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How AI is Revolutionizing Medical Documentation and Charting

September 26, 2024

Cartoon doctor using big desktop computer with medical icons around him, on a blue background.

The Silent Transformation of Healthcare Record-Keeping

As recently as two or three years ago, patients going to see their doctor, dentists, or medical specialist might have been pleasantly surprised to notice the use of even a single tool powered by artificial intelligence (AI).

A March 2022 report from the Brookings Institution noted that the adoption of AI in healthcare seemed to be lagging well behind its application in other fields, with just 0.05% of healthcare job postings required AI-related skills.

Today, just over two years later, those rates may not have changed very much, but the medical landscape feels very different, with AI-powered solutions rapidly becoming an integral part of many medical practices.

That same patient visiting that same practice today might, in fact, be surprised if their provider wasn’t using at least some tools. Patients once accustomed to competing with a computer screen for their doctor’s attention now understand that dictation and record-keeping technologies have advanced so quickly that there is little reason for the doctor to be doing anything other than paying close attention to their conversation.

AI’s Promise: Enhancing Efficiency and Patient Care

Relieving the Burden on Healthcare Providers

Indeed, the favorable impact of AI on the economics of healthcare practices was already clear two years ago. A report in the journal Healthcare, published at the National Library of Medicine, drew a clear line connecting savings of time to savings of money.

That report noted that “… massive data collection is made available for AI-enabled algorithms that can examine pattern-based outcomes, leading to improved time analysis for decision making. Healthcare professionals are beginning to move toward AI-based solutions for predicting outcomes which can help in optimal medications based on patient profiles, thereby lowering long-term costs…”

AI solutions are present at many practices, often in the background and often even when staff do not realize they are there. But AI is also increasingly present in the patient encounter, where AI-powered medical scribes offer the most obvious and immediate evidence of how emerging technologies — including natural language algorithms and ambient listening technology — are making life easier and better for everyone involved.

Better Care Through Better Documentation

Rather than rely upon human scribes or scribe services, both of which are subject to significant error rates and high costs, many medical practices are adopting AI medical scribes to give providers a head start on their daily documentation.

Such solutions promote more in-depth, meaningful visits since providers are no longer focused on the computer keyboard but are free to have a face-to-face conversation with each patient while the software accurately records all clinical details of the encounter. And the best solutions do even more, creating draft Progress Notes that help providers with decision-making and personalized care plans.

The Technology Behind AI Medical Charting

Doctor sitting at desk with ipad and laptop computer. White medical icons are overlaid on the photographPowering Intelligent Documentation

Anyone who does even some casual research into how AI-powered software solutions work will soon run into two terms — natural language processing (NLP) and machine learning (ML). These, along with advanced algorithms, form the core of any AI solution. And while volumes can — and have — been written about the technical details of NLP, ML, and an entire pantry-full of alphabet soup acronyms, most users need only know that such technologies work.

“Brushing aside the hype,” writes Panos Louridas in the MIT Essential Knowledge Series volume Algorithms, “most scientists working on deep learning do not ascribe to the view that deep learning systems work like the human mind. The goal is to exhibit some useful behavior, which we often associate with intelligence.”

Seamless Integration: AI and Electronic Health Records

The key phrase in that passage? “Some useful behavior.” While AI solutions are not quite human — and may never be — they long ago met that standard for usefulness.

Today, medical practices are saving hundreds of hours a year in documentation time with AI. They are putting that time to use to provide better care, clear out paperwork backlogs, engage in staff training, serve more patients, and even reduce the risks of burnout by allowing medical providers and staff to complete each day’s work on time, get home, and pay as much attention to their own physical and mental well-being as they do to that of their patients.

Implementing AI in Healthcare: From Consultation Room to Specialized Care

Beyond General Practice

Perhaps the most exciting aspect of AI in healthcare is its broad applicability. Simply put, there is no medical discipline that cannot take advantage of AI tools to at least some degree. All medical providers, from family practice to pathologists, orthopedists, dentists, surgeons, and more, can make use of these technologies.

