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We'll get started. Okay okay I gave
it a couple minutes I do want to get

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rolling though here because we absolutely
got some cool new stuff to show if you've

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attended any of our previous webinars
before and looks like we got a pretty big

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audience today so I'm really excited
about that so absolutely welcome you know

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appreciate everyone's time today and you
know let me say that the time is gonna

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be top of mind because that is exactly
really the basis and the promise that

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we're giving to give you back in your day.

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You know this solution you're going to see
today this was custom built for this

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audience so this this invite list is is
our Dragon Medical One user base right so

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what you're going to see it's a
culmination of the years of the work that

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you've put into dmo with this niche
medical community and really the billions

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of minutes of audio that
you brought with it.

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So I'll say this, you know, personally
I just had my 13th year anniversary

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in this industry. So going back to the box
product, watching the transition

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to the cloud and now seeing our world
being shaped by AI and you know,

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this is what you've been waiting for.

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So, you know, the solution
absolutely never been better.

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The price is on point.

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And I'll say this, I don't think I could
be more excited for you to witness what

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I'm claiming it, you know, this is the
largest leap in medical documentation and

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the physician patient encounter
that we've ever experienced.

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So welcome, welcome. Okay, couple
quick quick housekeeping items.

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So know that we're going to follow up
with each and every one of you after the

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webinar. So if you can't stick around for
the Q&A, any of that stuff, you want some

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more one-on-one time, absolutely
gonna be following up with you.

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You might see something auto-generated
from go to meeting, that's just you know,

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the way it works, but absolutely something
more actionable and concrete will follow.

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You'll have access to the recorded
webinar to review as well, but the next

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obvious thing will be, you'll have
a good next steps to really embrace the

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technology showcase today. So like I said,
we're going to leave Q&A till the end.

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Just ask that you use the questions
box, not the chat button.

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And like I said, we, Aaron, myself, we
stick around till the last question's

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asked if we have to. And speaking
of Aaron, my partner in crime today,

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You know, I don't think I
can speak more highly of him.

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He's my jack of all trades.

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He's my Jedi master. I think we settled
on on dragon with dragon wizard.

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And so do you want to say
hello to the people mr.

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Dragon wizard? Hello, everybody.

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Hey, I think every dragon needs a wizard.

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I'm just saying There's there might be
some Dungeons & Dragons undertones there

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But that's exactly the guy you want
working on your dragon to make sure it's a

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well-oiled machine So, okay, we have
a couple slides to set the stage A couple

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new ones and then we're going to jump
it back and kind of back and forth today

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between the demo so you can see it in
action then now like I said couple wrap-up

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slides Q&A and then we'll have you on
your merry way so nothing worse than

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preaching about saving time and wasting
yours so let's let's get right into it so

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okay so Microsoft Dragon Copilot
you might hear me call it DCP

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Dragon Copilot, all the same thing, but
the way this was designed was to support

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the way clinicians actually work, right?

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So it's gonna have kind of a pool
of talent baked into it, no matter which

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phase of really that patient
experience you're at, right?

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It's gonna bring together that trusted
voice dictation of Dragon Medical One.

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You've got the ambient listening
capabilities of DAX Copilot, which was a

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DCP's predecessor here that that is
now refined to absolutely ungodly

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levels here. But, and then really
what we're excited to show you is this

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healthcare specific generative AI.

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So this is an all-in-one experience built
specifically for clinician workflows,

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right? So what you're gonna do,
like I said, it's a pool of talent.

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You're gonna choose
the right tool in the moment.

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So, you know, dictate
your notes naturally.

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That's what you're all accustomed to.

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Let that ambient AI summarize that patient
encounter while you focus solely on the

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patient, or what you're going to see today
is that generative AI, and we're going to

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use that to help complete, really, an
insane amount of enhancements that these

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are what's going to extend
beyond the patient visits.

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So, I don't get too much into
security like I used to anymore.

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We absolutely can provide any of the most
stringent IT personnel with enough

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documentation to make their head spin,
but know that this is all hosted on the

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Microsoft Azure platform. For me being
a non-techie person, I say it like this.

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This is the most secure hosting
platform in the world, hard stop.

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Aaron calls it virtually
bulletproof, right?

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So just to reiterate, Dragon Copilot's
gonna, you know, reduce that documentation

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burden. It's gonna preserve
that focus on the patient.

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It's gonna give clinicians
their time back.

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It's gonna promote physician wellbeing.

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You've got unlimited
access to an AI assistant.

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We're gonna show you how this can
drive meaningful financial impact.

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It's gonna cook dinner, do
the laundry, it's all here.

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So here we go.

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Okay, so I called myself out.

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I said this was the largest leap in
medical documentation ever witnessed.

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So what I want to do now is kind of make
it all digestible so that when you see the

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demo, you see what we're talking about.

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So I kind of sorted this
into three pillars, right?

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Design to support the clinicians before,
during, and after the patient counter.

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So, and I will say this, I
understand the industry, I know what

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else is out there. Nobody is going as
far as deep beyond capturing the patient

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encounter as we are, and honestly,
we'll continue to do so.

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And I can say continue to do so because
I think recently, it was 5 billion in the

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next five years, Microsoft invested
to keep this platform cutting edge.

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You know, It's thousands of researchers
and developers on staffs.

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We have doctors on staff.

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you know, that There's some staying
power here to say the least.

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you know, I've seen multiple AIs come
and go already through you know, the first

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couple of years that we've really been in
this kind of industry with AI taken over.

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So know that you know, something that
they have a lot of eggs in this baskets,

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make sure that this platform is
cutting edge now and moving forward.

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So your first pillar, you know, this
is your streamlined documentation.

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So this is all done through ambient note
creation, your natural language dictation,

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your DMO, right? You're all familiar
probably with customizable templates, but

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now we're going to show you
AI powered prompts, right?

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These are all the things that are going to
streamline that documentation portion of

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the patient encounter, right? It's going
to give you control over how the document

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is created as well. So you're going to be
able to get that output exactly how you

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see fit, the way it looks, the way
it behaves, all that good stuff.

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Unfortunately, there's no
symmetry in healthcare.

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How you chart and how your neighbor charts
is probably completely different, right?

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So look for that.

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The second pillar, this is that surfaces
critical information directly within the

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workflow. This is going to give
you access to medical information.

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and you're gonna be able
to receive encounter guidance.

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For example, you could ask it questions
like, what types of vaccines are

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recommended for a trip to Honduras?

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What side effects are possible
with this prescription?

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Look up here. Yep. I
apologize for interrupting.

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It looks like the slide is not advancing.

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Am I still on my title slide?

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It's the three-point slide, Dragon
Medical One DAX fine-tuned generative AI.

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Hold on a second.

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It wouldn't be the first
time this happened.

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All right, do you have
the three pillars now?

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Automate tasks? I don't think so.

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Try advancing an extra slide
forward and then backing up.

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All right, thank you.

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Go to meeting. What do you see now?

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Well, I'm afraid it's still the same.

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Try canceling your screen share
and then bringing it back up.

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Oh, now we see interface
to further optimize workflows.

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Okay, now I wanna go back one.

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Transform the way clinicians work.

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It must not like that slide.

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That's crazy. Okay Let me go back.

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I'll go to the next. Can you see this one
and I'll just wrap up what I was saying So

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what we're seeing right now is the copilot
chat interface to further optimize

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workflows. No, you're right.

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It absolutely Yeah, skip the slide.

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So I had a slide with three pillars on
it before during and after the patient

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encounter I was just moving from the
second pillar with that's your AI where

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you can ask it things like look up the ICD
10 codes for these Diagnostics your third

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pillar that was beyond documentation.

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So you'll see all this in the demo,
but this is where the AI can really

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Come up with a bunch of different
after-visit, you know kind of Enhancements

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referral letters prepare
orders summarize evidence.

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We'll make sure to spend a little extra
time on that during the demo So, okay, so

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really what this last slide was, was this
was 30 more seconds about the AI because

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really the possibilities are endless
with how we can train the AI.

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So, like I said, you know, as much as we
wish there was symmetry in healthcare,

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it's just not the case, right?

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And so it's these AI powered prompts
and really that natural language chat

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interface that we can use to customize
the output of the note to your liking.

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So again, non tacky hat, I call this
Hey Siri, but with access to more

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medical data than the entire archives of
the Library of Congress, you know, that's

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a real stat to we're in the hundreds of
something terabytes, but the nice thing to

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know about our AI and how
it pulls information is

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that it's all done through credible
healthcare appropriate sources.

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I'm talking like the CDC, the FDA, Aaron
will show these off, but this is something

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to take note of. You know, There's a lot
of other AIs out there that when they pull

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their information, it's using
the entire internet as a source.

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You know, I mentioned that we bring
with us billions of audio of medical

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information And with that information
along with the credible sources that's

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what our AI is trained on to make sure
that the output of that note is what you

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are looking for so but like I said it's
through this chat interface that you speak

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to it like you want to see happen you know
edit summarize retrieve any other verbs

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you can come up with right but instead
of having to search through documentation

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switching applications you simply
speak for what you need so clarifying

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assessment, refining a note, review key
details from the account or all that good

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stuff, right? So,

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okay. All right. Hopefully my
slides are still switching.

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So this is a new slide
for this presentation.

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So what we're presenting today, which we
didn't last month is this, this is the

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latest iteration of Dragon Copilot.

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This is 5.0. It happened about a week ago.

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I hate to say this, Mark,
but it did not advance.

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Try breaking your screen share
and then resharing it out.

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I'm sorry, I've never had
this much trouble on a demo.

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Okay, let me do that.

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I'm going to stop sharing
my screen for a second.

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All

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right, ready Aaron?

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What do you got?

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00:12:19,570 --> 00:12:24,400
Let's give it a second to process through
because at the moment it's showing a blank

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screen. It's showing your demo slide now.

