Healthcare Information and Management Systems Society

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Healthcare Information and Management Systems
Society

• Bruce Fagerstrom
• President
• WahlTek, Inc.
• November 18, 2005

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Iowa HIMSS

• Key document challenges
• To keep medical records current at lower costs
• To efficiently manage an ever-increasing amount
  of information and documentation

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Iowa HIMSS

• You need medical documentation that is
• Accurate--QA
• CompleteEvent fully documented
• TimelyQuicker turnaround
• Exchangeable between different IT systems
• Accessible whenever and wherever patient care is
  needed

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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 UsersRadiology, ER,
  Pathology

6
Iowa HIMSS

• VR IS real now!! WHY??
• Providers can use familiar input optionscall-in,
  digital handheld, or PC
• More Medical vocabulary optionsnow 40 General
  and Specialty options
• Much higher accuracy level
• Better integration with HIS, RIS, EHR
• MOST importantly---background option

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Iowa HIMSS

• VR is real now because of the background
  recognition optionConsider this specific example

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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
• Solutionbackground recognition

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Iowa HIMSS

• Background Recognition
• Network-based--roving user concept
• Multiple input optionscall-in, digital handheld,
  PC
• Route dictation through the recognizer and then
  to the editing staff
• Transcription staff becomes EDITORS

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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 reduction30-40
• This is due to the need to listen to dictation

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Iowa HIMSS

• Lets 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

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Iowa HIMSS

• Additional Benefits
• Most transcription departments have difficulty
  recruiting qualified staff
• Less fatigue related to transcription
• Reduced turnaround time
• Much quicker report accessEHR

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Iowa HIMSS

• Additional Benefits
• Higher document accuracythe recognizer does a
  better job understanding the Provider
• Implementation of templates or macrosstandards
  of care
• Reduced Provider training time

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BACKGROUND RECOGNITION WORKFLOW
Call-in
Transcription PCs
Dictation System
Recognition Server
Text Server
Digital Handheld
Transcription Access PCs
EHR/HIS Server
PC Dictate