AS-U-TYPEAS-U-TYPE

SPELL CHECK AND MACRO SPELL CHECK AND MACRO CAPABILITY CAPABILITY

AS U TYPEAS U TYPE AS U TYPE is a simple intuitive AS U TYPE is a simple intuitive

commercial product that provides 2 basic commercial product that provides 2 basic functionsfunctions Spell Check with a medical vocabularySpell Check with a medical vocabulary Macro CapabilityMacro Capability

It will not fix AHLTA. It’s purpose is to It will not fix AHLTA. It’s purpose is to save the end user some time and save the end user some time and improve the quality/content of medical improve the quality/content of medical documentationdocumentation

It can be leveraged by all members of the It can be leveraged by all members of the health care teamhealth care team

Clinical Champion for AS Clinical Champion for AS U TypeU Type

David.Shapiro2@med.navy.mil 202-762-3559202-762-3559

AS U TYPEAS U TYPE Navy Medicine has purchased approximately 23,000 AS U TYPE Navy Medicine has purchased approximately 23,000 AS U TYPE

licenses. AS U TYPE is a real time spell check and macro tool licenses. AS U TYPE is a real time spell check and macro tool that runs off of your computer desk top. It works with all that runs off of your computer desk top. It works with all programs in which you enter text. It has been tested with AHLTA programs in which you enter text. It has been tested with AHLTA and works quite well. AHLTA version 3.3’s native spell check was and works quite well. AHLTA version 3.3’s native spell check was turned off due to problems. AS U TYPE has more capabilities turned off due to problems. AS U TYPE has more capabilities including a medical vocabulary and superior macro management including a medical vocabulary and superior macro management tools (easy import and export of personalized vocabularies and tools (easy import and export of personalized vocabularies and macros). AS U TYPE will benefit those that incorporate the macros). AS U TYPE will benefit those that incorporate the routine use of text macros* as part of a shared work flow and routine use of text macros* as part of a shared work flow and those that use large numbers of text macros in their those that use large numbers of text macros in their documentation. It would also be beneficial for those people that documentation. It would also be beneficial for those people that are running other text entry medical software such as CliniComp are running other text entry medical software such as CliniComp International’s Essentris on their desktops, because AS U TYPE International’s Essentris on their desktops, because AS U TYPE will work with this and many other products. will work with this and many other products.

*text macros - generating chunks of text with a few keystrokes…like an entire knee injection procedure note with the letters…RKI (short for right knee injection)

Similarities (AS U TYPE VS Similarities (AS U TYPE VS AHLTA)AHLTA)

English Language Real Time Spell English Language Real Time Spell CheckCheck

Macro capabilityMacro capability Configuration of how spell check will Configuration of how spell check will

actact Note: for now, the AHLTA spell Note: for now, the AHLTA spell

check has been turned offcheck has been turned off

ComparisonComparison

AHLTAAHLTA Does not spell check Does not spell check

add note add note No medical vocabularyNo medical vocabulary No built in macro No built in macro

management management capabilitycapability

Only spell checks real Only spell checks real timetime

Does not save your Does not save your changes to the changes to the vocabularyvocabulary

AS U TypeAS U Type Spell checks all places Spell checks all places

including add noteincluding add note Medical vocabularyMedical vocabulary Function to easily Function to easily

import and export import and export personalized personalized vocabulary/macros vocabulary/macros

Spell checks real time Spell checks real time and allows for post and allows for post typing spell checktyping spell check

Saves your changes to Saves your changes to the vocabularythe vocabulary

ComparisonComparison

AHLTAAHLTA Only works with Only works with

AHLTAAHLTA Does not track Does not track

mistakesmistakes Limited Limited

configuration configuration options with spell options with spell checkcheck

AS U TYPEAS U TYPE Will work with all Will work with all

productsproducts EssentrisEssentris

Tracks mistakesTracks mistakes More configurable More configurable

to end users desireto end users desire

Who should get AS U Who should get AS U TPE?TPE?

Providers should get priority but there are Providers should get priority but there are more than enough licenses to distribute to more than enough licenses to distribute to the entire health care team.the entire health care team.