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Okay, how about DCP 5.0?

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I'm

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00:12:35,730 --> 00:12:40,660
afraid not. Try advancing the slide
again and then backing up.

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Okay,

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I still showing the demo slide
Okay, we're gonna wing it.

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We're gonna wing it folks.
We can do this We practice.

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So, okay What I want you to see is
a slide about Dragon Copilot 5.0

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Honestly, this was released about a week
ago We're Aaron can attest to this.

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We're still uncovering really I'd call
them Aaron unpublished findings that have

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enhanced the solution So this was
a big, big uptick of an iteration here.

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So if you could see my slide, you'd see
two of them that really stuck out to me

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that I wanted to bring attention
to before we start the demo.

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But you know, you heard me
talk about the AI there now.

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So now this AI, we call
it AI at the cursor.

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So previously the AI was used in
conjunction with the generated note to

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kind of influence and adjust
the findings, seek medical information.

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And that was all done within
the Dragon Copilot application.

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So this new AI, it can be
used on any focused area.

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00:13:47,890 --> 00:13:53,220
So think, you know, especially within your
EHR, the information in your EHR, you'll

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00:13:53,230 --> 00:13:58,860
be able to use the AI to manipulate it, to
uncover things, to ask questions, really

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to perform a multitude of tasks, right?

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00:14:01,240 --> 00:14:05,620
You can help it to shape the note to your
liking within the EHR where before you

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00:14:05,630 --> 00:14:08,980
used to have to do that within
the Dragon Copilot application, right?

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00:14:08,990 --> 00:14:13,620
but I'm telling you, there's a million
things this AI can do now, but big picture

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00:14:13,630 --> 00:14:18,120
here. You're now gonna have access
to the built-in AI to be used in any other

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application to complete the required work.

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00:14:20,850 --> 00:14:24,020
You know, this is absolute
possibilities are endless here.

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And then the second thing I wanted
to talk about was the template creation.

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00:14:28,060 --> 00:14:33,820
So Aaron was becoming an absolute
wizard and still is in creating and

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00:14:33,830 --> 00:14:35,800
prompting templates through the AI.

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You know, this really was the best
feature, one of the best features that we

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00:14:40,890 --> 00:14:42,830
used to like over any other
competitor on the market.

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00:14:42,840 --> 00:14:48,820
And what they went and did was made
this best feature even better and took

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00:14:48,830 --> 00:14:50,620
away the manual piece to it, right?

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00:14:50,950 --> 00:14:55,680
So think about this, you know, any new or
existing templates that you require from a

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patient visit, you know, a lot of these
are probably unique to your individual

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vitamin, but they can
be absolutely uploaded.

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Drag and drop here and the AI
will build it out automatically.

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And then the cool part is that you can
construct the AI to produce immediately

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after the encounter so that these
templates are at your fingertips once the

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encounter is completed. You can have it
create templates as well simply by giving

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it instructions of what you need.

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I've seen that in action
and it's absolutely cool.

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But think about it this way, any forms,
documents that you require are just

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welcomed as a nice to have.

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These can be generated on demand
after the encounter, right?

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And the AI will purposely produce
them straight from that encounter.

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So list goes on and on here.

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I know you can't see my note, but you
know, this is procedure notes, patient

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00:15:45,930 --> 00:15:49,530
education materials, prescription, medical
leave, insurance, discharge summary.

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00:15:49,540 --> 00:15:54,280
I think, Aaron, you had it up to like
20 before it maybe started breaking or

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something like that with all
the template that you produced.

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Yep, you can get it to rifle off a whole
stack of documents for you before it

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00:16:01,970 --> 00:16:04,060
starts to struggle. Okay.

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00:16:04,370 --> 00:16:07,040
All right. Well, I just switched
my slide to the demo slide.

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Hopefully, that's the one
you're seeing now.

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00:16:09,670 --> 00:16:14,000
It is. Okay. Well, I think this is
a good time for me to look at things.

240
00:16:14,050 --> 00:16:19,040
And Aaron, why don't I give you the floor
for a few here and we'll get going here.

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00:16:19,050 --> 00:16:21,660
All right. Let me share my screen.

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00:16:22,130 --> 00:16:24,900
Give me just a moment
to bring this up for you all.

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00:16:24,910 --> 00:16:27,980
And I believe we want to share
this monitor And click.

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00:16:29,270 --> 00:16:33,320
And there we go.

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00:16:33,950 --> 00:16:36,900
Is that coming through
clearly for everyone?

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00:16:38,350 --> 00:16:43,320
I think it looks like it is in my end.

247
00:16:44,050 --> 00:16:45,720
OK, I see some thumbs up.

248
00:16:45,730 --> 00:16:51,220
Perfect. Okay. So a couple of things
we're going to look at here today.

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00:16:51,310 --> 00:16:54,280
So this is Microsoft Dragon Copilot.

250
00:16:54,310 --> 00:16:58,360
What you're seeing is the fully installed
desktop version of the application.

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00:16:58,370 --> 00:17:02,820
There are a couple of other versions of
it, depending on how you need to operate.

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00:17:02,910 --> 00:17:07,760
I can run Dragon Copilot in a Google
Chrome tab or a Microsoft Edge tab, works

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00:17:07,770 --> 00:17:13,540
just fine. And for those who need it,
you can download the Dragon Copilot

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00:17:13,550 --> 00:17:16,760
app, which is available
for iOS, which is the iPhone.

255
00:17:16,770 --> 00:17:22,140
It runs on the iPad platform as
well, and it'll also run in Android.

256
00:17:22,330 --> 00:17:26,780
So however you need to get at
Dragon Copilot, it's got your back.

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I'm going to go ahead and sign in.

258
00:17:28,190 --> 00:17:32,990
Over here, I'm going to input
my password information.

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00:17:33,000 --> 00:17:36,960
Now, I'm going to go ahead
and do this right now

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and

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00:17:40,130 --> 00:17:44,700
get myself logged in.

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00:17:44,710 --> 00:17:49,400
Two-factor authentication. Got to make
sure that data is super secure so that the

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00:17:49,410 --> 00:17:51,120
IT guys don't yell at me.

264
00:17:51,310 --> 00:17:54,600
Make sure I'm compliant with all
relevant laws and rules.

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00:17:54,890 --> 00:17:57,120
Let's see right here.

266
00:17:57,130 --> 00:17:59,520
Approve sign in, and there we go.

267
00:17:59,570 --> 00:18:02,500
And the good news is I actually
only have to do this once.

268
00:18:02,530 --> 00:18:05,840
Once I'm signed in, I can instruct
it to save my credentials.

269
00:18:05,850 --> 00:18:10,030
And then moving forward, I can just
double click on the icon and log in.

270
00:18:10,040 --> 00:18:13,140
But I wanted to show off
the security just a little bit there.

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00:18:13,310 --> 00:18:15,960
This is the main screen
for Dragon Copilot.

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00:18:16,050 --> 00:18:19,820
Over here on the left is where my
patient sessions are going to populate.

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00:18:19,850 --> 00:18:23,440
I have a search feature that I can use,
because if I see a ton of patients over

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00:18:23,450 --> 00:18:25,840
here, I might want to be able
to look up a specific one.

275
00:18:25,850 --> 00:18:30,560
I can search for them, I can filter by
a specific date range, and then I have

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00:18:30,570 --> 00:18:33,480
filters over here that I can use
to kind of thin out the list and keep it

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00:18:33,490 --> 00:18:37,160
manageable over time. I'm gonna go
ahead and make a new patient session.

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00:18:37,950 --> 00:18:41,400
And this is the main
screen for Dragon Copilot.

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00:18:41,490 --> 00:18:45,900
For folks who have been following these
webinars for a while, the interface looks

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00:18:45,910 --> 00:18:48,060
a little bit different in the 5.0 edition.

281
00:18:48,070 --> 00:18:51,060
It's much more streamlined,
much more straightforward.

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00:18:51,250 --> 00:18:54,740
The note, when it's written, is front and
center, right here in the patient session.

283
00:18:54,750 --> 00:18:57,020
You don't have to go looking for it.

284
00:18:57,290 --> 00:19:00,660
And then over here, we'll get to this in
a moment, this is the generative AI that

285
00:19:00,670 --> 00:19:05,420
Mark was talking about earlier where I can
get it to create secondary documents for

286
00:19:05,430 --> 00:19:09,660
me. These ones come with the program, but
I can also use the template builder to

287
00:19:09,670 --> 00:19:11,270
build additional ones of my own.

288
00:19:11,310 --> 00:19:16,440
To use the workflow, all I
do is click this button here.

289
00:19:16,450 --> 00:19:18,040
That starts my ambient recording.

290
00:19:18,050 --> 00:19:23,200
Dragon Copilot will start to passively
listen to the conversation, collecting

291
00:19:23,210 --> 00:19:28,440
that information, and then turning
that into a fully written note.

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00:19:28,450 --> 00:19:32,020
It'll go up to 10 people
in the conversation.

293
00:19:32,150 --> 00:19:35,780
So if you have somebody who's with their
parent or guardian, maybe they brought

294
00:19:35,790 --> 00:19:39,420
their kids with them, you don't have
to worry about the AI getting confused.

295
00:19:39,430 --> 00:19:43,560
It's able to track who the participants
are in the conversation and what their

296
00:19:43,570 --> 00:19:45,280
role in the conversation is.

297
00:19:45,290 --> 00:19:50,900
So it'll prioritize or exclude their input
accordingly based on the context of who's

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00:19:50,910 --> 00:19:55,240
asking the questions, who's answering them
and who you're paying attention to as the

299
00:19:55,250 --> 00:19:59,780
provider. Right next to it, I have the
ability to enable my dictation, so once

300
00:19:59,790 --> 00:20:04,920
the note is written, I can put my own
words into the note to plug any gaps, add

301
00:20:04,930 --> 00:20:09,120
my own personal insights in my own
language, just in case I want to augment

302
00:20:09,130 --> 00:20:11,960
the output that the AI is writing for me.

