Currently Tenalog is designed to support one to one sessions (one therapist and one patient). In future versions of Tenalog™ we plan to add support for group sessions.

Yes, Tenalog™, like all features on Ambiki, strictly complies with HIPAA regulations. Our dedicated team is committed to maintaining high standards of privacy and security, consistently prioritizing caution in all matters related to HIPAA compliance. This principle is illustrated by our stance on issues such as third-party cookies, the use of remote control in Teletherapy, among others.

The short answer - diving a definitive answer regarding Tenalog™'s accuracy isn't possible currently. We need more data to provide an empirical answer with confidence. We strongly believe that Tenalog™ will enhance the quality of visit notes, improve progress tracking, and save therapists significant time in the long run.

The longer answer - determining accuracy isn't simple. It's more than just identifying mistakes in a note - we're assessing the quality and understandability of a complex narrative that's much richer than a typical visit note. For instance, our tool can generate a depth of data akin to a 'short story' from a 20-minute session, which is significantly more than a standard visit note.

Therefore, in considering error rates, it's essential to factor in the depth and size of the note, whether it be the length, character count, or associated progress tracking data (we can't just compare the raw number of errors).

Moreover, to gauge accuracy, we need a reliable benchmark. We'd have to know the baseline accuracy of a manually written visit note, but, as far as we're aware, no such studies exist.

We should also aim to comprehend the concept of error tolerance. For instance, imagine a scenario where we ask 100 SLPs to evaluate a sound sample of the word 'shark'. Let's say the average score they provide is 75 out of 100. However, if Tenalog™, trained with millions of samples, gives a rating of 70, would we classify this as an error? How about a score of 68? 60? We need to define our acceptable margin of error in such cases.

A comprehensive study to answer these questions would be costly and challenging. It would involve numerous therapists analyzing thousands of hours of therapy sessions, and patient consent would be required.

Thus, in a pragmatic sense, we believe that the true measure of Tenalog™'s accuracy will be determined by its real-world utility. If therapists find Tenalog™ valuable enough to use it, despite occasional corrections, then we'll know we've achieved an acceptable level of accuracy. Our commitment is to continuously refine Tenalog™ to make it as effective and accurate as possible. Your insights and feedback will play a crucial role in this continuous improvement journey.

For transcription, Tenalog™ currently only supports English. Pronunciation scoring in Tenalog™ is based on the General American English dialect (that you may hear on a national TV news program).

Some general tendencies include:

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- Rhoticity: American English is rhotic, meaning the /r/ sound is pronounced at the end of words and syllables, as in 'car' and 'hard'.

- Flapping: The /t/ and /d/ sounds are often pronounced as a flap [ɾ] between vowels, such as in 'butter' [ˈbʌɾər] or 'ladder' [ˈlæɾər].

- The cot-caught merger: In many (but not all) varieties of American English, the vowels in 'cot' and 'caught' are pronounced the same.

- Pronunciation of /æ/: In many words, the /æ/ sound (as in 'cat') is pronounced with a nasal, more open sound before nasal consonants, leading to the pronunciation [æ̃], as in 'man' or 'hand'.

We are developing Tenalog™ to be a tool that complements the skills and knowledge of SLPs, OTs and PTs, not to replace them. Our entire business model and purpose are fundamentally linked to the prosperity of the therapists we develop these tools for. Without therapists, Ambiki wouldn't have a foundation to stand on.

One of the goals of Ambiki is to amplify the value add of SLPs, OTs, and PTs. To help you practice at the top of your license. To help you focus your time on the work flows where your expertise is desperately needed, while helping to automate the more mundane tasks.

Learn more about our mission and values here.

Initially, there may be a slight increase in time spent as therapists familiarize themselves with Tenalog™ and build trust in its capabilities. We recommend therapists to thoroughly examine the outputs from their initial sessions. However, our observations suggest that over time, therapists have been able to significantly cut down the time devoted to creating visit notes, thanks to Tenalog™.

