Dragon Medical Practice Edition Product Fact Sheet

Transcription

1 Dragon Medical Practice Edition Product Fact Sheet Dragon Medical Practice Edition Product: Dragon Medical Practice Edition with Maintenance and Service Media: DVD Pricing: $1,599.99/unit SKU Number: Single: M-A709A-X and M-A709A-X00-MNT Pack: M-A709A-XP and M-A709A-XP3-MNT Pack: M-A709A-XP and M-A709A-XP4-MNT-11 NOTE: You must use BOTH SKUs/part numbers when ordering any of these options. Dragon Medical Practice Edition with PowerMic II Product: Dragon Medical Practice Edition with PowerMic II, Maintenance and Service Media: DVD Pricing: $1,899.99/unit SKU Number: Single: M-A709A-X and M-A709A-X97-MNT Pack: M-A709A-XV and M-A709A-XV6-MNT Pack: M-A709A-XV and M-A709A-XV7-MNT-11.0 NOTE: You must use BOTH SKUs/part numbers when ordering any of these options. Supported Upgrades 1. dragon Medical Small Practice Edition 9 or higher to Dragon Medical Practice Edition 2. dragon Medical 9 or higher to Dragon Medical Practice Edition 3. dragon Medical Enterprise Edition 9 or higher to Dragon Medical Practice Edition 4. dragon NaturallySpeaking Professional 9, 10, or 11 to Dragon Medical Practice Edition. Customers upgrading from all of the above-mentioned products will experience a Smart Upgrade, which means that Dragon Medical Practice Edition will verify the serial number so it does not have to be entered during installation. In addition, if the previous version being used is from the Dragon Medical family, Dragon Medical Practice Edition will allow customers to open existing profiles. Product Description The most widely used and successful speech recognition solution in medical practices around the country, Dragon Medical has been selected by more than 180,000 clinicians worldwide to document care directly in an electronic health record (EHR). Dragon Medical Practice Edition is designed for use not only by doctors, but also by nurses, nurse practitioners, physician assistants, therapists, and other care providers for use in small to mid-sized physician practices. For practices with less than 25 physicians, Dragon Medical Practice Edition is Nuance s real-time speech recognition solution designed specifically to meet the needs of busy clinicians. Dragon Medical Practice Edition introduces the fastest, most efficient way for medical professionals to create medical records, medical correspondence, or messages. Dragon Medical Practice Edition introduces a new, faster speech recognition engine that is 15% more accurate than Dragon Medical 10. This solution turns voice into text three times faster than most people can type, with up to 99% accuracy, using any Windows -based EHR system. Dragon Medical Practice Edition includes vocabularies covering nearly 60 medical specialties and subspecialties. Making EHRs easy to use by significantly reducing the number of mouse clicks and typing, Dragon Medical Practice Edition enables clinicians to document care much more efficiently. This solution seamlessly drives all major EHR systems, including those from Allscripts MyWay, Allscripts Professional, NextGen Ambulatory EHR, eclinicalworks, athenahealth, Henry Schein MicroMD, Practice Fusion, and Greenway. These upgrades are only available to independent practices with less than 25 physicians.