303
00:20:12,150 --> 00:20:16,040
I'm also going to have access
to a full copy of the transcript of the

304
00:20:16,050 --> 00:20:20,540
conversation, so once I do my recording,
if I want to review exactly what was said,

305
00:20:20,610 --> 00:20:26,060
it's going to appear right here in this
discreet little button all right Mark

306
00:20:26,070 --> 00:20:30,640
are you about to fall suddenly ill with
a case of strep throat I'm about to fall

307
00:20:30,650 --> 00:20:35,040
suddenly ill because I just read the chat
and how many people can see my slides so

308
00:20:35,050 --> 00:20:39,900
yes I'm feeling a little ill okay all
right give me just a moment I'm gonna

309
00:20:39,910 --> 00:20:45,440
switch up my audio just a hair so
that my dragon can hear you talking

310
00:20:45,850 --> 00:20:50,900
let's see here for those who are curious,
Mark and I are physically nowhere near

311
00:20:50,910 --> 00:20:56,700
each other and so you will be able to
notice immediately that Dragon Copilot is

312
00:20:56,710 --> 00:20:59,660
fully compatible with telehealth because
it's going to make a note just fine for

313
00:20:59,670 --> 00:21:01,890
the two of us even though I'm
in Tennessee and he's in Canada.

314
00:21:01,900 --> 00:21:04,450
Mark, do you want to give
me a quick check one two?

315
00:21:04,590 --> 00:21:06,500
Check one two. Perfect.

316
00:21:06,630 --> 00:21:09,980
Okay. I'm going to go ahead and start
our recording and here we go.

317
00:21:10,390 --> 00:21:16,280
Hi, Mark. I understand you're having a
little bit of a trouble with a sore throat

318
00:21:16,290 --> 00:21:17,550
and maybe some nausea today.

319
00:21:17,560 --> 00:21:19,460
I'm sorry to hear you're
under the weather.

320
00:21:19,470 --> 00:21:22,060
or can you tell me a little
bit about what's bothering you?

321
00:21:22,070 --> 00:21:25,440
Yeah, no, I appreciate
you seeing me to talk.

322
00:21:25,590 --> 00:21:31,700
So really what's been going on is,
well, you know, it started as some,

323
00:21:31,730 --> 00:21:34,780
well, really some sore throat
for about three days now.

324
00:21:34,790 --> 00:21:37,480
Seems to be getting worse, I guess.

325
00:21:38,130 --> 00:21:41,060
It's taking over-the-counter medication.

326
00:21:41,070 --> 00:21:46,320
My best friend has been Advil Cold
and Sinus, but really hurts a lot when I

327
00:21:46,330 --> 00:21:50,100
swallow, had a fever on
and off, I felt pretty tired.

328
00:21:50,110 --> 00:21:52,300
I'd say worse are probably the chills.

329
00:21:52,950 --> 00:21:55,120
Okay, I'm sorry to hear that.

330
00:21:55,170 --> 00:21:59,020
I love, that. I like Advil Cold and Sinus
too for those, whenever you feel like you

331
00:21:59,030 --> 00:22:01,140
got a bug, it's always
a good place to start.

332
00:22:01,150 --> 00:22:03,870
You mentioned you were experiencing
some pain when swallowing.

333
00:22:03,880 --> 00:22:08,440
Have you been experiencing a choking
sensation or are you able to swallow solid

334
00:22:08,450 --> 00:22:10,500
food without a problem and it just hurts?

335
00:22:10,930 --> 00:22:13,680
No, my throat hurts a lot
when I, when I swallow.

336
00:22:13,710 --> 00:22:19,480
The fever has really been on and off, but,
you know definitely a pain a sharp pain

337
00:22:19,490 --> 00:22:23,560
when I swallow okay and then I see they
took your temperature when you came in

338
00:22:23,570 --> 00:22:27,960
here to the office today and it's sitting
at 101.5 which is which is high it does

339
00:22:27,970 --> 00:22:32,020
indicate that you've come down with
something have you been around anybody

340
00:22:32,030 --> 00:22:37,860
that might have been sick uh yeah I'd say
last week you know and this is kind of

341
00:22:37,870 --> 00:22:43,540
you know light bulb went off I went on a
field trip with my son and you know one of

342
00:22:43,550 --> 00:22:48,100
the kids looked sick and now that I think
about it, They all look sick, but it was

343
00:22:48,110 --> 00:22:49,600
coughing most of the day.

344
00:22:49,650 --> 00:22:53,160
My son was perfectly fine, but
we were around a lot of people.

345
00:22:53,310 --> 00:22:56,390
Where'd you go Where'd
you go with your son?

346
00:22:56,400 --> 00:22:59,420
Was it a school trip or a vacation?

347
00:22:59,630 --> 00:23:01,400
Yeah, no, it was a school trip.

348
00:23:01,430 --> 00:23:03,300
It was a natural history museum.

349
00:23:03,410 --> 00:23:06,080
So, son dragged me all
over the dinosaur exhibit.

350
00:23:06,250 --> 00:23:08,180
So, it was a good time. Okay.

351
00:23:08,290 --> 00:23:09,980
Well, it sounds like a worthy cause.

352
00:23:09,990 --> 00:23:13,140
I can think of worse reasons
to come down with something.

353
00:23:13,230 --> 00:23:15,500
Let's take a look at you
and see what we're up against.

354
00:23:15,510 --> 00:23:19,020
If you want to get up on the examine table
here, I'm going to listen to your heart

355
00:23:19,030 --> 00:23:21,540
first. Your heart sounds are normal.

356
00:23:21,550 --> 00:23:24,180
That's good news there. I'm
going to listen to your lungs.

357
00:23:24,190 --> 00:23:27,000
Lungs are clear
to auscultation bilaterally.

358
00:23:27,010 --> 00:23:32,240
Also good news. Not seeing any sign
of drainage in your ears and no redness in

359
00:23:32,250 --> 00:23:35,340
the ears. That's good. Nose looks normal.

360
00:23:35,490 --> 00:23:37,060
Eyes look normal too.

361
00:23:37,250 --> 00:23:38,820
All right. Let's go ahead
and see where the action is.

362
00:23:38,830 --> 00:23:40,600
You want to open your mouth and say, ah.

363
00:23:40,610 --> 00:23:46,500
ah, all right. Your throat is really red
and I do see some signs of what we call

364
00:23:46,510 --> 00:23:48,250
tonsillar exudate at the back there.

365
00:23:48,260 --> 00:23:52,780
It's basically drainage from an infection,
kind of a white patchy substance.

366
00:23:52,990 --> 00:23:57,500
And then I do see your tonsils as well are
enlarged, looks like plus one on the right

367
00:23:57,510 --> 00:23:59,340
and plus two on the left.

368
00:23:59,370 --> 00:24:01,020
You can go ahead and close your mouth.

369
00:24:01,030 --> 00:24:05,280
Looks like you might have come down with a
case of strep throat, which has been going

370
00:24:05,290 --> 00:24:09,020
around lately and it's very
transmissible, particularly in gatherings.

371
00:24:09,230 --> 00:24:14,940
We're going to do a rapid strep test in
the office today, just do a throat swab

372
00:24:14,950 --> 00:24:19,460
to double check. But if it comes back
positive, we can get you some antibiotics

373
00:24:19,470 --> 00:24:20,920
to treat that infection.

374
00:24:21,030 --> 00:24:23,740
Do you have any allergies
that I should be aware of?

375
00:24:24,270 --> 00:24:27,020
Ah, Yep, penicillin. Penicillin.

376
00:24:27,030 --> 00:24:28,640
Yep, yep. That's no problem.

377
00:24:29,010 --> 00:24:30,700
Learn that one the hard way.

378
00:24:30,710 --> 00:24:34,420
We can stay away from
the penicillin-based antibiotics.

379
00:24:34,430 --> 00:24:37,580
We'll do azithromycin.
That's a five-day course.

380
00:24:37,590 --> 00:24:41,940
You should start feeling better after only
about 48 hours, but I want you to take the

381
00:24:41,950 --> 00:24:45,660
full course all the way to the end We want
to make sure that infections completely

382
00:24:45,670 --> 00:24:48,740
gone and there's no chance of it coming
back and we're gonna need you to throw

383
00:24:48,750 --> 00:24:54,260
Away your toothbrush as well. I can do all
that All right, nurse is gonna come in and

384
00:24:54,270 --> 00:24:57,620
take that throat swab and we'll be back
with you in a few minutes Excellent.

385
00:24:57,630 --> 00:25:02,060
Thank You doc All right I'm gonna go ahead
and stop my recording there now It only

386
00:25:02,070 --> 00:25:06,130
takes usually 10 or 15 seconds
for Dragon Copilot to create a note.

387
00:25:06,140 --> 00:25:11,080
And this is true whether or not I have
it being, pardon me, 10 or 15 seconds.

388
00:25:11,090 --> 00:25:12,900
Did I say minutes? I
might've said minutes.

389
00:25:12,910 --> 00:25:14,540
If I said minutes, I meant seconds.

390
00:25:14,550 --> 00:25:15,960
It's very fast, I promise.

391
00:25:15,970 --> 00:25:17,660
You're gonna see it right
here in front of you.

392
00:25:17,670 --> 00:25:23,460
That timeframe applies even if I'm
having it apply templating or create

393
00:25:23,470 --> 00:25:24,800
secondary documents for me.

