How Marvix AI is Empowering Oncologists

A cancer cell; The Power of Ambient AI Scribe for Oncology: Simplifying Staging, Treatment Plans, and Coding by Marvix AI
Bhavya Sinha
December 25, 2024
6 min read

Oncology is a highly specialized field where precision is critical. Oncologists face the challenge of managing complex patient cases, coordinating multiple treatment plans, and handling extensive documentation across various subspecialties like medical oncology, surgical oncology, and radiation oncology. The administrative tasks—from tracking treatments to updating patient records—are often time-consuming and prone to error, creating a significant burden on clinicians.

The advent of Ambient AI software solutions could be a big boon for the industry.  By automating key aspects of documentation, AI is revolutionizing how oncology practices handle patient information. With AI, administrative tasks like pre-charting, treatment tracking, and clinical note creation are streamlined, allowing for more accurate records and reducing the risk of human error. The result? Greater efficiency in clinical workflows, fewer mistakes, and most importantly, oncologists have more time to focus on what matters most—providing better, more focused care for their patients.

Overcoming the Complexities of Oncology Documentation

Oncology presents several unique challenges when it comes to clinical documentation. These challenges stem from the diverse range of cancer types, complex diagnostic tests, a variety of treatment modalities, and detailed staging requirements. Each sub-specialty of oncology—medical oncology, surgical oncology, and radiation oncology—has its own set of demands for documentation. Let's take a deeper look at some of these challenges:

1. Diverse Cancer Types & Their Documentation Needs

There are 127 different types of cancers, each with its own set of diagnostic, treatment, and care requirements. From common cancers like breast cancer to rare cancers like sarcomas or pancreatic cancer, documenting these cases involves capturing the distinct characteristics of each diagnosis, comprehensive diagnostic work-ups associated with the diagnosis and treatment pathways associated with each. Oncology practices need advanced tools that differentiate and capture this unique information for each case in extensive details.

2. Complex Diagnostic Tests

Workflows of oncologists involve ordering, performing and reviewing  an array of diagnostic tests, including imaging (CT scans, MRIs, PET scans), biopsies, genetic tests, and biomarker tests. These tests provide critical insights into the patient’s cancer status, and accurate documentation of their results is essential to create effective treatment plans.

3. Range of  Treatments and combination therapies across different modalities

Oncology treatments are diverse, ranging from chemotherapy and immunotherapy to targeted therapies and hormone treatments. These therapies involve specific regimens, dosing schedules, and potential side effects that require detailed documentation.

4. Cancer Treatments are Often Multi-disciplinary

Each oncology sub-specialty has its own procedural documentation requirements. In surgical oncology, oncologists must document tumor size, grade, stage, and the specifics of the surgical procedure. Medical oncology requires thorough notes on chemotherapy regimens, side effects, and responses to treatments. Radiation oncology focuses on detailed radiation doses, treatment areas, and schedules. The complexity of these procedures makes accurate documentation even more critical especially if the treatment protocols involve multi-disciplinary care. Coordinating these efforts and documenting the care provided can be difficult, especially when treatments span different settings — outpatient clinics, inpatient facilities, and even telemedicine consultations.

5.Staging and Biomarker Status

In oncology, accurate staging and biomarker status are key to tailoring the most effective treatment plans. Staging reveals the extent of cancer spread, while biomarker testing identifies molecular targets for specific therapies. Accurate and detailed documentation of both is crucial for oncologists to provide optimal care.

6. Co-morbidities and Complex Patient Histories

Cancer patients often suffer from multiple health conditions, which require oncologists to document an extensive and nuanced medical history. These co-morbidities must be addressed in the context of cancer treatment, influencing decisions around chemotherapy, surgery, radiation, and symptom management. Comprehensive documentation of these factors is necessary for personalized treatment planning but increases the administrative burden.

