Jamaica Gleaner

Complement­ary technology in health

- Doug Halsall Doug Halsall is chairman and CEO of Advanced Integrated Systems. Email feedback to columns@gleanerjm.com and doug.halsall@gmail.com.

TECHNOLOGY IMPROVES overall management of healthcare. This is why we have seen an increase in digitisati­on efforts with respect to healthcare management. The University Hospital of the West Indies (UHWI) is already deep into its process of digitisati­on. Several other private hospitals are trying to follow suit and government facilities are moving step by step to digitise aspects of their healthcare management. Full digitisati­on is in the plan for the future.

Patients and other healthcare providers have expressed their satisfacti­on with digitised systems. I was at a recent medical event and began discussing this matter with a nurse who indicated how impressed she was with the system at the UHWI, having visited the facility as a patient. She spoke of the seamless registrati­on and the fact that each department was able to quickly and easily access her informatio­n from the system without delay. This is what technology does – it makes life easier for everyone and improves the way the system operates. Other benefits include time saving and reduced stress.

Employee burnout is something common among medical profession­als, given their sometimes very long hours and requiremen­t

to ensure that they properly document informatio­n for each patient within the small window that they have for consultati­on. The technology, through Electronic Health Records (EHR), provides a medium for the doctor to ensure that the informatio­n is accessible and can be easily shared and retrieved. But even this can be further improved where the note taking is concerned.

One of the immediate ways of improving this aspect of informatio­n gathering for the EHR is by introducin­g complement­ary software for the digitised systems.

Electronic health records no doubt make input and retrieval of patient informatio­n easier and provide for better continuity, ease of access, and increased standards of care. This can be further enhanced with a dictation and transcript­ion solution. There is no doubt to the merits of these systems. They save time, they save effort, they improve workflow and they assist with medical workers’ burnout by reducing the need to do further documentat­ion after work hours – which tend to even pile up for days.

The good thing about these solutions is that most are able to consider accents and are ‘smart’ in terms of being able to continuous­ly learn about the user’s speech pattern, style and commonly used words and phrases. They also store the audio for a specific time if there is need to double-check accuracy of transcript­ion. Undoubtedl­y, speech to text documentat­ion makes the process at least three times faster as the medical profession­al has no need to wait on informatio­n to be written – there are some with speeds of 160 words per minute. The consultati­on can proceed without interrupti­on while the software documents the doctor’s notes as he proceeds.

Outside of the doctor’s consultati­on, there are several other use cases for dictation and transcript­ion solutions. Nurses can use this for their initial assessment of the patient, discharge summaries can be done in this way, reports, medical research and even medical-related letters can be done via transcript­ion software.

Business Communicat­ions Company Inc, a market research company, indicates in its research in 2017 that the global market for speech recognitio­n and transcript­ion software will increase from US$104.4 billion in 2016 to US$184.9 billion in 2021. It has been described as an aggressive market with a high growth rate per year. This technology has softened physician’s resistance to using EHR, as it has simplified the process and taken much of the work and time out of documentat­ion.

It comes as no surprise then that many organisati­ons with digitised health systems are using this as part of their efforts to improve workflow. Most of these systems can easily be integrated as they adhere to global interopera­bility standards, one of the most common being Health Level 7 (HL7). This, therefore, makes dictation and transcript­ion software ideally complement­ary to Health Informatio­n Management Systems and Medical Practice Management Systems.

 ??  ?? Head of microbiolo­gy and chair of the Infection Control Committee, UHWI, Dr Allison Nicholson (left), explains features of the hospital’s new infection control surveillan­ce system to CEO of the Universal Service Fund (USF), Daniel Dawes (second left), on January 23. The system, funded by the USF at a cost of $31.7 million, was officially handed over during a ceremony at the hospital’s location in Papine, St Andrew, on Wednesday. Looking on are USF Director of Projects Kwan Wilson (second right); and Medical Chief of Staff at UHWI, Dr Carl Bruce. CONTRIBUTE­D
Head of microbiolo­gy and chair of the Infection Control Committee, UHWI, Dr Allison Nicholson (left), explains features of the hospital’s new infection control surveillan­ce system to CEO of the Universal Service Fund (USF), Daniel Dawes (second left), on January 23. The system, funded by the USF at a cost of $31.7 million, was officially handed over during a ceremony at the hospital’s location in Papine, St Andrew, on Wednesday. Looking on are USF Director of Projects Kwan Wilson (second right); and Medical Chief of Staff at UHWI, Dr Carl Bruce. CONTRIBUTE­D
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