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++ Voice Recognition Voice Recognition
Dr. Thomas CreelmanDr. Thomas Creelman““Vintage Physician”Vintage Physician”
Warm Springs Health & Wellness CenterWarm Springs Health & Wellness Center
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.
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 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
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/