394
00:25:24,810 --> 00:25:28,080
So you don't have to worry about limiting
the way that you're using the software in

395
00:25:28,090 --> 00:25:32,300
the name of speed. It's going to go ahead
and make our transcript, that's what comes

396
00:25:32,310 --> 00:25:36,300
first, and you can see here, this
is Mark and I going back and forth.

397
00:25:37,070 --> 00:25:40,800
And then the note is
going to come through.

398
00:25:40,930 --> 00:25:45,660
Now once the base note is produced, this
base note is driven by your specialty.

399
00:25:45,850 --> 00:25:48,900
The list of supported
specialties is very large.

400
00:25:48,910 --> 00:25:53,000
I haven't set the family medicine for me
at the moment, but pretty well any medical

401
00:25:53,010 --> 00:25:55,810
discipline that you might be involved
in is available here in this.

402
00:25:55,820 --> 00:26:01,020
and if you do multiple specialties, you
can switch it and then Dragon will react

403
00:26:01,030 --> 00:26:03,940
and make the new templates according
to whatever you've switched.

404
00:26:03,950 --> 00:26:09,080
So the base note is driven by that
specialty and usually it's very good all

405
00:26:09,090 --> 00:26:13,980
on its own. That being said, if I want
to apply my own custom template, I can do

406
00:26:13,990 --> 00:26:18,160
that and you just actually saw it
apply my custom template to this note.

407
00:26:18,270 --> 00:26:20,380
I've got a purpose of visit right here.

408
00:26:20,430 --> 00:26:25,380
My template actually leverages what they
call transcript aware functionality.

409
00:26:25,390 --> 00:26:31,160
So I can instruct the template to draw on
the circumstances and even the verbiage of

410
00:26:31,170 --> 00:26:35,720
the conversation itself. So here I'm
quoting Mark's own words for exactly what

411
00:26:35,730 --> 00:26:41,400
he feels is wrong here in the template,
but I can also have it use conditional

412
00:26:41,410 --> 00:26:45,980
logic to adjust the shape of the note,
depending upon the substance of the

413
00:26:45,990 --> 00:26:51,040
conversation. What you can't see here in
this HPI is there are actually additional

414
00:26:51,050 --> 00:26:55,300
template sections for mental health
history, surgical history, but because we

415
00:26:55,310 --> 00:26:59,620
didn't discuss those topics, those
sections intelligently removed themselves

416
00:26:59,630 --> 00:27:05,480
from the output. So however I need
the note to shape or to shape itself, I

417
00:27:05,490 --> 00:27:08,090
can use the programming
of the template to accomplish that.

418
00:27:08,100 --> 00:27:11,280
So the note always comes through
exactly the way I want it.

419
00:27:11,350 --> 00:27:12,960
So here's our HPI.

420
00:27:12,970 --> 00:27:14,420
I'm going to scroll down.

421
00:27:14,430 --> 00:27:16,020
There's our review of systems.

422
00:27:16,170 --> 00:27:21,380
Here's a physical exam template that I
built out that's a little bit more kind of

423
00:27:21,390 --> 00:27:24,580
verbose. It's got you know, discrete
sections with bullet points underneath

424
00:27:24,590 --> 00:27:27,360
each one for the findings
instead of like a little block.

425
00:27:27,370 --> 00:27:28,720
Some people like the little block.

426
00:27:28,730 --> 00:27:31,410
It makes for a nice concise note, but
some folks like to see it spread out.

427
00:27:31,420 --> 00:27:35,860
So however you want it to look, Dragon
is gonna be able to accommodate that.

428
00:27:35,950 --> 00:27:38,500
And then down here we have
an assessment and plan.

429
00:27:38,690 --> 00:27:44,420
Now again, leaning in the direction of
that generative AI, one of the functions

430
00:27:44,430 --> 00:27:49,600
that it offers is the ability to go and
look up my codes for me and I can use them

431
00:27:49,610 --> 00:27:52,680
and I can put them right in the note
or I can have them appear as little

432
00:27:52,690 --> 00:27:58,080
notifications down here and then I can
tell it to update by clicking this button.

433
00:27:58,410 --> 00:28:02,820
That generative AI functionality is driven
from this bottom right-hand corner right

434
00:28:02,830 --> 00:28:08,420
here. I can dictate and type in or dictate
in instructions to the AI and have it

435
00:28:08,430 --> 00:28:12,420
carry out those actions. Don't get me
wrong, I love this little chat box.

436
00:28:12,430 --> 00:28:14,060
It's an extremely powerful tool.

437
00:28:14,130 --> 00:28:15,760
I can ask it whatever I want.

438
00:28:15,770 --> 00:28:19,660
What are the vaccine recommendations
for this patient's vacation plans?

439
00:28:19,750 --> 00:28:22,630
I don't even have to tell it where
those vacation plans are in my prompt.

440
00:28:22,640 --> 00:28:25,140
It's going to go read
the transcript and find out.

441
00:28:25,250 --> 00:28:30,260
But it's way faster to program the system
to do these things automatically.

442
00:28:30,270 --> 00:28:35,540
And that is where the advanced templating
really comes through in spades, is

443
00:28:35,550 --> 00:28:40,040
programming it so that all you need to do
is record your patient visit and then

444
00:28:40,050 --> 00:28:44,880
Dragon picks up the ball and takes it
from there all the way to the end zone.

445
00:28:45,390 --> 00:28:48,480
Speaking of which,
the secondary documents.

446
00:28:48,910 --> 00:28:51,720
Here's my referral letter,
just in case I need it.

447
00:28:51,830 --> 00:28:53,540
Here's a letter to the patient.

448
00:28:53,670 --> 00:28:56,680
And then I've got
a consultation summary as well.

449
00:28:56,690 --> 00:28:58,660
And these are just the ones
that the program comes with.

450
00:28:58,670 --> 00:29:03,360
If I wanted to make a doctor's note
to exempt somebody from work or school or

451
00:29:03,370 --> 00:29:08,780
both, maybe I want to have a note that's
shaped differently for a follow-up that's

452
00:29:08,790 --> 00:29:11,130
like a shorter, more condensed
documentation of the visit.

453
00:29:11,140 --> 00:29:16,500
I can create those templates, add them
to this list here on the left, and Dragon

454
00:29:16,510 --> 00:29:20,460
will make them all at once so I don't have
to pick and choose and I don't have to

455
00:29:20,470 --> 00:29:25,340
tell it to create that you know other
document as a second step and then having

456
00:29:25,350 --> 00:29:30,760
it do all that work for me even if it's
just in case I need it the processing

457
00:29:30,770 --> 00:29:35,780
doesn't take any longer and so I may as
well cover my bases and have it build

458
00:29:35,790 --> 00:29:38,580
whatever I need just in
case I need to call upon it.

459
00:29:38,970 --> 00:29:41,800
All right shall we add some dictation?

460
00:29:42,050 --> 00:29:45,080
Mark, do you smoke or consume alcohol?

461
00:29:45,590 --> 00:29:47,700
Not today. All right.

462
00:29:47,910 --> 00:29:51,420
So I can turn on my dictation
with this checkbox down here.

463
00:29:51,430 --> 00:29:55,060
If I'm using a microphone that has
intelligent button functionality, I can

464
00:29:55,070 --> 00:29:59,000
use that as well. Or if, say, I'm using
a headset, I can also click this little

465
00:29:59,010 --> 00:30:01,100
microphone icon right next
to the note section itself.

466
00:30:01,110 --> 00:30:06,140
So however I want to shoot in a couple of
extra lines of text, I have easy access to

467
00:30:06,150 --> 00:30:09,920
that control. Patient denies
alcohol and tobacco use period,

468
00:30:09,950 --> 00:30:15,500
just like that. And so I can go
in and get my note all prepped.

469
00:30:16,070 --> 00:30:20,760
Now from here, oh let's go ahead
and rename this patient session as well.

470
00:30:20,770 --> 00:30:22,860
That way I can keep track
of things on the patient list.

471
00:30:22,870 --> 00:30:27,600
So we'll call this Mark and then we'll put
in his patient number here and then we'll

472
00:30:27,610 --> 00:30:28,920
say he has a sore throat.

473
00:30:28,930 --> 00:30:32,260
You'll notice also that
I can dictate this in.

474
00:30:32,310 --> 00:30:35,760
So whenever I'm clicking around wherever
I see this little microphone I have active

475
00:30:35,770 --> 00:30:37,200
dictation at that location.

476
00:30:37,810 --> 00:30:42,080
Alright and now his note is labeled so
that back in my patient list, I can keep

477
00:30:42,090 --> 00:30:43,460
track of what's going on.

478
00:30:43,850 --> 00:30:49,460
Okay, so from here, all I need to do
is get this note out of Dragon and

479
00:30:49,470 --> 00:30:51,100
into my medical record.

480
00:30:51,330 --> 00:30:56,720
Now, happens to be the case that I'm
not actually a medical practitioner.

481
00:30:56,930 --> 00:31:00,700
So normally, they wouldn't
let me have a copy of an EHR,

482
00:31:00,710 --> 00:31:06,380
but they will let me have
a sandbox version of Athena.

483
00:31:06,390 --> 00:31:11,040
So just, you know, whether you use
a different EHR, just be aware, you know,

484
00:31:11,050 --> 00:31:13,260
going into here, I'm just
using this as an example.

485
00:31:13,270 --> 00:31:15,400
So I'm going to go ahead
and go into a patient visit.

486
00:31:15,410 --> 00:31:18,580
Let's find one that I've got Ta-da-dum.

487
00:31:18,970 --> 00:31:24,100
Okay, how about this one and

488
00:31:24,110 --> 00:31:28,560
I Want to get my note into place.