2 Market Factors Driving EHR Adoption EHRs offer the potential to dramatically improve the cost and quality of healthcare. Despite this potential, EHR software is used by only 20% of clinicians in the U.S. today. In order to understand the potential benefits of Dragon Medical, it is important to articulate the factors that are driving U.S. healthcare toward EHR adoption, as well as the factors that are inhibiting EHR adoption. Incentive payments to physicians have dramatically accelerated EHR software purchasing and implementation. Passed in 2009, the Health IT for Economic and Clinical Health Act (HITECH) will provide physicians up to $64,000 each for showing that they are meaningfully using health information technology, by purchasing and using CCHITcertified ( EHRs. According to the 2010 CapSite Ambulatory EHR and PM Study, 42% of all physician practices indicated they had purchased an EHR in the previous two years up from 37% a year earlier. Physicians must also purchase EHRs in order to report to the Center for Medicare and Medicaid Services (CMS) a number of Clinical Quality Measures (CQMs) as well as maintain Problem Lists and Medication Lists. Clearly, EHR templates are required to capture these elements of the patient encounter to meet CMS guidelines. But structured data capture is only part of the new mandate for electronic patient documentation. Other changes include: A Change in Reimbursement Philosophy U.S. healthcare is evolving from fee for service to pay for quality, with pilots for a new payment methodology called Accountable Care. As part of this methodology, all caregivers for an individual patient including PCP, specialists, hospital, and post-acute care, as needed share reimbursement of a single payment by the federal government for an instance of care, such as hospitalization. These healthcare providers will form Accountable Care Organizations that will need to have patient information readily available. This care team approach and payment philosophy also puts a premium on ensuring that electronic patient documentation is complete and up-to-date and reflects clinicians thoughts and medical decision-making, thus ensuring better medical decisions. Clinicians repeatedly express concern that EHRs slow them down and reduce the completeness of medical records because clinicians are required to type and are forced to use an EHR s structured templates, which do not allow clinicians to express patient assessments, diagnoses, and treatment plans in their own words. Factors Inhibiting EHR Adoption In the rush to computerize patient information, it is assumed that once EHRs are widely deployed, patient records will be more complete and care will universally improve. Clinicians have the following concerns about EHR adoption: Dramatically Slower Clinician Productivity in Documenting and Providing Care. On average, EHRs add 30 minutes or more a day to the documentation process for clinicians. This lower productivity has reduced clinicians patient loads and resulted in longer wait times and reduced patient satisfaction. Lower-quality Patient Notes. The sole reliance on EHR s point-and-click templates requires that a clinician click through required menus to provide all detail about a patient case. Without a corresponding patient narrative a dictated, free-text description of the clinician s findings, thoughts, assessment and plan, or medical decision-making the patient note will be incomplete and satisfy neither the clinician providing care nor ancillary providers. 2

3 According to a survey conducted by Nuance Healthcare of over 1,000 physicians, two-thirds said that using the mouse and keyboard to document care in an EHR represents a major hurdle in their practice of medicine. More tellingly, 97% of physicians indicated that the structured templates of an EHR prevent the physician from telling the patient s full story or accurately reflecting the physician s decisions vital in an integrated delivery network where one-on-one conversations between primary care physician and specialist cannot economically or efficiently take place about each patient. Given this scenario, an alternative or assistive technology is needed to facilitate EHR adoption rates, which addresses clinician productivity, clinician and patient satisfaction, and quality of medical record concerns. In an era of Accountable Healthcare, where there is shared responsibility for the quality and cost of patient care, Dragon Medical Practice Edition empowers healthcare organizations and clinicians to accurately capture and transform the patient story into meaningful, actionable information to facilitate smarter, more efficient decisions across the healthcare enterprise. Dragon Medical Practice Edition is the Solution Dragon Medical Practice Edition is a mission-critical speech recognition solution for clinicians in small- to midsized practices. It accelerates EHR adoption, helping clinicians navigate quickly through EHRs to review lab tests or past medical history, while documenting care anywhere in a patient record. Dragon Medical Practice Edition provides seamless integration with most EHRs, medical specialty vocabularies, and regional accent tools, as well as numerous other features that make clinicians more productive. This means that clinicians can now deliver the highest quality care while improving the outcomes and economics across an entire healthcare enterprise. Core Value Proposition Today, small to mid-sized practices face the challenge of adopting an EHR in a busy practice, which could have a substantial impact on the quality of patient documentation and clinician satisfaction. With Dragon Medical Practice Edition, these practices can realize the following benefits: Accelerated EHR adoption Clinician satisfaction Higher quality patient notes. Accelerated EHR Adoption Clinicians who are using Dragon Medical will benefit from a better recognition of medical terminology than when using a non-medical product. As a result they are able to dictate faster and get more accurate results than ever before. Dragon Medical Practice Edition is specifically developed to support dictation directly into an EHR system a capability not supported by Dragon NaturallySpeaking non-medical editions. Dictating patient notes with Dragon Medical is more than three times faster than typing. Using macros, clinicians can streamline their navigation from one part of the EHR to the next, and, more importantly, create a comprehensive though individualized medical report. Dragon Medical is the only product within the Dragon product line that supports HIPAA and governmental patient security and confidentiality guidelines. Dragon Medical Practice Edition frees up clinicians to spend more time with patients, thus increasing patient and clinician satisfaction. Clinician Satisfaction Because it s faster and easier to document more complete notes with Dragon Medical Practice Edition when compared to pointing and clicking, or typing clinician satisfaction is improved. As a result, clinicians can see more patients and get home on time for dinner, with paperwork completed before they leave the office. 3

