M*Modal provides a cloud-based speech understanding platform that uses natural language processing to convert physician dictations into structured clinical documents. Their platform combines speech recognition with natural language understanding to analyze dictations in real-time and produce documents in a standardized format while preserving clinical context. This allows the narrative data from dictations to be shared, analyzed and used across systems in a way that promotes collaborative care.
Clear Language report for Draft_White_Paper_PGHD_Policy_FrameworkDon Taylor
1) The document provides a clear language report for a draft white paper on a PGHD (patient-generated health data) policy framework. It identifies areas in the white paper that use passive voice, long sentences, and have a high reading level.
2) Key opportunities for PGHD include empowering patients to capture and share their health data to better manage their health. Challenges include a lack of technical infrastructure to support PGHD intake and a lack of guidance on incorporating PGHD into clinical workflows.
3) Enabling actions are needed across the healthcare ecosystem to advance the use of PGHD, including increased funding for programs studying PGHD's impact and developing guidance for integrating P
Dragon Medical Practice Edition 2 Product BrochureVoice Automated
Dragon Medical Practice Edition is speech recognition software designed for medical practices with up to 24 physicians. It allows doctors to dictate clinical notes directly into electronic health records, improving documentation. Key benefits include dictating faster and more accurately than typing, saving 30 minutes per day. It supports use in the most common EHR systems and protects patient privacy in compliance with HIPAA.
NextGen Healthcare is an electronic health record (EHR) vendor that offers an integrated EHR and practice management solution from a single database on a single server. The document discusses 6 secrets or criteria for selecting an EHR vendor, including choosing an integrated rather than interfaced solution, partnering with a stable and established company, selecting a customizable certified solution tailored for specialty needs, ensuring resources to meet meaningful use goals, finding a comprehensive long term partner, and choosing a partner involved in industry standards and the evolution of healthcare IT.
All scripts open app challenge polyglotDan Fritsch
The document describes Polyglot Systems' Meducation Adherence Driver, a software solution that combines two technologies - Meducation TimeView and MeducationRS - to improve patient medication adherence. The solution generates longitudinal views of patient adherence histories and personalized medication schedules in a patient's preferred language. It is designed to integrate with Allscripts EHR systems and addresses issues like chronic disease management, value-based care, and CMS programs.
IRJET - Implementation of Disease Prediction Chatbot and Report Analyzer ...IRJET Journal
This document describes a project that implements a disease prediction chatbot and pathology report analyzer using natural language processing, machine learning, and optical character recognition. The disease prediction chatbot predicts diseases based on user symptoms using two classification algorithms: decision tree and K-nearest neighbors (KNN). KNN achieved higher accuracy at 95.74% compared to 92.6% for decision tree. The pathology report analyzer extracts text from scanned reports using Tesseract OCR to provide a graphical analysis and easier interpretation of test results. The goal is to provide immediate and accurate disease prediction and medical consultation through a conversational interface.
Dragon Medical Practice Edition Product SheetVoice Automated
Dragon Medical Practice Edition is speech recognition software that allows clinicians to dictate clinical documentation directly into a patient's electronic health record for faster, more efficient documentation. It provides benefits such as 30+ minutes of time saved per day, higher accuracy than clicking or typing, and supporting higher levels of medical decision making and reimbursement. Dragon Medical Practice Edition is designed for medical practices with up to 24 physicians.
Voicebrook Quickens Pathology Transcription Turnaround for Enhanced Patient CareGenevieve Fraser
Voicebrook provides speech recognition and reporting solutions for pathology laboratories to optimize workflow and improve patient care. Their primary product, VoiceOver, allows pathology technicians and physicians to complete reports by voice in one step, placing results directly into the system of record without transcription delays. Voicebrook focuses on change management and ongoing support to ensure successful adoption of their solutions. They have strong partnerships with Nuance Communications and pathology software vendors.
Luxury and High End Residential conceptual design and briefsAggi Designs
Some examples of our conceptual design briefs received from architects, interior designers and developers.
Using hand sketching and architectural perspectives to not only win commissions for these parties but also to enable a client to see a finished product.
Clear Language report for Draft_White_Paper_PGHD_Policy_FrameworkDon Taylor
1) The document provides a clear language report for a draft white paper on a PGHD (patient-generated health data) policy framework. It identifies areas in the white paper that use passive voice, long sentences, and have a high reading level.
2) Key opportunities for PGHD include empowering patients to capture and share their health data to better manage their health. Challenges include a lack of technical infrastructure to support PGHD intake and a lack of guidance on incorporating PGHD into clinical workflows.
3) Enabling actions are needed across the healthcare ecosystem to advance the use of PGHD, including increased funding for programs studying PGHD's impact and developing guidance for integrating P
Dragon Medical Practice Edition 2 Product BrochureVoice Automated
Dragon Medical Practice Edition is speech recognition software designed for medical practices with up to 24 physicians. It allows doctors to dictate clinical notes directly into electronic health records, improving documentation. Key benefits include dictating faster and more accurately than typing, saving 30 minutes per day. It supports use in the most common EHR systems and protects patient privacy in compliance with HIPAA.
NextGen Healthcare is an electronic health record (EHR) vendor that offers an integrated EHR and practice management solution from a single database on a single server. The document discusses 6 secrets or criteria for selecting an EHR vendor, including choosing an integrated rather than interfaced solution, partnering with a stable and established company, selecting a customizable certified solution tailored for specialty needs, ensuring resources to meet meaningful use goals, finding a comprehensive long term partner, and choosing a partner involved in industry standards and the evolution of healthcare IT.
All scripts open app challenge polyglotDan Fritsch
The document describes Polyglot Systems' Meducation Adherence Driver, a software solution that combines two technologies - Meducation TimeView and MeducationRS - to improve patient medication adherence. The solution generates longitudinal views of patient adherence histories and personalized medication schedules in a patient's preferred language. It is designed to integrate with Allscripts EHR systems and addresses issues like chronic disease management, value-based care, and CMS programs.
IRJET - Implementation of Disease Prediction Chatbot and Report Analyzer ...IRJET Journal
This document describes a project that implements a disease prediction chatbot and pathology report analyzer using natural language processing, machine learning, and optical character recognition. The disease prediction chatbot predicts diseases based on user symptoms using two classification algorithms: decision tree and K-nearest neighbors (KNN). KNN achieved higher accuracy at 95.74% compared to 92.6% for decision tree. The pathology report analyzer extracts text from scanned reports using Tesseract OCR to provide a graphical analysis and easier interpretation of test results. The goal is to provide immediate and accurate disease prediction and medical consultation through a conversational interface.