489
00:31:28,910 --> 00:31:34,440
So let's go to my exam
and Then let's go into say

490
00:31:34,450 --> 00:31:39,460
The review of systems we use this as our
sample note field and what I want to do is

491
00:31:39,470 --> 00:31:44,900
get this note in and so I'm going to
switch my Dragon Copilot into narrow mode

492
00:31:44,910 --> 00:31:50,560
so I can kind of look at them both at the
same time, and I'm going to get my note

493
00:31:50,570 --> 00:31:54,200
into position. Now, there's a couple
of ways that I can do this, and it all

494
00:31:54,210 --> 00:31:57,890
depends upon what types of data entry
your medical record system supports.

495
00:31:57,900 --> 00:32:01,340
The first is I've got some
integrated copy and paste tools.

496
00:32:01,390 --> 00:32:06,060
I can select a note section, I can hit
a little copy button, and then I can head

497
00:32:06,070 --> 00:32:08,770
over to the corresponding box
of the medical record and paste it in.

498
00:32:08,780 --> 00:32:11,620
Easy peasy, lemon squeezy,
very straightforward.

499
00:32:12,070 --> 00:32:16,620
Now depending on your medical record, I
also have access to voice commands to move

500
00:32:16,630 --> 00:32:20,260
this information across. So I'm going
to go ahead and turn on my dictation

501
00:32:20,270 --> 00:32:25,740
microphone here, transfer HPI.

502
00:32:25,750 --> 00:32:31,400
And so I can move these

503
00:32:31,410 --> 00:32:35,380
over with a voice command. I can
maneuver around my medical record.

504
00:32:35,450 --> 00:32:39,900
And then as I go, I can fire
the different note sections into place.

505
00:32:40,030 --> 00:32:43,850
And that's the transfer step, which
is kind of the end of the workflow.

506
00:32:43,860 --> 00:32:45,720
I move my note sections into place.

507
00:32:45,730 --> 00:32:49,460
I head to the end of my exam, I
sign my note, and I'm good to go.

508
00:32:49,470 --> 00:32:52,220
And if I need to, I can
dictate over here as well.

509
00:32:52,230 --> 00:32:56,800
So if I transfer something over and then
something is not right, I can make an

510
00:32:56,810 --> 00:32:59,440
adjustment. So let me
paste that back in here.

511
00:32:59,450 --> 00:33:05,400
And this is where I want to demonstrate
that AI at the cursor functionality here.

512
00:33:05,410 --> 00:33:07,360
So I'm going to tell Dragon to focus,

513
00:33:07,370 --> 00:33:14,700
make

514
00:33:14,710 --> 00:33:16,260
this note section more concise.

515
00:33:26,330 --> 00:33:29,960
And what it's going to do, I just want
to make sure it's not picking up my data.

516
00:33:29,970 --> 00:33:34,600
Yeah, OK, we're good. OK. So it is going
to analyze the text that I've highlighted

517
00:33:34,610 --> 00:33:36,880
and then process that edit request.

518
00:33:36,890 --> 00:33:41,900
Now again, the supported nature of this
functionality depends a lot on what

519
00:33:41,910 --> 00:33:43,660
medical record system you're using.

520
00:33:43,670 --> 00:33:47,680
So when you're thinking, oh wow, that's
a really cool feature, don't get me wrong,

521
00:33:47,690 --> 00:33:49,260
it's really cool, I'm loving it.

522
00:33:49,270 --> 00:33:54,180
But we do wanna make sure
that at any given moment,

523
00:33:54,190 --> 00:33:55,880
we are double checking.

524
00:33:55,890 --> 00:33:59,560
So right now, for example, and I probably
should have double checked this ahead of

525
00:33:59,570 --> 00:34:01,800
time, So I got egg on
my face now too, Mark.

526
00:34:01,810 --> 00:34:06,620
It's not just your slides. My Athena note
is not supporting the AI at the cursor

527
00:34:06,630 --> 00:34:10,820
functionality because this is a brand new
feature and it's currently being expanded.

528
00:34:10,830 --> 00:34:16,440
So double check with your partner to make
sure that the medical record system that

529
00:34:16,450 --> 00:34:20,480
you use supports this functionality if
that's something that you really want to

530
00:34:20,490 --> 00:34:21,840
make sure you can leverage.

531
00:34:22,010 --> 00:34:26,840
Always check your bases. All of the
partners have been kind of educated on

532
00:34:26,850 --> 00:34:30,000
these different systems and can
answer those questions for you.

533
00:34:30,250 --> 00:34:34,100
All right, and that, as they say, is that.

534
00:34:34,150 --> 00:34:36,680
I make one patient
session for each patient.

535
00:34:36,690 --> 00:34:41,620
I then add recordings to that patient
session in whatever order that I wish.

536
00:34:41,690 --> 00:34:44,240
And then Dragon will create my note.

537
00:34:44,250 --> 00:34:45,650
It'll create my secondary documents.

538
00:34:45,660 --> 00:34:49,560
And then I've got the copy and paste
functionality and those voice commands

539
00:34:49,570 --> 00:34:53,500
that I can use to move my note into place
wherever I need it before I sign it.

540
00:34:53,630 --> 00:34:57,420
And then again, depending upon what
medical record system I'm using, I can

541
00:34:57,430 --> 00:35:00,420
leverage all the fun new tools
that just came out as well.

542
00:35:00,630 --> 00:35:03,260
Mark, did I miss anything?

543
00:35:03,770 --> 00:35:04,970
Lots.

544
00:35:05,170 --> 00:35:06,370
Oh dear.

545
00:35:06,870 --> 00:35:09,860
I'll bring it up. I noticed you
mentioned about 10 speakers.

546
00:35:09,870 --> 00:35:15,820
Another update was the 58 languages that
we now support, the 120 minute session

547
00:35:15,830 --> 00:35:20,440
times per encounter. And then do you want
to quickly maybe just show off how it

548
00:35:20,450 --> 00:35:24,360
auto-populates the referral letters and
letter to patient there I see on the left,

549
00:35:24,370 --> 00:35:28,880
Just kind of show the folks those AI
enhancements and how the templates they

550
00:35:28,890 --> 00:35:31,840
create themselves there too if
they wanted like I spoke about.

551
00:35:31,850 --> 00:35:33,500
So this is the referral letter.

552
00:35:33,510 --> 00:35:36,690
It made it for me at the exact same
moment that it made the rest of the note.

553
00:35:36,700 --> 00:35:41,380
The consultation summary, this is like
if I were going to be communicating with

554
00:35:41,390 --> 00:35:44,060
another physician it's written
in more technical language.

555
00:35:44,070 --> 00:35:47,020
And then the letter to the patient is
written in patient friendly language.

556
00:35:47,030 --> 00:35:50,480
So if I wanted to print this off and give
it to them so they have something to take

557
00:35:50,490 --> 00:35:54,160
home that's a little more
comprehensible that's what this is for.

558
00:35:54,270 --> 00:35:58,580
As long as we're talking about the
template engine what Mark is referring to

559
00:35:58,590 --> 00:36:00,180
is this guy right here.

560
00:36:00,190 --> 00:36:05,880
If I say new template I get a box
and all I need to do is describe to

561
00:36:05,890 --> 00:36:11,520
Dragon what sort of template I need or if
I have one that I already own like if I

562
00:36:11,530 --> 00:36:17,360
have a template that I typically use I can
paste it in here and then it will convert

563
00:36:17,370 --> 00:36:21,840
it into a template that
looks more like this.

564
00:36:21,850 --> 00:36:24,900
This is the HPI template that
we used here in this note.

565
00:36:25,750 --> 00:36:28,100
So these subsections,

566
00:36:28,930 --> 00:36:32,510
transcript didn't indicate that it was
a pre-op visit so it left that out.

567
00:36:32,520 --> 00:36:36,900
And then down here there's our
chief complaint, subjective problem,

568
00:36:37,690 --> 00:36:42,160
past medical history, but we didn't
discuss the past medical history so it

569
00:36:42,170 --> 00:36:44,920
left that subsection out. Same
with surgical and mental health.

570
00:36:44,930 --> 00:36:48,350
And that's the strength
of the templating engine.

571
00:36:48,360 --> 00:36:54,260
I can paste in a template and it
will construct this on my behalf

572
00:36:54,270 --> 00:36:56,560
so that I don't have to learn this syntax.

573
00:36:56,710 --> 00:37:00,290
Now, don't get me wrong. If you want to go
in here and do it manually, you still can.

574
00:37:00,300 --> 00:37:03,220
And it's not actually that hard to learn.

575
00:37:03,230 --> 00:37:05,940
You don't have to learn a special
programming language or anything.

576
00:37:05,950 --> 00:37:09,620
You just kind of tell it what you
want with as much context as possible.

577
00:37:09,730 --> 00:37:12,030
It looks like this is the editor.

578
00:37:12,040 --> 00:37:15,720
And and I just kind of pick which note
section I want to do and tell it what I

579
00:37:15,730 --> 00:37:20,860
need. But the automation makes it easier
than it's ever been so that you don't

580
00:37:20,870 --> 00:37:25,260
necessarily have to have you know,
experience with AI to build out whatever

581
00:37:25,270 --> 00:37:27,270
templates you might need to make use of.

582
00:37:28,890 --> 00:37:34,340
Brilliant. Brilliant. I'm
nervous to take the screen back.

583
00:37:34,550 --> 00:37:38,280
All right. Well,

584
00:37:39,590 --> 00:37:43,380
yeah, you go ahead, because I know that we
want to cover the clinical note exchange

585
00:37:43,390 --> 00:37:46,820
piece. Yeah, I did send
you the slides as well.

586
00:37:46,830 --> 00:37:49,860
I got some good advice on
the chat just in case, but...

587
00:37:49,870 --> 00:37:54,260
Well, I tell you what, in that case here,
let me see if I can quickly fire up your

588
00:37:54,270 --> 00:37:56,100
slide deck. What do you see though?

