AI Case Study

Universal Health Services uses voice transcription to reduce costs by 69% and improve the quality of electronic healthcare records

Universal Health Services uses voice transcription, natural language processing and conversational agent capabilities from Nuance com. Doctors can transcribe their notes in real-time. The system asks clarifying questions when they are necessary. This has reduced voice transcription costs by 69% and improved the quality of electronic healthcare records.

Industry

Healthcare

Healthcare Providers And Services

Project Overview

"Nuance’s healthcare NLP solution, Computer Assisted Physician Documentation (CAPD), tool is powered by Dragon Medical One, Nuance’s healthcare AI system. CAPD enables physicians to dictate progress notes, history of present illness, etc., while the AI transcribes these notes in real time using Nuance’s cloud speech recognition system.

Embedded into the UHS’s EHR system, CAPD reportedly offers physicians real-time intelligence by automatically prompting physicians with clarifying questions while they are documenting. However, Dragon Medical One only asks clarifying questions in specific circumstances, such as possibilities of a different diagnosis or piece of medical information that the physician should consider (i.e. when such clarifying questions are actually necessary).

This CAPD tool is also integrated with the Cerner Document Quality Review (DQR) tool, which automatically determines the existence of clinical evidence that supports a more specific diagnosis."

Reported Results

"The results reported:

* 69% reduction in transcription costs, netting $3 million in savings year-over-year
* 12% increase in case mix index (CMI)
* Improved documentation of patients with extreme severity of illness by 36%
* Improved details on the patients with highest risk of mortality by 24%."

Technology

Speech to text in real time. Natural language processing for better transcribing and coding notes. Also basic decision tree conversational capabilities to "prompting physicians with clarifying questions while they are documenting. However, Dragon Medical One only asks clarifying questions in specific circumstances, such as possibilities of a different diagnosis or piece of medical information that the physician should consider (i.e. when such clarifying questions are actually necessary)."

Function

Digital Data

Digital Data Management

Background

"United Healthcare Services (UHS), a regional, not-for-profit network of hospitals in the state of New York. - UHS operates on a value-based healthcare system, meaning its healthcare providers are paid based on the quality of care rather than the quantity. One of the methods the quality of healthcare is determined is by physician documentation, which is a set of progress notes that contain patient clinical status, such as improvements or declines in patients’ health.

Most of UHS’s physicians are independent practitioners, which made it a challenge for UHS to streamline the adoption of documentation best practices across its network. Besides, physicians spent several manual hours in documenting patients’ progress. Therefore, UHS wanted to provide its physicians with an automated clinical document improvement (CDI) solution to improve electronic healthcare records (EHR) and to ensure quality patient outcomes.

UHS sought an advanced documentation capture tool that could be easily integrated with its EHR system to assist physicians in real-time with automated transcription and documentation, while improving medical diagnosis."

Benefits

Data

Doctor speech that is transcribed.