Dragon Medical Practice Edition Product SheetVoice Automated
Dragon Medical Practice Edition is speech recognition software that allows clinicians to dictate clinical documentation directly into a patient's electronic health record for faster, more efficient documentation. It provides benefits such as 30+ minutes of time saved per day, higher accuracy than clicking or typing, and supporting higher levels of medical decision making and reimbursement. Dragon Medical Practice Edition is designed for medical practices with up to 24 physicians.
Voicebrook Quickens Pathology Transcription Turnaround for Enhanced Patient CareGenevieve Fraser
Voicebrook provides speech recognition and reporting solutions for pathology laboratories to optimize workflow and improve patient care. Their primary product, VoiceOver, allows pathology technicians and physicians to complete reports by voice in one step, placing results directly into the system of record without transcription delays. Voicebrook focuses on change management and ongoing support to ensure successful adoption of their solutions. They have strong partnerships with Nuance Communications and pathology software vendors.
Luxury and High End Residential conceptual design and briefsAggi Designs
Some examples of our conceptual design briefs received from architects, interior designers and developers.
Using hand sketching and architectural perspectives to not only win commissions for these parties but also to enable a client to see a finished product.
This document discusses data protection solutions for VMware environments. It summarizes FalconStor's data protection products which provide zero-impact VMware backups, ensure data integrity with agents, fully integrate with VMware Site Recovery Manager, and optimize WAN replication through sub-block scanning. A demonstration of the Site Recovery Manager integration and WAN optimization is provided.
This document outlines a tentative research agenda for degrowth. It begins by defining degrowth as the reduction of production and consumption through downscaling, decolonization of growth-centric imaginations, and reducing the domain of market rationality. The document then notes strengths and weaknesses of current degrowth research. It proposes strengthening theoretical and empirical arguments against growth, modeling sustainability under degrowth, and examining political and structural barriers to transition. The agenda also suggests engaging with internal contradictions and developing a coherent degrowth theory to explain how and why alternative systems work.
Climate Change and the Economic Crisis; Is prosperity possible without growth?Degrowth Conference
This document discusses whether prosperity is possible without economic growth given climate change constraints. It presents a scenario analysis comparing a business-as-usual growth path to a low/no growth path for Canada. The low-growth path stabilizes macro demand and supply, implements a carbon price, shorter work years, and more generous anti-poverty programs. It shows this path could achieve full employment, no poverty, fiscal balance, and reduced GHG emissions without relying on GDP growth. The analysis compares the scenarios' impacts on GDP per capita, unemployment, poverty, GHG emissions, and debt levels. It concludes prosperity does not require GDP growth if sustainable income levels are defined based on responding to climate change.
The document introduces several teachers from different countries and discusses their backgrounds, occupations, experiences with Moodle, and reasons for using Moodle. Katalin is a primary school teacher from Hungary who uses Moodle to make her lessons more interactive. Abderrahim teaches English in Morocco and is studying for an MA, and has participated in Moodle workshops and uses it in his program. MaC teaches educational technology in the US and has used Moodle for 6 years. Vukasin is a high school teacher in Serbia who has also participated in Moodle workshops and finds it an efficient platform. Mirjana teaches English in Serbia and has used Moodle for 6 years, finding it a great platform that is constantly developing.
Final Presentation for Teacher in Actionsoccrgrl62
This document provides an overview of a project where books were recorded onto audio tapes for students in an Exceptional Student Education (ESE) classroom. It describes delivering the recorded books to Mrs. Parlato's classroom at Leesburg Elementary School. Demographics on the students in the class and books recorded for kindergarten, first, and second grade are listed. The document concludes with thanks to those involved in the project, including the ESE teacher Mrs. Parlato and clerk Cindy Thompson.
Este documento presenta una lista de obras de arte relacionadas con San Pedro. Incluye pinturas como la "Liberación de San Pedro" de Rafael y Miguel Ángel, y la "Martirio de San Pedro" de Miguel Ángel. También menciona grabados como el "Milagro ante la Puerta Dorada" de Philippe Galle. Todas estas obras se encuentran en colecciones del Vaticano o museos como el Victoria Albert Museum y la Biblioteca Nacional.
Educational systems in several European countries were discussed. The key points included:
- Education is compulsory and free in primary and lower secondary schools in most countries. It typically lasts 9-10 years.
- Countries have national curriculums and standardized testing. Subjects generally include languages, math, sciences, arts, and more.
- Upper secondary/vocational education lasts 2-3 years and may include specialized subjects. Students take exams to graduate.
- Higher education requires completion of secondary school. Universities offer bachelor's and graduate degrees.
Lasers were invented in 1960 by the United States government for experiments as a defense against nuclear missiles. Now lasers are used to identify targets but also have many applications in engineering, communications, medicine, and the arts. Lasers amplify and produce intense, directional beams of pure colored light and can be solid state, gas, semiconductor, or liquid. They have advantages such as precision and focus but also disadvantages such as safety issues.
The document discusses innovative natural fibre reinforced bio-composite granules for sustainable applications. It introduces GreenGran granules which can replace traditional plastics for sustainable uses, and SoGreen's polyhydroxybutyrate (PHB) granules which are biodegradable alternatives for disposable applications. Examples of product development applications are provided for waterworks, electronics housing, and consumer goods. The benefits of these materials include being renewable, biodegradable, and providing good mechanical and thermal properties to replace oil-based plastics while being more sustainable. China is mentioned as a production location for these types of bioplastics.
The document summarizes IBM's Enterprise X-Architecture 5th generation systems and their VMware virtualization solutions. It discusses how the systems address challenges around memory capacity, license fees, energy costs, and deployment speed. Key features of IBM's eX5 systems include maximize memory capacity through expansion options, minimize costs through optimized configurations, and simplify deployment with pre-configured solutions. The document provides an overview of IBM's eX5 rack and blade server portfolio and how they are optimized for virtualization and specific workloads through innovations like MAX5 memory expansion and eXFlash internal storage.
