Priming the Ambient AI Medical Scribe with Skriber

Many companies promoting AI-driven medical scribe products boast that the physician doesn’t have to change their behavior in order to use the product. In contrast, Skriber trains the physician how to use it well, and offers guidance as the physician goes along.

The chief advice is to prime the scribe in advance of a medical session by telling it about the patient: just a few sentences about the patient’s conditions and diagnoses, the purpose of the visit, and their complaints. Dr. Connor Yost, Chief Medical Officer at Skriber, claims that the quality of the note is “astronomically higher” if the physician prepares the scribe that way.

Doctors also have to know how to describe conditions in ways that make payers approve treatements. For example, it’s not enough to describe all the symptoms of sepsis; sepsis must be explicitly mentioned in order to be reimbursed adequately.

The problem with LLMs, Yost points out, is that they have no concept of quality; they merely know how to create a document that resembles documents they’ve seen in the past. Thus, the quality of the input is crucial.

Skriber is smart enough, though, to translate from the everyday language that a doctor uses in the interview into the correct medical terminology for the note. The program also adapts to the specialty in order to ignore elements of the conversations that aren’t medically relevant for that specialty.

Skriber also makes heavy use of templates, providing different templates for each specialty. “We hear the physician’s voice,” Yost says, so as to “mimic and replicate their style of writing.”

Skriber can be used through an app or a browser, integrates with several of the most popular EHRs, and takes 2-3 minutes to create a note after the end of the recording. Transcription error rates are about 6-7%, but should go down as the microphones and devices used in interviews develop better audio.

Watch the video for details about the founding of the company, its philosophy, and the way it improves medical billing.

Learn more about Skriber: https://skriber.com/

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About the author

Andy Oram

Andy is a writer and editor in the computer field. His editorial projects have ranged from a legal guide covering intellectual property to a graphic novel about teenage hackers. A correspondent for Healthcare IT Today, Andy also writes often on policy issues related to the Internet and on trends affecting technical innovation and its effects on society. Print publications where his work has appeared include The Economist, Communications of the ACM, Copyright World, the Journal of Information Technology & Politics, Vanguardia Dossier, and Internet Law and Business. Conferences where he has presented talks include O'Reilly's Open Source Convention, FISL (Brazil), FOSDEM (Brussels), DebConf, and LibrePlanet. Andy participates in the Association for Computing Machinery's policy organization, named USTPC, and is on the editorial board of the Linux Professional Institute.

   

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