AI-Powered Charting for Family Practice: The Dr. Aluthwala Ratnayake Case Study
Peel medical centre
Brampton, ON, Canada
Doctor
Dr. Aluthwala Ratnayake
Specialty
Family Medicine
Empathia makes it possible to standardize documentation quality and efficiency, regardless of which EMR system I am using that day.
The challenge
Before Empathia
• Dual-EMR Complexity: Working with Acuro and Oscar in different locations required fragmented workflows, and integrating the systems often meant copying and pasting notes after encounters.
• High Volume Documentation: The sheer volume of 30-40 patients daily necessitates extreme efficiency to prevent after-hours charting (pajama time).
• Cross-Device Continuity: She needed the ability to start encounters on a phone or computer and ensure notes and settings remained consistent across her different clinic setups (desktop, laptop for Oscar, and iOS app).
• Consent Management: Needed a clear, compliant, and efficient process for obtaining and tracking patient consent for the AI scribe.
Dr. Aluthwala Ratnayake manages a demanding family practice, seeing between 30 to 40 patients every day. Her complexity is compounded by working across multiple sites using two different EMR systems: Acuro and Oscar. She needs an AI scribe solution that offers high efficiency, can operate reliably across different devices (clinic computer, laptop, iOS phone), and seamlessly integrates documentation into both EMR workflows."Dr. Aluthwala, who runs a busy family practice seeing 30-40 patients daily, expressed interest in using Empathia's AI scribe system."
The Transformation
Implementation & Workflow Adaptation
The workflow adaptation focused on maximizing efficiency and EMR compatibility:
• Dual EMR Setup: Michael demonstrated the Chrome extension for Oscar and Juno users, allowing recording and interaction directly on the EMR screen on her laptop, while the direct integration would be used for Acuro.
• Batch Note Push: The ability to batch push notes to charts at the end of the day was explained for Acuro integration, maximizing time savings.
• SOAP Note Customization: She learned how to use the Smart Edit feature to convert note formats and teach the AI her preferred styles, along with the ability to customize content length and hide empty sections. • Telemedicine: Michael demonstrated the built-in phone feature that uses the clinic's number and securely records patient conversations, supporting her hybrid practice.
• Mobile Use: Dr. Ratnayake was instructed to download the iOS app to enable cross-device continuity and manage encounters on the go.
After Empathia
Key Improvements
• Dual-EMR Integration: Support for direct integration with Acuro and a dedicated Chrome extension for Oscar documentation.
• High-Volume Automation: Ability to batch send notes to charts at day's end.
• Telemedicine Demo: Built-in phone features to securely record virtual patient conversations using the clinic's phone number.
• SOAP Note Customization: Utilizing Smart Edit to learn her preferred note styles, adjust content length, and hide sensitive/empty sections.
• Cross-Device Continuity: Using the iOS app for file uploads, note generation, and seamless transition between phone and computer.
• Consent Automation: Automatic toggling of patient consent status within the app.
Empathia provided a comprehensive solution that directly addressed the complex needs of a high-volume, dual-EMR Family Practice. By ensuring a clear pathway for Acuro integration and providing the tools to manage Oscar and telemedicine visits efficiently, Dr. Ratnayake can expect to significantly cut down her charting time and reduce administrative friction across her multiple practice locations.
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Key Features Used
Telemed
All-in-one built-in Telemed on mobile and web—call patients directly or start a secure video visit with automatic, seamless documentation.
Templates
Customizable templates for common visit types
Dictation
Voice-to-text with medical terminology recognition