589
00:37:56,190 --> 00:37:57,390
I just did it.

590
00:37:58,070 --> 00:38:03,630
One moment. I'm afraid your
slide is not coming through.

591
00:38:03,640 --> 00:38:06,700
Technology is not your friend today.

592
00:38:07,270 --> 00:38:09,360
Don't blame Canada.

593
00:38:10,910 --> 00:38:13,080
Give me just one moment.

594
00:38:13,110 --> 00:38:15,300
I've got your slide deck
and I'll share it from my screen.

595
00:38:15,310 --> 00:38:20,180
We'll see if it comes through
a little bit more cooperatively.

596
00:38:20,870 --> 00:38:26,820
You have to talk though, because
I'm not as good as, not as

597
00:38:26,830 --> 00:38:28,460
good at speaking as you are. That's fine.

598
00:38:28,470 --> 00:38:30,620
That's fine. Let me
know when my slides up.

599
00:38:31,170 --> 00:38:32,370
Okay.

600
00:38:32,590 --> 00:38:37,280
And that will be a, this
is the next connector one.

601
00:38:37,350 --> 00:38:40,510
just after the demo. Let's
see if it comes through.

602
00:38:40,520 --> 00:38:43,040
All right. Is that slide displaying?

603
00:38:43,150 --> 00:38:46,500
It still says I'm sharing my screen.

604
00:38:46,710 --> 00:38:49,340
I think you have to take
the screen over. Oh, you're right.

605
00:38:49,350 --> 00:38:55,220
Share and this

606
00:38:55,230 --> 00:38:57,160
one, share.

607
00:38:59,070 --> 00:39:01,860
I've got the title screen
showing on your end.

608
00:39:02,150 --> 00:39:04,300
All right, let's see if.

609
00:39:04,430 --> 00:39:06,380
Yeah, yeah, you're flying
through the slides.

610
00:39:06,390 --> 00:39:09,780
It looks great. My computer
likes me better than you.

611
00:39:09,890 --> 00:39:14,420
Oh, look at that slide.
There's the demo slide.

612
00:39:14,430 --> 00:39:16,080
There's your CNX connector slide.

613
00:39:16,130 --> 00:39:21,210
So there's one more thing that we want
to show you with the Athena EHR there.

614
00:39:21,220 --> 00:39:24,580
Basically, what you're looking at
now is the clinical node exchange.

615
00:39:24,590 --> 00:39:28,440
So this is all gonna be powered by
Microsoft Dragon Copilot, but what this is

616
00:39:28,450 --> 00:39:33,840
gonna do, it's gonna extend kind
of beyond that ambient AI documentation by

617
00:39:33,850 --> 00:39:36,730
integrating directly with supported EHRs.

618
00:39:36,740 --> 00:39:41,540
So you know, from patient appointments,
you can actually have it automatically

619
00:39:41,550 --> 00:39:45,000
flow into the Cinex, we call
it the clinical node exchange.

620
00:39:45,130 --> 00:39:49,000
That's gonna allow providers to kind
of launch encounters with a single click

621
00:39:49,010 --> 00:39:54,160
You'll be able to capture the conversation
naturally and then return that structured

622
00:39:54,170 --> 00:39:59,700
clinical note directly to the patient's
chart So we saw Aaron use his voice We saw

623
00:39:59,710 --> 00:40:03,960
him use a copy and paste feature all
amazing tools to be able to get that

624
00:40:03,970 --> 00:40:08,180
patient information into the chart And
giving you a lot of that control as well

625
00:40:08,190 --> 00:40:12,660
But this is really gonna add another
layer call it to enable clinics to kind of

626
00:40:12,670 --> 00:40:17,000
clinicians to stay focused on the patient
right, it's really a seamless workflow.

627
00:40:17,010 --> 00:40:21,960
This is a compelling value proposition for
healthcare organizations looking to kind

628
00:40:21,970 --> 00:40:26,240
of improve efficiency. And really what
it does is it excels Dragon Copilot's

629
00:40:26,250 --> 00:40:28,920
adoption through integrated
workflows, right?

630
00:40:29,010 --> 00:40:33,520
So note from the screen, this is not
something that comes standard with drag

631
00:40:33,530 --> 00:40:37,500
and co-pilot. This is an amazing third
party application that's purchased

632
00:40:37,510 --> 00:40:42,140
alongside it. But I'll tell you right now,
if the shoe fits and the EHRs that you're

633
00:40:42,150 --> 00:40:44,920
looking for is a supported application.

634
00:40:44,930 --> 00:40:48,560
It is something that's
absolutely worth exploring.

635
00:40:48,770 --> 00:40:54,240
So, Aaron, do you wanna quickly show off
how, because you're using Athena, that

636
00:40:54,250 --> 00:40:59,300
you're able to take that generated note
from DCP and have it sync with Athena?

637
00:40:59,690 --> 00:41:02,580
Yes. So, let me...

638
00:41:02,590 --> 00:41:08,520
Okay. So, first off, what I'm gonna
do is I'm gonna go ahead and close up

639
00:41:08,530 --> 00:41:14,060
my Dragon Copilot because Clinical Note
Exchange, which is this guy right here,

640
00:41:14,070 --> 00:41:18,240
this kind of jewel heart
icon has its own dashboard.

641
00:41:18,250 --> 00:41:23,740
So if I'm using the connector,
rather than going directly to

642
00:41:23,750 --> 00:41:28,800
Dragon Copilot, I come here
instead and I sign in on this.

643
00:41:29,030 --> 00:41:31,720
Let me log in.

644
00:41:32,370 --> 00:41:34,940
Ba-ba-ba-bum-bum.

645
00:41:35,830 --> 00:41:41,740
Let me launch it

646
00:41:41,750 --> 00:41:44,400
on my other monitor. I think it
doesn't like my screen share.

647
00:41:44,410 --> 00:41:49,940
It's trying to be secure.
I wonder if all the

648
00:41:49,950 --> 00:41:52,840
technology we're using is
outgrown our sharing platform?

649
00:41:53,330 --> 00:41:58,740
Well, the trouble is it doesn't like me
because I'm not using a secure connection

650
00:41:58,750 --> 00:42:01,280
because it can tell that
I'm sharing my screen.

651
00:42:01,290 --> 00:42:03,080
Give me just a moment.

652
00:42:03,090 --> 00:42:06,760
Let me stop the screen
share and then launch it.

653
00:42:08,850 --> 00:42:14,680
Okay. What do you

654
00:42:14,690 --> 00:42:18,780
know? Okay, Well, now let's
see if I can keep it fooled

655
00:42:18,790 --> 00:42:23,820
if I launch my screen share now.

656
00:42:29,450 --> 00:42:33,480
So if you're ever curious, when Mark
was talking about the security features

657
00:42:33,490 --> 00:42:39,100
associated with these programs
to make sure that everything is

658
00:42:39,110 --> 00:42:44,500
compliant with relevant federal laws etc
etc this is exactly what we're talking

659
00:42:44,510 --> 00:42:50,380
about the developers who create these
things you know you hear third-party

660
00:42:50,390 --> 00:42:53,160
app developer and you're like
oh, I don't know about that.

661
00:42:53,170 --> 00:42:58,020
these folks are not messing around when
it comes to making sure that you can't

662
00:42:58,030 --> 00:43:03,360
possibly get in trouble by leveraging
their tools give Let me just a moment

663
00:43:03,370 --> 00:43:08,390
here. These are Microsoft
approved third party applications.

664
00:43:08,400 --> 00:43:12,760
OK.

665
00:43:15,710 --> 00:43:18,640
I promise you we practice this, too.

666
00:43:18,770 --> 00:43:24,720
Let's see. Yeah, no kidding. Well,
you know, the funny thing about

667
00:43:24,730 --> 00:43:30,160
it, you know, without wishing to sound
too glib, is that using these tools in a

668
00:43:30,170 --> 00:43:33,960
demonstrative context is actually harder
than using them in a real workflow,

669
00:43:33,970 --> 00:43:38,620
because the systems are designed such that
you're not supposed to be able to show

670
00:43:38,630 --> 00:43:40,020
them to people, right?

671
00:43:40,030 --> 00:43:41,840
It's supposed to be secure and private.

672
00:43:41,850 --> 00:43:47,800
So when you build versions out
that are compatible with an

673
00:43:47,810 --> 00:43:51,310
online platform, there we go.

674
00:43:51,320 --> 00:43:54,020
Okay, I will now share out my screen.

675
00:43:54,150 --> 00:43:58,940
Is that coming through
clearly to everybody?

676
00:43:59,030 --> 00:44:04,960
Yes. Okay, huzzah, we've
managed to circumvent their

677
00:44:04,970 --> 00:44:06,460
security ever so briefly.

678
00:44:06,550 --> 00:44:09,200
Now, It may drop the anvil on me as we go.

679
00:44:09,250 --> 00:44:13,640
So just in case, you know, be aware, you
know, if you look at it and something goes

680
00:44:13,650 --> 00:44:16,840
screwy, it's actually
trying to protect you.

681
00:44:17,070 --> 00:44:21,160
All right, so if I'm using my clinical
app connector, I don't have to create the

682
00:44:21,170 --> 00:44:25,280
patient sessions. When I go into my
medical record and I create an appointment

683
00:44:25,290 --> 00:44:31,160
for one of my patients, that appointment
is going to define what shows up here in

684
00:44:31,170 --> 00:44:36,160
this list. It's gonna come in and say, oh,
I've connected to the EHR and I can see

685
00:44:36,170 --> 00:44:37,920
the appointments and here they are.

686
00:44:37,930 --> 00:44:41,300
So I go into the appointment for today.

687
00:44:41,310 --> 00:44:45,840
This is the one that I'm going to use
Annabel white from two o'clock and Instead

688
00:44:45,850 --> 00:44:47,490
of firing up Dragon
Copilot on my computer.

