Voice recognition works best as part of a centralized system for clinical documentation
The financial benefits that come with using electronic health records (EHRs) in accordance with federal “meaningful use” standards is encouraging more providers to use voice recognition software (VRS). It’s a technology that is fast becoming an integral part of the clinical documentation process.
But while there is a big push for providers to use VRS, some are finding the combination of EHR and VRS to bring with it unexpected issues. Some EHRs have proved cumbersome to navigate, or have disrupted provider workflow. Doctors report that it can take as long as 15 minutes to dictate and edit their own cases—and often the records they create aren’t complete enough to meet clinical documentation standards, medical directors say.
This is prompting organizations to seek out a more centralized system of documentation management that incorporates voice recognition with traditional dictation and transcription, complementing the EHR they have in place. Whether managed by a hospital or outside source, such a system makes it easier to track patient visits, clinical documentation and billing.
Silent Type is addressing these concerns in many ways. With Silent Type’s STARS SPEECH®—a back-end voice recognition program—a provider’s dictation results in a draft document that is routed along with the original voice file to our transcription editors. Once that draft document is edited and finalized, it’s simultaneously uploaded to our Silent Type Automated Records System (STARS) and to the hospital’s EHR, which receives it as a billable document that meets clinical documentation improvement requirements. Clients have relied on this feature when they have difficulty accessing records in their own system.
Documents not meeting voice recognition standards for direct editing can still be transcribed, keeping formatting and document features standarized. By sparing providers the job of having to edit and manage documents, they are able to spend more quality time with their patients. For organizations whose physicians are required to dictate and edit their own records, our soon-to-be released front-end component—STARS SPEECH DIRECT®—will provide direct access while still providing storage and retrieval in our cloud-based servers.
A system that fully integrates these components will centralize all document management for later use. And, by storing data in a secure and protected cloud-based server, organizations can build redundancy into their systems.
Voice recognition software is a great technological tool that—used as part of a centralized dictation, transcription and documentation management system—can lead to higher patient and physician satisfaction, better document standardization and increased revenue for the facility.