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What is a Doctor Notes Template?

September 12, 2024

Split screen of animated screen, half yellow half blue, with scribbles on one side and organized notes on the other.

Back in the day, you sometimes needed a note from your doctor to explain why you had missed a day of school or work. But what if the principal or your boss couldn’t read the handwriting or the note got lost?

Today, doctors’ notes are electronic and easy to read. Created from templates, they are free of ambiguities, uncertainties, or bad handwriting. And they aren’t subject to dog attacks, rain, or forgetfulness.

Just as paper notes and records have given way to electronic records, solutions powered by artificial intelligence are creating an enhanced generation of electronic records.

The Importance of Accurate and Efficient Doctor Notes

A recent study quantifies how much better electronic solutions are over their paper ancestors.

In 2022, the Journal of Medical Systems “investigated the effect of increased structured and standardized documentation on the quality of notes” by assessing differences in quality between 144 unstructured and 144 structured medical notes.

Unstructured notes scored a mean of 64.4 on a 100-point scale, but structured notes achieved a mean of 77.2. That 20% improvement suggests a dramatic gain in accuracy and ease of use with structured formats, including for:

  • Patient safety: Errors in medical records can have serious consequences for patients; eliminating poor handwriting and ambiguities in drug names and dosages can mean saving lives.
  • Continuity of care: Accurately capturing clinical details and integrating them into patient records promotes smooth and accurate transitions in care as patients move among providers.
  • Legal compliance: Accurate patient information exerts a positive, cascading impact throughout organizations, leading to stronger population health data and easier reporting and compliance.
  • Reduction in provider burnout: Solutions to improve documentation make it possible for medical professionals to get their work done in less time and improve work/life balance.

How Sunoh.ai Enhances Doctor Notes with AI Technology

Women's health provider talking to the patient with AI medical scribe in the backgroundSunoh is an AI medical scribe that simplifies clinical documentation by using natural language processing  and ambient listening to capture patient/provider conversations. As an EHR-agnostic solution, Sunoh can be used alongside your current EHR, and the generated Progress Note and summary can be easily imported into your EMR.

How Sunoh works:

  • Listens to the provider/patient conversation to document accurately and efficiently.
  • Generates a dialogue flow using AI and voice-recognition technology.
  • Creates a clinical document draft with content in appropriate Progress Note sections.
  • Assists with order entry, labs, imaging, procedures, orders, and follow-up visit details.
  • Provides a summary that providers can review for accuracy and modify as needed.

Benefits of Using AI-Powered Doctor Notes Templates

The benefits of AI-powered medical scribes begin at the patient/provider encounter but radiate throughout the practice:

Enhanced Accuracy

AI reduces documentation errors by accurately capturing clinical details. There’s no need to decipher bad handwriting, or puzzle over which drug was prescribed or the right dosage.

Time-Saving Efficiency

Without having to focus on a computer, providers can conduct a more personal patient visit and usually do so in less time — often allowing them to see more patients each day.

Compliance and Standardization

AI medical scribes produce structured data that is easily integrated into patient records in formats providers can use for diagnosis, treatment, reporting, analysis, and compliance.

Creating Customizable Doctor Notes Templates with Sunoh AI

Sunoh’s flexibility makes it a good choice for primary care and family physicians, health centers, dentists, providers of behavioral and mental health services, and a variety of specialists.

Users can set their preferred note type as the default and easily switch among note types. And Sunoh.ai accommodates multiple speakers, a wide range of accents, and can be used for documentation in English, Portuguese, and 20 dialects of Spanish.

Implementing AI-Powered Doctor Notes Templates in Your Practice

You can get started with Sunoh by booking a demo here. Sunoh provides step-by-step guidance on implementation, training, integration with your EHR (tight integration if you are on eClinicalWorks), and troubleshooting help.

Case Studies: Success Stories of AI-Powered Doctor Notes

Doctor and Patient with Chat boxes representing AI medical dictation software Sunoh.ai for healthcare documentationMore than 50,000 providers nationwide now trust Sunoh.ai to help with their daily documentation. Here are some highlights:

  • Texas’ Brownfield Regional Medical Center used to need a month to complete documentation for a day’s encounters. With Sunoh, providers finish documentation the same day, enjoy higher accuracy, and have streamlined billing and revenue cycle operations.
  • Goodtime Family Care of Baltimore found Sunoh dramatically reduced inaccuracies in documentation, cut documentation time by 50%, and created more detailed and better integrated patient records — all of which allows providers and staff to leave on time each day.
  • Rocky Mountain Women’s Clinic, in Idaho Falls, Idaho, has made Sunoh an integral part of daily operations, refining patient interactions, streamlining documentation, saving more than two hours per day, and helping them add patients and services to grow the practice.

Read about all the Sunoh.ai customer success stories here.

Future of Medical Documentation with AI

AI continues to expand its presence in every area of healthcare. Predictive analytics tools, such as the healow AI-Powered No-Show Prediction Model, are making it easier for practices to keep schedules full and avoid revenue losses. AI is helping shape the future of personalized medicine, including genetic therapies, that will play a transformative role in our lives in the years ahead. And products such as Sunoh.ai are increasingly able to integrate with an entire ecosystem of healthcare IT products, making it easy for practices to adopt and employ them.

Start Using Sunoh AI for Your Doctor Notes Templates Today

Visit our Demo Request page here to set up a time to get a closer look at all Sunoh can do. Or visit our Contact page for more information. Why put it off? Sunoh is already saving practices two or more hours per provider per day. Getting to such time-savings at your practice could be just a phone call away.

Frequently Asked Questions (FAQs)

What is a doctor notes template?

A doctor notes template is a computer-based tool that allows physicians to document care in a standardized format and in a natural manner, without worrying too much about accents, intonation, language, or terminology.

How does Sunoh AI improve the creation of doctor notes?

Sunoh creates accurate draft doctor notes more quickly than human scribes, offers a variety of note types appropriate to the type of medical practice, and places the information from each visit into the appropriate section of the note.

Can Sunoh AI’s templates be customized?

Sunoh is highly customizable, offering standard SOAP, Progress Note, and DAP Note formats, as well as options for other specialties, including vision providers, orthopedists, and rheumatologists.

Is it difficult to integrate AI-powered templates into my existing practice?

Sunoh is EHR-agnostic. It integrates closely with eClinicalWorks but can also be used with other leading EHRs, including Cerner and Epic. Its innovative, user-friendly design makes it easy to use for providers of all kinds.

What are the benefits of using AI for doctor notes?

Sunoh’s speed and accuracy mean providers don’t have to worry about recalling every clinical detail; that means completing documentation more quickly, leading to better work/life balance and reduced risk of burnout.

How secure is patient information when using Sunoh AI?

Sunoh takes privacy and security of patient data very seriously, follows all HIPAA safeguards, and uses industry-standard encryption and security protocols. However, users must also follow their obligations to help ensure compliance with HIPAA and other requirements.

What specialties can benefit from AI-powered doctor notes templates?

Sunoh’s AI-powered medical scribe is useful for practices of all types, including primary care, family care, dental practices, vision practices, and a wide range of specialists, including orthopedic practices, allergy and immunology practices, rheumatologists, and more.

How does AI ensure compliance with medical documentation standards?

Any AI-powered medical scribe’s documentation should be treated as a draft and must be subject to review by a qualified medical professional to ensure that it complies with medical industry standards for accuracy and precision.

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