Bringing an intelligent virtual assistant to healthcare This presentation explores the latest in this technological innovation in speech recognition and natural language understanding and its application in the complex busy clinical setting. Combining standard speech recognition with clinical language understanding opens up a whole new opportunity to simplify the human computer interface and relieve clinicians from challenge of learning and using complex electronic medical records allowing them to focus their time where it is best used, on the patient. A recent survey of clinicians revealed that: "80 percent of physicians believe that within five years, virtual assistants will drastically change how they interact and use electronic health records and other healthcare apps, making them more efficient and freeing up time to spend on patients" We have already seen the impact of this technology in our interactions with mobile devices. Siri is a good example of this type of technology in action and in telephone calls to customer service Attendees will develop a full appreciation of speech technology as it stands today and how it is already delivering efficiencies, easing the burden of capturing patient clinical data. Attendees will also gain insights into the latest advances in speech technology that can simplify the human computer interface providing ready access to information and accelerate the adoption of technology and free clinicians to spend more time on patient care.

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Nick van Terheyden, MD,
Chief Medical Information Officer - CLU

2. © 2002-2012 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
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Electronic Medical Records
Data Capture and Presentation Complexity

3. © 2002-2012 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
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CONFIDENTIAL | © 2002-2011 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS

4. © 2002-2012 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
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In EHR
MT-editing
In EHR
Self-editing
On the Go
At a Dictation
Station
With a
RIS/PACS
On a PC On an MFP
EHR
CLU
• Meaningful Use
• Quality Reporting
• Decision Support
• Value-Based Purchasing
• Coding/CMI
• POA/HAC
• Medical Necessity
• Coding
• Documentation Integrity
Financial
Integrity
Compliance
In EHR
MT-editing
In EHR
Self-editing
On the Go
At a Dictation
Station
With a
RIS/PACS
On a PC On an MFP
EHR
CLU
Patient
Care
Capture Understand Use it for

5. © 2002-2012 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
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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

6. © 2002-2012 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
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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

7. © 2002-2012 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
@drnic1@drnic1

8. © 2002-2012 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
@drnic1
Nick van Terheyden, MD CMIO, Nuance Communications
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E-Mail drnick@nuance.com, drnic1@gmail.com
GrandCentral (301) 355-0877
Where You Can Find Me

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