Traditional Oncology Documentation: A Barrier to Efficiency

The traditional methods of documenting oncology cases—relying on human scribes, manual dictation, and transcription—pose significant challenges for oncologists. Given the complexity and volume of information required, these methods are not always efficient or accurate, which can affect both the quality of care and the workload of healthcare professionals.

1. Expensive Human Scribes

Human scribes have been a long-standing solution to documentation burdens, but they come with several drawbacks. They are expensive to employ and often face high turnover rates, leading to inconsistencies in the quality and accuracy of the documentation. Oncologists must also spend time reviewing and editing notes that human scribes may have missed, leading to inefficiencies.

2. Multi-click EHR Workflows

Oncology teams often rely on electronic health records (EHRs) for documentation that are not usually tailored for oncology-specific workflows. EHR systems typically use rigid templates and require multiple clicks to generate accurate documentation. These systems are also limited in their customization capabilities, making them inefficient for the nuanced needs of oncology care. The result is high administrative costs, as additional staff such as medical assistants (MAs) and nurses are required to handle pre-charting, rooming, and data entry tasks.

3. Time-Consuming Processes

Oncology consultations are often lengthy, as they require in-depth discussions about treatment options, potential side effects, and long-term management. Documentation through traditional methods, such as dictation or manual note-taking, can consume valuable time that could be better spent with patients.

4. Risk of Errors

Even small errors in documentation—such as misrecorded drug doses, incorrect staging, or overlooked test results—can have serious consequences. While traditional methods aim for accuracy, human error can still occur.

How AI Can Address the Challenges of Oncology Documentation

In recent times, Ambient AI solutions have emerged as a powerful alternative to traditional documentation solutions. AI can capture unstructured data from patient consults, doctor dictations, past medical records across multiple encounters and multiple settings with various stakeholders (MD, MA and nurses) and create structured documents within minutes.

These tools are trained on vast datasets that allow for higher accuracy in capturing and structuring complex medical data without the added cost and inconsistency of human scribes.

In the context of Oncology, AI solutions can assist by capturing patient data from various sources (imaging, biopsy reports, and lab results), helping oncologists create a comprehensive cancer profile for each patient, detail out extensive treatment plans with accurate regiments. This leads to greater efficiency, reduced stress for providers, and better patient outcomes.

What remains to be seen with current AI solutions however is the ability to customize as per the oncologists’s unique workflows and to seamlessly integrate with their existing EHRs. Oncology is vast, complex and has unique documentation requirements and most one-size-fits-all solutions may fall short of expectations. Some AI solutions which have a special focus on Oncology have started making inroads and their approach has been tailored to their provider’s requirements.

How Marvix AI Can Transform Oncology Documentation

Marvix AI is designed to meet the unique demands of oncology practices by offering deep customizations and flexibility in documentation.

Marvix AI enables real-time documentation, allowing oncologists to capture patient data instantly during consultations, surgeries, or procedures. This helps eliminate gaps in the documentation, reduces manual errors, and ensures that all relevant information is captured promptly.

Here’s how it enhances oncology workflows and does much more:

1. Deep Customization for Oncology Subspecialties

Marvix AI offers customizable solutions tailored to the specific needs of medical oncology, surgical oncology, and radiation oncology, ensuring that the documentation process aligns with the demands of each subspecialty.

Medical Oncology Customization

In medical oncology, treatment plans often include detailed chemotherapy regimens, immunotherapy, and targeted therapies. Marvix AI allows for the creation of personalized templates that capture specific aspects such as:

  • Chemotherapy regimens: Includes medications, dosing schedules, and frequency.
  • Immunotherapy details: Drug therapies response monitoring, and side effect management.
  • Tumor markers and biomarkers: Tracks molecular and genetic testing results for precision therapy.
  • Side effect management: Tracks patient reactions to treatments, helping clinicians adjust plans accordingly.