689
00:44:47,500 --> 00:44:53,100
I fire it up here instead
and so The same Dragon Copilot

690
00:44:53,110 --> 00:44:58,760
interface that you just saw loads up Here
inside of the clinical app connector and

691
00:44:58,770 --> 00:45:02,940
the controls are identical The only
difference is they're going to populate

692
00:45:02,950 --> 00:45:08,820
directly into the medical record once I
finish up my recording So I'm going to go

693
00:45:08,830 --> 00:45:11,620
ahead and do that right now.

694
00:45:11,710 --> 00:45:13,200
I'm going to go ahead
and start a recording.

695
00:45:13,210 --> 00:45:15,400
I'm not going to do another
back and forth with Mark.

696
00:45:15,410 --> 00:45:19,780
I'm going to do a monologue and make a
note real quick so you can see how it all

697
00:45:19,790 --> 00:45:24,960
goes in. Today, I met with Mark McIntyre,
who came in complaining of a persistent

698
00:45:24,970 --> 00:45:27,240
sore throat that had been
bothering him for three days.

699
00:45:27,250 --> 00:45:31,340
He's been taking over-the-counter Advil,
cold, and sinus to handle the symptoms.

700
00:45:31,470 --> 00:45:36,100
He mentioned that he might have become ill
while attending a school trip with his son

701
00:45:36,110 --> 00:45:37,740
the Natural History Museum.

702
00:45:38,130 --> 00:45:44,060
On physical examination, his heart
sounds were normal with a regular

703
00:45:44,070 --> 00:45:47,240
rate and rhythm. His lungs were
clear to auscultation bilaterally.

704
00:45:47,250 --> 00:45:50,300
Ears were not red and there
was no sign of drainage.

705
00:45:50,550 --> 00:45:53,540
Nose was normal. Eyes were also normal.

706
00:45:53,670 --> 00:45:58,160
Throat was erythematous with swelling of
the tonsils bilaterally, plus one on the

707
00:45:58,170 --> 00:45:59,760
left side, plus two on the right side.

708
00:45:59,770 --> 00:46:04,600
The patient mentioned that he's allergic
to penicillin, so we'll be prescribing him

709
00:46:04,610 --> 00:46:06,460
a five-day course of azithromycin.

710
00:46:06,470 --> 00:46:10,900
He was instructed to follow up with the
office if symptoms did not improve within

711
00:46:10,910 --> 00:46:12,700
48 hours or if they began to worsen.

712
00:46:12,710 --> 00:46:17,840
He was instructed to take the entire
five-day course to ensure that the

713
00:46:17,850 --> 00:46:23,040
infection was cleared and he was
instructed to discard his toothbrush and

714
00:46:23,050 --> 00:46:24,250
replace it as well.

715
00:46:24,750 --> 00:46:28,720
All right, so I stopped my recording and
it's gonna make a note just like you saw

716
00:46:28,730 --> 00:46:32,100
earlier. It's gonna make the secondary
documents just like you saw earlier and

717
00:46:32,110 --> 00:46:34,620
it's gonna apply the template
just like you saw earlier.

718
00:46:34,630 --> 00:46:40,180
The functionality within this clinical
node exchange environment is identical to

719
00:46:40,190 --> 00:46:43,790
the functionality that you find
inside of BaseDragon Copilot.

720
00:46:43,800 --> 00:46:48,420
It is worth mentioning that if I'm using
the clinical app connector, there's

721
00:46:48,430 --> 00:46:51,720
nothing stopping me from
also using Dragon Copilot.

722
00:46:51,730 --> 00:46:57,160
The licenses run together, so if I want to
use the one tool for some of my visits and

723
00:46:57,170 --> 00:46:59,680
then this one for other
visits, I can do that.

724
00:46:59,690 --> 00:47:03,540
I'm not locked into one
or the other workflow.

725
00:47:03,670 --> 00:47:07,820
So if I have say multiple EHRs that
I interact with and one of them is

726
00:47:07,830 --> 00:47:12,840
compatible with clinical node exchange And
the other one is not I can still get this

727
00:47:12,850 --> 00:47:16,940
so that I can take advantage of this
Functionality for the one and then use

728
00:47:16,950 --> 00:47:18,400
regular dragon for the other.

729
00:47:19,490 --> 00:47:25,460
All right, we're gonna give it just
a moment to finish processing and Then

730
00:47:25,470 --> 00:47:27,320
once it reports that it is complete.

731
00:47:27,330 --> 00:47:32,880
I'll show you how this note goes into my
Athena sandbox Okay, so my note is now in

732
00:47:32,890 --> 00:47:38,840
place I'm going to go ahead and close
up the note and then I'm going to head

733
00:47:38,850 --> 00:47:42,160
back to the main Athena screen which is
going to refresh and you'll note that the

734
00:47:42,170 --> 00:47:46,880
color has changed and now I have this
upload to EHR button which I'm going to

735
00:47:46,890 --> 00:47:52,760
press and then over here on my
other screen I'm going to log

736
00:47:52,770 --> 00:47:54,980
into my Athena sandbox.

737
00:48:02,250 --> 00:48:06,720
I'm going to go in and take
a look at my appointment list.

738
00:48:06,870 --> 00:48:12,380
All right and

739
00:48:12,390 --> 00:48:14,820
let's head into Annabel White.

740
00:48:14,950 --> 00:48:17,220
I want to make sure I don't go too fast.

741
00:48:17,230 --> 00:48:20,330
In theory, if you go ripping quick,
it is possible to get ahead of it.

742
00:48:20,340 --> 00:48:23,340
It takes like five seconds
or so for the sync to show up.

743
00:48:23,350 --> 00:48:25,620
And you have to refresh
the screen at least once.

744
00:48:25,630 --> 00:48:29,020
So I'm going to go into the exam.

745
00:48:29,210 --> 00:48:32,380
And there it is.

746
00:48:32,390 --> 00:48:34,640
There's my physical exam.

747
00:48:34,730 --> 00:48:36,160
There's my assessment and plan.

748
00:48:36,170 --> 00:48:38,440
It's all right there waiting for me.

749
00:48:38,450 --> 00:48:41,200
I can review it, make any edits I need to,

750
00:48:42,130 --> 00:48:43,800
sign it, and move on.

751
00:48:44,190 --> 00:48:48,820
And that is clinical note exchange
from one end all the way to the other.

752
00:48:48,850 --> 00:48:51,290
I don't even have to create
a patient session for each patient.

753
00:48:51,300 --> 00:48:56,820
I just fire up my dashboard, click into
the appointment, record my visit, add any

754
00:48:56,830 --> 00:49:01,660
dictation that I want to, click the sync
to EHR button, and then head over to my

755
00:49:01,670 --> 00:49:04,280
medical record to sign
it, and then I'm done.

756
00:49:04,730 --> 00:49:06,000
Beautiful.

757
00:49:06,710 --> 00:49:08,860
Can you share my slides
over again, please?

758
00:49:09,130 --> 00:49:11,540
I can. Thank you.

759
00:49:12,030 --> 00:49:13,920
I got to get back to the slide
we were on though.

760
00:49:13,930 --> 00:49:15,330
I think it was number seven.

761
00:49:15,910 --> 00:49:21,000
And then now we're on number eight.

762
00:49:21,010 --> 00:49:22,820
Here we are. Excellent.

763
00:49:22,990 --> 00:49:25,220
All right, all right.
So coming up on time.

764
00:49:25,230 --> 00:49:28,980
So I'm going to speed this up a little bit
through, honestly, no fault of our own,

765
00:49:28,990 --> 00:49:32,500
but that's the world we live in. So
a good technology company, that's what I'm

766
00:49:32,510 --> 00:49:34,760
calling us, right? We know
how to tease the future.

767
00:49:34,770 --> 00:49:37,000
And that's kind of exactly what
you're seeing in front of you.

768
00:49:37,010 --> 00:49:40,780
You know, I mentioned five billion
invested in the next five years to keep

769
00:49:40,790 --> 00:49:42,160
the platform cutting edge.

770
00:49:42,310 --> 00:49:45,590
So Dragon Copilot, it's designed
as an extendable platform.

771
00:49:45,600 --> 00:49:47,760
And so that comes with a marketplace.

772
00:49:47,770 --> 00:49:51,880
And what that marketplace does is it's
actually gonna unlock additional AI use

773
00:49:51,890 --> 00:49:55,580
cases directly within the Dragon
Copilot workflow, right?

774
00:49:55,930 --> 00:49:59,080
This is all driven by physician feedback.

775
00:49:59,230 --> 00:50:03,580
And I'll tell you this too, no one can
pivot and make meaningful changes and

776
00:50:03,590 --> 00:50:06,270
additions faster to their
platform than we can.

777
00:50:06,280 --> 00:50:11,860
You know, How quickly they were able
to come out with 5.0 over 4.0 because of

778
00:50:11,870 --> 00:50:14,760
physician feedback was
absolutely insane, right?

779
00:50:14,870 --> 00:50:18,860
But really what you're seeing is
healthcare organizations, third-party

780
00:50:18,870 --> 00:50:23,100
partners approved by Microsoft, they're
all gonna be able to contribute AI

781
00:50:23,110 --> 00:50:27,920
capabilities. And these are gonna
integrate directly to within Dragon

782
00:50:27,930 --> 00:50:31,900
Copilot. I mean, it's
an ever-growing ecosystem, right?

783
00:50:32,030 --> 00:50:35,540
So think about it, you know, questions,
you're also gonna be able to plug in

784
00:50:35,550 --> 00:50:41,380
organizational resources. So things
such as key EHR data, that can flow

785
00:50:41,390 --> 00:50:46,600
directly into the workflow. No openings,
no switching screens, no opening separate

786
00:50:46,610 --> 00:50:50,900
applications. This is just gonna be
instant access to the information that you

787
00:50:50,910 --> 00:50:55,940
require. You know, One of the third party
applications that we've got to work with

788
00:50:55,950 --> 00:50:58,160
is a voice biomarker analysis one.

