Wednesday, April 13, 2011

Medical INK Corporation offers Mobile Dictation for Clinical Documentation

Medical INK Corporation now offers Mobile Dictation!

Mobile Dictation allows patient data driven dictation capture at or near the point of care. Using smart phone devices such as the iPhone or Blackberry, dictation is captured locally then sent securely to the transcription platform for production, offering portability, security and convenience over traditional dictation systems. Appointments, scheduling, review and approve completed transcription all on the go using a visual reference to enhance patient safety and the overall user experience.

Get started right away!  Call 1-800-778-6643 or email me at lfazio@medink.com



Medical INK Corporation offers Natural Language Processing (NLP)

Medical INK Corporation offers Natural Language Processing
Natural Language Processing (NLP) technology is emerging as a viable tool for harvesting data from unstructured (plain text) clinical notes. Why? Historically, the majority of health information has been stored in this format. Practically, many clinicians prefer the efficiency of dictating over other means of data capture. Adoption of EMR technology still has a long way to go, and where EHRs are used, much of the information is still captured and stored in unstructured format and therefore is not useful as minable data.

Now, Medical INK can convert your narrative dictation to clinically relevant medical data utilizing natural language processing (NLP) technology. Narrative reports have long been the de facto standard in clinical documentation as it is a clinician’s most natural and efficient form of information capture. Medical INK’s NLP technology bridges the gap between narrative reports and discrete data by delivering contextually structured XML data with SNOMED codified concepts. This breakthrough in technology enables a range of enhancements for data capture, analytics, reporting and research never before possible from narrative notes.

Medical INK can


• Import text files from any transcription provider, EMR system or other source

• Populate EMR systems with discrete, reportable data

• Support Meaningful Use with information contained in narrative notes

• Assign SNOMED codes that map to ICD9, ICD10, CPT and other coding standards

• Provide data for analytics, reporting, alerting and clinical research

• Automate the abstraction process to reduce labor time and costs

• Structure data with XML to support interoperability standards
 Applications:


• Discrete Accurate Reportable Transcription (DaRT): Converts dictated/transcribed documents into discrete data elements and narrative sections and feeds them into the appropriate placeholders inside an EMR (delivered as XML data using web services).


• Meaningful Use: Supports reporting compliance for most requirements:

     o Quality Measures
     o Decision Support
     o Clinical Summaries
     o Medication Lists
     o Allergy Lists
     o Problem Lists
     o Vital Signs Tracking
     o Demographics
     o Smoking Status
     o Patients Lists by Condition
     o Medication Reconciliation
     o Patient Summary
     o Electronic Syndromic Surveillance Data


• Patient Referral Tracking: Captures patient referral statistics to aid administrative controls for tracking lost revenue caused by patient referrals going outside the health system


• Coding Audit Alerting: Identifies cases for coding auditors or CDI specialists that present as high risk for improper billing levels due to incomplete information documented


• Core Measures: Identifies adherence to Core Measures treatment standards and extracts data to drive statistics for Core Measure reporting


• PQRS (formerly PQRI): Extracts data from broad sets of narrative notes to compile statistics for any or all of the measures of the Physician Quality and Reporting System


• Nursing Quality Indicators: Depending on documentation methods, may support automation for data extraction and compilation for nursing quality indicators and reporting to the NDNQI registry


• Clinical Decision Support: Extracts patient data from clinical notes with rules-based analytics to enable more effective use of CDS systems


• Cancer CAPS Checklist: Provides required XML structured data for populating pathology registries compliant with the CAP protocol checklists


• Risk Management support: Identifies conditions such as Present on Admission (POA) or adverse effects which trigger notification alerts to Risk Managers or Case Managers


• RAC Audit support: Rules-based queries from the narrative notes in medical records deliver data to automate the audit process


• Accountable Care: Compiles statistical data found in clinical notes required for ACO reporting


• Research/Secondary Use: Aggregates anonymized data for warehousing and enables complex queries for Clinical Trials, Comparative Effectiveness and other medical research


• Data Conversion: With OCR technology enables scanned records to be structured as searchable historical data instead of mere PDF image attachments


Let Medical INK Corporation help you!  Contact us at 1-800-778-6643 or email me at lfazio@medink.com

Tuesday, March 22, 2011

Medical INK Corporation announces the implementation of our transcription platform's Discrete Accurate Reportable Transcription system (DaRT)!

What is DaRT? The DaRT system offers medical facilities, clinics and private physician offices an EMR/EHR implementation approach that minimizes operational change and completely eliminates physician productivity loss while complying with Meaningful Use Guidelines!

Automatically populate your EMR using Dictation. DaRT tags transcription content (i.e.: Chief complaint, History of Present Illness, Family History, Social History, Physical Examination, Assessment, Treatment) and discretely populates your EMR/EHR automatically, as if the clinician had entered it into the system themselves. With DaRT, hospital, clinics and private physician offices can embrace the future of health care without requiring a change in clinician behaviour. Clinicians can spend their valuable time doing what they do best - practicing medicine.

Comply with "Meaningful Use" Guidelines. Many medical facilities are adopting Electronic Health Records (EHR) systems in an effort to comply with President Obama's HITECH Act and "Meaningful Use" guidelines. These systems claim to eliminate or at least reduce the cost of patient documentation by requiring physicians to abandon dictation and use templates to record patient encounters. But do they?

Studies show that it takes a physician an average of 4.5 minutes per patient to document a visit using templates in an EMR system. By contract, dictation takes only 1.5 minutes per patient. That's a difference of three minutes per patient. If a physician sees an average of 20 patient per day, that translates into 60 minutes a day! The result? Doctors will either see fewer patients, or work longer hours. Transcription costs may be lower, but so is productivity, resulting in thousands of dollars in lost revenue. In addition, doesn't high quality patient care mean physicians who focus on their patients instead of their computer screen?

By choosing Medical INK as your dictation provider, physicians can continue to dictate while clinics fully utilize an EMR system -- and the EMR is automatically populated with data that would otherwise have been entered via templates. Meaningful use compliance is achieved, at a cost significantly less than traditional transcription serivces.


DaRT sounds great - but what will it cost me? The DaRT system comes to you with no cost. There are no additional fees, line rate increases or hidden costs to implement the DaRT system.


How do I dictate? Do I need to do or have anything "special"? You do not need to change how you dictate - whether it be by phone, digital recorder, iPhone or iPad, it stays the same. Based on your current dictation, we will help you set up the appropriate templates for your EMR. Our techs will work hand-in-hand with your EMR provider to provide a smooth transition, usually in ten days.


What other EMR solutions do you offer besides DaRT? Medical INK interfaces with any RIS, HIS, EMR or clinical repository. Patient and appointment information is tagged and then exported into electronic health record systems. Physicians can continue to dictate while taking full advantage of an implemented EMR with no additional fee. If a medical facility has an EMR system in place, Medical INK can automatically populate all transcription into the clinical repository. If an EMR system is in your future, Medical INK will maintain and store all the history needed to populate the future EMR when it becomes a reality.


CALL US TODAY! 1-800-778-6643


We are always happy to discuss the DaRT system or any other EMR implementations. Let us help you make the decision as to what choice is right for you!