Skip to main content
Nestmed’s audio ambient scribing technology transforms natural conversations during home health visits into structured clinical documentation, capturing the complete context of care delivered in the patient’s home environment.

​
Home Health Audio Intelligence

​
Purpose-Built for Home Care

Unlike hospital or clinic-based scribing systems, Nestmed is specifically engineered for the unique challenges of home health documentation:

Home Environment Optimization

Acoustic Challenges Solved
  • Background TV and radio filtering
  • Pet noise suppression
  • Multiple family member conversations
  • Kitchen and household appliance sounds
  • Street traffic and neighbor noise
  • HVAC system interference

Clinical Context Awareness

Home Health Specific Understanding
  • OASIS assessment questions and responses
  • Home safety evaluation discussions
  • Caregiver education conversations
  • DME equipment instructions
  • Medication reconciliation in the home
  • Environmental assessment observations

​
Advanced Speaker Diarization

​
Multi-Party Conversation Management

Nestmed accurately identifies and separates speakers in complex home visit scenarios:
Intelligent Voice RecognitionThe system distinguishes between:
  • Primary Clinician: The visiting nurse, therapist, or aide
  • Patient: Including patients with speech impairments or cognitive decline
  • Family Caregivers: Multiple family members who may interrupt or translate
  • Secondary Clinicians: When multiple providers visit together
  • Interpreter: For non-English speaking patients
Each speaker’s contributions are tagged and attributed throughout the transcript.
Natural Dialogue Preservation
  • Maintains chronological flow of multi-party discussions
  • Handles interruptions and overlapping speech
  • Preserves clinical reasoning through back-and-forth exchanges
  • Identifies who answered specific assessment questions
  • Tracks consent and agreement from appropriate parties
Advanced Audio ProcessingHome-specific noise cancellation:
  • Television programs playing in background
  • Grandchildren playing in adjacent rooms
  • Kitchen activities during mealtime visits
  • Doorbell and phone interruptions
  • Air conditioning and heating systems
  • Outdoor landscaping equipment
The system maintains high transcription accuracy even with ambient noise levels up to 65dB.

​
Language Support & Accessibility

​
Comprehensive Language Coverage

23 Languages with Medical TerminologyPrimary Languages:
  • English (US, UK, Australian variants)
  • Spanish (Mexican, Puerto Rican, Cuban dialects)
  • Mandarin Chinese
  • Cantonese
  • Russian
  • Arabic
  • French (including Haitian Creole)
  • Portuguese
  • Vietnamese
  • Korean
  • Tagalog
  • Hindi
  • Bengali
  • Polish
  • Italian
  • German
  • Japanese
  • Urdu
  • Persian/Farsi
  • Hebrew
  • American Sign Language (via interpreter narration)
All languages include medical terminology recognition and cultural context awareness.

​
Clinical Documentation Generation

​
From Conversation to Documentation

1

Real-Time Capture

Clinician activates recording at visit start, capturing natural conversation flow
2

Intelligent Processing

AI processes audio in real-time, identifying clinical concepts and OASIS elements
3

Context Extraction

System extracts medications mentioned, symptoms discussed, and interventions performed
4

Structure Generation

Converts conversational data into structured documentation formats
5

Narrative Creation

Generates coherent clinical narratives maintaining medical accuracy
6

Review Interface

Presents draft documentation with source audio segments for validation

​
OASIS-Specific Recognition

OASIS Intelligence

Automated Assessment DocumentationThe system recognizes OASIS questions asked conversationally and maps responses:
  • M1033 (Hospitalizations): “Have you been to the hospital recently?” → Risk for Hospitalization assessment
  • M1242 (Pain): “How would you rate your pain today?” → Pain frequency and intensity documentation
  • M1800 (Grooming): “Are you able to shower by yourself?” → ADL assessment mapping
  • M1400 (Dyspnea): “Do you get short of breath?” → Respiratory status evaluation
Automatically populates OASIS items from natural conversation without rigid scripting.

​
Home-Specific Use Cases

​
Medication Reconciliation

Captures complex medication discussions:
  • “Let me see all your pill bottles”
  • “This one I stopped taking because it made me dizzy”
  • “My daughter gives me the blue pills at night”
  • “The pharmacy changed this to generic”
Extracts medication names, patient compliance, administration assistance, and side effects.
Documents teaching provided:
  • Insulin administration demonstration
  • Wound dressing technique instruction
  • Transfer and ambulation training
  • Medical equipment operation
  • Emergency response procedures
Creates structured education records with teach-back validation.
Captures environmental observations:
  • “I see you have throw rugs that could be a trip hazard”
  • “The bathroom needs grab bars for safety”
  • “Your medications should be kept away from the grandchildren”
Generates safety assessment documentation and intervention plans.

​
Integration with Clinical Workflow

​
Seamless Documentation Flow

1

Pre-Visit Setup

Review previous visit audio summaries and identified issues
2

Visit Recording

Single tap to start recording, automatic pause detection during non-clinical activities
3

Real-Time Insights

Live medication detection and contradiction alerts during visit
4

Post-Visit Processing

Immediate transcript availability with highlighted clinical concepts
5

Documentation Review

Side-by-side audio playback and generated documentation
6

Approval & Submission

One-click approval sends to EMR with full audit trail

​
Quality Assurance

​
Accuracy Validation

Clinical Accuracy

  • Medical terminology recognition
  • Medication name identification
  • Dosage capture
  • Diagnosis detection
  • Intervention documentation

Continuous Improvement

  • Weekly model updates based on corrections
  • Specialty-specific vocabulary training
  • Regional dialect adaptation
  • New medication database updates
  • Clinical guideline integration

​
Best Practices

Optimal Recording Guidelines
  • Position device within 6 feet of conversation
  • Minimize background noise when possible
  • Speak clearly when stating critical information
  • Verbalize physical assessment findings
  • Announce speaker changes in group settings
  • Summarize key decisions at visit end

​
Unique Advantages

​
Why Nestmed Excels in Home Health

  • Contextual Understanding: Knows when “mom” means the patient vs. caregiver
  • Environmental Awareness: Distinguishes clinical observations from casual comments
  • Cultural Sensitivity: Recognizes cultural health beliefs and practices
  • Family Dynamics: Understands complex family caregiving situations
  • Longitudinal Context: Maintains awareness across episode visits
  • Compliance Focus: Automatically identifies documentation requirements
The result is documentation that truly reflects the care delivered in the home, capturing not just clinical tasks but the complete context of holistic home health care.