Tablet XP handwriting recognition with CPRS?
Tom Arnold
Related question: has anyone used the Motion C5 tablet computer with its built-in barcode reader to do BCMA?
Thanks
--
Tom Arnold
CIO - Aspire Behavioral Health, Inc.
10475 Park Meadows Drive, Suite 600
Lone Tree, Co 80124
Tel: (720) 514-9166 - Fax: (800) 525-4072 - Mobile: (303) 374-4230
www.aspirebehavioralhealth.com
Ben Mehling
<tar...@aspirebehavioral.com> wrote:
> We have some docs who don't type well and I wonder if Windows XP
> Tablet Edition could reasonably be used with CPRS to allow them to handwrite
> into to free-text feels in CPRS.
My personal opinion is that the handwriting recognition (either in
free-form or character-by-character mode) is too frustrating and slow
for a doctor to use for clinical documentation. If you plan to roll
out tablets (C5 or otherwise), your templates should be as "checkbox"
and "menu" oriented as possible, you should recommend full clinical
documentation be done at a docking station, and you may want to
experiment with how to deal with the e-signatures when using a tablet.
> Related question: has anyone used the Motion C5 tablet computer with its
> built-in barcode reader to do BCMA?
Yes. My memory is that C5 barcoder requires you adjust some settings
to get it to read VistA-based barcodes. There is a text based config
file.
- Ben
Nancy Anthracite
it carefully, but they can dictate their notes.
--
Nancy Anthracite
Joseph Dal Molin
couple of years ago that a Toshiba tablet running XP worked with
CPRS.... as does Dragon Dictate.
J
> www.aspirebehavioralhealth.com <http://www.aspirebehavioralhealth.com>
> >
David Kerrins
Tom Arnold wrote:
I've been searching for information on using tablet PCs with CPRS. Has
anyone on the list done that or do you know of a source of information
about doing it? We have some docs who don't type well and I wonder if
Windows XP Tablet Edition could reasonably be used with CPRS to allow
them to handwrite into to free-text feels in CPRS
There is a company, called TeraCare, that modified the "input" calls
in VistA to accept input from Tablet PC (actually, it think they used
the Mobile platform)... when I saw a demonstration of the product...
it was quite elegant and "usable".
Separately, I used a Fujitsu Tablet to see how MDs entered a standard
phrase... "the quick brown fox..." I found that about 25% of the MDs
could not produce writing that would convert to an acceptable "script
to text" conversion. I did my test about 2.5 years ago with about 50+
MDs. I expect that improvments in hardware and software might reduce
the number of "poor" conversions.
TeraCare can be contacted at:
E-mail: in...@teracare.com
Fax: 708-575-1859
http://208.69.176.189/index.htm
From their web-site:
TeraCare Clinical Management System (CMS)
Built on a Solid Foundation: CareShare is custom-configured for each
private physician office setting and it includes all needed features
from the highly acclaimed VistA EHR. Over the past 20 years VistA has
run about 1,300 sites (160 medical centers and 850 related clinics)
and currently serves over 5 million patients, 14,000 physicians,
36,000 registered nurses, and 4,700 pharmacists, and is proven to work
for all specialities.
High Availability Solution: TeraCare has engineered the CareShare
deployment architecture for commercial settings with no single point
of failure. This architecture makes the system a highly-available and
responsive deployment. This innovation enables a clinic to care for
its patients even with power and internet outages. It allows a
physician to access the system from any location.
Easy to Use, Easy to Adopt: CareShare uses natural interfaces, like
pen and Voice, to capture documentation as a by-product of providing
care. Access to CareShare is facilitated by a custom device called
TeraCare's Physician Office Terminal (tPot). This is a unique tool
that physicians and nurses can use at the point-of-care. CareShare's
innovative combination of hardware and software, with supporting
online services, brings a solution that clinics can adopt within their
existing workflow and accustomed habits. Not relying on the
still-to-mature technology as many in the market have done, this
solution works each and every time. Doctors that have had a chance to
see CareShare at work are confident that this is an EMR they can
finally adopt.
Affordable: CareShare is a high-value, low-cost system because it
offers both public-domain and proprietary components in one system.
