pipeline session speech and medical intelligence – revolutionizing the doctor and patient...
DESCRIPTION
speech and medical intelligence – revolutionizing the doctor and patient experience Speech is delivering efficiencies and improves EHR adoption Adding Clinical Language Understanding is set to revolutionize healthcare delivery allowing the clinician to focus on the patient not the technology delivering real time medical intelligence at the point of care. Medical Intelligence helps healthcare providers transform patient stories into high-value clinically actionable medical information Improving the quality, efficiency and value of documentation and help drive better care without burdening the clinicians with data entry tasksTRANSCRIPT
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Speech and Medical IntelligenceRevolutionizing the Doctor and Patient Experience
Pipeline SessionDr. Nick van Terheyden, MD
@drnic1
CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
Objectives
• Speech is delivering efficiencies and improves EHR adoption
• Adding Clinical Language Understanding is set to revolutionize healthcare delivery allowing the clinician to focus on the patient not the technology delivering real time medical intelligence at the point of care.
• Medical Intelligence helps healthcare providers transform patient stories into high-value clinically actionable medical information
• Improving the quality, efficiency and value of documentation and help drive better care without burdening the clinicians with data entry tasks
CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
Paper is no longer fit for purpose
Slide Courtesy of Dr Michael Bainbridge
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The Art of Medicine
JAMA. 2012;307(23):2497-2498. doi:10.1001/jama.2012.4946.http://jama.jamanetwork.com/article.aspx?articleid=1187932
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Improving Healthcare
“If you can not measure it, you can not improve it.”
Lord Kelvin (1824-1907)
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• At the forefront of the next chapter of human-computer interaction
• Deeply invested in creating effortless and natural user experiences
• Rapid advances in voice-recognition technology
Reinventing the relationship between people and technology
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Unstructured Data
Structured DataDictation and Transcription
System generated or interfaced data
Direct data entry, not physician
Direct data entry, physician
Handwritten
Current Methods for Data Capture
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Years ago Today
This gap injures patients
Knowledge processing capacity
Knowledge processing requirement
“Current medical practice relies heavily on the unaided mind to recall a great amount of detailed knowledge – a process which, to the detriment of all stakeholders, has repeatedly been shown unreliable”
Crane and RaymondThe Permanente Journal Winter 2003 Volume 7 No.1Kaiser Permanente Institute for Health Policy
Challenge – Clinical Knowledge-Processing Burden
Slide Courtesy of Dr Michael Bainbridge
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Automating the Extract of Clinically Actionable DataNatural Language Processing
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CHIEF COMPLAINT
PAST MEDICAL HISTORY
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PAST MEDICAL HISTORY
CHIEF COMPLAINT
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In EHR MT-editing
In EHR Self-editing
On the Go
At a Dictation Station
With a RIS/PACS
On a PC On an MFP
EHR
CLU
• Meaningful Use• Quality Reporting• Decision Support
• Value-Based Purchasing• Coding/CMI• POA/HAC
• Medical Necessity• Coding• Documentation Integrity
FinancialIntegrity
Compliance
In EHR MT-editing
In EHR Self-editing
On the Go
At a Dictation Station
With a RIS/PACS
On a PC On an MFP
EHR
CLU
Patient Care
CaptureAnywhere
UnderstandEverything
Use it forGood
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From Clinical Narrative to FactsCLINICAL LANGUAGE UNDERSTANDING
63 %
93%
Oct ‘10 Feb ‘12
86 %
Rules: explicit linguistic models
Machine learning: discovery of new patterns
Syntactic parsing & Statistical semantic processing
LinKBase® ontology
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Computer Assisted Physician Documentation
17© 2011 Nuance Communications
Extending the value of clinical documentation into efficiency, quality and report turn around metrics
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QualityAnalyticsSUPPORTING YOUR ANALYTIC NEEDS
Patient Safety IndicatorsAutomated Clinical Data Extraction
Clinical Documentation ImprovementConcurrent Monitoring
PatientAction Lists
On-Demand Search
DASHBOARDS
Quality Measures
Automated Reporting
Clinical Documentation
Clinical Sourcesof Input
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Possibly the first step in this journey could be instant access on mobile platform
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Electronic Medical RecordsData Capture and Presentation Complexity
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Intelligent Voice Interactions
• Minimize need to remember “gate commands” & “command order”
• Allow multiple forms of expression and handle ambiguous input
• Allow for more conversational spoken utterances, less utilitarian
• Reduce distance between complex spoken commands and desired outcome or action – finding becomes doing
• Customizable to provide levels of seamless access to any content on device
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Example of Intelligent Voice Interaction
Intelligent Voice transforms how you complete tasks by understanding and classifying your spoken request
• Ability to categorizeTell me the risks associated with this disease, treatment or specific set of clinical facts
• Complies with directed interactionShow me the laboratory results for this patient
• Understands intentPrescribe a specific treatment for my patientUnderstanding the context of the patient, the drug including dosage, side effects and patient specific contraindications
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Live Demo
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P A R T N E R S H I P S
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Q&A
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Nick van Terheyden, MD CMIO, Nuance CommunicationsAboutMe http://about.me/obiwanTwitter http://twitter.com/drnic1LinkedIn http://www.linkedin.com/in/nickvtVoice of the Doctor http://drvoice.blogspot.com/Plaxo http://nvt.myplaxo.comFaceBook http://profile.to/drnickE-Mail [email protected], [email protected] (301) 355-0877
Where You Can Find Me
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