This document discusses reading as a strategic process and the assessment of reading. It addresses what reading is, why we read, and reading strategies and skills. It also examines factors that affect the difficulty of reading test items and texts, such as the language of questions, question types, testing of skills, use of dictionaries, background knowledge versus text content, and text length. Research shows that vocabulary difficulty and struggling with unknown words affects comprehension. Tests should use simply worded questions in the target language to reduce anxiety and make them more authentic.
Este documento proporciona información sobre un libro digitalizado como parte de un proyecto para hacer los libros del mundo accesibles en línea. Explica que el libro está en el dominio público y que cualquier marcas o anotaciones en el libro original también aparecerán. Además, establece pautas para el uso no comercial del contenido y mantiene la atribución y cumplimiento de la ley.
This document provides an overview of Chinese culture, food customs, and the city of Guangzhou. It summarizes that China has 32 provinces, 5 autonomous regions, and 4 municipalities. Chinese meals are typically served in courses starting with soup, then a main dish of rice, noodles or meat and vegetables, sometimes followed by fruit. There are various etiquettes around Chinese dining such as waiting for the host to begin eating and not commenting on the food ordered. Guangzhou offers a mixture of local Cantonese snacks, western fast food, and dishes from other parts of China. The document also briefly mentions Guangzhou's vehicle-free streets, modern architecture, traditional buildings, and metro system.
Enhancing the User Experience for Multi-Pod VMware View Deployments1CloudRoad.com
F5 Networks and VMware have a partnership to provide application delivery networking services for VMware View deployments. This presentation discusses 4 common multi-pod VMware View use cases and the F5 solutions that can be used to provide a single URL for access, user-to-pod session affinity, and pod failover capabilities. The F5 BIG-IP product family provides local and global traffic management, secure access integration, an iApp for configuring VMware View, and iRules for intelligent traffic routing to fulfill these View designs.
SlideShare is a slide hosting service that allows users to upload presentations such as PowerPoint and Keynote files, as well as Word documents and videos, to share and collaborate on. Users can view, share, comment on, and add audio to uploaded files, and can also capture leads from presentations shared on the site. SlideShare functions like a YouTube for presentations.
UXPA Iowa - How to Fail at Building WebsitesIan Lintner
There are many ways to create a website and there are even more ways to fail. Join Ian Lintner as he discusses his knowledge on how to fail well when it comes to website design and development. The discussion will be a light hearted approach to failing early, failing often, embracing change and continuous improvement.
Ian Lintner has been making websites professionally for over 10 years. He has worn many hats and will provide insights into the entire website development process from inception to implementation and beyond.
Ian Lintner
www.linkedin.com/in/ianlintner/
Control Virtual Server Sprawl with HP Software1CloudRoad.com
This document discusses how HP Server Automation can help control virtual server sprawl. It begins by noting that while virtualization promises to make IT services more efficient and adaptive, in reality virtualization is not living up to its full promise due to ineffective, siloed management of virtual and physical environments. HP Server Automation provides capabilities for baseline discovery, patching, provisioning, and controlling virtual sprawl across VMware and Solaris environments. It allows managing the entire lifecycle of virtual machines from a single console, including creation, modification, resource allocation, provisioning, maintenance, and removal. The document presents examples of how HP Server Automation can be used for baseline discovery, patching, provisioning virtual and physical servers, and
Shareable Ink Practice Cloud allows clinicians to populate electronic health records using digital pens and tablets. It captures handwritten notes and patient forms as discrete data in the Allscripts EHR. This maintains clinician productivity while transitioning to digital documentation. Specialties like dermatology benefit as documentation styles translate well. Patient forms can also auto-populate the EHR. The solution has been code complete and tested for Allscripts EHRs. It integrates via the Unified Access Interface and pulls/sends data between paper and EHR.
M*Modal has developed a unique solution to capture accurate clinical data from physician dictations without requiring data entry. Their system uses speech recognition and natural language processing to automatically transform dictations into structured electronic records with tagged medical concepts and integrate this information into electronic health records. Key benefits include streamlining the physician workflow by allowing normal dictation practices, improving record sharing and decision support through structured data, and enhancing record accuracy and system performance through continuous learning from transcriptionist edits.
This document discusses data protection solutions for VMware environments. It summarizes FalconStor's data protection products which provide zero-impact VMware backups, ensure data integrity with agents, fully integrate with VMware Site Recovery Manager, and optimize WAN replication through sub-block scanning. A demonstration of the Site Recovery Manager integration and WAN optimization is provided.
This document outlines a tentative research agenda for degrowth. It begins by defining degrowth as the reduction of production and consumption through downscaling, decolonization of growth-centric imaginations, and reducing the domain of market rationality. The document then notes strengths and weaknesses of current degrowth research. It proposes strengthening theoretical and empirical arguments against growth, modeling sustainability under degrowth, and examining political and structural barriers to transition. The agenda also suggests engaging with internal contradictions and developing a coherent degrowth theory to explain how and why alternative systems work.
Climate Change and the Economic Crisis; Is prosperity possible without growth?Degrowth Conference
This document discusses whether prosperity is possible without economic growth given climate change constraints. It presents a scenario analysis comparing a business-as-usual growth path to a low/no growth path for Canada. The low-growth path stabilizes macro demand and supply, implements a carbon price, shorter work years, and more generous anti-poverty programs. It shows this path could achieve full employment, no poverty, fiscal balance, and reduced GHG emissions without relying on GDP growth. The analysis compares the scenarios' impacts on GDP per capita, unemployment, poverty, GHG emissions, and debt levels. It concludes prosperity does not require GDP growth if sustainable income levels are defined based on responding to climate change.
The document introduces several teachers from different countries and discusses their backgrounds, occupations, experiences with Moodle, and reasons for using Moodle. Katalin is a primary school teacher from Hungary who uses Moodle to make her lessons more interactive. Abderrahim teaches English in Morocco and is studying for an MA, and has participated in Moodle workshops and uses it in his program. MaC teaches educational technology in the US and has used Moodle for 6 years. Vukasin is a high school teacher in Serbia who has also participated in Moodle workshops and finds it an efficient platform. Mirjana teaches English in Serbia and has used Moodle for 6 years, finding it a great platform that is constantly developing.
Final Presentation for Teacher in Actionsoccrgrl62
This document provides an overview of a project where books were recorded onto audio tapes for students in an Exceptional Student Education (ESE) classroom. It describes delivering the recorded books to Mrs. Parlato's classroom at Leesburg Elementary School. Demographics on the students in the class and books recorded for kindergarten, first, and second grade are listed. The document concludes with thanks to those involved in the project, including the ESE teacher Mrs. Parlato and clerk Cindy Thompson.