Those that use a number of macros as Those that use a number of macros as part of a shared work flowpart of a shared work flow Shared clinic documentationShared clinic documentation Case Management Case Management

Those that use a large number of macros Those that use a large number of macros Those with frequent typing mistakes in Those with frequent typing mistakes in

their free texttheir free text

Who should not get AS U Who should not get AS U TYPETYPE

AHLTA will eventually have some capability nativelyAHLTA will eventually have some capability natively Those that don’t feel they need it Those that don’t feel they need it

(e.g. very fast typists and those who (e.g. very fast typists and those who never misspell)never misspell)

Those that do not use free text muchThose that do not use free text much Those that do not extensively use Those that do not extensively use

text macro’stext macro’s

Other considerationsOther considerations

AS U TYPE does not interfere with AS U TYPE does not interfere with other spell check software other spell check software

AS U Type should work well with our AS U Type should work well with our inpatient EMR.inpatient EMR.

Those who use Dragon Naturally Those who use Dragon Naturally Speaking can use the same Macro’s Speaking can use the same Macro’s made for AS U Type so perhaps they made for AS U Type so perhaps they don’t need As U Typedon’t need As U Type

If a site wants to purchase more If a site wants to purchase more licenses the cost is not prohibitive.licenses the cost is not prohibitive.

AS U TypeAS U TypeGetting StartedGetting Started

AS U TYPE has a Tutorial and a AS U TYPE has a Tutorial and a robust help key robust help key

TutorialTutorialEasy and quick Easy and quick

TutorialTutorial

Help Key with table of Help Key with table of contentscontents

Getting StartedGetting Started

By clicking on the ICON the program is activated and As U Type is added to your active desk top (note red circles).

NOTE: The medical vocabulary is a free down load from NOTE: The medical vocabulary is a free down load from the AS U Type . Web site (the AS U Type . Web site (www.asutype.com). It is a ). It is a text file (small size, quick download) Make sure it is text file (small size, quick download) Make sure it is

an installed vocabularyan installed vocabulary

BASIC FunctionsBASIC Functions

The next several slides describe The next several slides describe some of the basic functions of the some of the basic functions of the system.system.

The AS U Type menu is accessed by clicking on the icon The AS U Type menu is accessed by clicking on the icon on the lower right of the screen. Access to the tutorial on the lower right of the screen. Access to the tutorial

and help are found by clicking the help key on the and help are found by clicking the help key on the upper right.upper right.

Some people do not want AS U TYPE active at all times. Some people do not want AS U TYPE active at all times. To turn it on and off on the fly right click once on the To turn it on and off on the fly right click once on the icon in the lower right hand corner of your screen. icon in the lower right hand corner of your screen.

AS U TYPE has a medical vocabulary that you can download AS U TYPE has a medical vocabulary that you can download from their web site (text file) and install. This option is from their web site (text file) and install. This option is

available by clicking on the spelling dictionary items. You can available by clicking on the spelling dictionary items. You can modify your user customized vocabulary and easily load and modify your user customized vocabulary and easily load and

unload for use on different computers. unload for use on different computers.

AS U TYPE spell checks as you are typing. When you AS U TYPE spell checks as you are typing. When you make a mistake it opens a list of potential options. If make a mistake it opens a list of potential options. If you want to ignore the suggestion press the escape key you want to ignore the suggestion press the escape key on your key boardon your key board..

You have the option of adding a new correct word to the You have the option of adding a new correct word to the vocabulary by pressing F2. If you want to add a new incorrect vocabulary by pressing F2. If you want to add a new incorrect word to be recognized you can do this by pressing 0. This can word to be recognized you can do this by pressing 0. This can

also be done from the vocabulary optionalso be done from the vocabulary option

Adding the recognition of a new incorrect word using Adding the recognition of a new incorrect word using the vocabulary optionthe vocabulary option

You can also spell check a block of text after the you You can also spell check a block of text after the you are finished typing. There are two methods.are finished typing. There are two methods.

How do I use HiliCheck to check a How do I use HiliCheck to check a text after I type? text after I type? 1.Select the text  1.Select the text  2. Press <CTRL+SHIFT+A+H> hot key  2. Press <CTRL+SHIFT+A+H> hot key  

How do I use ClipCheck to check a How do I use ClipCheck to check a text after I type? text after I type?

