Healthcare IT News - February 2009 - (Page 11) www.HealthcareITNews.com hoSpItalS & IdNs February 2009 ■ Healthcare IT News 11 less than a day, said Mary Radley, director of medical record services. Productivity has increased by more than 50 percent. Radley acknowledged financial savings, but she did not attach a number to it. She emphasized the satisfaction of clinicians. As Laurie Fishman, MD, put it, “Often I get dictations within 1224 hours. It makes a huge difference in caring for patients.” While recognizing the value of speech recognition today, Nick van Terheyden, MD, said the technology must continue to improve. van Terheyden is chief medical officer for M*Modal, and formerly CMIO for Philips Speech Recognition Systems. “It is the capture of structured clinical data that can automatically feed the EMR that is the real goal,” van Terheyden said. “It means the technology will not only be able to recognize the words, but also understand the meaning and context.” ■ More at HealthcareITNews.com e Connect: SPeeCH 0209 oBAMA Continued from page 10 SpeeCH Continued from page 10 of doctors and hospitals need to be on the same system before it can be expanded to other regions. There are many sides to having an electronic record and it involves more than Robert Connely just putting records online.” Novo Innovations, based in Alpharetta, Ga., provides a technology called the Novo Grid that runs on software, called agents, which allows for the synchronization of information between hospitals and a variety of remote electronic records. Connely says agent technology coupled with software-as-a-service and portal technologies is the future for “connecting these dots.” Intermountain Healthcare of Salt Lake City has been using Novo’s agent software since November 2007. Novo’s technology has helped Intermountain expand its information systems without burdening the health system’s IS staffs, says Marc Probst, CIO and vice president, information systems at Intermountain Healthcare, “Novo allows us to bypass the job of building an interface for each EMR in our community, which is an extremely resource-intensive job that’s also non-scalable. With a minimum of effort from our team and practice staffs, practices are up and running, receiving the inforRyan Smith mation they want, how they want it. And our interface team’s involvement has been minimized, which lets us continue to focus on internal projects.” Ryan Smith, assistant vice president, e-business services at Intermountain, says these types of technologies are going to be important because organizations won’t have to maintain three or more exchanges themselves. Instead they can use one that knows how to talk to all the other ones. Smith says he would like to see more money being spent on the more holistic picture. “The concept of RHIOs and HIEs is not happening on any national standards basis. I think this is going to continue to be a critical missing link,” he said. “I would like to see more value added to the proposition of EMRs.,” Smith said. “Just by virtue of having an EMR in every hospital isn’t going to reduce costs and lead to better outcomes.” We aren’t ready to spend $50 billion on the healthcare infrastructure, adds Connely. He says that not only would standards not be ready, but also it will become a feeding frenzy for vendors. ■ More at HealthcareITNews.com e Connect: oBaMa 0209 have decreased the time between when a patient is seen to the documentation of the visit by 90 percent – from five days to 12 hours. Radiology reports are delivered within 30 minutes. Halamka, a self-described “Web guy,” who is more likely to e-mail than to talk on the phone, said he was surprised by the quick physician uptake of the technology. “I didn’t recognize just how pop- ular it would be,” he said. When physicians dictate from their desktops, the voice is recognized in the Beth Israel data center, and it appears as an unsigned note in the electronic health record. Children’s Hospital Boston is achieving similar outcomes with speech technology. Children’s, which uses outside transcriptionists, installed a platform from Philips Speech Recognition System, now part of Nuance, in 2007. Today, up to 90 percent of the medical reports are produced in l Even One Weak Link Is Too Many Infrastructure Mobility Point of Care Document Management Compliance At HealthConnection, we know the importance of a reliable infrastructure and the support it brings. We also understand that it is only part of the complete healthcare IT solution. That’s why we bring together healthcare-specific technology products and services that make it easy to eliminate weak links throughout your organization. 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