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

2. Audio Video Check Audio Video Check

3. Today’s presentation Demonstration Demonstration Short Powerpoint: Short Powerpoint: Lessons Learned Lessons Learned Metrics Metrics Testimonials Testimonials Cost options Cost options

4. Pros Easy to Use Easy to Use Dictating after 20 minutes Dictating after 20 minutes Can dictate into EHR templates Can dictate into EHR templates

5. Pros Documentation time decreased 50% Documentation time decreased 50% Notes are more complete Notes are more complete Providers are gaining back 1-2 hours per day, leaving on time, not staying late to chart Providers are gaining back 1-2 hours per day, leaving on time, not staying late to chart Neck and back pain decreased because they are typing less Neck and back pain decreased because they are typing less

6. Things to watch out for Review transcription for accuracy Review transcription for accuracy Microphone Quality Microphone Quality Adequate Training/Support Adequate Training/Support Adequate RAM (512mb+) Adequate RAM (512mb+)

7. Terminal Server Version 9 is dedicated to Citrix. Due to be released this summer Version 9 is dedicated to Citrix. Due to be released this summer Voice files stored on the network can slow the network down. Voice files stored on the network can slow the network down.

8. Audio Video Check Audio Video Check ….. Audio Video Check

9. Metrics

10. 50% Decrease in Time to Complete Note when using Dragon Each Patient

11. EHREHR DragonDragon

12. DragonDragon EHREHR

13. DragonDragon EHREHR DragonDragon Average Billing/Day for One Provider

14. Testimonials

15. Sent:Wednesday, January 11, 2006 4:26 PM Subject: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-typist

16. Testimonial from a “typist” From: Kirkland, Carol (Warm Springs) To Whom It May Concern: I am delighted to have the opportunity to support the Dragon 8 voice activated dictation system. I have been using the system for only a couple of weeks and can already see a drastic improvement in my ability to manage my time and documentation. I estimate that the Dragon 8 system saves me a minimum of one to two hours per day already, and has improved my documentation by allowing me to include more detail than would otherwise be possible in the template systems. Although I have no experience with dictation, and am not yet truly comfortable with the process, the Dragon 8 system is very user-friendly...

17. Cost GSA: $700-$928 per PC (per user) GSA: $700-$928 per PC (per user) http://www.cdwg.com http://www.cdwg.com http://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/ ftp://intranetftp.ihs.gov/pub/EHR/Voice%20Recognition/