The ABA TECHSHOW is a leading conference and exposition for legal technology.  The show will be held at Hilton Chicago, March 13-15.  Exhibitor hours are 9:30 AM-5:00 PM Thursday March 13, and 9:30 AM 4:30 PM Friday March 14.  Custom Speech will display  new software for speech recognition, workflow, document assembly, and automated forms completion at Booth #919.

DEATH BY A THOUSAND CLICKS--THE NEW WAVE IN HEALTH CARE

Electronic health records (EHR) have been promoted by government, insurers, and other third-party payers to promote data entry into searchable fields, especially through computerized physician order entry (CPOE).  As two experienced health care IT consultants contend, this mouse-dependent software often slows down data entry by busy doctors, nurses, and other health professionals, reducing productivity rather than enhancing it.  Fast, simple voice data entry solutions using manual transcription or speech recognition are frequently being discarded in favor of mouse-drive selection from drop downs and radio buttons.

"Interestingly, most of the articles and speeches touting potential return on investment (ROI) from EMRs have been given by vendors, often through their surrogate “pilot site” hospitals, and consulting firms that stand to earn millions in the sale and implementation of each system. The oft-quoted Rand study was itself funded by vendors like Cerner, GE, HP and Xerox, causing some to question the objectivity and attainability of these large ROI claims.

The risk to hospitals and CIOs who believe these claims and promise such ROI to their CEOs and boards is that if cost savings are not accomplished in “X” years, not only is financial survival at risk in these days of decreasing reimbursement, but even careers are in jeopardy if implementations fail or cost savings are not met.

This article will attempt to present the other 'ROI' of EMR and CPOE systems: Real Obstacles to Implementation, that is, challenges that must be met to implement even basic functions of an EMR, let alone achieve the claims of greatly reduced costs. Since we might be running for president ourselves some day and have to jump on the EMR bandwagon as well, for each of the obstacles given, we will list ways to overcome them or at least mitigate their effects.

Hopefully, this single article in the face of the media frenzy encouraging adoption of EMRs might temper the claims you make to your senior management and board of directors, so that if (when?) your EMR implementation experiences difficulties, you can quote how you warned them in advance and tried to lower their expectations."

L. V. Ciotti & B. Mathis, "The Real Deal on EMR Implementations," Healthcare Informatics (February 2008)

Click here to view entire article.

ON THE BLOGS . . . .

"I've been teaching DNS Legal and Medical to clients for years. I would agree with you that the average doctor and/or lawyer is not initially, and perhaps even in the long term, savvy enough to know how to make use of DNS Professional, Legal, or Medical to the fullest extent possible, or even, perhaps, as simply as you have done with ViaVoice. However, I can usually bring them up to speed with a minimal amount of training. I do look at the needs of the end-user as well is at their experience when considering speech recognition. However, I take issue with you on ViaVoice vs. DNS Re: professional transcription. DNS doesn't fall down in this area. In fact, take a look at Custom Speech USA and look what they are doing with transcription and SR. This is only one example of what is being done with regard to speech recognition and add-on programs and capabilities. Custom Speech USA actually uses a multiple combination of ViaVoice, DNS 9.5, and Windows Vista  speech recognition in a multiple approach to dictation and transcription using a workflow environment, over the telephone, via a digital voice recorders, etc., etc. I worked with them for a couple of years. My point here is simply that there is a lot more going on out there than simply SR in and of itself . . . ."  Chuck Runquist, former Dragon NaturallySpeaking SDK and Senior Technical Solutions Project Manager for Dragon NaturallySpeaking

Click here to view entire blog.   

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