When you’re ready to adopt an AI scribe, you will need to obtain patient consent. Use OMD’s downloadable AI Scribe Patient Consent Toolkit with a ready-to-use Patient Consent Form, Script to Obtain Patient Consent, and Text to add to your clinic’s Privacy Policy.
What should you look for in an AI scribe? Check out the AI Scribe Evaluation Matrix developed by OMD Peer Leader, Dr. Kevin Samson.
Consider these features and functionality for an AI scribe according to your practice needs:
| Category | Function | Description |
|---|---|---|
| Recording/Transcription | Real-Time Transcription | Providing comprehensive, near-instant transcription (within 30 seconds) of the patient-physician conversation, capturing key details in real-time for immediate use. |
| Pause and Resume Transcription | Allowing the physician to pause and resume transcription without data loss, supporting workflow interruptions and enhancing flexibility. | |
| Background Noise Filtering | Filtering out background noise and irrelevant content, ensuring only essential information is captured in clinical notes. | |
| Speaker Differentiation | Differentiates between multiple speakers (e.g., physicians, patients, caregivers) and manages conversations involving multiple speakers in both transcription and notes. | |
| Notes | Detailed Medical Data Capture | Automatically generating detailed medical notes covering the full clinical information of the patient visit, formatted as structured notes, such as SOAP notes. |
| High-Quality, CPSO-Compliant Notes | Ensures all generated documentation aligns with CPSO standards, producing high-quality, compliant medical records. | |
| Multiple Note Templates | Offering various note templates (e.g., SOAP, referral, consult, summary) to suit different documentation needs and preferences. | |
| Customizable Note Templates | Allows physicians to create or modify note templates to match specific practice requirements or documentation preferences. | |
| Flexible Template Selection | Enables switching between note templates mid-session without losing transcribed data, allowing for seamless adaptation during the visit. | |
| Direct Editing Options | Supports direct editing of generated notes within the platform via dictation or keyboard, giving control over final content. | |
| Language | Accent, Slang, and Acronym Recognition | Accurately transcribes diverse accents, slang, and clinical acronyms common in healthcare, capturing nuanced language used in clinical interactions. |
| English or French Language Support | Supports transcription and note generation in English or French , ensuring functionality in English or French-speaking healthcare settings and facilitating bilingual interactions. | |
| Multilingual Support | Supports physician-patient consultations in additional languages with note generation in languages other than English and French. | |
| Patient | Patient-Facing Visit Summaries | Generates patient-friendly visit summaries and instructions, enhancing patient understanding and engagement in their care. |
| Readability Adjustment for Patients | Tailors content to accommodate different patient reading grade levels. | |
| Integration | Integration with EMRs | Allows for flexible transfer of notes to Electronic Medical Record (EMR) systems, such as through copy-paste functionality. |
| Quality Assurance | Continuous Accuracy Monitoring | Regularly assesses and improves transcription accuracy and reliability, adapting to new language patterns and technological advancements. |
| Personalization | Learning User Preferences | Learns and retains physician preferences, editing styles, frequently used terms, and templates to deliver a personalized experience over time. |
