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Best Dictation-Transcription software/service???

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  • Best Dictation-Transcription software/service???

    My practice currently uses Entrada for dictation and there is a combination of either in-house employess and Entrada employees doing the transcribing. In either case, the costs are rather high. I'm not sure what to compare the costs to however because that is the only service I used in training and in practice so far. Some people have switched to using scribes and some have their clinical assistants doing some scribe work to offset the costs.


    I'm trying to get some ideas on what dictation/transcription services or software other groups use that seem to be cost-effective?


    Our EMR is accessed through a virtual desktop at the various clinics we use, so that may add a layer of complexity to having some sort of software that works for dictating (i.e Dragon or similar). If anyone is in a similar situation, what software do you use?? Thanks


  • #2

    we also use EMR through virtual desktop at satellite clinics. We also used to use in-person transcription services both on- and off-site. We switched to dragon medical version about 1.5 year ago and it is working out great for us.


    Granted that dragon doesn't work reliably in our EMR; so what we do is open up the dragon window and dictate into it and then cut and paste it into our notes. It was little cumbersome in the beginning but it sure does beat the high costs of paying somebody to do it and beats typing (like I am doing now!)


    Hope this helps

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    • #3

      We use epic in our system. I found that accuracy from Dragon was really not great and gave up. 


      The iphone/ipad epic app has great speech recognition.  It just doesn't integrate well into workflow (I end up dictating whatever I would, then going into the desktop version and doing some cut and paste).  Apparently this will get  better in the next ipad version where you'll be able to do a note start to finish on ipad. [I'll believe it when I see it.  The newest "features" in epic 2017 include options designed to help my neuro & ophtho colleagues make money off me down the line: funky scrolling and graphics that give me headaches & eye strain.  Clearly not designed by people who are clinicians or who tested their product well. But I digress.]

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      • #4

        "Iscribe". May be a proprietary interface with PrimeSuite, not sure if it has any other applications. Integrates with daily clinic schedules, voice recognition. Cut the time I spent creating a note in half or more, from when I was dictating into .wav recorder and using Dragon at home to transcribe, and then having to cut/paste. And the notes are usually signed off on the day of visit, and WAY cheaper than per line transcription. Still thinking about transitioning to a scribe though. I envy my partners that see their last patient, click a few boxes on billing software, and walk out headed for home, while the scribe finishes notes. Scribes come with their own issues though.

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        • #5



          We use epic in our system. I found that accuracy from Dragon was really not great and gave up. 


          The iphone/ipad epic app has great speech recognition.  It just doesn’t integrate well into workflow (I end up dictating whatever I would, then going into the desktop version and doing some cut and paste).  Apparently this will get  better in the next ipad version where you’ll be able to do a note start to finish on ipad. [I’ll believe it when I see it.  The newest “features” in epic 2017 include options designed to help my neuro & ophtho colleagues make money off me down the line: funky scrolling and graphics that give me headaches & eye strain.  Clearly not designed by people who are clinicians or who tested their product well. But I digress.]


          Click to expand...



          What is your specialty if you don't mind me asking?


          I assume "nephdoc" above who uses Dragon is a nephrologist (but correct me I'm wrong)


          I haven't used Dragon at all, but even if it requires me to speak slower than I otherwise would, as long as it understands me I'd probably be willing to make the switch. I'm an orthopedic subspecialist who uses a handful of terms specific to my specialty which I'm sure software can learn these days

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          • #6



            “Iscribe”. May be a proprietary interface with PrimeSuite, not sure if it has any other applications. Integrates with daily clinic schedules, voice recognition. Cut the time I spent creating a note in half or more, from when I was dictating into .wav recorder and using Dragon at home to transcribe, and then having to cut/paste. And the notes are usually signed off on the day of visit, and WAY cheaper than per line transcription. Still thinking about transitioning to a scribe though. I envy my partners that see their last patient, click a few boxes on billing software, and walk out headed for home, while the scribe finishes notes. Scribes come with their own issues though.


            Click to expand...



            I assume you're an orthopedic surgeon based on your user name? Me too. So this Iscribe can understand the terminology well?


            Other than having to do Dragon at home with the recorded .wav's and having to copy/paste, how did it work out for you? Was there a reason you couldn't use their dictation handset?


            Is Iscribe something that could be implemented for an individual in your practice or did you all have to switch over? Thanks

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            • #7

              Thee inapp Epic dictation for Haiku works pretty well for straight up dictation-  IIRC, it's dragon underpinnings to it too.


              We moved over to M*Modal since Dragon Medical licenses were getting way too expensive.   The overall pilot on acceptance was pretty good.

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              • #8






                “Iscribe”. May be a proprietary interface with PrimeSuite, not sure if it has any other applications. Integrates with daily clinic schedules, voice recognition. Cut the time I spent creating a note in half or more, from when I was dictating into .wav recorder and using Dragon at home to transcribe, and then having to cut/paste. And the notes are usually signed off on the day of visit, and WAY cheaper than per line transcription. Still thinking about transitioning to a scribe though. I envy my partners that see their last patient, click a few boxes on billing software, and walk out headed for home, while the scribe finishes notes. Scribes come with their own issues though.


                Click to expand…



                I assume you’re an orthopedic surgeon based on your user name? Me too. So this Iscribe can understand the terminology well?


                Other than having to do Dragon at home with the recorded .wav’s and having to copy/paste, how did it work out for you? Was there a reason you couldn’t use their dictation handset?


                Is Iscribe something that could be implemented for an individual in your practice or did you all have to switch over? Thanks


                Click to expand...



                Yes, also a knuckledragging orthopod. Iscribe has been for the most part very good at our terminology, but in general is not good with names. Still can't get it to hear "aDduction" though...


                 


                I think you could probably work something out with iscribe on individual basis as not everyone in our group uses it.


                 


                When I was trying Dragon, I used the professional edition and would just record stuff at work or in the car, then when I got home had it transcribed. Issue was then you had to edit it and copy/paste. 5-6 mins per note. Couldn't use the handset because Prime Suite won't interface with Dragon unless it is the medical version, so I couldn't go right into the chart.


                 


                Before I did that, I used the free dragon app for iPhone and would just email the text files to myself. Had a folder and inbox rules that I would go through to to cut/paste to finish charts. Clunky, but free. Time is money though, right?

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                • #9

                  Please be careful on PHI/PII data on those jumps on the dragon app (cloud based ? encrypted server),txt files, and emails.   

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                  • #10

                    we are epic/m-modal.  with training, i find m-modal much better than dragon which it replaced.  we also have powerscribe available.


                    m-modal down much more than i anticipated however.


                     

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