Dictating into DrChrono with Parakeety
DrChrono attracts smaller practices in part because it works cleanly on a Mac. For a solo physician, a small allied-health team, or a specialist clinic that prefers Mac and iPad over a Windows-centric IT stack, the EHR is the part that fits the hardware. Push-to-talk dictation with Parakeety closes the last gap: the prose inside encounter notes, patient messages and telehealth follow-ups, dictated at the cursor without sending audio anywhere.
Where dictation fits inside DrChrono
The fields in DrChrono worth dictating into:
- Clinical note narrative. The free-text body of the encounter, separate from the structured chief-complaint, vitals and assessment-code fields.
- Patient messages. Portal replies, results-discussion, follow-up coordination. The Mac is usually where the volume of these gets written, not the iPad in the room.
- Telehealth visit notes. Written up immediately after a video call, often in the same browser tab.
- Billing and coding notes. Free-text justification, prior-authorisation language, supporting documentation for codes that need narrative.
- Lab and order follow-up. Result interpretations, patient-facing instructions about next steps.
A worked example
A telehealth follow-up for an established patient with anxiety, fifteen-minute slot. You finish the video call and need to write up the encounter note before the next appointment. Click into the note narrative; hold the section key; speak:
"Established patient seen via telehealth for follow-up of generalised anxiety disorder. Reports improved sleep on sertraline fifty milligrams daily for the past six weeks. Workplace stressors continue but coping strategies discussed in prior sessions are helping. Denies suicidal ideation, denies side effects from medication. Mood improved from baseline. Plan: continue current dose, follow up in eight weeks, sooner if symptoms worsen. Patient agrees with the plan and verbalises understanding."
Around twenty seconds. Typed, the same content is closer to ninety seconds. Across a day of fifteen-minute follow-ups, the savings are the difference between writing notes during the day and writing them at the end.
Tips specific to DrChrono
- Mac for write-ups, iPad for the room. The common DrChrono pattern is iPad-in-the-room and Mac-at-the-desk. Parakeety lives on the Mac side; reserve dictation for the write-up step after the visit, not during the encounter itself.
- Click into the field, then hold. DrChrono’s browser layout has several panes; the cursor needs to be in the note narrative before you start speaking, not in a sidebar or chart-search box.
- Use clinical macros alongside dictation. DrChrono supports custom shortcuts for boilerplate text; expand the shortcut to drop the frame in, then dictate the patient-specific details into the blanks.
- Telehealth audio doesn’t interfere. Parakeety’s microphone capture and your telehealth call audio do not clash; you can mute the call and dictate, or finish the call and dictate immediately after.
- Browser zoom matters for the small-screen Mac. If you are on a 13-inch MacBook, zoom the DrChrono window to a level where the note narrative field is the easiest to click into. Saves the cursor-misplacement issue.
Privacy for the small practice
Smaller practices have a particular relationship with HIPAA: real obligations, smaller administrative bandwidth than a hospital system. Every cloud vendor that processes PHI is a BAA that needs to be on file, a vendor security questionnaire to fill in, a breach-notification clause to track. DrChrono itself is one such relationship; that is unavoidable because the EHR has to be a business associate. Parakeety avoids being a second one for the dictation audio. The transcript reaches DrChrono the same way typed text would. The audio never leaves the Mac.
That single-vendor simplicity is the architectural argument the cornerstone piece unpacks: HIPAA and dictation: architectural vs contractual privacy. The clinician-side audience read is Parakeety for clinicians and GPs.
FAQ
- Does Parakeety work with DrChrono on Mac?
- Yes. DrChrono runs in the browser and as a native iPad app; on Mac specifically you use the browser experience, which Parakeety treats like any other text-accepting application. Click into a note field, hold the push-to-talk key, talk, release. The transcript pastes where the cursor was.
- Can I use Parakeety with the DrChrono iPad app?
- Parakeety is a Mac application, not an iOS one. If your charting day is split between the iPad in the room and a Mac at the desk for write-ups and billing, Parakeety covers the Mac side. The iPad app continues to use whatever input method you currently use there.
- Does Parakeety work with the built-in DrChrono telehealth video calls?
- Telehealth runs inside the browser as well, and Parakeety pastes at the cursor in any text field on screen, including the note panel alongside a telehealth video. The audio path stays separate from the video call audio; you can dictate into the note while the call is paused or muted, the same way you would type during a call.
- Is the dictation HIPAA-compliant for use with DrChrono?
- Audio is captured on the Mac, transcribed on the Apple Neural Engine and discarded. There is no Protected Health Information traversing a third party in the audio path. DrChrono itself runs under whatever BAA your practice has with EverHealth; adding Parakeety does not introduce another business associate processing PHI. The wider framing is in HIPAA and dictation: architectural vs contractual privacy.
Try it
Parakeety is a Mac menu-bar app. Hold the section key, talk, release; your words paste at the cursor in whichever app you were typing into, including the fields inside DrChrono in a browser. Audio never leaves the machine. There is a free 7-day trial with no card required. After that it is $30 once.