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Abridge is available to all Freeman providers

Starting at Epic go-live on October 24, Abridge is available to every Freeman provider: physicians, residents, advanced practice providers, and behavioral health clinicians. There is no license to request and no waitlist. Inpatient nursing will follow after go-live, starting with Med-Surg and step-down units.

New to Abridge? Plan about 30 minutes: start with Your First Visit, then set your note preferences in Make It Write Like You.

Less charting. More time on patients.

Abridge listens to the visit and drafts your clinical note in real time, so documentation is nearly done before the patient leaves the room. Record in Haiku on your phone, then review and sign in Hyperspace. This page is the whole first visit, start to finish.

Getting Started in Clinic About 5 minutes, from Abridge.

Plays here on this page. Captions available. Video not loading? Open it on YouTube.

How to do an Abridge visit

Record on your phone, finish the note at your desk. Start to finish it is two tools: Haiku for the conversation, Hyperspace for the note and the orders.

These steps are a clinic visit: you pick the patient from your Schedule in Haiku. Recording works the same way in the Emergency Department and in the hospital, where you pick the patient from the Trackboard or your Patient List and choose a note type first. That is on ED and Hospital.

Before your first visit

Pin the Abridge tab in Hyperspace. Click the dropdown arrow to the right of your tabs, find Abridge, and click the pin icon. Everything after the visit happens in that tab.

Build your Ambient speed button as well. It takes about a minute, and it is how the draft gets into your Epic note.

Consent before you record

Make sure the patient has consented to ambient documentation before you press record. Consent is captured electronically in the chart.

"I will be using a notetaker that records our conversation to help me write my clinical note. This way I can pay more attention to you and less time on the computer. Is that okay with you?"

On your phone, in Haiku

Seven steps, all on your phone, from your clinic schedule to a drafted note. Step 5 is optional.

Haiku clinic schedule listing the day's appointments with arrival and check-in times

Pick the patient

Open your clinic schedule in Haiku and tap the patient you are about to see.

Haiku on iPhone with the Abridge tab selected in the bottom toolbar and the Ready to record screen open

Open Abridge on iPhone

Tap Abridge in the bottom toolbar. The Ready to record screen opens.

Haiku on Android showing the Patient Activities list with the Abridge activity near the top

Open Abridge on Android

In Patient Activities, tap the Abridge activity to open the ambient note type.

Abridge start screen with the microphone record button at the bottom center and the timer at zero

Press record

Consent first. Then press the record button in the bottom center and set the phone down.

Abridge recording screen showing the running timer, the stop button, and Create note

Have the visit

The timer runs while you talk. Record at least 20 to 30 seconds; Abridge cannot build a note from anything shorter. Pause any time and add more to the same recording later. The screen does not have to stay on for recording to continue, but if you take a phone call the recording stops and you will need to continue it afterward.

Abridge screen paused at two minutes and forty three seconds with the record button ready to resume and Create note available

Add more, optional

Remember something after the visit? Press the record button again and keep talking, with or without the patient in the room. It all joins the same recording until you press and hold Create note.

Press and hold Create note

When the visit is finished, press and hold the Create note button for 2 to 3 seconds, until the ring completes and the check mark appears. A quick tap will not finalize it. Until you do this, you can keep adding to the recording.

Processing, then the note

Processing takes anywhere from a few seconds to a few minutes, depending on the length of the visit and your internet speed. You can leave the screen while it uploads. When it finishes, the drafted note is readable right on your phone, before you ever sit down at a workstation.

Cycles on its own. Click a step to hold it there, or click the screenshot to enlarge it.

On Android, open Haiku, pick the patient, then choose Abridge or Visit Recorder from the Activities list. The rest is the same.

The first time you press and hold Create note, Haiku asks you to pick a note style. The defaults are fine: tap Save and Create Note. You can change all of it later on Make It Write Like You.

Create the note within 24 hours of recording.

Recording tips

Record at least 20 to 30 seconds. Shorter recordings do not produce a note. For a very quick visit, keep recording while you summarize the plan aloud.
Phone charged, and on Wi-Fi.
No Bluetooth headphones or hearing aids connected.
Introduce everyone in the room.
Say non-verbal cues out loud: "you are nodding yes."
Say your exam findings out loud.
Record a monologue before or after the visit for anything the conversation did not cover.

In Hyperspace: Heard in Visit Recording (HIVR)

Open the patient's chart once processing is done. The Heard in Visit Recording (HIVR) section lists the diagnoses Abridge heard and all orders you verbalized during the visit, ready for you to choose and sign. Orders flow in during the conversation; diagnoses usually arrive once Abridge has processed the note. HIVR is available for outpatient visits only at this time. It is coming to the ED and hospital later.

Verify the diagnoses there before you sign the note: Epic will not sign a note with an unverified Ambient diagnosis. Step by step, with screenshots: Heard in Visit Recording (Clinic).

Pull the note in with your Ambient speed button

In the Notes activity, press your Ambient speed button, or Alt+1. Do not have one yet? Build your Ambient speed button, which takes about a minute.

Hyperspace This Visit tab with the Heard in Visit Recording section open beside the ambient note draft, scrolling through the verbalized orders

Heard in Visit Recording (HIVR)

Everything you verbalized is waiting in the encounter: diagnoses, medications, labs, imaging, and referrals. Outpatient visits only at this time; coming to the ED and hospital later. Verify the diagnoses, choose, and if needed edit, your orders. Nothing is placed until you select it and sign.

New note with a banner reading Generated note text is available from Abridge, and the instruction to use documentation tools enabled for ambient listening

Notes activity with the Ambient speed button hovered, showing SmartText AMBIENT, note type Progress Notes, Service Internal Medicine, and Use Alt+1 to Launch

Pull the note in

The note tells you generated text is available from Abridge. Press your Ambient speed button, or Alt+1, and the draft comes in. This panel shows both halves of that one step.

Full Hyperspace window with the pulled in ambient draft outlined in red in the Notes panel, beside the Heard in Visit Recording orders and the visit diagnoses

Review Draft

Your draft lands in the Notes panel, outlined in red here. History of Present Illness, Objective, Physical Exam, and Results, written from the conversation. Read it, edit what you want, and sign.

Those are the only four sections that pull in, unless you have updated your Abridge note preferences.

Cycles on its own. Click a step to hold it there, or click the screenshot to enlarge it.

The note is a draft. You are still the author: review every line before you sign.

Lesson learned: one open note per type

Epic holds one unsigned note of each type at a time. Any note you left incomplete has to be signed or deleted before you can create another note of that same type.

Example: you started a progress note a week ago with Ambient, pulled the draft in, and never signed it. You cannot create another Ambient progress note until that old one is signed or deleted. So if your speed button will not bring in a new draft, go looking for an unsigned note of the same type first.

More on Abridge

Heard in Visit Recording (Clinic)

Verify the diagnoses Abridge heard and sign your orders. Clinic visits only.

Verify and sign →

Make It Write Like You

Ten minutes of settings, and every future note reads the way you write.

Set your preferences →

ED and Hospital

Trackboard, note types, pulling a prior note forward, and habits by setting.

See your setting →

Beyond the Note

Abridge AI, Linked Evidence, the patient summary, and dictation.

Everything else →

Training and Help

Getting started, the seven videos, and where to get help.

Get help →