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Pipeline Session
Dr. Nick van Terheyden, MD
@drnic1

CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights res...
Objectives
• Speech is delivering efficiencies and improves EHR adoption

• Adding Clinical Language Understanding is set ...
Paper is no
longer fit for
purpose

CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.
Slide Cour...
The Art of Medicine

JAMA. 2012;307(23):2497-2498. doi:10.1001/jama.2012.4946.
http://jama.jamanetwork.com/article.aspx?ar...
Improving Healthcare

“If you can not
measure it,
you can not
improve it.”
Lord Kelvin (1824-1907)

CONFIDENTIAL | © 2002-...
Reinventing the relationship between people
and technology
• At the forefront of the next
chapter of human-computer
intera...
7

CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.
2002-2011

HEALTHCARE SOLUTIONS
Current Methods for Data Capture
Direct data entry,
not physician

Structured Data

System
generated or
interfaced
data

D...
Challenge – Clinical Knowledge-Processing Burden
“Current medical
practice relies
heavily on the
unaided mind to
recall a ...
Automating the Extract of Clinically Actionable Data
Natural Language Processing

CONFIDENTIAL | © 2002-2013 Nuance Commun...
CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTHCARE SOLUTIONS
CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTHCARE SOLUTIONS
CHIEF COMPLAINT

PAST MEDICAL HISTORY

CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTH...
CHIEF COMPLAINT

PAST MEDICAL HISTORY

CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTH...
•

Meaningful Use
Quality Reporting
Decision Support

•

Value-Based Purchasing

•
•

At a Dictation
Station

Patient
Care...
From Clinical Narrative to Facts
CLINICAL LANGUAGE UNDERSTANDING

Rules: explicit linguistic models

93%

Machine learning...
Computer Assisted Physician Documentation

Extending the value of clinical documentation into efficiency, quality and repo...
QualityAnalytics
SUPPORTING YOUR ANALYTIC NEEDS
Clinical Sources
of Input

Automated
Reporting

Clinical Documentation Imp...
Possibly the first step in this
journey could be instant
access on mobile platform

CONFIDENTIAL | © 2002-2013 Nuance Comm...
Electronic Medical Records
Data Capture and Presentation Complexity

CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc...
Intelligent Voice Interactions
• Minimize need to remember “gate commands” &
“command order”

• Allow multiple forms of ex...
Example of Intelligent Voice Interaction
Intelligent Voice transforms how you complete tasks by
understanding and classify...
CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTHCARE SOLUTIONS
PART NERSHIPS

CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTHCARE SOLUTIONS
CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTHCARE SOLUTIONS
Where You Can Find Me
Nick van Terheyden, MD
AboutMe
Twitter
LinkedIn
Voice of the Doctor
Plaxo
FaceBook
E-Mail
GrandCentr...
CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved.

HEALTHCARE SOLUTIONS
Prochain SlideShare
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Pipeline session speech and medical intelligence – revolutionizing the doctor and patient experience

speech and medical intelligence – revolutionizing the doctor and patient experience
Speech is delivering efficiencies and improves EHR adoption
Adding Clinical Language Understanding is set to revolutionize healthcare delivery allowing the clinician to focus on the patient not the technology delivering real time medical intelligence at the point of care.
Medical Intelligence helps healthcare providers transform patient stories into high-value clinically actionable medical information
Improving the quality, efficiency and value of documentation and help drive better care without burdening the clinicians with data entry tasks

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Pipeline session speech and medical intelligence – revolutionizing the doctor and patient experience