Este documento presenta una lista de obras de arte relacionadas con San Pedro. Incluye pinturas como la "Liberación de San Pedro" de Rafael y Miguel Ángel, y la "Martirio de San Pedro" de Miguel Ángel. También menciona grabados como el "Milagro ante la Puerta Dorada" de Philippe Galle. Todas estas obras se encuentran en colecciones del Vaticano o museos como el Victoria Albert Museum y la Biblioteca Nacional.
Educational systems in several European countries were discussed. The key points included:
- Education is compulsory and free in primary and lower secondary schools in most countries. It typically lasts 9-10 years.
- Countries have national curriculums and standardized testing. Subjects generally include languages, math, sciences, arts, and more.
- Upper secondary/vocational education lasts 2-3 years and may include specialized subjects. Students take exams to graduate.
- Higher education requires completion of secondary school. Universities offer bachelor's and graduate degrees.
Lasers were invented in 1960 by the United States government for experiments as a defense against nuclear missiles. Now lasers are used to identify targets but also have many applications in engineering, communications, medicine, and the arts. Lasers amplify and produce intense, directional beams of pure colored light and can be solid state, gas, semiconductor, or liquid. They have advantages such as precision and focus but also disadvantages such as safety issues.
The document discusses innovative natural fibre reinforced bio-composite granules for sustainable applications. It introduces GreenGran granules which can replace traditional plastics for sustainable uses, and SoGreen's polyhydroxybutyrate (PHB) granules which are biodegradable alternatives for disposable applications. Examples of product development applications are provided for waterworks, electronics housing, and consumer goods. The benefits of these materials include being renewable, biodegradable, and providing good mechanical and thermal properties to replace oil-based plastics while being more sustainable. China is mentioned as a production location for these types of bioplastics.
The document summarizes IBM's Enterprise X-Architecture 5th generation systems and their VMware virtualization solutions. It discusses how the systems address challenges around memory capacity, license fees, energy costs, and deployment speed. Key features of IBM's eX5 systems include maximize memory capacity through expansion options, minimize costs through optimized configurations, and simplify deployment with pre-configured solutions. The document provides an overview of IBM's eX5 rack and blade server portfolio and how they are optimized for virtualization and specific workloads through innovations like MAX5 memory expansion and eXFlash internal storage.
This document discusses reading as a strategic process and the assessment of reading. It addresses what reading is, why we read, and reading strategies and skills. It also examines factors that affect the difficulty of reading test items and texts, such as the language of questions, question types, testing of skills, use of dictionaries, background knowledge versus text content, and text length. Research shows that vocabulary difficulty and struggling with unknown words affects comprehension. Tests should use simply worded questions in the target language to reduce anxiety and make them more authentic.
Este documento proporciona información sobre un libro digitalizado como parte de un proyecto para hacer los libros del mundo accesibles en línea. Explica que el libro está en el dominio público y que cualquier marcas o anotaciones en el libro original también aparecerán. Además, establece pautas para el uso no comercial del contenido y mantiene la atribución y cumplimiento de la ley.
This document provides an overview of Chinese culture, food customs, and the city of Guangzhou. It summarizes that China has 32 provinces, 5 autonomous regions, and 4 municipalities. Chinese meals are typically served in courses starting with soup, then a main dish of rice, noodles or meat and vegetables, sometimes followed by fruit. There are various etiquettes around Chinese dining such as waiting for the host to begin eating and not commenting on the food ordered. Guangzhou offers a mixture of local Cantonese snacks, western fast food, and dishes from other parts of China. The document also briefly mentions Guangzhou's vehicle-free streets, modern architecture, traditional buildings, and metro system.
Enhancing the User Experience for Multi-Pod VMware View Deployments1CloudRoad.com
F5 Networks and VMware have a partnership to provide application delivery networking services for VMware View deployments. This presentation discusses 4 common multi-pod VMware View use cases and the F5 solutions that can be used to provide a single URL for access, user-to-pod session affinity, and pod failover capabilities. The F5 BIG-IP product family provides local and global traffic management, secure access integration, an iApp for configuring VMware View, and iRules for intelligent traffic routing to fulfill these View designs.
SlideShare is a slide hosting service that allows users to upload presentations such as PowerPoint and Keynote files, as well as Word documents and videos, to share and collaborate on. Users can view, share, comment on, and add audio to uploaded files, and can also capture leads from presentations shared on the site. SlideShare functions like a YouTube for presentations.
UXPA Iowa - How to Fail at Building WebsitesIan Lintner
There are many ways to create a website and there are even more ways to fail. Join Ian Lintner as he discusses his knowledge on how to fail well when it comes to website design and development. The discussion will be a light hearted approach to failing early, failing often, embracing change and continuous improvement.
Ian Lintner has been making websites professionally for over 10 years. He has worn many hats and will provide insights into the entire website development process from inception to implementation and beyond.
Ian Lintner
www.linkedin.com/in/ianlintner/
Control Virtual Server Sprawl with HP Software1CloudRoad.com
This document discusses how HP Server Automation can help control virtual server sprawl. It begins by noting that while virtualization promises to make IT services more efficient and adaptive, in reality virtualization is not living up to its full promise due to ineffective, siloed management of virtual and physical environments. HP Server Automation provides capabilities for baseline discovery, patching, provisioning, and controlling virtual sprawl across VMware and Solaris environments. It allows managing the entire lifecycle of virtual machines from a single console, including creation, modification, resource allocation, provisioning, maintenance, and removal. The document presents examples of how HP Server Automation can be used for baseline discovery, patching, provisioning virtual and physical servers, and
Shareable Ink Practice Cloud allows clinicians to populate electronic health records using digital pens and tablets. It captures handwritten notes and patient forms as discrete data in the Allscripts EHR. This maintains clinician productivity while transitioning to digital documentation. Specialties like dermatology benefit as documentation styles translate well. Patient forms can also auto-populate the EHR. The solution has been code complete and tested for Allscripts EHRs. It integrates via the Unified Access Interface and pulls/sends data between paper and EHR.
