Q&A: How ambient documentation is altering the supplier workload

San Francisco-based Augmedix has progressed from a Google Glass-based scientific documentation startup to a publicly-traded, AI-enabled ambient automation platform that paperwork affected person encounters and generates medical notes that may be transferred to an EHR.

The corporate, based in 2012, additionally offers pre- and post-visit documentation choices to present suppliers a extra full digital image of a affected person’s well being journey. 

Ian Shakil, founder, director and chief technique officer at Augmedix, spoke with MobiHealthNews to debate the corporate’s evolution and its anticipated launch of a brand new product in 2023. 

MobiHealthNews: Are you able to inform me about Augmedix and the way it works within the ambient documentation area?

Ian Shakil: I began the corporate about 10 years in the past with the mission to rehumanize the supplier/affected person interplay. Initially, we have been solely working on Google Glass. What we did is we put expertise on the level of care when suppliers and sufferers are having conversations.

What we do is we ambiently hearken to these natural, chaotic, nonlinear conversations within the examination room. And within the background, we produce EHR notes higher and quicker than what the supplier would do on their very own. 

Through the years, the product has advanced fairly a bit. Now, most of our suppliers really use telephones on stands or on lanyards, and yeah, we have come fairly a approach. Nowadays, we serve 20 enterprise well being techniques. Final yr, we publicly listed. We’re on the NASDAQ, and we have grown leaps and bounds.

MHN: When you concentrate on how EHRs have been achieved beforehand, there have been medical transcriptionists who would assist put the documentation collectively and suppliers would typically dictate. Is the power to have EHR achieved in a extra automated trend easing supplier burnout?

Shakil: Really, I believe it is getting worse. Yeah, there is a little bit of a narrative arc to how form of documentation options have advanced. Initially, docs would do their dictation of their Dictaphone, or these uncommon gadgets, and it could go actually to a human transcriptionist. There’d be a multiday turnaround, and they’d return that notice verbatim. 

What’s completely different about our answer and others as effectively, we’re voice options. We function on an ambient foundation. In different phrases, we carry out the EHR documentation with structured information proper into no matter EHR the supplier is utilizing from the already occurring dialog. So, when the go to is over, you are achieved. 

However to form of double click on on one of many stuff you mentioned, we nonetheless do have people within the loop. We name them MDSs, or medical documentation specialists. It is nonetheless crucial that we now have these people that carry out final mile structuring in order that what’s ready within the EMR is simply able to signal.  

MHN: It looks like people could be fairly vital as a result of AI does not perceive all medical terminology at this level. Medical information have to be correct.

Shakil: A hundred percent. If it isn’t [accurate], then the supplier’s spending extra time backspacing and restructuring, and that finally ends up being extra bother than it is price. And to heck with that, I will simply write my very own notice. So you may consider it form of as having Uber after which gravitating in the direction of a driverless-car answer. We’re on the journey there, however we understand it should take numerous mastery of workflows and information, and simply exponential machine studying modeling, to get to that Nirvana place that we’re all going in the direction of. 

However we now have one other answer that we’re alpha testing and we name it Augmedix Go, and that may be a pure AI answer. And a cloth variety of suppliers, we hope subsequent yr will really be capable of undertake it with actually good workflows that match our fashions. So, I do assume, over time, we will see some adoption, however it should take years for widespread use of our pure AI answer. That is my forecast.

Moreover, [Augmedix is] actually advancing our partnership with Google, and we’re listed on their market. They’re really doing a pleasant job of not solely serving to us with engineering expertise and ASR (computerized speech recognition), however really forging a channel partnership with us and serving to us promote into well being techniques. It is very fascinating to see the large tech firms become involved on this area.

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