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Speech Recognition Presentation (11-18-2005)

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  • 1. Healthcare Information and Management Systems Society Bruce Fagerstrom President WahlTek, Inc. November 18, 2005
  • 2. Iowa HIMSS
    • Key document challenges
      • To keep medical records current at lower costs
      • To efficiently manage an ever-increasing amount of information and documentation
  • 3. Iowa HIMSS
    • You need medical documentation that is…
      • Accurate--QA
      • Complete—Event fully documented
      • Timely—Quicker turnaround
      • Exchangeable between different IT systems
      • Accessible whenever and wherever patient care is needed
  • 4. Iowa HIMSS
    • Objectives of document automation
      • Reduce Provider time documenting
      • Improve availability of documentation
      • Improve quality and consistency of documentation
      • Decrease the cost of documentation
  • 5. Iowa HIMSS
    • Most Facilities have not implemented voice recognition to address these issues because…
      • Accuracy was not at an acceptable level
      • Resistance from targeted Users—Radiology, ER, Pathology
  • 6. Iowa HIMSS
    • VR IS real now!! WHY??
      • Providers can use familiar input options—call-in, digital handheld, or PC
      • More Medical vocabulary options—now 40 General and Specialty options
      • Much higher accuracy level
      • Better integration with HIS, RIS, EHR
      • MOST importantly---background option
  • 7. Iowa HIMSS
    • VR is “real” now because of the background recognition option—Consider this specific example…
  • 8. Iowa HIMSS
    • Radiology
      • Implemented to reduce turnaround time, transcription cost reduction, and referring Provider access
    • Pitfalls
      • Radiologist is LESS productive
      • Not all radiologists will comply
      • Large investment
    • Solution—background recognition
  • 9. Iowa HIMSS
    • Background Recognition
      • Network-based--”roving” user concept
      • Multiple input options—call-in, digital handheld, PC
      • Route dictation through the recognizer and then to the editing staff
      • Transcription staff becomes EDITORS
  • 10. Iowa HIMSS
    • Cost benefits of background VR
      • 80% of Providers have acceptable accuracy level
      • Of those 80%--a 90-95% recognition rate is attainable
      • Transcription (editing) cost reduction—30-40%
      • This is due to the need to listen to dictation
  • 11. Iowa HIMSS
    • Let’s look at an example
      • Current transcription staff of 5--$200,000 annual cost ($40,000/person)
      • 30% cost reduction--$60,000
      • 40% cost reduction--$80,000
    • Cost of VR software--$2000 per Provider OR ASP at .03/line
  • 12. Iowa HIMSS
    • Additional Benefits
      • Most transcription departments have difficulty recruiting qualified staff
      • Less fatigue related to transcription
      • Reduced turnaround time
      • Much quicker report access—EHR
  • 13. Iowa HIMSS
    • Additional Benefits
      • Higher document accuracy—the recognizer does a better job “understanding” the Provider
      • Implementation of templates or macros—standards of care
      • Reduced Provider training time
  • 14. BACKGROUND RECOGNITION WORKFLOW Call-in Digital Handheld PC Dictate Dictation System Recognition Server Text Server EHR/HIS Server Transcription PCs Transcription Access PCs