What’s next.

Continued progress in reinventing the relationship between people and technology.

×

Oxford University Hospital boosts its health digitisation plans

Oxford University Hospital's ongoing programme of investment in digital services and infrastructure is ‘Go Digital’. It has ambitious plans to accelerate the opportunities that digital technology offers. This is in line with the vision of the NHS to be ‘paper-free’ and for patient records to be held electronically and accessible across different systems. Clinical speech recognition has done much to boost this program, reduce costs and free clinicians to care

By

 

Going Digital

Oxford University Hospital NHS Foundation Trust’ (OUH) ‘Go Digital’ health digitisation programme is a journey, not a ‘big bang’. Key to ‘Go Digital’ is the rollout and adoption by clinicians of the ‘Go Digital’ platform – the Cerner Millennium electronic patient record (EPR). OUH’ aim is to deliver information to clinical teams based on real-time data and enable them to share that information with colleagues across different record-keeping systems and to underpin high quality care and improve communication with patients.

How clinical speech recognition found its voice

Amidst the ambitious aims of ‘Go Digital’ are the day to day challenges of delivering health services in response to growing demand and constrained budgets. In 2017, one well-performing department at the OUH was averaging a 12 day turnaround of clinic letters to General Practitioners (GPs) and struggling to meet the clinical commissioning group (CCG) target which as of April 2018 is 5 days. The root cause was a combination of a chronic shortage of administration staff and the complex, costly workflow of  in-house and outsourced transcription used to produce the outpatient clinic letters. Printing and mailing of letters added to delay and cost.

Consultant nephrologist and OUH’s Chief Clinical Information Officer (CCIO), Dr Paul Altmann, piloted and championed the use of Nuance Dragon Medical front-end clinical speech recognition in nephrology within the Cerner Millennium EPR. Using a structured clinic letter template mirroring their legacy system workflow he then shared this with a handful of co-piloteers and quickly realised the potential of Dragon Medical integrated into the EPR to simplify workflow, save clinician time and cut costs associated with clinic letter production.

Building the business case

OUH initiated a 3-month pilot of Dragon Medical One; secure, clinical speech recognition in the cloud. The pilot was across a range of specialties and with a focus on the whole of the nephrology department. The success criteria for the pilot were set out from the start:

  • Achieve adoption of speech recognition by at least 80% of designated users
  • Reduce clinic letter turnaround times
  • Reduce outsourced transcription costs
  • Ensure complete integration with EPR
  • Drive the Go-Digital and paperless strategy

Services speed the change

Throughout the pilot Nuance Professional Services (PS) delivered workflow analysis and one to one training for Dragon Medical One for the nephrology team and the Trust’s own EPR trainers. Once Dragon Medical One licenses were enabled and actively in use by the clinicians, Nuance Client Success Organisation (CSO)constantly monitored the progress of uptake and adoption of the licenses by the clinicians. To support the pilot effort Nuance PS and CSO and OUH project team  worked closely. Together they carried out weekly project reviews to quickly identify and fix any training or process issues. The lessons learned from these weekly meetings further hastened rollout.

Successful pilot and lasting benefits for health digitisation

The success criteria of the pilot were fully achieved including:

  • 100% adoption of Dragon Medical One speech recognition
  • Clinic letter turnaround times reduced from 12 to 3 days
  • Outsourced transcription no longer used i.e. zero cost

Having proven that the transition from transcription and digital dictation workflow to front-end speech recognition is feasible and cost effective, the roll out of Dragon Medical One continues apace and is due to complete in November 2019. OUH investment in secure, cloud-based clinical speech recognition will continue to accelerate health digitisation and deliver long lasting benefits to clinicians, patients and the organisation as it continues to roll out across the whole of the Trust’s 8000 clinicians.

