MedAptus’ integrated Dictation allows busy clinicians to document patient encounters at the point-of-care, while reviewing patient visit, clinical and charge data. This easy-to-learn solution leverages the sound capture capabilities of Pocket PC devices, untethering providers from traditional telephony-based systems.

Benefits - The MedAptus Dictation offering is seamlessly integrated with Professional Charge Capture – not only do the applications share a patient pick list, but patient data is also available for review during the recording process. Dictation is available to users anytime, anywhere.

Select Features - MedAptus’ Dictation offers its users large on-screen controls for dictation capture, options for editing and saving recordings, and many customizable work types to support thorough documentation. The system also automatically links patient data to a recording, allowing clinicians to initiate the program rapidly.

How it Works - Providers choose the patient to document from the shared MedAptus patient pick list. Dictation starts at the tap of a single button. During the dictation process, users can review visit, patient and charge data while following the selected work type template items. Upon completion, the file is wirelessly transmitted for transcription.

MedAptus’ point-of-care Dictation application helps providers create accurate clinical pictures of patient encounters. Having the ability to easily complete documentation within minutes of an exam, with the benefit of embedded patient data, is critical to increasing administrative productivity, and more importantly, improving the quality of patient care.

• On-screen prompts drive thorough and complete dictation capture
• The risk of lost cassette tapes is eliminated
• Wireless, real-time file transmission streamlines the documentation process
• Reconciliation reporting helps ensure all patient encounters are both charged and dictated in a timely manner

Integrated with its Professional Charge Capture solution, MedAptus’ Dictation offering leverages schedule data and rounding lists to provide patient pick-lists. Once a patient charge has been captured, dictation can commence from the charge record, with a single tap of the stylus.

Physicians can choose from a list of over 20 work types, including clinic notes, consult requests, letters, operative reports and radiology/oncology notes. Each work type has an associated template displaying its specific component pieces to aid clinicians as they dictate. In addition, relevant patient data is simultaneously viewable on-screen.

Large on-screen buttons permit users to record, edit, rewind, fast-forward, play and pause dictations. The “Stat” feature alerts the transcription system or team that a dictation should be handled in an urgent fashion while the “Hold” feature retains a file on the device for later editing.

Back to Top

• Provides patient visit procedure, and diagnosis information, in an easy-to-access manner to facilitate the documentation process
• Allows for non-connected dictation capture, allowing providers to record on-the-go
• Supports numerous transcription services and products, including MedQuist and Nuance, leveraging current information system investments and workflows
• Utilizes a single sign-on, saving physicians valuable time

Back to Top

Once a work type has been selected for a patient, the dictation process begins. Relevant template and patient demographic and encounter data are viewable on-screen, helping providers dictate accurately. Recordings can be stored and edited until satisfactory. Once completed, files are encrypted to maintain patient data privacy.

Files are then transmitted to the practice transcription system or service wirelessly (these transmissions are also encrypted). Each file is accompanied by a header that identifies the provider, patient, work type, customer, date of service, recording time, and priority. This data helps reduce transcription errors, saving administrative staff and clinician’s valuable time.

The Dictation system includes a reconciliation feature that shows all captured dictations – this report can be reviewed on-screen, or exported for comparison against the transcription system. In either case, this unique mechanism ensures all patient visits have been appropriately documented.

Back to Top