VistA, CareShare's core foundation, is continually enhanced by VHA and
comes free of cost. TeraCare creates additional value with focused
innovation. The hosted delivery model removes capital outlay and
creates a pay-as-you-go system. Additional savings opportunities for
clinics come from numerous value-added services delivered
cost-effectively. All these factors uniquely make CareShare an
affordable system that is also an incredible value to the clinic.
Open System: CareShare, with its foundation in VistA - a demonstrated
leader in exchanging health care information - is a very open system.
Many standards are in place, while others are being developed, to
maintain inter-operability and privacy while sharing health
information. CareShare ensures that clinics can meet today's
integration needs by using open standards like Health Level Seven
(HL7) and will continue to do so, there by protecting and leveraging
your investment.
Electronic Medical Record Features
Standard Progress Note Templates – The system is rich with pre-defined
progress note templates for a number of specialities.
Create, Edit, and Customize Templates – To speed document creation,
personalized templates can be created to fit the specific needs of
individual practices. Personalized templates may be created from
scratch or edited from existing templates. Templates are used to
create progress notes, complete consults, and write discharge
summaries. A pen can be used to write quick notes within templates.
Clinical Reminders – The Clinical Reminders package is a valuable aid
in patient treatment. Reminders assist clinical decision-making and
educate providers about appropriate care. The primary goal of clinical
reminders is to provide relevant information to providers, at the
point of care, for improving patient care.
Graphing – The system has a graphing feature, which allows users to
view lab test results and vital signs in a graph. Each occurrence of a
test or vital sign is a point on the graph. The Computerized Patient
Record System (CPRS) component draws lines between the points to form
a visual representation that can help you see trends. Dotted red lines
show the high and low reference values for lab tests.
Immunization History – The system captures history of received immunizations.
Imaging - Fast access and manipulation of non-diagnostic quality
images and images of patient records.
Reporting – The system has a report construction feature which allows
each site to individually run reports related to patient data. A
sample list of reports available from the system is provided below:
Clinical Reports, health Summary, dietetics profile, nutritional
assessment, vitals cumulative, procedures, daily order summary, order
Summary for a date range, outpatient RX profile.
Codified Data – The system supports the requirements for codified
data, including diagnosis data using ICD-9 codes, and procedure date
using CPT codes.
Risk, Social and Medical Factors – For each new patient, the the
system has the capability to capture and store risk, social and
medical factors; including, but not limited to the following: tobacco
use and history including number of years and packs per day (PPD),
alcohol use, history, drug use, history occupational environment,
marital status, occupation, religious preference, ethnicity,
healthcare surrogate with alert, guardian/legal representative with
alert.
Hospitalization – The system is able to document discharge summary
hospitalization data, as well as procedure and diagnosis-related
information.
Laboratory Functionalities – The system includes capabilities for
ordering laboratory tests and reviewing results.
Pharmacy Functionalities – The system includes:
The ability to place medication orders
The ability to fill medication orders from local stocks of sample medications
Full auditing of all medication orders within the profile
Practice Management Features
Scheduling - This is a flexible scheduling system that maximizes
office productivity by making physician and equipment scheduling quick
and easy. It ensures that the complex rules associated with scheduling
medical care are upheld. For the front office, it provides the
intuitive and easy to use tools they need to drive practice
production, while creating an environment that ensure the highest
level of patient satisfaction.
Billing - Includes a comprehensive set of billing and accounts
receivable management features, combined with administrative task and
workflow management tools. It ensures timely and accurate
reimbursement.
Copyright (c) TeraCare, Inc 2008. All rights reserved.
Madan Bellam
I am the CEO of TeraCare and I saw this email just now and was excited
that someone out there cares about Pen enablement of CPRS. Thanks,
David, for sending this to the Hardhats group. This has been my life
passion for over two years now. We actually built special Windows
widgets for pen data entry and replaced text boxes, pull down boxes,
etc in Vista with our widgets. This enables the CPRS user to use a pen
in the application directly without using the Windows pen input
control panel. As the Pen Input Control Panel in windows is virtually
impossible to use effectively, this innovation from us makes a huge
difference while using CPRS on a Tablet PC. We also worked extensively
in the Template area so that we can allow ink input and pen enabled
widgets/controls in the templates. Users can now create templates with
pen enabled embeded controls and ink enabled boxes. The attached
document gives you an idea of some of the pen enabled features (not
able to attach files in this discussion group - email me at
ma...@teracare.com and I can email you the document). We have been
able to have doctors over 70 years old use this effectively on a
tablet PC. Medical Assistants who have little to no experience with
computers are able to use this with less than three hours of training.