4 I often use my voice to trigger a command which pulls in labs information with a single command It s fun! It makes a tedious task more enjoyable. Dr. John Kaschko Primary Care Physician Group Health Cooperative Seattle, Washington and coding appropriateness are improved. The cost of transcription is dramatically reduced when Dragon Medical Practice Edition is implemented in the practice. Overall Impact Dragon Medical s sizeable effect on practice economics, quality of care, and physician satisfaction is demonstrated by the results of a study of Dragon Medical s impact on EHR use at Fallon Clinic (Worcester, Massachusetts). Higher Quality Patient Notes When using Dragon Medical Practice Edition, practice economics can be substantially improved. Patient notes dictated using Dragon Medical Practice Edition are more complete, which informs more detailed clinician decisionmaking. All of which supports higher levels of reimbursement than simple notes created by point-and-click EHR templates. Denial rates are reduced as documentation The study compared efficiency, note quality, reimbursement, and overall physician satisfaction for a group of physicians initially using an EHR with transcription against the same group just 30 days after being trained on Dragon Medical. Further, there were significant, quantified differences in all aspects of care, including projected annual transcription savings of $5,000 per physician. The study also indicated that Dragon Medical can increase annual reimbursement per physician from $10,000 to $13,000 due to more complete notes, which justify a higher level of service. Summary The following is a summary of the impact Dragon Medical has on handwriting, typing, or transcribing users: Physicians Using EHRs... Spend more time on documentation than via handwriting or transcribed dictation Complain their notes aren t in their own words Spend more time focused on the computer than the patient Find their already-long days are further lengthened as typing into an EHR is slower than dictating Turn physicians into typists Complain that the notes are less detailed than with traditional dictation Click through the EHR system s cumbersome navigation windows Physicians Using Dragon Medical Practice Edition with EHRs... Reduce their time spent documenting care Dictate a personalized patient narrative unique to each patient directly in the EHR Have more time to focus on the patient Dictate each note and complete it prior to seeing the next patient, which means they can leave on time with their notes signed Can dictate by voice, in their own words, directly into the EHR Find their notes are more detailed, more complete, and often justify higher reimbursement Say one word and get the appropriate check boxes filled on different pages 4

5 Target Audience Dragon Medical Practice Edition is targeted at the small- to mid-sized, independent, non-hospital-owned (1 to 24 doctors) practice market. There are approximately 311,000 physician practices that have between 1 and 24 doctors. A sizeable percentage are evaluating/selecting EHRs during the next 12 to 24 months. Table: Distribution of Physicians Working in Private Practice, by Size of Practice Description Est. Percentage of all MDs Est. Number of MDs Physicians working in 1-2 doctor practices 30% 240,000 Physicians working in 3-5 doctor practices 10% 80,000 Physicians working in 6+ doctor practices 25% 200,000 Total 65% 520,000 Source: Center for Studying Health System Change Characteristics The 1 to 24 physician practice has the following characteristics: 1 to 4 offices/locations. Can be single or multi-specialty. Physicians are owners and decision-makers: Input from professional manager and/or IT minimal decision cycle can range from a one-call close to requiring board approval for larger practices. Small (0 to 5) IT department has little/no influence. Smaller practices often outsource their IT support to local IT consultant. Multi-specialty or subspecialty (not primary care) typically makes a significant annual transcription spend. At $5K to $12K per physician, they may be spending between $5K to $150K a year or more on transcription. responsiveness/referrals to primary care physicians is an important driver of specialty practices business. Slow transcription turnaround time is a potential buy sign to explore. IT-dependent: These practices are on second- or in some cases third-generation practice management/patient scheduling systems, which means they have some expertise in computerization. Organizational Structure Although there is no typical organizational structure in a 1 to 24 physician practice, physicians are not only the owners in most cases, but also provide day-to-day administrative leadership, with one of the physicians typically serving as the CEO or Managing Partner. Larger practices (i.e. those with 10 or more physicians) typically have one or two non-physicians in key administrative roles usually with the title of Chief Administrator, Practice Manager, or Chief Operating Officer overseeing billing, reimbursement, patient accounting, general financial management of the practice, and operations, including IT. 5