  1. 1. Pipeline Session Dr. Nick van Terheyden, MD @drnic1 CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  2. 2. Objectives • Speech is delivering efficiencies and improves EHR adoption • Adding Clinical Language Understanding is set to revolutionize healthcare delivery allowing the clinician to focus on the patient not the technology delivering real time medical intelligence at the point of care. • Medical Intelligence helps healthcare providers transform patient stories into high-value clinically actionable medical information • Improving the quality, efficiency and value of documentation and help drive better care without burdening the clinicians with data entry tasks CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  3. 3. Paper is no longer fit for purpose CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. Slide Courtesy of Dr Michael Bainbridge HEALTHCARE SOLUTIONS
  4. 4. The Art of Medicine JAMA. 2012;307(23):2497-2498. doi:10.1001/jama.2012.4946. http://jama.jamanetwork.com/article.aspx?articleid=1187932 CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  5. 5. Improving Healthcare “If you can not measure it, you can not improve it.” Lord Kelvin (1824-1907) CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  6. 6. Reinventing the relationship between people and technology • At the forefront of the next chapter of human-computer interaction • Deeply invested in creating effortless and natural user experiences • Rapid advances in voicerecognition technology CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  7. 7. 7 CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. 2002-2011 HEALTHCARE SOLUTIONS
  8. 8. Current Methods for Data Capture Direct data entry, not physician Structured Data System generated or interfaced data Direct data entry, physician Dictation and Transcription Unstructured Data Handwritten CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  9. 9. Challenge – Clinical Knowledge-Processing Burden “Current medical practice relies heavily on the unaided mind to recall a great amount of detailed knowledge – a process which, to the detriment of all stakeholders, has repeatedly been shown unreliable” Knowledge processing requirement This gap injures patients Knowledge processing capacity Crane and Raymond The Permanente Journal Winter 2003 Volume 7 No.1 Kaiser Permanente Institute for Health Policy Years ago CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. Today HEALTHCARE SOLUTIONS Slide Courtesy of Dr Michael Bainbridge
  10. 10. Automating the Extract of Clinically Actionable Data Natural Language Processing CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  11. 11. CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  12. 12. CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  13. 13. CHIEF COMPLAINT PAST MEDICAL HISTORY CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  14. 14. CHIEF COMPLAINT PAST MEDICAL HISTORY CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  15. 15. • Meaningful Use Quality Reporting Decision Support • Value-Based Purchasing • • At a Dictation Station Patient Care In EHR • Self-editingCoding/CMI On the Go • Financial Integrity POA/HAC In EHR MT-editing With a RIS/PACS On a PC On an MFP • • EHR • Medical Necessity Coding Documentation Integrity Compliance CLU Capture Understand CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. Use it for HEALTHCARE SOLUTIONS
  16. 16. From Clinical Narrative to Facts CLINICAL LANGUAGE UNDERSTANDING Rules: explicit linguistic models 93% Machine learning: discovery of new patterns 86 % Syntactic parsing & Statistical semantic processing 63 % LinKBase® ontology Oct ‘10 CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. Feb ‘12 HEALTHCARE SOLUTIONS
  17. 17. Computer Assisted Physician Documentation Extending the value of clinical documentation into efficiency, quality and report turn around metrics CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE 2011 Nuance Communications © SOLUTIONS 17
  18. 18. QualityAnalytics SUPPORTING YOUR ANALYTIC NEEDS Clinical Sources of Input Automated Reporting Clinical Documentation Improvement Concurrent Monitoring DASHBOARDS Quality Measures Patient Action Lists Clinical Documentation Patient Safety Indicators Automated Clinical Data Extraction CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. On-Demand Search HEALTHCARE SOLUTIONS
  19. 19. Possibly the first step in this journey could be instant access on mobile platform CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  20. 20. Electronic Medical Records Data Capture and Presentation Complexity CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  21. 21. Intelligent Voice Interactions • Minimize need to remember “gate commands” & “command order” • Allow multiple forms of expression and handle ambiguous input • Allow for more conversational spoken utterances, less utilitarian • Reduce distance between complex spoken commands and desired outcome or action – finding becomes doing • Customizable to provide levels of seamless access to any content on device CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  22. 22. Example of Intelligent Voice Interaction Intelligent Voice transforms how you complete tasks by understanding and classifying your spoken request • Ability to categorize Tell me the risks associated with this disease, treatment or specific set of clinical facts • Complies with directed interaction Show me the laboratory results for this patient • Understands intent Prescribe a specific treatment for my patient Understanding the context of the patient, the drug including dosage, side effects and patient specific contraindications CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  23. 23. CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  24. 24. PART NERSHIPS CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  25. 25. CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  26. 26. Where You Can Find Me Nick van Terheyden, MD AboutMe Twitter LinkedIn Voice of the Doctor Plaxo FaceBook E-Mail GrandCentral CMIO, Nuance Communications http://about.me/obiwan http://twitter.com/drnic1 http://www.linkedin.com/in/nickvt http://drvoice.blogspot.com/ http://nvt.myplaxo.com http://profile.to/drnick drnick@nuance.com, drnic1@gmail.com (301) 355-0877 CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
  27. 27. CONFIDENTIAL | © 2002-2013 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS

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