M*Modal has developed a unique solution to capture accurate clinical data from physician dictations without requiring data entry. Their system uses speech recognition and natural language processing to automatically transform dictations into structured electronic records with tagged medical concepts and integrate this information into electronic health records. Key benefits include streamlining the physician workflow by allowing normal dictation practices, improving record sharing and decision support through structured data, and enhancing record accuracy and system performance through continuous learning from transcriptionist edits.
Physicians find that electronic health records systems require more time-consuming documentation using templates rather than spoken narratives. Speech-based tools allow capturing the full patient story and automatically populating electronic records. M*Modal's speech recognition and understanding technologies are easy to use as they can recognize all accents and dialects while understanding medical language. This improves productivity and patient care by facilitating more complete documentation within time-constrained appointments.
Real-time Clinical Communication and Care CoordinationiCareQuality.us
clinicalMessage is a communication platform that facilitates real-time collaboration across clinical teams through mobile devices. It transforms clinical communication compared to pagers by enabling streamlined processes using technology. Key capabilities include mobile communication, patient handoffs, closed-loop messaging, performance measurement, and supporting an expert learning community to continuously improve care.
Healthstory Project Overview - Dictation To Clinical Data For AHDINick van Terheyden
The document discusses the Health Story Project, which aims to automatically generate structured and encoded clinical documents from dictation. This would enable dictation to continue as physicians' preferred documentation method while also making the information accessible in electronic health records. The project transforms dictation into clinical documents compliant with HL7 standards. Members advocate expanding meaningful use to recognize use of EHRs integrated with dictation via Health Story standards. This would bridge narrative notes and structured data, improving documentation quality and enabling uses like clinical decision support.
The document discusses the problems in the US healthcare system including rising costs, lack of access, and impending insolvency of Medicare. It introduces Doctations as a solution, which is a multi-tenant internet-based healthcare system that aims to improve efficiency, quality of care, and the doctor-patient relationship. Doctations offers a fully integrated electronic medical records and practice management system as a subscription-based software as a service. It allows doctors to access patient records and communicate securely online.
MD Practice Solutions is a channel partner for M*Modal Solutions in the Midwest. M*Modal offers cloud-based products and outsourced services to help healthcare providers meet the changing requirements of EHRs, meaningful use, ACOs, and regulations while delivering quality patient care. Their Fluency products integrate with EHRs and clinical systems, allowing physicians to dictate into their EHR using speech recognition. The products also offer transcription, document management, imaging reporting, computer-assisted coding, and workflow tools to improve productivity, efficiency, quality, and patient outcomes.
The document discusses the debate around replacing dictation with electronic medical record (EMR) systems. While EMRs promise benefits from automation and subsidies, replacing established dictation workflows with rigid EMR templates can significantly reduce physician productivity. Integrating flexible digital dictation systems that allow narrative notes with EMRs may offer the best of both technologies by maintaining productivity while gaining paperless benefits. The key is finding solutions that adapt to existing workflows rather than disrupt them.
This document discusses Dragon Medical Practice Edition, a speech recognition solution designed for small healthcare practices. It addresses common challenges with electronic health records (EHRs) like time spent documenting and lack of adoption. Dragon Medical Practice Edition allows doctors to dictate notes directly into EHRs, improving efficiency. Over 180,000 physicians worldwide use Dragon Medical solutions to streamline documentation.
TransCelerate is a nonprofit organization that aims to accelerate medical research by improving collaboration across the pharmaceutical industry. It has developed a Common Protocol Template (CPT) to standardize clinical trial protocols. The CPT provides a streamlined template for protocol content and format to make protocols easier to interpret, reduce complexity and costs, and enable automation. The CPT benefits various stakeholders by improving efficiency and quality. Its adoption by sponsors is valuable as it leverages industry expertise, supports compliance, and balances quality improvements with efficiency gains over time.
This document provides a summary of the Hospital Management Information System (HMIS) and implementation process at dwise Healthcare. It discusses the key modules in HMIS including outpatient, inpatient, billing, laboratory, radiology. It describes the features of outpatient registration and appointment management. The implementation process focuses on customizing the system to client workflows and standards, training staff, go-live support and maintenance support. The HMIS is implemented using a phased approach to ensure a smooth transition from paper to digital records.
Speech recognition and clinical knowledge systemsKlaus Stanglmayr
The document discusses combining speech recognition technology with clinical decision support tools to improve clinical documentation. It highlights how SpeechMagic speech recognition software integrates with Elsevier's clinical reference and decision support tools to allow doctors to access evidence-based medical information while dictating patient notes. The combination aims to enhance patient care by facilitating documentation while reducing errors and improving efficiency.
Triage.me is a solution that integrates after hours phone calls and SMS messages into tasks and documentation in the Allscripts Enterprise and Professional EHR. It allows doctors to view patient data in an app when receiving after hours calls to streamline triage. The application addresses innovative approaches to value-based care by automating call documentation and tasks directly in the EHR.
HITECH Health IT Legislation: Opportunities for the DMAA CommunityVince Kuraitis
The document discusses opportunities for the disease management community in light of recent health IT legislation. It outlines how disease management can embrace interoperability to become leaders rather than laggards. The legislation provides billions in incentives to adopt electronic health records and demonstrate meaningful use. This creates opportunities for disease management to participate through care coordination and use of clinical groupware platforms.
This PPT explains about how Singapore is using IT in healthcare, Integrated Health Information Systems, Singapore's Shifting Demographics and 2020 Master Plan. For more information visit: http://www.transformhealth-it.org/
The document discusses the future of healthcare standards and interoperability. It outlines the standards committee's 2014-2015 workplan focusing on topics like image exchange, quality reporting, and care management. The presentation notes that content, vocabulary, and transport standards need further development. Specifically, it calls for abandoning proprietary approaches and adopting common web standards like JSON, REST, and OAuth for exchanging health data. The presentation envisions a future where FHIR replaces older standards and certification focuses on true interoperability using modular, implementer-friendly standards.
Beyond Speech Recognition – New approaches to Information CaptureKlaus Stanglmayr
The document discusses speech recognition technology solutions for healthcare organizations. It provides an overview of SpeechMagic, a leading speech recognition platform, and its capabilities for clinical documentation, information capture, and integration with other systems. SpeechMagic has evolved to offer interactive speech recognition that allows clinicians to instantly create structured reports at the point of care with standardized formatting and medical terminology.