6 NEW PRODUCT FEATURES Below is a summary of new features and capabilities in Dragon Medical Practice Edition. Smart configuration. Dragon Medical Practice Edition runs on a variety of hardware, from netbooks to highpowered desktops. The software automatically detects hardware resources and sets up the recommended configuration. Its state-of-the-art technology takes advantage of advances in hardware and runs in multiple threads automatically when multi-core hardware is detected to achieve better recognition performance. Recognition analytics. A percentage of misrecognitions can be caused by simple audio quality issues such as incorrect microphone connection or placement, background noise, microphone out of range, or low on battery. Dragon Medical Practice Edition automatically detects poor audio input; it then alerts the user (in various ways depending on the issue), offering advice to remedy the situation. This lets Dragon Medical Practice Edition use the best audio possible an important factor for accuracy. Accuracy tuning. Ability to analyze selected documents and ; includes Nothing But Speech filter to automatically eliminate um/ah utterances, filtering out unwanted speech noise that previously lowered accuracy. Smart corrections. In the past, corrections entered using the keyboard were not incorporated into the user profile. Now when a user dictates something and retypes it to correct a misrecognition, Dragon Medical Practice Edition identifies this as a correction and uses it to adapt the user s profile, improving the software s accuracy over time. New Dragon Sidebar. A major enhancement over Dragon Medical 10 s Sample Commands window, this new desktop assistant allows users to discover and remember many commands and tips. At any time, it lets you glance at, or explore, global commands (including mouse commands), application-specific commands and customcreated commands, as well as tips. Its contents change depending on what window is currently active. In addition, the Sidebar lets users print its content. (Note: This feature can be viewed by selecting from the Help menu.) Improved PRODUCT FEATURES Recognition accuracy. Turns voice into text with up to 99% accuracy. Dragon Medical Practice Edition is 15% more accurate out of the box than Dragon Medical 10. Recognition speed. Dragon Medical Practice Edition improves recognition response time significantly. The software is also faster than previous editions when selecting application menu items by voice, or executing voice commands that perform actions within applications (e.g., insert page break, make that red, etc.). Profile creation wizard. User profile creation has been redesigned to be simple and conversational. The process now offers information about why each step is needed and helps users make optimal choices. Setting up a microphone or new audio source is more clear and straightforward. Help System and Tutorials. The Help system incorporates new tips and illustrations, a redesigned Tutorial, short videos, and easy access to related details such as a glossary of key terms. Navigating the computer desktop. Dragon Medical Practice Edition now supports more voice commands to show common Windows elements including the desktop and Control Panel, or folders such as My Documents and My Pictures. New commands enable users to effortlessly switch to a specific window. (Dragon Medical displays a numbered list so the user can just say the number of the desired window.) In addition, Dragon Medical allows shorter names for starting popular applications (e.g., start Microsoft Word instead of start Microsoft Office Word 2007 ). 6

7 Improved playback. Smoother fast-forward and rewind behaviors are now available and users now have options to control speed and volume. Initial training time reduced for digital recording devices. Creating a new user profile for a digital recorder, or adding a digital recorder as a new audio source for an existing user profile is now much faster: the minimum reading time required to train Dragon Medical Practice Edition with a recorder has been reduced from 15 to 4 minutes. That means that clinicians can spend more time providing patient care. Ability to use.dss and.ds2 files. Dragon Medical Practice Edition can now accept.dss and.ds2 formats directly. Files recorded using these digital speech recording formats (found on recorders from Olympus, Grundig, and Philips ) previously required conversion prior to transcription. Enhanced profile-opening user dialog. Dragon Medical Practice Edition displays profiles in a tree structure for faster access to multiple profiles. A Selection of Other Major Features and Enhancements Supports HIPAA Guidelines. Dragon Medical Practice Edition protects sensitive and confidential patient information by supporting encrypted network file storage of speech files, helping your organization satisfy HIPAA privacy and confidentiality guidelines. Dragon Medical Practice Edition features secure encryption methods, which provide even greater levels of information security. Hidden Mode. Users can dictate while reviewing lab or radiology test results and save when finished anywhere in the EHR. Dragon Medical Template Library. Dragon Medical Practice Edition comes with a library of more than two dozen macros for standard notes, such as SOAP note, new patient visit, and outpatient consults. In addition, an extensive list of medical normals by body system is also available, so that clinicians can immediately begin using Dragon Medical Practice Edition out of the box with less time spent creating their own templates. Medical Vocabularies. Dragon Medical Practice Edition contains vocabularies covering nearly 60 medical specialties and subspecialties, which ensures high dictation accuracy. PowerMic II -Ready. Program your PowerMic II buttons to run a Dragon Medical function or user voice command customizable by user. Medical Formatting Rules. Smart software expands medical abbreviations and follows capitalization rules of medical terms. MyCommands. Show user commands only in Command browser. DragonTemplates. Text and graphics commands with voice fields. Quickly automate form-filling applications. Users can now create text and graphics commands in the MyCommands Editor, which contains fields with a list of values that can be specified at the time of dictation. EHR Support. Medical professionals can navigate and dictate inside EHR application software. Nuance has the Dragon Medical Certification Program, which ensures compatibility with EHR vendors latest releases. 7

