Recording Visits with EncompassScribe (iPad)
EncompassScribe transcribes your verbal conversation with your patients and then converts that transcript into structured data. Structured data not only includes visit documentation, but also billing codes and coding required for MIPS and other reporting.
How you choose to interact with EncompassScribe depends on your personal style. Some doctors prefer to narrate their findings directly (as if they were speaking into an audio recorder so a scribe could document the chart later), while other doctors might prefer to have a natural conversation with their patients. No matter which style works best for you, EncompassScribe can handle it.
EncompssScribe records only when activated, and patient consent is required.
What do you want to do?
It's important to ask for consent from everyone in the room prior to recording the visit. Asking patients for their express consent to use an AI -enabled tool during the course of their exam will help you build trust with your patients because it shows your respect for their right to make informed decisions about their care. Many jurisdictions require all parties consent prior to audio recording.
Although the audio recordings and transcriptions are saved on your device, thereby reducing concerns patients might have about who may have access to their personal health information, you should take a moment to explain what the recording is for and answer any questions the patient has. This open-dialogue goes a long way in building patient trust.
The audio recorder is intended to be unobtrusive. It opens in the lower-left corner of the screen and floats above the exam.
The audio recorder always opens in the lower-left corner of the screen. To move the recorder out of the way, tap and hold any part of the recorder window and swipe your finger in the direction you want to move the recorder.
The timer displays the total length of the audio recording in minutes and seconds. Any time the recording is paused is not included in this time.
The (Record)/ (Stop), (Pause), and (Close) buttons appear at the bottom of the audio recorder.
You may continue to navigate around the Detailed Visit Overview and edit the patient's medical record while the recorder is open.
- In the iPad app, navigate to the Detailed Visit Overview. To learn how, go to Toggle to the Detailed Visit Overview.
- Tap Record Visit, which appears at the top of the Detailed Visit Overview.
The Consent Agreement alert opens.
- Tap Confirm to consent to the recording. To learn more about patient consent, go to Get patient consent.
- Tap the (Record) button to initiate the recording.
- Speak aloud while examining the patient. To learn more, go to Verbalizing Visit Documentation.
Whether the patient requests that you pause the recording, or you need to pause the recording, you can pause the recording with a single tap.
- Tap the (Pause) button to pause the recording.
- Tap the (Record) button to resume the recording when you're ready.
Any verbalizations made while the recording is paused will not be captured or added to the exam.
- Tap the (Stop) button to end the recording.
A pop-up asks you to confirm that you want to end the recording or if you want to resume recording.
- Tap Save to end the recording and save the transcript.
If you tapped the Stop button by accident, tap Resume to continue recording the exam.
EncompassScribe will append additional recordings within the same visit to the end of the transcript. So, if you accidentally stop the recording, tap Record Visit again and then tap the (Record) button.
The system will end the recording after 30 minutes. If you forget to stop the recording, the system will stop the recording and save the transcript for you.
If you navigate away from the patient's visit, the system will stop the recording and save the transcript. This is intended to prevent accidentally recording another patient's data into the exam.
After you tap Save to complete the recording, EncompassScribe processes the recording. This is where the transcript is converted into visit documentation suggestions. This process will take a few minutes, depending on the length of the exam and the speed of your device.
- When you're ready to review the suggested visit documentation, go to Reviewing and Approving EncompassScribe Visit Documentation (iPad).
If you or the patient decide that you no longer want to record the visit, you can quickly cancel the recording and delete it:
- Tap the (Close) button to cancel the recording and close the recorder.
- Tap Yes to confirm deleting the recording.
Encompass permanently deletes the recording and closes the recorder.
As you speak with the patient, EncompassScribe transcribes the discussion. Here's how to view the transcript as it's generated:
- Tap Show Transcription to cancel the recording and close the recorder.
The recorder expands to reveal the transcript. The transcript continues to render as your discussion with the patient continues.
- Tap Hide Transcription to reduce the size of the recorder again.