This document discusses improving communication between clinical staff and IT organizations when implementing new healthcare technologies. It emphasizes that both groups have different perspectives and priorities, so effective collaboration is important for technology adoption and success. The document provides best practices for involving clinicians early in the process, understanding their needs, and clearly communicating how new technologies will improve patient care. It also discusses how telecommunications providers can help facilitate implementation by understanding goals, ensuring infrastructure supports technologies, and allowing IT staff to focus on clinical needs. Overall it stresses the importance of open communication between all parties.
This document discusses the advantages of using open-source software in healthcare. It notes that open-source software provides ethical, economic, and clinical benefits over proprietary options. Specifically, it outlines that open-source software improves access to care, encourages innovation, reduces vendor lock-in, enhances interoperability, and improves patient safety through transparency and community support. The document also lists five commonly used open-source applications in healthcare: OpenEMR, OpenMRS, HospitalRun, Open Hospital, and Solismed. It provides a brief overview of the features and purposes of each application.
McKesson's EHR solution is proven, established, and validated by third parties. It offers increased productivity for physicians and practices through flexible data entry, efficient documentation, and improved workflow. The solution also improves quality of care with evidence-based content, automated health maintenance reminders, and order entry capabilities. McKesson has extensive customer service and a large user community to support independent practices.
2. M*Modal delivers innovative solutions that capture the complete
patient story by facilitating clinical workflows, enabling collaboration
and providing insight for improved delivery of care. M*Modal is the
leading provider of interactive clinical documentation and Speech and
Natural Language Understanding technology, as well as medical
transcription, narrative capture and support services.
Our flexible, cloud-based technology and services convert the
physician narrative into a high quality and customized electronic record
to enable hospitals, clinics and physician practices to improve the
quality of clinical data, as well as accelerate and automate the
documentation process. Our solutions address the critical issues for the
future of the healthcare industry — from EHR adoption to accurate
ICD-10 coding to enhanced business analytics.
3. 2
It’s Not Just Speech Recognition. It’s Speech Understanding.
Every patient has a unique story. Even similar patient cases are not exactly alike. Dictated narrative reports
have long been the preferred approach. As one doctor put it, “One of the most helpful lessons I’ve
learned about being a physician is that we’re story tellers. We’re trying to capture the patient’s full story.”
Yet we have created a crisis of capture around clinical narrative in the move to EHRs and other electronic
clinical systems. Pursuing the legitimate need for structured data, we have pushed a paradigm of
template-based data entry at the expense of rich narrative documentation. This point-and-click model
works for some information, but clearly demands a shift in physician behavior because it can be
cumbersome to use and very limited in its ability to capture the detail physicians prefer. Plus, it
frequently encourages undesirable behaviors, such as improper use of cut-and-paste and including
lengthy standard text blocks that render the electronic record unusable by other physicians.
By contrast, speech-based narrative documentation is workflow-friendly and enables providers to tell the
full story, including the causes, opinions and rationale for conclusions that match the way doctors think
and collaborate.
Consider how valuable the following content is to
The pressure is on. Healthcare faces a set
collaborating physicians — and how difficult it is to of related demands that contributes to
create via templates: the overall drive to achieve higher care
quality and substantially reduced cost.
“The decision is supported by the fact that the
probability of deep vein thrombosis with no prophylaxis COST
• Reduce costs
is greater than with IPC prophylaxis.”
• Integrate imaging fully into the
“Looking at other aspects of the proposed plan, for a complete electronic health records
equation
patient with chronic renal failure, Curare is a
• Optimize the revenue cycle
reasonable selection since it is reliably metabolized by
the liver, and Halothane is a good choice since it has no QUALITY
nephrotoxicity.” • Provide higher quality of care at the
point of care
The industry’s long-running “Solution 1.0” to the • Accelerate EHR adoption and achieve
dilemma has been to deploy speech recognition Meaningful Use
within or outside of EHR systems for dictation of • Manage change
patient histories or text “snippets” Speech
. • Meet rapidly escalating demands for
reporting quality metrics
recognition is a vital and efficient tool to create
• Deliver better care through analytics
electronic text. But it remains text that is still not
Quality clinical documentation is one of
easily useable data.
the linchpins for addressing these major
initiatives. That’s too big a task to leave to
Valuable as it is, conventional speech recognition is
just templates or just speech recognition.
yesterday’s solution. It is necessary but not sufficient
for today’s big strategic challenges.
4. 3
Which is exactly why M*Modal created Speech Understanding™ as an alternative more than a decade
ago and has refined it through steady technological advancement and the accumulated experience of
200,000 physicians. More than automating voice-to-text, and more than just a widget for the EHR,
M*Modal’s Speech Understanding allows physicians to:
• capture their narrative via “natural language”
• have it instantly processed into a standardized structured document
• ...and then have this narrative actually impact the physician’s workflow.
The document’s rich data can then be readily shared and used. We refer to this as Collaborative
Intelligence.
The Requirements for Speech Understanding
On a single platform Speech Understanding combines two native technologies delivered in the Cloud:
speech recognition and Natural Language Understanding (NLU). Speech Understanding exploits
synergies between those two technologies working in tandem on the voice file. In one unified process.
In real-time.
We recognize the meaning and syntax of the dictation, not just the individual words or word strings as
in conventional speech. With the speech engine having the benefit of a contextual understanding of a
document’s meaning, physicians can dictate in a normal, “conversational” mode without needing to
follow particular speech structures or provide verbal cues to the engine. We call this Conversational
Documentation Services. Accurate recognition results because the system, running in the Cloud, can
recognize the physician’s intent
and adapt to virtually all
dialects, accents, speaking
styles, dictation habits and sub-
specialty terminology.
The physician’s experience is
exemplary and satisfying.
Caveat Emptor: There are several
crucial requirements that
distinguish M*Modal Speech
Understanding from basic
speech or other “wannabees”
that use similar Speech
Understanding terminology in
the market.
5. 4
1. A True Cloud-Based Solution
Speech Understanding is not only physician-friendly; it’s IT-friendly as well. The M*Modal platform is
hosted in a robust and secure M*Modal data center. It is a true cloud-based solution providing major
benefits to each organization and its users.
• Anywhere, anytime access on any workstation becomes a reality because each user’s profile is
available in the Cloud, not just on the computer they had to “teach”
.
• Each user instantly taps into the accumulated understanding garnered from a decade of capturing
200,000 other physician voices.
• Sub-specialty terminology resides in the Cloud for enhanced understanding and accuracy.
• Costs and efforts by IT are minimized and deployment is dramatically simplified.
