REAL-TIME CHARTING
Real time scribing solutions for healthcare professionals
Pennhealth Informatics provides real-time remote assistance to healthcare providers by documenting provider-patient encounters in real-time via virtual communication platforms. They observe and listen to patient encounters ensuring meticulous entry of all relevant patient data into the Electronic Health Record (EHR).
Pennhealth also prioritizes data security and privacy, implementing robust measures to safeguard sensitive patient information. They adhere to industry regulations such as HIPAA (Health Insurance Portability and Accountability Act) and continuously update their security protocols to mitigate emerging threats. By maintaining the confidentiality and integrity of patient data, Pennhealth ensures trust and confidence among healthcare providers and patients alike, fostering a secure environment for the exchange of medical information.
Real-Time Charting Key Features
In traditional medical scribing, there might be a delay between the patient encounter and the documentation of that encounter in the EHR system. This delay can lead to inaccuracies and inefficiencies in the recording process. Pennhealth’s implementation of real-time charting empowers Scribes to seamlessly input patient information into the EHR system while actively observing and listening to the doctor’s actions, thereby guaranteeing precise and timely record-keeping. This immediate data entry into the EHR system as the encounter unfolds eliminates any delay, ensuring that the information documented by the virtual medical scribe is reliable and accurate. Moreover, real-time charting enhances collaboration between healthcare providers by enabling instant access to updated patient information, thereby facilitating better-informed decision-making during treatment.
In Pennhealth documentation occurs in real-time as the virtual scribe observes and records the patient interaction simultaneously, inputting information into the Electronic Health Record (EHR). This synchronous process facilitates accurate and comprehensive medical records, enhancing clinical workflow efficiency. By closely monitoring these interactions, virtual scribes can accurately capture important details such as patient histories, symptoms, and treatment plans. Moreover, the synchronized observation and documentation process allows for immediate clarification of any unclear or ambiguous information during the patient encounter. Virtual scribes can promptly seek clarification from healthcare providers, ensuring that all details are accurately captured in the EHR without delay. This real-time collaboration between the virtual scribe and the healthcare provider fosters a seamless workflow and promotes accurate and thorough documentation, ultimately leading to improved patient care and outcomes.
Advantages of Real-Time Charting
- Efficient and accurate documentation
- Ensures that patients receive prompt care from healthcare providers.
- Results in higher satisfaction with the healthcare experience.
- Allows physicians to provide faster care by relieving them of documentation responsibilities.
- Allows physicians to delve deeper into patients’ concerns and provide personalized treatment plans.
- Streamlined documentation processes
- Improve communication and coordination among healthcare teams.
- Enhance overall patient care.
- Enable better collaboration across specialties.
- Provide all team members with access to up-to-date information.
- Result in greater patient satisfaction.
- Contribute to better health outcomes.
- Help reduce medical errors.
- Foster a patient-centered approach in healthcare.
- Scribes relieve physicians of the documentation burden.
- Allows physicians to focus more on patient care.
- Reduces the risk of burnout and exhaustion.
- Frees up physicians’ time and mental energy.
- It enables the dedication of more attention to direct patient care.
- Enhances the quality of care provided.
- Strengthens the doctor-patient relationship.
- Scribes enhance the accuracy and completeness of medical records.
- Provide meticulous attention to detail.
- Perform real-time documentation.
- Ensure vital patient information is accurately captured.
- Improve healthcare quality.
- Facilitate effective communication among healthcare providers.
- Lead to better collaboration.
- Support informed decision-making in treatment plans.
- Enhance healthcare efficiency.
- Promote better clinical outcomes and patient safety.
- Results in faster completion of medical records.
- Enables timely decision-making and care coordination.
- Frees up physicians’ time for other tasks.
- Reduces administrative burdens.
- Allows physicians to see more patients in a day.
- Potentially improves overall practice revenue.
- Rapid documentation ensures
- Medical records are up-to-date and accurate.
- Facilitates seamless communication among healthcare providers.
- Enhances patient safety.
- Quicker documentation in virtual medical transcription
- Enables faster access to vital patient information.
- Facilitates timely interventions and treatment adjustments.
- Leads to improved patient outcomes and satisfaction.
- Comprehensive solution:
- Improves patient outcomes.
- Enhances operational efficiency within medical facilities.
Our Workflow Process
The first step for a virtual medical scribe is preparation and connection.
Hear the scribe log in to Microsoft Teams to establish a direct connection with the physician’s office.
Also, the scribe enters the virtual meeting and actively listens and views the doctor’s proceedings in real-time.
The second step is real-time documentation. Here the virtual scribe actively engages and meticulously documents the patient’s encounter in the electronic health record.
Moreover, the scribe directly enters the medical history, diagnostics, treatments, and other relevant information of the patient into the EHR in real time.
Interactive support is maintained throughout as the virtual scribes utilize video or audio communication tools to interact with the provider in real-time for immediate clarifications.
For seamless virtual interaction, Microsoft Teams is leveraged by strictly adhering to HIPAA regulations and data security measures to safeguard patient confidentiality.