8 Dragon Medical Practice Edition includes dozens of additional features and enhancements, which are categorized below for ease of review. Accuracy Features Regional Accent Support. Dragon Medical Practice Edition supports many regional accents of non-native speakers (Asian-Pacific, Asian-Indian, Australian, British, Hispanic, Pakistani) and U.S. accents (Deep South, Northern Inland). Medical Bluetooth Acoustic Model Support. Special new acoustic software makes recognition with Bluetooth headsets better than ever. Navigation and Control Features Medical Search Commands. Dragon Medical Practice Edition offers multiple voice shortcuts for searching medical information on the Web. Clinicians can now search medical data via a single command on WebMD, UpToDate, PubMed, and ICD-9 at any time without even having an Internet browser open. These commands combine multiple clicks into one fast command for the busy clinician. Simply say, Search UpToDate for Wellbutrin contraindications, and Dragon Medical Practice Edition and UpToDate take you there. Voice Shortcuts to Search the Web. Dragon Voice Shortcuts collapse common tasks into simple voice commands. Now users can search the Web faster than ever before. Quick Voice Formatting (Delete <that> and Format <that> Commands). In addition to the many existing editing commands such as Delete line, Dragon Medical Practice Edition introduces direct commands for formatting, deleting, and copying named words and passages. Rather than selecting the relevant word(s) or passage and commanding what to do with that text (e.g., Select very, [pause] Bold that ), users can now directly name the desired text with the desired action in a single voice command, such as Bold very. More Powerful Capitalization Rules. Users can instantly set capitalization rules for words as they are added for the following word categories: Person, Department, and Drugs. Clinicians can have capitalization set to initial-caps, all-caps, or no-caps for the categories. Disable Web Commands. Disable HTML commands separately from dictation support so Dragon Medical Practice Edition won t confuse commands with dictated words. System Management Features Improved Security Features: Encrypt macros for distribution, providing resellers and administrators alike with better control of Dragon Medical Practice Edition. Upgradeable. Uses your voice profiles and language models from Versions 9 and 10 so all words and phrases you ve added are available. PowerMic II Barcode Support. The PowerMic II with integrated barcode scanner can be used to scan MRNs, patient IDs, or accession numbers in your EHR system. Microphone Sleep Mode. Users can set Dragon Medical Practice Edition to have their microphone go to sleep when they want: 10 minutes, a half hour, or even two hours since Dragon Medical Practice Edition was last used. PRODUCT BENEFITS More Efficient Care Dictate Faster and More Accurately Than Ever. Dragon Medical Practice Edition is up to 15% more accurate than Dragon Medical 10 saving valuable minutes. Additionally, Dragon Medical Practice Edition 8

