Benefits of Speech Recognition
Speech recognition is a cross-disciplinary. Past two decades, speech recognition technology has made significant progress, starting from the lab to the marketplace. It is expected that the next 10 years, speech recognition technology into the industrial, household appliances, communications, automotive electronics, medical, family services, consumer electronics and other fields. Voice recognition dictation machine in some areas by the U.S. media as the application of computer development in 1997 one of 10 events. Many experts believe that voice recognition technology in 2000 to 2010 the top ten key areas of information technology, technology development technologies. Voice recognition technology in the areas of: signal processing, pattern recognition, probability theory and information theory, mechanism of sound and hearing mechanism, artificial intelligence and so on.
Benefits of Speech Recognition John Dorsky, Mellar Davis, Eduardo Oliveira, Lewis Rubin Leading in Healthcare Speech Recognition Systems Speech Recognition Systems: Real Time Transcription Services Savings after EMR Implementation Rationale for Speech Recognition Systems CCF Weston, FL • Hard copy record is gradually transforming into an Fusion Text – 2 transcription options Ancillary Features electronic record • Digital dictation (sound) • Auto text design for routine report • Number Physicians : 100 • Transcription needs will increase • Simultaneous speech recognition • Intelligent speech interpretation technology eliminates • Year of EMR implementation: 2006 • Inefficiencies will increase since the “typed” word is background noise, redundancy • Comparison of Transcription costs between 2005 and 2006 slower than the “spoken” word Advantages • Overhead costs will increase with diminished revenues Transcription Costs Before EMR • Patient care may become less efficient Speech Recognition Fusion Systems • Generates text in 1/3 of the time needed for typing 2005 • Face to face time with patient Month total 104,570.93 105,433.59 117,312.79 97,513.10 98,602.87 Run-in • Improves efficiency 50% over transcription services Weakness of Speech Recognition Systems Savings with EMR • All physicians digital dictate • Shortens front-end, back-end processing Sum of Jan-May of 2005 $ 523,433.28 • Technology adapted to CCHS • Dictation is recorded as a sound file • Adapted to different physician preference – editing, Sum of Jan-May of 2006 53,306.37 • Physician buy in correcting, hard copy • Receiver operator dependency • Generation of voice recognition file by transcriptions 5 months of Savings $ 470,126.91 • Upfront costs during transition • Evaluation mode between digital and voice recognition • Attach reports and images in real-time (transcription plus speech recognition systems) Approximate annual savings using a full year is $1.3 million. • Speech recognition adapts to speaking habit, profile of • Reduce telephone traffic each physician • Improves physician efficiency by reducing Current Transcription Costs Speech Magic 2007 Jan Feb March April May • Switch to speech recognition interruptions Month total 14,299.60 9,539.77 9,958.10 10,354.38 9,154.52 • Discussions between Philips and EPIC Advantages of Fusion Systems • License to distribute both together • Turnaround time from 24-96 hours to 4-72 hours Consult note to Improves patient care • Support for Speech Magic in Smart Text physician same day – Progress notes, in-basket ED • Annual transcription cost in outsourcing reduced by 40% Software License (Dragon Naturally Speaking) $800-1000 – Speech to text • Transcription production improves 50% – Use of Smart Tools to create pre-defined text – Basic navigation available; workflow specific n/a • Little change in physician work method $200 Set-up $400 Hardware $100 - 400 Opportunities of Speech Recognition Systems Upgrade Headset, Speech Recognition Systems: Real Time microphones Per physician $2400 • “Complete” transition to fully electronic record Reduces LOS • Reduce overhead, freeing funds for innovative • Link speech recognition to word processing in real-time projects or direct patient care Redirect FTEs Update every 4 years $400 Requirements to patient care • Open document Threats of Speech Recognition Systems • Switch on and off italics Acuracy Intangible Costs • Technology may not be advanced enough for rapidly • Go back and forth for corrections • 90-95%- operator dependent changing medical environments (limited usefulness to • Personnel for maintenance non-specialized or non-complex practice • Allow for spelling • PC compatible headsets wired, wireless, handheld • Time to full implementation by physician and system environments) • Insert blocks of text (“smart phrases”) (“speech with barcode scanners, digital recorders • Lack of integration: systems not fully integrated • Downtime macros”) resulting in “piecemeal” add on technologies that are • Integration into Epic cumbersome • Navigate forms without keyboard Transcription Costs per Month: CCHS • Start-up costs • Recognize acronyms which are turned to full phrases • Differentiate “command” from “text” Speech Recognition Systems: Stakeholders Recommendation Pitfalls • Private practice $1000/physician/year • Receiver operator dependent • General Internal Medicine: $79,000/year • Transcriptionist – Fusion Technology • Fusion technology for efficiency before advancing to • Upstart physician time • Orthopedic Surgery: $168,000/year • Physicians- Real Time Technology Real Time • Acoustic background interference • Urology: $39,000/year • Once efficiency is tested, roll out Real Time to target • Dialect differences • Taussig Cancer Center $24,000/year services for feasibility. Target services would have • Pronunciation Speech Recognition Systems Address been involved with Fusion testing Transcription Costs by Transcription Service • First step is to investigate, interview and bid multiple • Integration into existing database systems • Front-end, back-end report processing companies (Dragon, Philips Speech Recognition) Per Month • Context vocabulary • Delays in care Action Items Company Costs per Year • Spontaneous dictation often leads to: CYMED of Ohio 906,147 • Inefficiencies due to: • Clarify indirect costs – Missing articles – Telephone traffic • Invite companies to display , present and bid Medical Transcription 47,615 – Missing verbs – Time delays between studies/consultation and reports • Reassess based on technology-go or no go Marquis Inc 1,943,855 – Lack of or incorrect punctuation • Trial Fusion Speech Recognition-3-6 months Premier Office Tech 142,509 • Length of stay – Redundancies and repeats • Visit facilities using Speech Recognition Systems Spheris Operations 2,608,531 • Communication between consultant/referring physician • Integration into other systems • Assess efficiency, accuracy, turn around time, • Overhead costs • Electronic failure (power outage “downtime”) Totals $5,648,657 satisfaction, cost , work accomplished per unit