• Routine software updates are automatic and centralized. No waiting for the next major release.
2. Conversational Speech with the Highest Accuracy
Speech Understanding delivers “110% Accuracy”
.
That means we get beyond the traditional speech recognition headline “accuracy rates”, which have
become somewhat artificial at this point and often used to hype marginal product enhancements.
Speech Understanding models natural, conversational speech and aims for the whole context of what is
spoken, in addition to accurate word recognition. From this richer context we can glean medical
concepts and detect the report type or sections referenced in the dialogue. We don’t need to have
doctors call out specific terms to alert the speech engine. For example, we can easily distinguish
between “allergies” as a word versus a command to go to the Allergies section of the report.
What does that mean for the doctors? They can dictate naturally and have the technology adapt to
them and achieve accurate results. Consistent with their workflow. Adding to, not subtracting from, their
personal productivity.
As a leading physician at Pinnacle Health System in Pennsylvania noted: “I have found that M*Modal is
very precise regarding physician language. It’s geared towards the way physicians think and the way
physicians speak. Even if it were to cut off a word, I find that it still creates a phrase that is
understandable to other physicians, that makes sense when you read it in terms of how we construct our
thoughts. You don’t have to worry too much about putting in homonyms or other words that don’t make
sense in the patient record.”
6. 5
3. Out-of-the-Box Effectiveness from Day One
Many speech recognition products take weeks of “training” to work with consistent reliability. And they
require this training to be done on each individual workstation to be used if the author profile is not
stored centrally.
Physicians can begin using M*Modal Speech Understanding immediately, with little or no enrollment,
and rapidly ramp to effectiveness. Hundreds of thousands of doctors’ voices, profiles and speech
patterns have collectively performed the training in advance during the past decade, and our contextual
technology adapts quickly to the new user. As one physician said: “The quality of the draft report was
high from the beginning and the system quickly improved the department’s productivity.” And not just
with the easy speakers, as another relates, “A lot of the residents I work with have heavy, very thick
accents. And they, within an hour, for the most part, were able to get used to using the system, and the
system used to their personal speech patterns.”
The upshot is tremendous speed to value, an absolutely critical requirement in today’s healthcare IT world.
4. Automatic and Continuous Learning System
Medicine is constantly changing. Users vary their habits and needs. Any clinical system worth its salt
must be a learning system.
Speech Understanding technology provides continuous learning on steroids. Our platform improves as
it is used. It gets feedback from all the corrected, structured and encoded documents we process,
whereas conventional speech systems rely on verbatim transcripts. So each new user adds to the
richness of our knowledge built in the Cloud from the hundreds of thousands of physicians. Which is
how we are able to detect, interpret and fully understand clinicians’ speech — and adjust on-the-fly to
differences in each individual’s unique cadence, accent, dialect and sub-specialty terminology.
This continuous learning also extends to our Natural Language Understanding. Most “natural language
processing” systems in the market use human-created rules to help the engine adapt and incorporate
new information. While some rules are always part of the equation to ensure flexibility and scalability for
the complex and changing healthcare environment, “machine learning” models such as M*Modal’s are
much more appropriate. The system processes feedback statistically for continuous improvement.
Systems that learn like this are essential for true collaboration.
5. Creating Structure from the Narrative
We’ve established that Speech Understanding delivers more than “typing with your tongue” We create
.
meaningful documents that are structured and encoded, derived from the original unstructured data. In
this way we generate actionable intelligence, the kind of information that can be used by many systems
and that promotes collaborative care.
7. 6
To get there we do something crucial and unique. Documents are output not only as text, but also in
HL7 Clinical Document Architecture (CDA) format, a leading industry standard for structured document
types. CDA promotes two major goals: information reuse and interoperability with EHR and clinical
systems. M*Modal has been deeply committed to open, standards-based deployments since its
inception and has built interoperability into its platform from the outset.
In fact, given our CDA foundation and extensive report processing over many years, you could say that
M*Modal is the world’s most significant clinical document interoperability company!
Reaching far beyond technology that merely tags medical terms in transcripts, M*Modal deploys
sophisticated technology to “read” and understand unstructured clinical narrative. We provide unique
annotation of the meaningful information contained in the narrative content — codified to standardized
medical ontologies and lexicons such as SNOMED®-CT, ICD, RadLex®, LOINC and others. So we
preserve context-aware data from the original narrative while transforming it into actionable information
— Collaborative Intelligence — to be coupled with structured EHR data. That enables clinical decision
support and significantly improves the quality of care.
6. Information-Driven Workflows
Clinical technology should fit with existing workflows and enhance them productively. That is a guiding
principle for M*Modal’s technology and solution development.
Whether providers self-complete recognized documents or delegate to a medical language specialist,
the Speech Understanding-based workflow is extremely user-friendly and matches physician
preferences. Our solutions include intelligent editing tools which support greatly improved productivity
no matter what work style is selected. We also offer solutions that benefit imaging, transcription and
coding.
Second, the M*Modal platform has its own workflow orchestration features that resolve issues, such as
the need to boost radiologist productivity by unifying worklists and bringing together images and
patient data from multiple systems.
But it is not only about matching workflows. The power of Speech Understanding is crystal clear when it
triggers workflow steps automatically and dynamically based on the dictation. For example, when a
critical finding is detected during radiology reporting, the radiologist will be automatically prompted to
provide the required communication protocol to the referring physician. Another example: the Physician
Quality Reporting System (PQRS) mandates that certain information be documented in given types of
cases. M*Modal Speech Understanding can recognize absence of such required information in the
dictation and provide a real-time alert to rectify the problem immediately before signature. Now that is
true clinical documentation improvement.
8. 7
7. Unstructured Data Analytics
Because it produces much more than “tagged” data elements, M*Modal’s Speech Understanding
technology lets you move beyond the simplistic resolution offered by most speech and language
systems: “We’ll help you populate your EHR data repository.” Most organizations are awash in “data”;
they want to understand their data and answer significant clinical and business questions. Preserving
context while producing structured data makes our output not just database-ready but analysis-ready as
well. High quality analysis, since the data contained inside narrative is richer than plain discrete
structured data elements. In a later section of this white paper we will outline integrated offerings
available from M*Modal to put this analytical power directly in your hands.
