AI-assisted notes: Notes generated from a written session summary

Updated

Scribe is Headway's AI note assistant. It takes your written session summary and generates a structured, insurance-compliant progress note for you to review and sign. 

If you’d like to learn more about AI notes generated from a Headway telehealth transcript, please visit this article. As a reminder, we will not be pulling any personal data or information.

Early access: Scribe for intake notes is currently available to a limited group of providers. If you're in the group, you'll see the option during session confirmation for a client's first appointment. We will be rolling out Scribe's functionalities to more providers soon.

All talk therapists continue to have access to Scribe’s summary-based and transcript-based notetaking for progress notes.

 

 

How it works

To use Scribe’s notes generated from written summary:

  1. During session confirmation, select whether you're completing an intake note or a progress note, then select Fill out template powered by Scribe when selecting note type.
  2. You'll see a screen for you to input a summary of the session, you can paste in your raw session notes and if you’re filling out a progress note, choose if you'd like to pre-fill relevant sections from the last session's progress note. 

 

As a reminder, you should only have one signed note per session in the client record. Attesting and signing the note in Headway will save and store the note to the client record. 

Want to try it out? Visit our demo of Scribe.

 

Data and security 

This feature has been designed with privacy and security in mind. Legal, privacy and security policies are in place to ensure that the data involved in the use of this feature is appropriately managed in accordance with applicable data privacy frameworks, including HIPAA.

We partner with Anthropic and use their latest HIPAA compliant models to power this feature. We have a zero data retention policy with Anthropic so it doesn't store your session summary anywhere, nor will it use it to retrain the model.
 

How much it costs to use AI-assisted notes

Scribe is included at no extra cost - it’s automatically available if you choose to use it.

 

Benefits of Sribe

We're building AI-powered notes to help you save time on documentation so you can spend more time focusing more on patient care. We know that creating thorough, insurance-compliant intake and progress notes can take time. Our goal is to save time while maintaining high-quality documentation that meets clinical standards and payer requirements.
 

Why we’re launching AI-assisted notes 

We're building AI-powered notes to help you save time on documentation so you can spend more time focusing more on patient care. We know that creating thorough, insurance-compliant progress notes can take time. Our goal is to save time while maintaining high-quality documentation that meets clinical standards and payer requirements.

This feature has been designed with privacy and security in mind. Legal, privacy and security policies and controls are in place to ensure that the data involved in the use of this feature is appropriately managed in accordance with applicable data privacy frameworks, including HIPAA.
 

How to provide feedback

It’s important to always review and edit every Scribe-generated note draft, and provide feedback on the experience if you have it. To provide feedback, please use the feedback module to let us know how the tool is working, which will appear on the bottom left of the page after you write your note.
 

Talking to your clients about AI use in your practice

For Scribe’s note generated from your written summary, you don't need to get consent from patients, since this notetaking type only relies on your session summary. However, if you want to have a conversation with your patients, here are some responses we've drafted to common questions your clients might ask.

Why are you using the tool?

“I use Scribe, Headway's AI note assistant, to help streamline my documentation and meet the requirements set by insurance companies, so I can focus more on our sessions and less on administrative tasks. It helps me organize my notes efficiently while ensuring accuracy and consistency so your insurance claims can be paid in a timely fashion.”

What information does the tool use?
“Scribe, Headway's AI note assistant takes my written summary of the session and creates a note that is compliant with insurance requirements. It does not capture any audio or video recordings of our sessions. It is purely based on my input. I always review and edit everything it generates to make sure it reflects our discussions correctly. This tool helps me spend less time on paperwork and more time providing quality care.”
Are my records secure?
“Headway is trusted with individuals’ most sensitive information, and takes data privacy very seriously. They’ve built a secure data infrastructure and platform, maintain SOC 2 and HIPAA compliance, and follow industry best practices regarding cloud infrastructure and encryption. Headway does not sell your data nor does it share your medical records without first obtaining your consent when required. For more information about Headway’s privacy practices, I encourage you to review Headway’s Privacy Policy and the Notice of Privacy Practices.”
Can I see what the AI writes about my session?

“All of the information included in the Scribe-generated progress note has been reviewed and confirmed by me. You can always request to see your progress notes as you are entitled to them in accordance with HIPAA.”

If you’re interested in learning more about AI transcription notetaking with Scribe, see this article  that walks you through how it works. 

Looking for more support?

Our onboarding team covers Scribeand Headway’s telehealth features in a weekly live webinar. A team member will walk through how to use these tools step-by-step and share best practices to streamline your workflow. These sessions also have dedicated Q&A so you can get your specific questions answered in real time.

Sign up for a session here: Sigmund 101: Introduction to Headway’s EHR.

Disclaimer: This document is for educational purposes only and is not intended as professional or legal advice. It may contain errors or missing information, and recent changes in policies, regulations, or payer requirements may not be reflected. Because requirements vary by organization and jurisdiction, please consult legal counsel, the appropriate regulatory or licensing authority or your designated Headway contact for guidance specific to your situation.

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