Rgds,
Madan
Madan Bellam
CEO
__________________________
______________________________
Ph: (408) 406-3728
Email: ma...@teracare.com
Fax: (708) 575-1859
Web: www.teracare.com
On Jun 20, 9:40 am, "David Kerrins" <dkerr...@gmail.com> wrote:
> Hardhats,
>
> Tom Arnold wrote:
>
> I've been searching for information on using tablet PCs with CPRS. Has
> anyone on the list done that or do you know of a source of information
> about doing it? We have some docs who don't type well and I wonder if
> Windows XP Tablet Edition could reasonably be used with CPRS to allow
> them to handwrite into to free-text feels in CPRS
>
> There is a company, called TeraCare, that modified the "input" calls
> in VistA to accept input from Tablet PC (actually, it think they used
> the Mobile platform)... when I saw a demonstration of the product...
> it was quite elegant and "usable".
>
> Separately, I used a Fujitsu Tablet to see how MDs entered a standard
> phrase... "the quick brown fox..." I found that about 25% of the MDs
> could not produce writing that would convert to an acceptable "script
> to text" conversion. I did my test about 2.5 years ago with about 50+
> MDs. I expect that improvments in hardware and software might reduce
> the number of "poor" conversions.
>
> TeraCare can be contacted at:
>
>
>
>
>
>
> > I quite by accident found out preparing for a talk at a conference a
> > couple of years ago that a Toshiba tablet running XP worked with
> > CPRS.... as does Dragon Dictate.
>
> > J
>
> > Tom Arnold wrote:
> > > I've been searching for information on using tablet PCs with CPRS. Has
> > > anyone on the list done that or do you know of a source of information
> > > about doing it? We have some docs who don't type well and I wonder if
> > > Windows XP Tablet Edition could reasonably be used with CPRS to allow
> > > them to handwrite into to free-text feels in CPRS.
>
> > > Related question: has anyone used the Motion C5 tablet computer with its
> > > built-in barcode reader to do BCMA?
> > > Thanks
>
> > > --
> > > Tom Arnold
> > > CIO - Aspire Behavioral Health, Inc.
> > > 10475 Park Meadows Drive, Suite 600
> > > Lone Tree, Co 80124
> > > Tel: (720) 514-9166 - Fax: (800) 525-4072 - Mobile: (303) 374-4230
>
> - Show quoted text -
Tom Arnold
As for Dragon, yes, we've thought about it. We a startup and are hiring doctors as well as all other staff with the understanding that they can and will use the EHR so I'm trying first to avoid the $1000-$1300 per provider fee that Dragon wants. The appeal of the tablet is that I need some sort of mobile computer anyway at least for BCMA. If I could use a tablet with an integrated scanner that's less hardware to roll into the patient room and seems like it might be more ergonomic for the nurses -- the text part for entry of free text via stylus should work but is more of a side benefit, I think. If it didn't work at all that would probably be a show stopper, but if it was something where people could do the med pass with the tablet and then found that they prefer to do more extensive text entry with a keyboard, I would consider that ok.
The handheld bluetooth scanners seem to run $400 and up so the idea of built-in barcode scanner also justifies some of the higher cost of the tablets. But mainly it's got to work for the providers or saving money is pointless, of course.
--
Tom Arnold
CIO - Aspire Behavioral Health, Inc.
Matt King
it; we don't. (Because he uses too much free text and misses coding
bullets, etc.) I'm interested in the free text widgets, also.
On Jun 20, 11:17 am, "Tom Arnold" <tarn...@aspirebehavioral.com>
wrote:
Nancy Anthracite
As an aside, I use Dragon Naturally Speaking Preferred and built my own
vocabulary files instead of buying them from having it review my existing
documents, plus I have a medical spell checker files already that helps.
Dragon Naturally Speaking Preferred is $100 a copy on sale that way, and it
is frequently on sale.
I would also think you may be able to find some less expensive bar code
scanners. Did you try ebay?
--
Nancy Anthracite
Rob Townley
The TabletPC dictionary is a per local user text file, so updating this dictionary across all machines would be a headache. They would add a few words / codes to the dictionary on one machine. Later, add a different set of words on another machine. Not easy to share among machines or users.
Can Dragon store its dictionary on the LAN now?