Getting started with Virtual Scribe

Moraph resells, implements and runs Nuance Dragon clinical documentation for hospitals, health systems and medical groups. We set up Dragon Medical One speech recognition, and ambient documentation where you license it, so clinicians can dictate or have their notes drafted inside the EHR, then operate the service day to day: user setup, shared templates and vocabulary, support, monitoring and change. Clinicians review and sign every note, and your organization keeps the decisions on privacy, consent and documentation policy.

What it is for

Clinicians spend a large share of their day typing notes into the EHR, often after clinic hours. Many organizations already own speech recognition licences but use them unevenly: profiles are set up once and never tuned, shared templates drift from documentation policy, new clinicians wait for accounts, and nobody owns the problems that make dictation feel unreliable. When ambient documentation is introduced, questions about patient consent, recording and who checks the draft note are left to each clinic to answer.

• Licences are bought but adoption and usage are not tracked or supported
• Shared templates and auto-texts drift from documentation and coding policy
• Microphone, EHR and recognition problems have no clear owner
• Consent and review rules for ambient documentation are unclear or inconsistent

Who uses it

• Chief medical information officers and physician documentation leads
• Physicians, advanced practice providers and other clinicians who document in the EHR
• Health information management and clinical documentation integrity teams
• EHR and clinical applications teams who support clinicians at the workstation
• Privacy and compliance officers responsible for patient information and consent

Before you start

• Your organization uses Virtual Scribe as a managed platform from Moraph, under an agreement that covers it.
• Licences for Nuance Dragon, bought through Moraph or under your own agreement with the vendor.
• A Moraph account in your organization for each person who works with Moraph on the service.
• Named technical and security contacts, recorded in the Moraph Portal.

Steps to get started

1. Agree the scope of the managed service for Virtual Scribe with Moraph, including which environments and teams it covers.

2. Name your administrators, technical contact and security contact in the Moraph Portal under People and access.

3. Review the configuration baseline Moraph proposes for your regulations, and record any changes you need.

4. Confirm how users will sign in, through your identity provider where the platform supports it.

5. Agree the pilot group and the cut-over plan with your Moraph delivery lead.

Where to go next

• Onboard Virtual Scribe
• Everyday tasks
• Connect your systems
• Security, data and compliance
• Troubleshooting and the support guide
• Product overview on moraph.com