9 has virtually instant response time, saving clinicians valuable minutes in their day. Dictate Anywhere in Your EHR System. Dragon Medical Practice Edition allows clinicians to dictate anywhere in an EHR system, while reviewing Lab Tests, Patient History, or Current Medications. Clinicians no longer have to click back and forth between information they re reviewing and the dictation window. They dictate while reviewing information, and the Hidden Mode feature allows the clinician to paste the dictation directly where he or she wants it. Accelerate Clinician Adoption and Acceptance of EHR Systems. Dragon Medical Practice Edition reduces time spent documenting care in an EHR: Voice commands specific to each EHR reduce the amount of searching and mouse-clicks needed to move to the right screens. Free text open dictation of medical decision-making (History of Present Illness, Assessment, Plan, and other elements of a medical note) directly into the EHR eliminates the need for clinicians to type. More Effective Care Clinicians receive the following advantages from Dragon Medical Practice Edition over Versions 8, 9, and 10 or non-medical products: Spend More Time with Patients. Increased accuracy and fewer errors to correct means clinicians can spend more time with patients, improving patient satisfaction. Dictate in Your Own Words. Dragon Medical Practice Edition s free-text dictation capability supports more detailed History of Present Illness, more flexible Review of Symptoms, and more descriptive Assessment and Plan the medical decision-making aspects of the note which gives referring clinicians and ancillary providers a clearer and more detailed patient assessment and prognosis. Secure Patient Information. Dragon Medical Practice Edition supports HIPAA compliance guidelines to protect patient confidentiality. Improve Clinician Satisfaction. Clinicians who use Dragon Medical report that it significantly improves their enjoyment of practicing medicine. By allowing them to use their time more effectively, clinicians quality of life is improved. More Profitable Care Clinicians receive the following advantages from Dragon Medical Practice Edition over Versions 8, 9, or 10 or non-medical Dragon products: Dramatically Reduce the Cost of Documentation. Eliminate transcription by speech-enabling the EHR, freeing up resources to focus more on patients and invest in methods to help practice efficiency. Practices that are using Dragon Medical today are dramatically reducing transcription costs, ranging from $500 to $1,000 a month per physician. Support Higher Level of Reimbursement. Independent studies have shown that clinicians create more detailed notes with Dragon Medical than with notes built with point-and-click, template-only EHR menus. Increase Practice Volume. Faster, more accurate response reduces time spent on dictation, allowing clinicians to see more patients and increase practice revenue and profitability. 9

10 For Internal Use Only P r o d u c t F A C T S H E E T SYSTEM REQUIREMENTS Recommended Specifications: cpu: 2.4 GHz Intel Dual Core or equivalent AMD processor. (IMPORTANT: SSE2 instruction set required) Processor Cache: 2 MB. Free hard disk space: 5 GB. ram: 2 GB RAM for XP and Vista, and 4 GB for Windows 7 and Server 2003/ bit. Microsoft Internet Explorer 7, 8, and 9 (free download at creative Labs Sound Blaster 16 or equivalent sound card supporting 16-bit recording. DVD-ROM drive required for installation. Nuance-approved microphone (included in purchase). For details on Bluetooth microphones, recorders, Tablet PCs, and other hardware, please go to support.nuance.com/compatibility. Supported Operating Systems: Microsoft Windows 7, 32-bit and 64-bit. Microsoft Windows Vista SP1 and SP2, 32-bit and 64- bit. Microsoft Windows XP SP2 and SP3, 32-bit only. Windows Server 2003 and 2008, SP1, SP2, and R2, 32-bit and 64-bit. A web connection is required for activation during installation. The software checks your system for minimum requirements; if they are not met, Dragon Medical Practice Edition will not be installed Nuance Communications, Inc. All rights reserved. Nuance, the Nuance logo, Dragon, DragonBar and PowerMic are trademarks and/or registered trademarks of Nuance Communications, Inc., and/or its subsidiaries in the United States and/or other countries. All other trademarks are properties of their respective owners. Dragon Medical Practice Edition Summary Descriptions 100 Words Dragon Medical Practice Edition offers the fastest and smartest way for physicians, nurses, and other providers in smaller practices to document care. Dictate medical findings directly into any Windows - based EHR three times faster than most people type, with up to 99% accuracy. Use voice commands to navigate quickly within an EHR to review test results or dictate a prescription. Dragon Medical Practice Edition includes vocabularies that cover nearly 60 medical specialties and subspecialties, and supports HIPAA compliance guidelines. Dragon Medical Practice Edition helps you raise the quality of care while making your practice more efficient and profitable. 50 Words Dragon Medical Practice Edition is the fastest and smartest way for all clinicians in smaller practices to document care. Dictate findings into EHRs three times faster than typing, with up to 99% accuracy. Covers nearly 60 medical specialties, supports HIPAA guidelines. Accelerate practice s EHR adoption, while improving clinician satisfaction and quality of documentation. 25 Words Dragon Medical Practice Edition lets clinicians dictate three times faster than typing with 99% accuracy accelerating EHR adoption, while improving clinician satisfaction and the quality of documentation. For more product information, please visit Nuance Healthcare at or call NUANCE COMMUNICATIONS, INC. ONE Wayside Road Burlington, MA NUANCE.COM/healthcare

11 7/29/11 DTM The experience speaks for itself NUANCE COMMUNICATIONS, INC. ONE Wayside Road Burlington, MA NUANCE.COM/healthcare