eSign⁺ is a browser-based physician electronic authentication system, designed for physician efficiency with intuitive screens and mouse or keyboard controls. 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 6.0 or higher) network connection. While viewing a transcript in the TA⁺ system, physicians may listen to the dictation voice file by clicking the media player button at the bottom of the screen instead of making a telephone call into the dictation system. 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 quick and easy. eSign⁺ meets all regulatory requirements for JCAHO, CMS (HCFA), and HIPAA.

PHYSICIAN FEATURES:

• Single key electronic approval of documents by physician
• Automatic sequencing of next document to be signed
• Quantity of remaining jobs to be signed is displayed and updated as physician signs each job
• Ability to edit a document and save before signing if further review is needed
• Ability to discard a report and re-dictate if physician desires to start over
• Ability to reject a job and send the rejected job to QA with physician instructions attached
• Optional feature requires physicians to correct blanks (exceptions) due to transcriptionist uncertainty
• 'Listen' button provides playback of dictation voice file from TA+ without dialing telephone system
• Physician review of previously signed documents from general viewing within TA+
• Ability for physicians to sort jobs by status:
• All, Inpatient, Outpatient, Saved, Unknown Words Jobs, Speech-Recognized Jobs, Preceptor
• 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, ADMINISTRATIVE AND SECURITY FEATURES:

• Preliminary copy option, if used, prints "Preliminary" at the top of document
• eSign+ allows or disallows preliminary documents to print prior to signature, configured by report type
• Management reporting includes reports detailing signed and unsigned reports by physician
• All addenda are automatically linked to original document
• "Addendum Exist" is labeled in color at the top of the original to notify users
• 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 to supervisors with drill down of details
• Typical signature statement reads as below:

"This document has been reviewed and electronically signed by Dr. Andrew Jones on May 4, 2009, at 2:40 P.M."

• eSign+ statement may be customized:
• To display the signing physician's name when the signing physician is not the dictating physician
• To display physician names and titles per hospital standard

• Either resident or preceptor physicians may dictate
• Reports dictated by residents require two signatures
• Physician cross referencing is included for preceptors that may have multiple residents
• eSign+ includes flexible assigning of preceptors by report type