M*Modal: The
Unstructured Information
Resource Company Quick Benefit Summary of
Unstructured, narrative data represents an
Speech Understanding
untapped healthcare “natural resource” As
. M*Modal’s platform is not about
technology at the end of the day. It’s
we have described throughout this paper,
about delivering the benefits you are
Speech Understanding technology captures, working hard to realize:
manages, codes and uses the clinical facts
• Higher quality documentation
and data contained in free text
• Improvements in clinical
(unstructured) narrative reports. At M*Modal
documentation initiatives
we process billions of lines of transcription
• Transcription cost savings
and millions of documents annually, creating
structure from the unstructured with the • Increased physician satisfaction and
productivity
complete patient story intact. The
information becomes a valuable resource to • Promotes EHR adoption
be shared, mined and reused for many • Meet the Meaningful Use criteria
purposes. It becomes Collaborative • Improved communication with
Intelligence, and its value is multiplied referring physicians
dramatically through our expanding • Enhanced evidence-based decision
ecosystem. making
M*Modal is not a speech recognition • Drive greater collaboration
company; it is an Unstructured Information Simply put, Speech Understanding is not
Resource company that is vital to your a single point solution; it gives you a
comprehensive set of benefits that are
electronic health records strategy.
central to your strategy.
9. 8
M*Modal brings the experience, the technology AN ECOSYSTEM FOR
and the vision to open up the meaning, the use and COLLABORATIVE INTELLIGENCE
the revelations that are embedded in each
Collaborative Intelligence presumes
physician’s narrative.
and requires a network of people,
• A leading developer of advanced processes and technologies that work
technology. Our Speech Understanding together. That’s why M*Modal also
platform is developed by a stellar team of continues to build out an ecosystem
world-class scientists, linguists, health of partners to leverage its technology
information experts and engineers. It has been and foster collaborative use of the
built from the ground up as a unified platform, information it helps generate. Such
not one stitched together from acquired parts an ecosystem creates a real network
or independent elements. effect that increases knowledge and
• A demonstrated record of technology further bolsters our learning system.
development leadership and innovation. Speech Understanding is especially
First and only company in our sector to offer well suited to integration with other
Conversational Speech. First and only to systems, and M*Modal is committed
produce native CDA documents from speech. to a robust partnering strategy.
The list goes on. The healthcare industry has
recognized M*Modal as a technology leader
throughout its history.
• A strategic thought leader in this area. M*Modal was one of the founding members and major
supporters of the Health Story project to promote the value of narrative documentation. We have
created pioneering partnerships. We have produced many articles on groundbreaking technology
developments for the healthcare industry. Our roadmap reflects this thought leadership.
• A deep commitment to quality narrative documentation. M*Modal is exclusively focused on
healthcare. We are the nation’s largest clinical transcription services provider. We are focused on
helping produce the highest quality patient information and using it to drive valuable clinical actions.
This laser-focus means we bring all of our resources to bear on using and improving Speech
Understanding and related technologies for these ends.
Speech Understanding offers incredible opportunities to align IT initiatives with caregivers on the
frontlines. And it offers impressive opportunities to tap into a source of data that has been extremely
difficult to leverage in any meaningful way. Until now.
10. 9
Speech Understanding Spawns a Rich Solutions Portfolio
M*Modal’s technology forms the foundation for a solutions portfolio that represents the most scalable
set of clinical documentation technology and services available today. We deliver a rich array of choices.
Front-end and background Speech Understanding in a SaaS “cloud-based” workflow. The industry’s
largest domestic and global workforce for cost-effective transcription and editing outsourcing services.
Computer-assisted coding. Solutions to mine and manage clinical content. Integration with major EHR
systems. We partner with you to analyze and understand your specific needs, challenges and
requirements to meet you at your state of readiness.
These options come together within the M*Modal Fluency™ product family, our real-time interactive
suite of workflow-friendly speech and natural language offerings built on M*Modal’s cloud-based
enterprise documentation platform. Additional information is available on each of these:
Natural
Language
Speech Understanding™
Understanding™
Workflow
Orchestration
11. 10
M*Modal Fluency Direct speech-enables existing health information systems such as EMR/EHR, clinical
documentation systems, RIS and PACS. Caregivers use voice to navigate their clinical applications and
dictate narrative reports directly within those systems. By capturing spoken dictation and turning it into both
text and structured data, M*Modal Fluency Direct offers high-accuracy, “once and done” speech, so
physicians can dictate, review and electronically sign their reports in a single pass. Providers improve
documentation efficiency and avoid difficulties associated with template-based point-and-click systems,
augmenting discretely captured data with a narrative of the patient’s story.
M*Modal Fluency for Imaging offers real-time interactive speech with Workflow Orchestration features
tuned to the needs of radiologists, including support for voice-driven insertion of normal text and
completion of templates. M*Modal Fluency for Imaging provides interoperability between disparate
systems and supports a unified work list for the radiologist. Radiology groups can thus scale across multi-
site, multi-vendor environments with the authoring, productivity and communication tools that enable
subspecialty, high quality care.
M*Modal Fluency for Coding helps automate the coding process. Based on an industry-leading, patented
technology, M*Modals’ software delivers high-efficiency, high-accuracy Computer-Assisted Coding. This
Web-based product marries strong coding workflow management with accurate ICD (9 & 10), CPT and E&M
code assignments automatically generated from analysis of the medical reports. The system presents these
recommendations along with the link to the text used to make the determination for rapid coder review and
assessment. Coder productivity gains of 25 - 75% or more are achieved.
M*Modal Fluency for Transcription is our platform for optimizing your clinical information workflows when
transcription is deployed — whether your preferred model calls for in-house, outsourced or combination of
resources. Dictation is captured through M*Modal Fluency Voice Capture™, a cloud-based, digital voice
capture and transport solution deployed at the customers’ location. The embedded M*Modal Speech
Understanding™ technology quickly converts audio to text and then our rich workflow management
routines automatically route it to the right editor. M*Modal Fluency for Transcription supports M*Modals’
industry-leading outsourced transcription services, as well as in-house transcription at hospitals and clinics.
M*Modal Fluency for Practices helps physicians in small to medium-sized practices capture patient narrative
using a smart phone, traditional phone or digital recorder. Using our HIPAA-compliant, Web-based
document management platform, all staff members have expedient access to transcripts and other related
practice documents as well as full workflow support. Fluency for Practices contains many productivity and
compliance features including e-signature, fax/auto fax, print and audit trail functions.