Surgical Oncology Customization

Surgical oncology requires detailed procedural documentation, including diagnostic details and surgical interventions. Marvix AI ensures that templates capture critical elements such as:

  • Tumor size, grade, and stage: Automatically calculates and records TNM staging (e.g., pT1bN0M0) and histological grading.
  • Surgical procedure details: Includes incision sites, surgical approach, and post-surgery outcomes.
  • Multidisciplinary team inputs: Supports collaborative notes from surgeons, pathologists, and oncologists.

Radiation Oncology Customization

Radiation oncology requires precise documentation of radiation dosages, areas treated, and ongoing monitoring. Marvix AI provides templates for:

  • Radiation doses and scheduling: Tracks radiation regimens and their frequency.
  • Treatment area details: Specifies the target zones for radiation therapy.
  • Monitoring and side effect management: Includes follow-up care for radiation-related side effects.

2. Personalized and Physician-Specific Workflows

Every oncologist has specific documentation preferences based on their patient care style, practice patterns, and subspecialty expertise. Marvix offers deep customizations to clinical notes ensuring the AI adheres to your exact note style. Marvix implements a neural style transfer, where the AI learns from your existing notes to mirror your unique writing style and formatting. This ensures a custom note output for every specialty and every physician within that specialty.

3. TNM Staging and Histological Grading

Marvix AI captures detailed TNM staging data, breaking down Tumor (T), Node (N), and Metastasis (M) components in precise technical forms. The tool also captures histological grading (e.g., Grade 4, sarcomatoid features), ensuring consistency and reducing errors in staging and grading.

4. Handling Complex Coding and Compliance Requirements

Oncology is a highly regulated field, with extensive coding and compliance requirements. Marvix AI simplifies this process by automatically generating:

  • ICD-10-CM codes for oncological conditions as well as accompanying chronic diseases, comorbidities, ensuring that all diagnoses are accurately captured.
  • E/M codes for different clinical settings (inpatient, outpatient), along with rationale based on latest MDM (medical decision-making) guidelines.
  • Modifiers and add-on codes to reflect the complexity of the encounter especially if decisions around major/minor procedures were made as part of the Evaluation and management of care of the patient.. This significantly reduces the workfload of the billing team downstream and ensures high first pass acceptance rates.

5. Allows for Multi-user workflows

Marvix AI supports multi-user workflows, enabling smooth collaboration among providers and within each provider’s team between their MAs, RNs and NPs. This includes:

  • Collaborative documentation: Allows multiple specialists and multiple users to contribute to a single patient record, ensuring that all aspects of care are captured right from pre-charting to post treatment care.
  • Real-time visibility: Changes made by any member of the care team are reflected immediately across all documentation, reducing errors and improving coordination.

6. Advanced Features for Informed Decision-Making

Marvix AI offers oncology speciific performance status score tracking helping oncologists make informed decisions by automating key assessments and calculations:

  • ECOG and Karnofsky performance status: Automatically calculates performance status based on clinical notes and provides justification for the given score.

7. Integrating with EHR Systems for Seamless Care

Marvix AI integrates seamlessly with Electronic Health Record (EHR) systems, eliminating the need for redundant data entry. Key features include:

  • Historical data carry-forward: Automatically carries forward previous patient records, including medical history, problem lists, and treatment plans to ensure comprehensive assessment and history capture to offer coordinated care.
  • Automatic push-pull to EHR: Marvix AI populates your EHR with accurate, customized notes mapped with sections and sub-sections of specific EHR templates
  • Patient summarization: Offers quick summaries of patient history, prior treatments, and current status, improving decision-making.

Conclusion:

Marvix AI enables real-time documentation for oncologists, capturing crucial patient data during consultations, treatments, or surgeries. This eliminates gaps, reduces manual errors, and ensures comprehensive, timely records.

Ready to embrace the future of oncology documentation?

Start your journey with a free one-month pilot and see how Marvix AI can enhance your practice. Request a demo now to discover how Marvix AI can transform the way you document patient care in oncology.

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