EXISTING METHODS VS. A NEW ALTERNATIVE FOR CREATING MEDICAL NOTES
Today there are four commonly used methods to write and record notes electronically. In order of use, from the most used to the least, they are:
- Voice Recognition
- Handwriting Recognition
Voice and handwriting recognition technologies were developed with the onset of faster and smarter software application over the past twenty to thirty years. In recent years, voice recognition has really developed to the point where it is extremely versatile and adaptive. Yet using voice recognition software in certain instances is too difficult or inappropriate. Templates or forms are commonly used as ways of recording information through the selection of multiple choice menus, but the ability to produce accurate information is many times too restrictive.
A new alternative method for creating medical notes
Click It Notes will use a new, patent pending method to rapidly generate electronic text and is an alternative to these other basic techniques for inputting information electronically, such as typing, handwriting recognition, voice recognition or making selections on an electronic form. While a mouse will be able to be used, this new technology will also be able to use gesturing with one's finger over top displayed phrases and terms using a touch-sensitive screen to create thoughts in writing of the subject matter or "specialty" in mind. This technique will dramatically improve throughput, as it is much simpler in many instances when creating standardized content or a dialogue. This information can then be easily shared inside a group or adjunct system with the knowledge to interpret the information or intelligence provided using this technique.
All the software technologies enabling this new methodology have advanced to a point which enables this new methodology to be developed and successfully implemented in certain desirable applications, such as in writing medical reports. Contributing technologies are 1) touch sensitive screens, 2) computing hardware, 3) database software, 4) web application software, 5) user-interface software and methodologies, 6) open communication methodologies and exchanges (APIs) between systems, and more.
Accuracy and information will improve, while charts are closed much faster
This new writing method is radically different and presents opportunities to create templates which generate notes rapidly and precisely, inside of certain directed parameters. The medical industry for instance would benefit from this new method immensely because medical notes can be generated more easily, much faster, more fluid and more precisely. Templated for particular specialties such as emergency or vascular medicine, using this methodology will enable and encourage much more fluid and flexible throughput when creating medical notes which then can be inserted into the existing EHR, such as Epic.
Touch vocabulary is similar to sign language in many ways, except that it is currently one-dimensional. It is enabled through using unique gestures on a flat surface as demonstrated in this short video. Assigning meanings to these gestures will be up to the template designer.
Click It Notes will be a doctor’s app enabling much easier and rapid note-taking about a patient encounter. It will enable improved accuracy and provide the physician, nurse or practitioner with visual confirmation of insurance levels and codes, which no other system currently offers. The app will run on any tablet computer, including an iPad.
Instead of typing, writing, speaking or selecting radio buttons as current systems demand, Click It Notes will allow the user to simply gesture over phrases and terms, using a touch-sensitive screen, to create a doctor's written thoughts of the subject matter or "specialty" being reported. With muscle memory engaged, this technique will be much simpler when creating notes to share in any specialty, with the knowledge to interpret it.
Click It Notes will be unique in its approach to writing medical notes. It will be a separate application, where the resulting report would simply plug into an existing electronic medical record (EMR) system, such as Epic. The software would run on any tablet computer, would be used primarily by a physician, and would be built around this new methodology for enabling the quick and easy creation of notes simply.
SUMMARY OF TECHNOLOGY
Predictive, gesticular text-generating technology for writing notes:
- Uses subsets of tables containing phrases and words
- Tables are built by data input provided by experts
- Provides a means for standardization of output language
- Touch geometry allows variable gestures according to on-screen location
- Smart output mechanism learns language tendencies of user
- Interface optimized for quick and accurate reporting
- Methodology allows for tracking external concerns (e.g. insurance & risks)
- Is a natural extension of touch-screen trends
Click It Notes Technology will:
- Provide a systemic solution to a huge problem
- Saves billions of dollars by providing a fundamental shift in the methodology of inputting notes
- Reduce errors by standardizing language
- Provide intangible improvements to employees’ work-life
- Establish a database of expert jargon
- Integrate with current infrastructure easily
Data updates and revisions, on which Click It Notes will rely upon in order for it to be truly useful, would be a development challenge, if it weren't for the recent trend by the medical IT industry to provide open communications between platforms. For instance, the Healthcare Common Procedure Coding System (HCPCS), while readily available through the public domain, may not necessarily be properly organized to manage in an easily and dynamically accessible format. Thankfully, there are several solid organizations which can supply this data in an exchangeable and extensible manner.
Therefore, in order to delivery the application, Click It Notes will develop strong partnerships in order to access current data. Feeds of information will come from several sources. The selected "open" platforms will enable cross-communications between other systems and Click It Notes, which can then be integrated easily with existing EHR systems and data providers. The company plans on developing these partnerships and associations early in its development work. It can be expected that there will be costs associated with data collection and sharing of information, depending on the entity. But rather than incur the expense of building a better mousetrap, the engines that disseminate and distribute big data, Click It Notes will employ what's already been developed for the various functions which will be needed when assembling and tallying a medical note dynamically.
Several candidates for aligning strong partnerships with are categorized and listed below (This list is developing):
Link between Payers and Providers:
179 Lincoln Street
Boston, MA 02111