Posts Tagged Dragon Naturally Speaking

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Nuance Releases Version 10 of Dragon Medical Speech Recognition Software

David Williams has a podcast/transcripted interview with Nuance Communications’ Keith Belton on the new release of Dragon Medical.  Here’s the pertinent information straight from the interview:

  • allows physicians to navigate their EMR via speech command and to dictate anywhere in the EMR
  • 20 percent more accurate out of the box than Dragon Medical 9
  • first industrial strength version that allows a chief information officer to install it and deploy it enterprise-wide across hospitals and clinics
  • medical vocabularies that cover almost 80 specialties
  • listens to the speech of non-native speakers and automatically loads one of eight region-specific language accent models
  • new medical abbreviations wizard that presents a list of common specialty abbreviations and follows the Joint Commission guidelines on approved and unapproved expansions of abbreviations
  • can create text-based macros and text-based templates with personal variability

The list price of version 10 of Dragon Medical is $1599 per physician.  The 18% annual maintenance fee includes upgrades.  Here’s the original release notice from the Nuance website.

There remains a huge controversy over the fact that Dragon Naturally Speaking Version 10 (different from the Dragon Medical product) no longer works with EMR packages.  At about $200, Version 9 of Dragon Naturally Speaking was the choice of many physicians using EMR.

Posted in: Electronic Medical Records, Innovation

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Nuance (Dragon) Comments on Blocking the Consumer Edition from EMR Integration

©Lidian Neeleman/Dreamstime.com

©Lidian Neeleman/Dreamstime.com

My August 20th post (read it here) noted that Dragon voice recognition software has been quietly gaining acceptance as a mainstream solution to hefty transcription costs and EMR integration. 10% of the healthcare providers in the United States are currently using Dragon Medical.

Yesterday, HISTalk noted that:

At least one doc is unhappy that Nuance has blocked the use of Dragon Naturally Speaking with EMRs in Version 10. Nuance states “…we found that some large hospitals were using the consumer editions of Dragon and not getting the accuracy, quality and manageability that would be achieved when using Dragon Medical.”

Nuance responded on HISTalk via comment, saying in part:

“Nuance has made a significant investment in building, tuning and distributing Dragon Medical for exclusive use by the health care industry. The integration and engineering required to deliver the ease-of-use of Dragon Medical with all major EMR vendors, including Allscripts„¢, Epic, Misys®, GE® Healthcare, NextGen®, Siemens, eClinicalWorks, Meditech, McKesson®, Cerner and Eclipsys®, requires a Herculean effort, comprising thousands of man hours in developing and testing. As one would expect, there is a premium associated with the delivery of this capability and the resources devoted to further hone and evolve the product to meet the specific needs of the medical end user.”

Nuance also points to the Microsoft model of charging differently for enterprise/professional software and consumer software offerings.

I don’t dispute a vendor’s right to charge accordingly for a product that has taken a lot of R & D to bring to the market, but like everything else that has a place in the medical world, it will cost much more based on the healthcare application. A set of plastic drawers for home costs $9.99 at your local store and lists for $99.99 in a medical catalog.

Posted in: Electronic Medical Records, Innovation

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Who’s Using Voice Recognition? 70,000 Healthcare Providers, That’s Who

©Thomas Lammeyer/Dreamstime.com

©Thomas Lammeyer/Dreamstime.com

Five years ago I worked for a physician who used Dragon to dictate his office notes. He put in the time to teach Dragon his voice and successfully dictated, edited, and printed his own notes. He eliminated all transcription costs, and was a favorite of the staff as no one ever had to scramble to find his notes. Not surprisingly, he was my physician IT Champion.

For every physician who was able to make it with Dragon five years ago, there were probably ten who didn’t tough it out. Today there are 70,000 healthcare providers using Dragon, which is an estimated 10% of the total healthcare provider population. What’s the big motivator? One, saving money, which becomes more important every year as there become fewer places to cut costs. Two, direct input into the EMR, which saves time and closes the loop on electronic management of physician assessment and recommendations.


Posted in: Electronic Medical Records, Innovation

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