Clinical Documentation
Managing a clinical practice today involves paper and lots
of it. TouchWorks offers healthcare organizations an easy and
cost effective pathway to a paperless chart.
Even the most effective paper chart has limitations in terms
of quickly assembling, consolidating, and accessing clinical
data. Managing the creation, completion, and distribution of
documents is a significant burden for both clinicians and their
staff. Dictation and transcription management can be extremely
time-consuming and costly for physician practices.
TouchWorks makes structured, template-driven documentation
a by-product of providing care, supporting clinical note creation,
inbound transcription, structured data entry, and clinical
correspondence. Physicians may use a combination of structured
data entry, textual data entry, citation of existing clinical
data, and direct dictation using dictation markers.
TouchWorks provides multiple options for creating clinical
notes:
- Templates
- Dictation
- Document Management
- Scanning
- Transcription
Templates
TouchWorks offers templates for structured data entry of notes
with narrative generation of clinical notes and "Intelligent
Prompting" including structured clinical terminology
based on MEDCIN® database of over 200,000 medical terms
and mapping to ICD-9 diagnosis codes. TouchWorks Note also
includes a spell checker with medical terminology and an
E/M calculator, which includes defaulting of structured data
into the E/M Coder, which generates E/M coding recommendations
based on the level of care that was documented.
Dictation
TouchWorks offers physicians a quick and easy way to dictate,
review, and submit medical documents from virtually anywhere
at anytime streamlining workflow and reducing document management
time from weeks to hours. Restoring mobility and convenience
to the physician, TouchWorks combines the convenient functionality
of a handheld digital recorder with the operational efficiency
of a telephone dictation service. Using the latest in Pocket
PC technology from Microsoft and the digital dictation capabilities
of a Tablet PC or handheld iPAQ PDA technology from HP, TouchWorks
Document offers the functionality of a handheld digital voice
recorder for use by physicians at the point of care.
Document Management
The clinical data repository and clinical document management
functionality of TouchWorks streamlines workflow for physicians,
as well as for clinical and administrative support staff,
resulting in greater efficiency and reduced potential for
error. TouchWorks supports clinical dictation, medical transcription,
and clinical correspondence with a longitudinal, fully indexed
clinical document repository.
Document Imaging/Scanning
TouchWorks delivers the paperless office today by enabling
clinical document scanning, indexing, and viewing. While
some solutions only incorporate parts of the record at a
time (or worse, cannot incorporate some parts at all), physicians
using TouchWorks can store and access all types of documents
and images, including correspondences and other paper documents,
as part of a longitudinal clinical data repository and comprehensive
EMR.
Transcription
TouchWorks enables in-house transcription-increasing the accuracy
and efficiency of dictating and transcribing documents in
a cost-effective manner. TouchWorks provides physician practices
with a convenient way to route and listen to dictation, transcribe
dictation using all of the features of Microsoft Word, and
electronically file completed medical documents directly
into the clinical repository, thus streamlining workflow
and reducing document management errors.
Benefits
- Reduces cost
- Improves documentation quality
- Improves access to information
- Improves security
- Improves productivity and efficiency
- Increases accuracy
- Reduces errors
- Increases revenue