eSIGN⁺

eSign⁺ is a browser-based physician electronic authentication system, designed for physician efficiency with easy-to-use color screens and options for mouse or keyboard control. eSign⁺ includes multi-line physician editing from the browser using AAI’s RTF word processor, eliminating the need to install and maintain MS Word. Physicians can access, edit and sign from any PC with an Internet (Internet Explorer 5.5 or higher) or network connection. Using the TA⁺ system and an integrated voice file, physicians may retrieve and listen to the original dictation voice file. eSign⁺ has been designed for superior speed in both the editing and signing modes to accommodate the priorities of physicians. Since no software is loaded on a physician desktop, deployment is simple and the expense of MS Word is avoided. eSign⁺ meets all regulatory requirements for JCAHO, CMS (HCFA), and HIPAA. eSign⁺, part of the TA⁺ platform, is especially popular with radiology and emergency department customers.

PHYSICIAN VIEWING, EDITING AND VALIDATING (SIGNING) FEATURES:
• Single Key Electronic Approval Of Documents By Physician
• Automatic Sequencing To Next Document With Auto-refresh Throughout The Day
• Ability To Bypass Documents Requiring Further Review
• Ability To Discard Document And Re-Dictate
• Ability To Edit Unknown Words In Transcribed Report Using RTF Word Processor
• Ability To Retrieve Dictation (Voice) During Viewing With An Integrated Voice File Scenario
• Physician Review Of All Signed Documents From General Viewing Of TA⁺
• Physician Review Of All Unsigned Documents Within eSign⁺
     • Ability To Sort Unsigned Reports By Status: Inpatient, Outpatient, Bypassed, Not-bypassed, Reports
       With Unknown Words And All Reports
• Physician Review Of Documents May Be Configured Three Ways:

My Patients Only

All Patients Within Group

Patients Of 1 Or More Selected Physicians Within Group

PRINTING AND ADMINISTRATIVE OPTIONS:
• Preliminary Copy Option, If Used, Prints “Preliminary” At The Top Of Document
• Allow (Or Disallow) Preliminary Documents To Print Prior To Signature, Configured By Report Type
• Supervisor Management Reports Include Status Of Unsigned Documents By Physician
• While Electronically Signing, Patient Documents May Be Optionally Viewed, Printed Or Faxed
• All Addenda Are Automatically Linked To Original Document And Labeled “Addendum Exist” At Top Of Original

HIPAA AND SECURITY FEATURES:
• An Additional PIN Is Required To Access Documents Prior To Signature
• Electronic Signature Option Is Only Presented To TA⁺ Users With User Profile Permission To Sign
• Secure Socket Layer (SSL) Encryption Of All Internet Transmissions
• eSign⁺ Stores All Transcribed Versions Including Original, Edits By QA Staff And Edits By Physicians
• ‘View Versions’ Button Displays Prior Versions With Drill Down Of Details
• Typical Signature Statement Reads As Below:
“This document has been reviewed and electronically signed by Dr. Cornelius on October 4, 2005, at 2:40 P.M.”
• eSign⁺ Statement May Be Customized To Include Other Variables Such As The Signing Physician’s Name When The Signing Physician Is Not The Dictating Physician

DUAL SIGNATURE FEATURES:
• Either Resident Or Preceptor Physicians May Dictate
• Reports Dictated By Residents Require Two Signatures
• Physician Cross Referencing Is Included So That Preceptors May Have Multiple Residents And Residents May Have Multiple Preceptors
• Flexible Assigning Of Preceptors By Report Type