If the text is plain: If the text is plain: 1.Select the text  1.Select the text  2.Press <CTRL+SHIFT+A+C> hot key  2.Press <CTRL+SHIFT+A+C> hot key  

Macro ToolMacro Tool

AS U TYPE has a robust text macro AS U TYPE has a robust text macro generation tool. You can chose to use text or generation tool. You can chose to use text or programmed hot keys as triggers. You can programmed hot keys as triggers. You can cut and paste from a word processor to cut and paste from a word processor to create the macro.create the macro.

It is easy to import and export your It is easy to import and export your personalized macro library for use on personalized macro library for use on another computer or sharing with other another computer or sharing with other users users

Only plain text is supported by the macro Only plain text is supported by the macro tooltool

The text macro tool.The text macro tool.

By clicking on the short cut list you are shown the By clicking on the short cut list you are shown the macro management interface. macro management interface.

Here we have created a text macro for nutritional advice for a Here we have created a text macro for nutritional advice for a 6 month old. If we type the trigger term it will enter the 6 month old. If we type the trigger term it will enter the

entire document. Your entire personal macro library can be entire document. Your entire personal macro library can be loaded and unloaded using the designated keys.loaded and unloaded using the designated keys.

By typing the trigger you insert a large block of textBy typing the trigger you insert a large block of text

Individual text macros can be imported and exported Individual text macros can be imported and exported into the system using the import and export keysinto the system using the import and export keys

The tool has further explanation of The tool has further explanation of special functions you can utilize such special functions you can utilize such as utilizing multiple clip boards. You as utilizing multiple clip boards. You can find out more by using the help can find out more by using the help key or going to the As U Type web key or going to the As U Type web site (Fanix Software)site (Fanix Software)

AHLTA Based ConceptsAHLTA Based Concepts

If you use a great deal of free text and If you use a great deal of free text and make frequent typo’s that you have to make frequent typo’s that you have to go back and edit, AS U Type can save go back and edit, AS U Type can save time by catching the errors as they time by catching the errors as they occur. If you take the time to add any occur. If you take the time to add any new corrections, the tool rapidly new corrections, the tool rapidly adapts to your personal writing style. adapts to your personal writing style. You can export your personalized You can export your personalized vocabulary for use on another vocabulary for use on another machine.machine.

AHLTA Based ConceptsAHLTA Based Concepts Use Case Example: A group of triage Use Case Example: A group of triage

nurses for the pediatric clinic often find nurses for the pediatric clinic often find themselves documenting advice about themselves documenting advice about specific problems repetitively. The group specific problems repetitively. The group could get together and write a macro for could get together and write a macro for all of their standardized advice and share all of their standardized advice and share it with the entire team by using the it with the entire team by using the import/export/load/unload functions. They import/export/load/unload functions. They will then save time with documentation will then save time with documentation and standardize the documentation of the and standardize the documentation of the advice they are dispensing. advice they are dispensing.

The triage nurses can easily use a standardized macro to speed up documentation in the telephone consult

The AHLTA 3.3 Tel-Con Module

AHLTA Based ConceptsAHLTA Based Concepts

The case management community wants The case management community wants to create a group of standard case to create a group of standard case management care plans for all of Navy management care plans for all of Navy Medicine. A macro library can be Medicine. A macro library can be generated centrally, e-mailed to all of generated centrally, e-mailed to all of the case managers in the Navy and the case managers in the Navy and added to each case manager’s individual added to each case manager’s individual work computer. This would save time work computer. This would save time and standardize the documentation of and standardize the documentation of care plans throughout Navy Medicinecare plans throughout Navy Medicine

The case managers can use standardized macros for The case managers can use standardized macros for their care plans by adding them in the add note section their care plans by adding them in the add note section

which will end up in the bottom of the note.which will end up in the bottom of the note.

When taking vital signs a macro could be added to the When taking vital signs a macro could be added to the comments section based on responses to a paper comments section based on responses to a paper

questionnaire the patient filled out prior to getting the questionnaire the patient filled out prior to getting the vitals checked. Example: Documentation of Joint vitals checked. Example: Documentation of Joint

Commission Requirements Commission Requirements

Documentation of Documentation of ProceduresProcedures

Writing a note after completing a Writing a note after completing a procedure can be much more procedure can be much more efficient by using a text macroefficient by using a text macro

Standard procedure note for a lumbar Standard procedure note for a lumbar puncture inserted using a macropuncture inserted using a macro

Procedure documented in final Procedure documented in final notenote