Dictation, integration and Dictation, integration and the futurethe future

Our view of the futureOur view of the future

Presenter: Brad Godson

Sales and Service Executive, Lanier Voice

Lanier Voice… A brief Lanier Voice… A brief historyhistory• 30 Years Experience in Dictation 30 Years Experience in Dictation

SystemsSystems

• Specialising in Medical and Legal Specialising in Medical and Legal professionsprofessions

• National company, now wholly National company, now wholly Australian ownedAustralian owned

• Many staff with over 20 years Many staff with over 20 years experience, one with 29 years to dateexperience, one with 29 years to date

Lanier Voice… A brief Lanier Voice… A brief historyhistory

• National support network, not only in National support network, not only in capital cities, but in rural areas as capital cities, but in rural areas as wellwell

• Clients from Melbourne to Geraldton, Clients from Melbourne to Geraldton, Perth to Burnie, Adelaide to Darwin!Perth to Burnie, Adelaide to Darwin!

• Client base ranges from single doctor Client base ranges from single doctor practices, to large public and private practices, to large public and private hospitalshospitals

Our Philosophy…Our Philosophy…

• Lanier Voice designs systems to suit Lanier Voice designs systems to suit the work you do, we do not try to the work you do, we do not try to change work practices to suit generic change work practices to suit generic systemssystems

• This approach comes from many This approach comes from many years of design and implementation years of design and implementation in the medical contextin the medical context

Drivers of integration…Drivers of integration…

• Increasingly large datasets Increasingly large datasets • Greater requirement of practitioners Greater requirement of practitioners

to draw on these data setsto draw on these data sets• More electronic inputs used in the More electronic inputs used in the

healthcare professionhealthcare profession• The next generation of medical The next generation of medical

professionals are far more comfortable professionals are far more comfortable using technology – generally! using technology – generally!

IntegrationIntegration• Integration is the art and science of Integration is the art and science of

bringing together existing systems, with a bringing together existing systems, with a variety of inputs and outputs and aims variety of inputs and outputs and aims and outcomes, by providing a central and outcomes, by providing a central point from which all of these systems are point from which all of these systems are linked.linked.

• Integration aims to improve the efficiency Integration aims to improve the efficiency and accuracy of data creation, transfer, and accuracy of data creation, transfer, storage and utilisationstorage and utilisation

IntegrationIntegration

• Integration in the Healthcare sector Integration in the Healthcare sector should always keep in mind data security, should always keep in mind data security, to ensure patient peace-of mindto ensure patient peace-of mind

• Security in data transfer and storage has Security in data transfer and storage has been developing for many years due to been developing for many years due to the nature of computer networks; the nature of computer networks; meaning that we already have security meaning that we already have security frameworks to work within.frameworks to work within.

IntegrationIntegration

• In order to integrate, we need to In order to integrate, we need to examine the strengths, and examine the strengths, and weaknesses of the existing systemsweaknesses of the existing systems

• The patient/client database, the The patient/client database, the Computer network, document Computer network, document management systems & reporting management systems & reporting systemssystems

IntegrationIntegration

• A definite strength of the current system is A definite strength of the current system is that they are largely all digital, or that they are largely all digital, or computerisedcomputerised

• A weakness is they are often separate; i.e. A weakness is they are often separate; i.e. they do not ‘talk’ to each otherthey do not ‘talk’ to each other

• This can lead to problems with keeping This can lead to problems with keeping patient records, for example, the Patient patient records, for example, the Patient number is often entered several times – an number is often entered several times – an opportunity for error to creep inopportunity for error to creep in

Advantages…Advantages…

• By creating and using a single, unique By creating and using a single, unique patient identifier for all facilities…patient identifier for all facilities…> Querying patient history becomes > Querying patient history becomes simple, and almost instantaneous – simple, and almost instantaneous – leading to optimal care…leading to optimal care…

> More efficient sharing of data for > More efficient sharing of data for research and patient careresearch and patient care

AdvantagesAdvantages

• Remote hospitals, rural GP’s and Remote hospitals, rural GP’s and specialist practices now become part specialist practices now become part of a greater wholeof a greater whole

• Result - the efficiency and quality of Result - the efficiency and quality of patient care in remote areas patient care in remote areas increasesincreases

Requirements of data Requirements of data integrationintegration

• Probably the key to successful data Probably the key to successful data integration is a common file integration is a common file format/protocol…HL7format/protocol…HL7

• Along with this, a common method Along with this, a common method for retrieving and storing this datafor retrieving and storing this data– Could be Web basedCould be Web based– Or a network of data serversOr a network of data servers

Challenges…Challenges…

• What format should be used? What format should be used?

• Web/XML or servers?Web/XML or servers?

• Cost of design and implementationCost of design and implementation

• Cultural changeCultural change

To summarise…To summarise…• Despite the challenges, the advantages Despite the challenges, the advantages

and improved efficiency makes integration and improved efficiency makes integration an essential process in the development of an essential process in the development of healthcare networkshealthcare networks

• There is a large body of work that is There is a large body of work that is forming the basis of a unified approach to forming the basis of a unified approach to Healthcare integration.Healthcare integration.

• All the technology exists, now is the time All the technology exists, now is the time to bring it togetherto bring it together

Speech recognitionSpeech recognition

• Phillips Speech Q for RadiologyPhillips Speech Q for Radiology• 1000’s of installations worldwide1000’s of installations worldwide• ‘‘Back end’ recognitionBack end’ recognition• Fully integrated with Lanier's Fully integrated with Lanier's

Crescendo system…which integrates Crescendo system…which integrates with healthcare management systemswith healthcare management systems

• Please wait while I change partitions Please wait while I change partitions for a short demonstrationfor a short demonstration