and IQMax Inc. announced their partnership to deliver point-of-care clinical documentation and dictation solutions. The companies highlighted PhysAssist IQ and DocQment Ovation.
MedQuist’s PhysAssist IQ, powered by IQMax, allows caregivers to manage their daily workflow by delivering patient list and demographic information to physicians on their mobile devices, so that they can dictate and document patient encounters at the point of care or in between appointments, at the time and place most convenient for them.
With PhysAssist IQ, physicians can synchronize their dictated patient encounters securely in a wireless