Health Imaging & IT - April 2008 - (Page 36)

Technology ouTlook By Beth Walsh Taking Speech to the Next Level Standardization, clinical decision support, integration and structured reporting all are part of speech recognition’s path to the future, with many vendors well on their way to offering these advances in the near future. Some are already on the market. Stephen E. Rosenthal, MD, associate director of the emergency department and director of medical informatics at Sir Mortimer B. Davis-Jewish General Hospital in Quebec, Canada, began piloting a mobile speech solution in the emergency department back in 2003. While that was primarily for progress notes and other on-the-fly documentation, he’s now working with Cresendo Systems to help physicians do more complex— but still mobile—documentation. “The nice thing about where we’re going is the multiplatform potential, especially with foreground documentation.” all about integration Hospital and departmental information systems need to become more integrated before users can, for example, go on any device and choose a particular kind of note to document. Then, users can get a default patient list—only those patients who fit the category selected. “Selecting your patient has to be easy for doctors and reliable,” Rosenthal says. And while speech technology allows for automation, macro development and templates, Rosenthal cautions against creating hundreds of templates, for example. “Nobody wants to use it if it’s too complex. It cannot take longer than writing.” The goal of standardized documentation allows for searchable structure, Rosenthal says, which will eventually allow for clinical decision support. Reference material and other background information can help clinicians determine the best test to order and develop appropriate care plans. Structured documentation also becomes searchable for better auditing and other tasks for improved patient care. Chris Spring, senior product manager for SpeechQ at MedQuist, also sees documents themselves becoming more dynamic in the future. For example, a physician dictating a report can click on a condition or symptom in that report and link to reference information that can assist in the diagnosis of a particular exam. He also sees the ability to tie CPT coding into documents. Jason Koller is director of RIS and SpeechQ for Inland Imaging, a group of Healthimaging.com [ Physcians can use speech recognition technology to enter patient information directly into an electronic medical record. source: dictaphone ] 36 Health Imaging & IT | april 2008 http://Healthimaging.com

Table of Contents Feed for the Digital Edition of Health Imaging & IT - April 2008

Health Imaging & IT - April 2008 Contents On the Web The Enterprise News Update Cracking Down: CT Radiation Dose 3D Rendering: Options Galore Thinking Thin-Client Modality Review Ergonomics & Design Special Section: Storage Strategies Imaging Tools Technology Outlook People & Technology Technology Review IT Trends Reader's Resource Stat Sheet

Health Imaging & IT - April 2008

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