 

Read full article

More from the editor

What we learnt at HIC2019 from healthcare’s forward thinkers
With secure, cloud-based clinical speech recognition available to all their clinicians
We can do a lot during the working day to look after our health – including when we’re work
There are indications we are already moving beyond the keyboard. Are its days numbered?
The benefits of creating documents in a way that suits you
Speaking can be better than writing – and it’s not just about speed
Consistency, context and collaboration are important in financial services: Dragon helps
Financial Services professionals create documents faster with Dragon
Closing the gap between clinician and patient in documenting the patient encounter
Speech recognition boosts efficiency – don’t just take my word for it
Deep learning will make speech recognition more accurate than ever before
Smart speakers are making inroads at work
With your smartphone always in your pocket, it is the perfect dictation productivity tool
Why some people feel awkward using speech recognition – how to get past the difficulties
How the Homerton transformation team managed change and its engaged it's users
Technology is developing fast, and speech recognition has a key role to play
Dragon speech recognition has a long and distinguished history
Dragon speech recognition has a long and distinguished history
How much security do health IT vendors really need?
The 2040 vision needs a data revolution driven by better recording of clinical information
A fraud prevention success story from Royal Bank of Scotland
The winning proof of digital transformation
Why agent satisfaction is the new KPI contact centers should pay attention to
How AI can give a new dimension to the patient-doctor relationship
How clinical speech recognition technology delivers on the plan
Practical steps and best practices based on the experiences of leading organisations
Finding a voice for your brand that builds credibility and trust with your customers
From Nuance Healthcare International CCIO Simon Wallace
2019 is the year we’ll start to see a lot of the AI startups fade away.
With Nuance acquisition of Winscribe and introduction of new transcription services
And the role technology has in helping them overcome these
With secure, cloud-based clinical speech recognition
Driven by consumerism and unrelenting pressures on NHS resources
Clinical speech recognition for documenting care in the EMR
What we learnt at HIC2019 from healthcare’s forward thinkers
There are indications we are already moving beyond the keyboard. Are its days numbered?
Consistency, context and collaboration are important in financial services: Dragon helps
Smart speakers are making inroads at work
NHS Digital must do its homework on clinical documentation
How the Homerton transformation team managed change and its engaged it's users
Dragon speech recognition has a long and distinguished history
Learn how RBS works with Nuance to prevent fraud in their contact centers.
A fraud prevention success story from Royal Bank of Scotland
Why agent satisfaction is the new KPI contact centers should pay attention to
fraud prevention
Practical steps and best practices based on the experiences of leading organisations
Nuance shares 2019 technology predictions
2019 is the year we’ll start to see a lot of the AI startups fade away.
With secure, cloud-based clinical speech recognition
With secure, cloud-based clinical speech recognition available to all their clinicians
The benefits of creating documents in a way that suits you
Financial Services professionals create documents faster with Dragon
Speech recognition boosts efficiency – don’t just take my word for it
trusting brand voice with customer experience
With your smartphone always in your pocket, it is the perfect dictation productivity tool
Technology is developing fast, and speech recognition has a key role to play
Black key locked in to represent NHS cyber security compliance
How much security do health IT vendors really need?
Male nurse and boy using stethoscope
How AI can give a new dimension to the patient-doctor relationship
trusting brand voice with customer experience
Finding a voice for your brand that builds credibility and trust with your customers
With Nuance acquisition of Winscribe and introduction of new transcription services
Speedy-technology-adoption-in-healthcare-depends-on-people-and-process
Driven by consumerism and unrelenting pressures on NHS resources
We can do a lot during the working day to look after our health – including when we’re work
Speaking can be better than writing – and it’s not just about speed
Female nurse taking an old woman's blood pressure
Closing the gap between clinician and patient in documenting the patient encounter
Deep learning will make speech recognition more accurate than ever before
Why some people feel awkward using speech recognition – how to get past the difficulties
Dragon speech recognition has a long and distinguished history
Male doctor pointing at different medical features
The 2040 vision needs a data revolution driven by better recording of clinical information
The winning proof of digital transformation
How clinical speech recognition technology delivers on the plan
UK health tech predictions 2019
From Nuance Healthcare International CCIO Simon Wallace
The important role of allied health professionals in documenting patient care
And the role technology has in helping them overcome these
Show more articles