++ Voice Recognition Voice Recognition

Dr. Thomas CreelmanDr. Thomas Creelman““Vintage Physician”Vintage Physician”

Warm Springs Health & Wellness CenterWarm Springs Health & Wellness Center

Audio Video CheckAudio Video Check

Today’s presentationToday’s presentation

DemonstrationDemonstration Short Powerpoint:Short Powerpoint:

Lessons LearnedLessons Learned MetricsMetrics TestimonialsTestimonials Cost optionsCost options

ProsPros

Easy to UseEasy to Use Dictating after 20 minutesDictating after 20 minutes

Can dictate into EHR templatesCan dictate into EHR templates

ProsPros

Documentation time decreased 50%Documentation time decreased 50% Notes are more complete Notes are more complete Providers are gaining back 1-2 hours Providers are gaining back 1-2 hours

per day , leaving on time, not staying per day , leaving on time, not staying late to chartlate to chart

Neck and back pain decreased Neck and back pain decreased because they are typing lessbecause they are typing less

Things to watch out forThings to watch out for

Review transcription for accuracyReview transcription for accuracy Microphone QualityMicrophone Quality Adequate Training/SupportAdequate Training/Support Adequate RAM (512mb+)Adequate RAM (512mb+)

Terminal ServerTerminal Server

Version 9 is dedicated to Citrix. Due Version 9 is dedicated to Citrix. Due to be released this summerto be released this summer

Voice files stored on the network can Voice files stored on the network can slow the network down.slow the network down.

Audio Video CheckAudio Video Check…..…..

MetricsMetrics

24-Jun 2 21 11.524-Jun 3 16 11.2524-Jun 4 8 324-Jun 5 15 727-Jun 6 8 428-Jun 7 12 328-Jun 8 19 1728-Jun 9 18 1128-Jun 10 12 528-Jun 11 8 528-Jun 12 10 3

Average 13.4 7.0

0

5

10

15

20

25

1 2 3 4 5 6 7 8 9 10 11 12

Min

utes

TYPING

VOICE RECOGNITION

50% Decrease in Time to Complete Note when using Dragon

Each Patient

Average Visits / Day

02468

1012141618

Jan 04 Jan 05 Jan 06

Average Visits / Day

EHR

Dragon

CPT Distribution

0%

20%

40%

60%

80%

100%

Jan 04 Jan 05 Jan 06

99214

99213

99212Dragon

EHR

Average Billing / Day*

$1,098.14

$1,361.99

$1,628.51

$0.00$200.00$400.00$600.00$800.00

$1,000.00$1,200.00$1,400.00$1,600.00$1,800.00

Jan 04 Jan 05 Jan 06

Average Billing / Day*Dragon

EHR

Dragon

Average Billing/Day for One Provider

TestimonialsTestimonials

Sent: Wednesday, January 11, 2006 4:26 PMSubject: Dragon Comparison

I would estimate that Dragon cuts the time to do a note ito 1/3 to ¼ . the prior

I spend minimal time making correction s– none of which are spelling now. That will improve with when it learns my voice more.

I didn’t get to use it much last week when at the hospital but the 2 days before – I got lunch which I haven’t done once a after morning clinic in a very long time – many months.

I also haven’t had a head or neck ache since I started it .

Testimonial from a non-Testimonial from a non-typisttypist

Testimonial from a “typist”Testimonial from a “typist”

From: Kirkland, Carol (Warm Springs)From: Kirkland, Carol (Warm Springs)To Whom It May Concern:To Whom It May Concern:

  I am delighted to have the opportunity to support the Dragon 8 I am delighted to have the opportunity to support the Dragon 8

voice activated dictation system. I have been using the system voice activated dictation system. I have been using the system for only a couple of weeks and can already see a drastic for only a couple of weeks and can already see a drastic improvement in my ability to manage my time and improvement in my ability to manage my time and documentation. documentation.

I estimate that the Dragon 8 system I estimate that the Dragon 8 system saves me a minimum of saves me a minimum of one to two hours per dayone to two hours per day already, and has improved my already, and has improved my documentation by allowing me to include more detail than would documentation by allowing me to include more detail than would otherwise be possible in the template systems.  Although I have otherwise be possible in the template systems.  Although I have no experience with dictation, and am not yet truly comfortable no experience with dictation, and am not yet truly comfortable with the process, the Dragon 8 system is very user-friendly. ..with the process, the Dragon 8 system is very user-friendly. ..

CostCost

GSA: $700-$928 per PC (GSA: $700-$928 per PC (per userper user)) http://www.cdwg.comhttp://www.cdwg.com

Volume pricing available:Volume pricing available: ftp://intranetftp.ihs.gov/pub/EHR/Voice%20Recognition/ftp://intranetftp.ihs.gov/pub/EHR/Voice%20Recognition/