Yes, Tenalog™ allows both the upload of an audio file, or the ability to record directly online with Ambiki's built-in recorder. Thus, if you are in an area with poor Wi-Fi you could record the session on your local device and upload it to Ambiki later when you are back in an area with a Wi-Fi connection.

No, you do not need to use any special microphone for Tenalog™. The microphone on your smart phone or device will work fine. Tenalog™ is generally very good about filtering out background noise; however, we suggest conducting your session in a tranquil setting, as far as feasible, to ensure the recording captures both you and your patient distinctly.

You can easily edit the transcription, correct the speaker labels, and also easily correct the timestamps of the scored segments using the powerful Tenalog™ Editor.

The default for a correct trial is a score of 70 or greater which equates to 'Good / Intelligible'. However, this threshold can be configured on a patient by patient basis. For example, if you have an early intervention patient you may want to lower this threshold such that it is easier to achieve a correct trial.

For goals that are not related to articulation, Tenalog™ will automatically extract the therapy activity but will leave the 'correct trials' and 'total trials' up to the therapist to input.

The process of transcribing the audio recordings is fully automated, with no human intervention. The transcription is performed by our HIPAA-compliant servers at Ambiki, backed by robust data security measures and privacy protection controls.

No, it's not mandatory to have a POC set up prior to utilizing Tenalog™. However, having patient goals in Ambiki significantly amplifies the potential of Tenalog™. By integrating targeted goals with the context of session transcripts, Tenalog™ can generate even more refined progress tracking data.

Once your audio file reaches the front of the processing queue, it typically takes around 1.5 times the length of the file to process. For instance, if you have a 20-minute audio session, it will take approximately 30 minutes to process.

Yes. With slight tweaks in how they narrate their session, OTs and PTs have found Tenalog™ to be a very powerful tool. As an example, OTs and PTs found it useful to explicitly narrate what is happening in the session ('Patient is now drawing a circle. Great job! That one looks really good.'; 'We are going to do 5 leg lifts starting with your right leg.').

One of the most impressive aspects of Tenalog™ is its precision in data analysis relative to a client's unique goals. Once the client's goals are added into Ambiki, Tenalog™ will draft the visit note and distill progress tracking data within the context of the patient's goals. The system can discern which goals you are addressing in each particular session, recognizing that not all goals may be the focus of every session.

Tenalog™ can write the SOAP visit note and extract therapy activities based on any type of goal, including OT and PT goals. The major difference is that with articulation goals Tenalog™ will be able to ascertain the correct and incorrect trials on its own. For other goals, Tenalog™ will extract the therapy activity (i.e. 'Cut across an 8-inch piece of paper'), but the therapist will need to fill in the number of correct and total trials.

Indeed, we do have a (currently unpublished) API for Tenalog™. We're confident that Tenalog™ surpasses our competitors when it comes to speech-to-text and speaker diarization accuracy, a conclusion drawn from extensive testing. Our focus remains on our niche, without venturing into other sectors such as English as a Second Language or Education. If you're interested in integrating our API into your product, feel free to contact us at info at ambiki.com. We offer dedicated server setups and ensure HIPAA compliance.

No, Tenalog™ makes it easy to export the visit note as a plain text file. However, there are significant progress tracking benefits to using Tenalog™ alongside Ambiki's EMR.

No, you will only be charged for successfully processed Tenalog™ sessions. In the event there is an issue processing your file, the team will look into the issue. It may be able to be re-processed successfully. In the event it is not, you will not be charged.

Yes, if you plan to purchase more than 10,000 Tenalog™ credits please contact us.

Yes, upon sign up you will receive 5 Tenalog™ trial credits. Trial credits analyze the first 2 minutes of an audio file.

Tenalog™ will analyze the first 30 minutes of an audio file (unless you are on the free trial in which case the first 2 minutes will be analyzed).

Yes, video files are also supported.

.ogg, .mp3, .m4a, .wav, .mp4, .avi, .mov, .m4v