And in some fields, such as radiology, AI appears poised to amplify the scope and accuracy of the field, as noted in this 2018 paper, “Artificial Intelligence in Radiology,” published in Nature Reviews Cancer.

“Deep learning algorithms scale with data,” the report notes. “That is, as more data are generated every day and with ongoing research efforts, we expect to see relative improvements in performance.”

Bringing AI into Your Practice

Many providers might be thinking that AI sounds great but researching and implementing such tools might be more than they can handle considering their busy schedules.

That’s where a solution such as Sunoh.ai can help. Sunoh’s AI-powered medical scribe has already done the research and development work and has already been proven in the marketplace — it is trusted by more than 50,000 providers across the nation.

Sunoh offers a free demo, and consultants are available to discuss how AI can help your practice, regardless of your size, location, or specialty. You learn, through a few easy steps, how to start using Sunoh, how to adopt best practices, and how to comply with HIPAA requirements.

Most importantly — remember that line about “some useful behavior”? — your providers can see firsthand the difference that Sunoh can make before committing to anything. And Sunoh starts at just $1.25 per visit — far less than the cost of a human scribe or outside service.

The Future of AI in Healthcare Documentation

Icons of a computer, a doctor, and a microphone connected to the Sunoh.ai AI medical scribe logoEnhancing Accuracy and Efficiency

Once again, of course, skeptics will ask: What about accuracy? AI may offer a less expensive and more convenient way to conduct daily documentation, but can it be trusted?

Once again, the analysts suggest that it can. As this 2023 report notes: “AI can analyze large amounts of patient data, including medical 2D/3D imaging, bio-signals (e.g., ECG, EEG, EMG, and EHR), vital signs (e.g., body temperature, pulse rate, respiration rate, and blood pressure), demographic information, medical history, and laboratory test results. This could support decision making and provide accurate prediction results.”

It is also important to understand that a solution such as Sunoh.ai, while EHR-agnostic, works in conjunction with leading EHRs, all of which are striving every day to improve patient safety. Physicians never rely upon a single system to protect the health and welfare of their patients but strive for redundancy and backup to identify inconsistencies and potential errors, however small.

Global Perspectives and Emerging Trends

In weighing whether to adopt AI tools, today’s medical practices must bear in mind that their decision cannot be made in a vacuum — or limited to one region or nation. Some of the most important long-term healthcare trends around the world, including an aging population, the rise of chronic illnesses, and shortages of physicians and nurses, simply cannot be solved without technology, including the use of AI.

This McKinsey and Company report notes that: “By 2050, one in four people in Europe and North America will be over the age of 65—this means the health systems will have to deal with more patients with complex needs.”

While AI alone certainly can’t solve the problems of aging and shortages of resources, it is almost certain that turning one’s back on AI will severely constrain any practice’s ability to deal with global trends that will only grow more challenging in the next few decades.

Taking Action: Embracing AI for Medical Documentation

The time for action is now. Whatever your practice’s size, location, specialty, and level of comfort with technology, embracing AI-powered solutions is no longer a luxury, but an imperative.

A simple checklist can help:

  1. Convene your key practice personnel and take stock of your existing technology solutions. What works best? Where are the pain points?
  2. Ask your most technically knowledgeable employees to recommend where AI-powered solutions can make the most difference. And keep them in the loop when it’s time to try out leading solutions in the marketplace.
  3. Have technical staff and providers work together to determine what the most pressing needs are — and prioritize key areas, including daily documentation and billing, that are the lifeblood of any practice.
  4. Take a look at this free e-book from eClinicalWorks on “5 Ways to Ride the AI Wave to the Future of Healthcare” for further guidance on finding AI solutions that work for you.
  5. For additional guidance and a free demo on how to get started with AI-powered medical documentation today, visit Sunoh.ai.

Additional Resources

For a more in-depth discussion of the points discussed in this blog, here are the links to the several studies cited regarding:

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