How to use AI in QuickEMR!

How to use AI in QuickEMR!

AI for Transcription and Rephrasing

Artificial Intelligence has now come to QuickEMR. We have partnered with OpenAI to bring voice transcription and text rephrasing to the note Details screen.  

**This feature is both secure and 100% HIPAA compliant.**
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How to Enable

To enable the feature, make sure your user account has the appropriate permissions to View and Edit Practice Settings. Enabling this feature requires agreeing to the features terms of service and will incur additional fees.  The cost to enable this feature is $30.00 per month for each full-time provider under which it is enabled.  The cost will be prorated for part-time provider based off of the number of notes that the user completes.  
  1. In the main menu visit "Settings" => "Add-Ons"
  2. Select "Enable Transcribe"
  3. Review and agree to the terms of service.
  4. Save

Once the global setting is enabled the feature may be turned on for each provider individually.
  1. Using the top menu, navigate to "Lists" => "Users"
  2. Select a user.
  3. Select the settings tab on the left.
  4. Under the "Add-Ons" tab, select "Enable QuickAI".
To enable this feature for all active providers on your system, you will select the "Enable for all Providers" button on the Add-Ons page.

Transcribe

With the transcribe enabled on both the global and the user settings, you may now take advantage of the transcription on the note Details tab.  Two new icons will now be visible above each field's text box. The microphone icon will activate the transcribe dialog, while the refresh arrow will rephrase the text.


  1. Select the microphone above the desired text box.
  2. In the opening dialog select the record button to begin recording.
  3. The first time you use the feature you must grant permission to access your device's microphone. Your system's default microphone will be used. Check with you IT department on how to set your system's default microphone.


  1. When the recording is completed, select the stop button. (the same button that is used to start the recording). The max recording length is 10 minutes and the recording will automatically stop when this threshold is reached.
  2. Transcription of your recording will start immediately but could take up to 30 sec. Please be patient.
  3. The text area in the transcribe dialog will contain the transcribed text. Review the text and manually edit any mistakes or misspoken words, if any. If the text appears accurate, select "Accept" to populate the detail field. 
  4. Now that there is text in the field, select the "Rephrase" icon to clean up the transcription. This will remove filler words automatically (such as "um", "hmmm", and "lets see"). It will also clarify and expand incomplete sentences and run-ons.
  5. Move onto the next field.



Other features.
  1. To pause a recording without triggering the transcribe, press the pause button. This is handy if you need to ask the patient a question that is not related to the documentation. It is not necessary to pause for a cough or pause as these will be handled by the rephrase. Continue the recording by pressing the pause button again.
  2. To playback the recording select the play button on the audio control just to the right of the transcription. Playback only works after stopping a recording.

A few tips

Using AI may seem intimidating and you may naturally feel compelled to help the computer along, so here are some tips to get the most out of the features available.
  1. Talk naturally using "stream of consciousness". Don't worry about sounding professional and don't retry misspoken words. The AI is very good at filling in gaps from context.
  2. The longer the recording the more accurate the text will be. Fill the entire text area in one recording. Don't worry about fillers.
  3. Once the transcription is complete use the rephrase to clean up the text. This removes filler words and fixes poorly written/spoken sentences but should not change the meaning of the text.
  4. Review the transcription and rephrase for accuracy. While the AI is very powerful it is still a young product and it is ultimately the responsibility of the provider to insure the documentation is accurate.

Troubleshooting Steps

Unable to access microphone or No microphone found.

If you did not grant QuickEMR permission to access your microphone you will encounter this error. This may also occur if your IT department has blocked microphone access as a global setting on your network. To grant access within Google Chrome, follow these steps.
  1. Visit the browser setting by selecting the kabob menu on the top right of the window and select "Settings" near the bottom.
     
  2. In the search bar at the top, center of the settings page search for "microphone".
  3. Select the option "Site settings".
  4. Scroll down and select "Microphone" it should be highlighted in yellow.
  5. Make sure their is a select list at the top of this screen listing your microphones. If the select list is absent you do not have a microphone attached or it is not available to Google Chrome. Please contact your own IT department for assistance in obtaining or connecting a microphone.
  6. Make sure the radio next to "Sites can ask to use your microphone." is selected.
  7. Make sure "https://server2.quickemr.com:443" is under the the "Allowed" list.
    If it is under the "Not Allowed" list select the trash can next to it.
    If it is absent you should be asked for permission next time you attempt to use your microphone.

  8. Upon changing any of these settings return to the QuickEMR Note Details page. Refresh the page so the new Google Chrome settings take effect.
  9. Open the transcribe menu and select "Record" again. Make sure to select "Allow while visiting the site".

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