ASUTYPE

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AS-U-TYPE

• SPELL CHECK AND MACRO CAPABILITY

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AS U TYPE

• AS U TYPE is a simple intuitive commercial
  product that provides 2 basic functions
• Spell Check with a medical vocabulary
• Macro Capability
• It will not fix AHLTA. Its purpose is to save
  the end user some time and improve the
  quality/content of medical documentation
• It can be leveraged by all members of the health
  care team

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Clinical Champion for AS U Type

• David.Shapiro2_at_med.navy.mil
• 202-762-3559

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

text macros - generating chunks of text with a
few keystrokeslike an entire knee injection
procedure note with the lettersRKI (short for
right knee injection)
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Similarities (AS U TYPE VS AHLTA)

• English Language Real Time Spell Check
• Macro capability
• Configuration of how spell check will act
• Note for now, the AHLTA spell check has been
  turned off

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Comparison

• AHLTA
• Does not spell check add note
• No medical vocabulary
• No built in macro management capability
• Only spell checks real time
• Does not save your changes to the vocabulary

• AS U Type
• Spell checks all places including add note
• Medical vocabulary
• Function to easily import and export personalized
  vocabulary/macros
• Spell checks real time and allows for post typing
  spell check
• Saves your changes to the vocabulary

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Comparison

• AHLTA
• Only works with AHLTA
• Does not track mistakes
• Limited configuration options with spell check

• AS U TYPE
• Will work with all products
• Essentris
• Tracks mistakes
• More configurable to end users desire

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Who should get AS U TPE?

• Providers should get priority but there are more
  than enough licenses to distribute to the entire
  health care team.
• Those that use a number of macros as part of a
  shared work flow
• Shared clinic documentation
• Case Management
• Those that use a large number of macros
• Those with frequent typing mistakes in their free
  text

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Who should not get AS U TYPEAHLTA will
eventually have some capability natively

• Those that dont feel they need it (e.g. very
  fast typists and those who never misspell)
• Those that do not use free text much
• Those that do not extensively use text macros

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Other considerations

• AS U TYPE does not interfere with other spell
  check software
• AS U Type should work well with our inpatient
  EMR.
• Those who use Dragon Naturally Speaking can use
  the same Macros made for AS U Type so perhaps
  they dont need As U Type
• If a site wants to purchase more licenses the
  cost is not prohibitive.

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AS U TypeGetting Started

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

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TutorialEasy and quick
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Tutorial
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Help Key with table of contents
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Getting Started
By clicking on the ICON the program is activated
and As U Type is added to your active desk top
(note red circles).
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NOTE The medical vocabulary is a free down load
from the AS U Type . Web site (www.asutype.com).
It is a text file (small size, quick download)
Make sure it is an installed vocabulary
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BASIC Functions

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

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The AS U Type menu is accessed by clicking on the
icon on the lower right of the screen. Access to
the tutorial and help are found by clicking the
help key on the upper right.
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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 icon in the lower right hand
corner of your screen.
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AS U TYPE has a medical vocabulary that you can
download from their web site (text file) and
install. This option is available by clicking on
the spelling dictionary items. You can modify
your user customized vocabulary and easily load
and unload for use on different computers.
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AS U TYPE spell checks as you are typing. When
you make a mistake it opens a list of potential
options. If you want to ignore the suggestion
press the escape key on your key board.
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You have the option of adding a new correct word
to the 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 also be done
from the vocabulary option
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Adding the recognition of a new incorrect word
using the vocabulary option
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You can also spell check a block of text after
the you are finished typing. There are two
methods.

• How do I use HiliCheck to check a text after I
  type? 1.Select the text  2. Press
  ltCTRLSHIFTAHgt hot key  
• How do I use ClipCheck to check a text after I
  type? If the text is plain 1.Select the text
   2.Press ltCTRLSHIFTACgt hot key  

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Macro Tool

• AS U TYPE has a robust text macro generation
  tool. You can chose to use text or programmed
  hot keys as triggers. You can cut and paste from
  a word processor to create the macro.
• It is easy to import and export your personalized
  macro library for use on another computer or
  sharing with other users
• Only plain text is supported by the macro tool

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The text macro tool.
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By clicking on the short cut list you are shown
the macro management interface.
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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 entire document. Your
entire personal macro library can be loaded and
unloaded using the designated keys.
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By typing the trigger you insert a large block of
text
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(No Transcript)
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Individual text macros can be imported and
exported into the system using the import and
export keys
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• The tool has further explanation of special
  functions you can utilize such as utilizing
  multiple clip boards. You can find out more by
  using the help key or going to the As U Type web
  site (Fanix Software)

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AHLTA Based Concepts

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

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AHLTA Based Concepts

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

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The AHLTA 3.3 Tel-Con Module
The triage nurses can easily use a standardized
macro to speed up documentation in the telephone
consult
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AHLTA Based Concepts

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

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The case managers can use standardized macros for
their care plans by adding them in the add note
section which will end up in the bottom of the
note.
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When taking vital signs a macro could be added to
the comments section based on responses to a
paper questionnaire the patient filled out prior
to getting the vitals checked. Example
Documentation of Joint Commission Requirements
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Documentation of Procedures

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

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Standard procedure note for a lumbar puncture
inserted using a macro
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Procedure documented in final note