Nuance says it's seeing growing international demand for its clinical dictation technology, and that it's expanding accordingly. In Britain, Nuance has begun to roll out its Dragon Medical One platform, which it has connected with the National Health Service's broadband network. Commenting on the benefits of this speech recognition technology for patient documentation, South Tees Hospitals NHS Foundation Trust CCIO and ED Consultant Dr. Andrew Adair attested, "Speech recognition has transformed our ED, releasing our doctors and nurses from the shackles of clinical documentation, and enabling them to spend more time treating patients." Dragon Medical One was also launched in Canada earlier this year, running on the Microsoft Azure cloud platform, as it does in the UK. Commenting on the solution's promise, North York General Hospital and Michael Garron Hospital Joint CIO Sumon Acharjee said, "Nuance's Dragon Medical One will help enable Canadian physicians have up-to-date technology as it fits seamlessly into their workflow and easily integrates with existing EHR technology."
The healthcare division of Nuance Communications announced it has developed an artificial intelligence-based platform, the Computer-Assisted Physician Documentation (CAPD) solution, to help surgeons with documentation before and after operations. With the help of AI-based algorithms, CAPD is designed to help streamline operative reporting and procedural note documentation in real time and is designed to ensure accurate, timely and complete documentation within a user-friendly interface, Nuance said. The CAPD solution works across ambulatory and acute care settings and is embedded directly into the electronic health record workflow, so it enables surgeons to capture accurate, complete, "coder ready" documentation, the company contended. Surgeons are presented with their personal operative notes without the requirement to search, and with options to document the required fields to accurately record the complexity of the patient and procedure. Once the surgeon completes a patient's postoperative report, Nuance electronically sends a copy of it and its suggested charge capture to the appropriate billing office.
Imagine a visit to your doctor's office in which your physician asks you how you've been feeling, whether your medication is working or if the shoulder pain from an old fall is still bothering you -- and his or her focus is entirely on you and that conversation. The doctor is looking at you, not at a computer screen. He or she isn't moving a mouse around hunting for an old record or pecking on the keyboard to enter a diagnosis code. This sounds like an ideal scenario, but as most people know from their own visits to the doctor, it's far from the norm today. But experts say that in an exam room of the future enhanced by artificial intelligence, the doctor would be able to call up a lab result or prescribe a new medicine with a simple voice command.
Physician burnout is one of the most serious conditions in today's medical profession. The Agency for Healthcare Research and Quality defines the condition as "a long-term stress reaction caused by emotional exhaustion [and] depersonalization," among other factors. According to the American Medical Association, physicians suffer from considerable stress caused by facets of their job that have little to do with actually providing personalized patient care. The AMA reports that physicians spend up to six hours daily working with electronic health records (EHRs) to adhere to government and hospital documentation requirements. That's six hours not spent seeing patients, and thus not having the time to listen carefully and diagnose, empathize, hold a hand, speak with family members, or explain conditions and next steps.
Physicians today face increased pressure to produce more accurate, complete and compliant clinical documentation while simultaneously maintaining their focus on patient care and satisfaction. However, without better clinical documentation processes and technology in place, physicians and hospitals risk receiving inaccurate quality scores and lower reimbursement rates. CMS continues to advance the level of reimbursement it ties to clinical performance. By 2018, CMS expects to base payment criteria for Medicare value-based purchasing programs wholly on clinical performance according to efficiency of care (25 percent), patient outcomes (25 percent), patient experience (25 percent) and safety (25 percent). To achieve full reimbursement from payers in value-based care, "clinical coding should capture the complexity of the patient's condition -- the number and severity of comorbidities, the relationships between conditions and the results of treatments and interventions," Anthony Oliva, MD, vice president and CMO at Nuance, said during a webinar sponsored by Becker's Hospital Review Jan. 24.