789
00:50:58,170 --> 00:51:03,400
So our solution, what it will do, it'll
actually screen that encounter that Dr.

790
00:51:03,430 --> 00:51:09,100
Aaron and I did and that voice biomarker
analysis application, it can screen for

791
00:51:09,110 --> 00:51:13,560
things. anxiety, depression, but it
actually goes beyond mood disorders that

792
00:51:13,570 --> 00:51:18,780
can be used to screen for early detections
of cognitive and neurological conditions

793
00:51:20,750 --> 00:51:24,500
such as Parkinson's
and Huntington's, right?

794
00:51:24,510 --> 00:51:29,180
But this is an ever, ever growing list
of AI enhancements that you're going to be

795
00:51:29,190 --> 00:51:32,060
seeing brought to the Dragon
Copilot platform.

796
00:51:32,230 --> 00:51:36,350
So, I mean, it's just more capabilities
in a single seamless workflow, right?

797
00:51:36,360 --> 00:51:41,180
These are all gonna be used to help the
physician and patient encounter before and

798
00:51:41,190 --> 00:51:42,700
during after the exams.

799
00:51:42,810 --> 00:51:45,060
So look for good things to come from here.

800
00:51:45,070 --> 00:51:47,170
You can actually access some of these now.

801
00:51:47,490 --> 00:51:51,700
And like I said, it's like the kid on
Christmas morning every time I go in

802
00:51:51,710 --> 00:51:55,310
there, I don't know what I'm gonna
find. So they're great, so excellent.

803
00:51:55,690 --> 00:51:56,890
Next slide, please.

804
00:51:57,470 --> 00:52:01,400
I Love saying next slide, please.

805
00:52:01,570 --> 00:52:04,940
All right, so we get this
question a lot after the webinar.

806
00:52:04,950 --> 00:52:08,570
So I figured I'd do a slide about
it to kind of alleviate that.

807
00:52:08,580 --> 00:52:13,165
But what you're seeing in front of you,
now this is the exact mic that Dr.

808
00:52:13,195 --> 00:52:14,925
Aaron was using for our encounter.

809
00:52:15,055 --> 00:52:20,865
Don't get me wrong, you can absolutely
still use your phone and other

810
00:52:20,875 --> 00:52:23,095
devices depending on what type
of dictation you're doing.

811
00:52:23,105 --> 00:52:26,400
But this is next generation
wearable technology.

812
00:52:26,490 --> 00:52:31,660
And so this actually has the ability to
kind of seamlessly switch between ambient

813
00:52:31,670 --> 00:52:33,440
and focus dictation mode.

814
00:52:33,470 --> 00:52:37,760
So you know, focus being the front
end dictation, it has a front-facing

815
00:52:37,770 --> 00:52:42,600
microphone that will only pick up your
voice and eliminate any ambient sound,

816
00:52:42,610 --> 00:52:45,450
then you have the ability
to switch to an array microphone.

817
00:52:45,460 --> 00:52:49,480
That's what's going to capture that whole
room and up to 10 different speakers that

818
00:52:49,490 --> 00:52:53,680
Aaron talked about here. But the big idea
is that really you don't even know you're

819
00:52:53,690 --> 00:52:57,180
wearing it. It's hands-free,
absolutely secure, lightweight.

820
00:52:57,390 --> 00:53:01,490
It's going to allow you to stay even more
fully engaged with your patients, right?

821
00:53:01,500 --> 00:53:05,300
Well, the technology is going to handle
all that documentation in the background.

822
00:53:05,310 --> 00:53:11,300
So, you know, personally, I've seen
this, the AI, it really is only as good

823
00:53:11,310 --> 00:53:12,920
as the audio that it receives.

824
00:53:12,930 --> 00:53:18,900
So what this device is gonna allow is
that clean audio that Dragon really

825
00:53:18,910 --> 00:53:20,690
likes to perform at its best, right?

826
00:53:20,700 --> 00:53:22,220
So, you know,

827
00:53:23,110 --> 00:53:27,640
go back as many iterations as Dragon as
you want, but, you know, making sure that

828
00:53:27,650 --> 00:53:32,480
you've got a good piece of hardware
to support the robust, powerful softwares

829
00:53:32,490 --> 00:53:34,480
that go with it is
really important, right?

830
00:53:34,490 --> 00:53:39,040
So Aaron, I know you always like to
compare the size of it to a chocolate bar,

831
00:53:39,050 --> 00:53:40,100
so why don't you go ahead.

832
00:53:40,110 --> 00:53:45,940
Or not,

833
00:53:45,950 --> 00:53:47,540
he compares it to a Twix bar.

834
00:53:48,150 --> 00:53:49,350
I lose you, Aaron.

835
00:53:50,230 --> 00:53:53,380
Oh, sorry, my microphone was muted.

836
00:53:53,390 --> 00:53:55,580
Okay, so two things.

837
00:53:55,790 --> 00:54:01,480
The first is that on the subject of
switching between the two modes, you don't

838
00:54:01,490 --> 00:54:05,720
have to like press a toggle switch
to make it switch modes or anything.

839
00:54:05,810 --> 00:54:10,420
The front button that you see here, that
activates the focus dictation that comes

840
00:54:10,430 --> 00:54:14,070
from this microphone up here
that focuses just on your voice.

841
00:54:14,080 --> 00:54:17,720
And then this button here on the side,
that turns the ambient on and off.

842
00:54:17,730 --> 00:54:21,820
So it's two buttons, one for the ambient,
one for the focus dictation.

843
00:54:21,830 --> 00:54:25,060
You don't have to worry about remembering
which mode it's in and pressing a toggle

844
00:54:25,070 --> 00:54:28,900
switch to swap it back and forth. You
press one button for one function and one

845
00:54:28,910 --> 00:54:31,120
button for the other.
It's as simple as that.

846
00:54:31,130 --> 00:54:35,180
And in terms of the size of it, much
debate has been had around the office as

847
00:54:35,190 --> 00:54:39,420
to the best way to describe The
appropriate size of how big this thing is

848
00:54:39,430 --> 00:54:42,440
because it really is quite small It's
a really tight little piece of equipment

849
00:54:42,450 --> 00:54:47,140
this picture, you know, sometimes it's
a little difficult to tell the scale The

850
00:54:47,150 --> 00:54:52,460
most accurate that I have heard so far was
from one of our partners who said it's the

851
00:54:52,470 --> 00:54:58,100
size of two Mounds bar segments and so,
you know, it's about four inches long

852
00:54:58,110 --> 00:55:02,680
Maybe an inch and a quarter wide and about
oh two-thirds of an inch thick So, you

853
00:55:02,690 --> 00:55:05,080
know, maybe one of those
small size Snickers bars.

854
00:55:05,090 --> 00:55:07,960
Anyway, it's very tiny You can
put it on your breast pocket.

855
00:55:07,970 --> 00:55:11,920
It's got a little clip that it comes
with nice little, nice little bit of, uh,

856
00:55:11,950 --> 00:55:13,880
equipment here. Excellent. Excellent.

857
00:55:14,090 --> 00:55:16,100
All right. Let's power
through these last two slides.

858
00:55:16,110 --> 00:55:17,520
I do not want to go over time.

859
00:55:17,530 --> 00:55:19,430
So I know, uh, their time is valuable.

860
00:55:19,970 --> 00:55:21,820
Basically, this is my Google review slide.

861
00:55:21,830 --> 00:55:26,020
You know, I, I, I don't think my wife has
made a purchase ever without going down a

862
00:55:26,030 --> 00:55:30,470
Google review rabbit hole, but no,
Aaron and I, we receive feedback daily.

863
00:55:30,480 --> 00:55:32,560
And we appreciate it.

864
00:55:32,570 --> 00:55:37,060
You know, One that hit recently was a
doctor not wanting his children to follow

865
00:55:37,070 --> 00:55:41,080
in his footsteps because you know,
physician burnout for the last 10, 20

866
00:55:41,090 --> 00:55:46,000
years, right? But what we were able to do
from him, and he sent us an email that you

867
00:55:46,010 --> 00:55:48,200
know, he'd be proud for his
children to do what he does.

868
00:55:48,210 --> 00:55:52,320
You know, and Aaron, I know you receive
a lot of these too, but this is tied,

869
00:55:52,430 --> 00:55:54,160
trusted, and true, right?

870
00:55:54,190 --> 00:55:57,900
We absolutely weren't the first to market
with Dragon Copilot, and there was a

871
00:55:57,910 --> 00:56:02,380
reason for that, right? our product has,
like I mentioned, it's staying power.

872
00:56:02,390 --> 00:56:08,260
So you know that you probably have a peer
that's used Dragon Medical One that

873
00:56:08,270 --> 00:56:10,260
might already be using Dragon Copilot.

874
00:56:10,270 --> 00:56:13,440
No, we love, love putting
common folks together.

875
00:56:13,490 --> 00:56:16,900
You know, If that's something you're
interested in, you know, absolutely reach

876
00:56:16,910 --> 00:56:20,280
out to your partners and we can put you in
touch with your peers so you can get some

877
00:56:20,290 --> 00:56:25,300
real world feedback as well. So
next slide with one minute to go.

878
00:56:25,450 --> 00:56:26,650
All right.

879
00:56:27,190 --> 00:56:32,340
Last slide and we absolutely Aaron and I
will stick around for questions but I know

880
00:56:32,350 --> 00:56:36,880
some of you an hour means an hour so
like I said now ultimately you know this

881
00:56:36,890 --> 00:56:41,040
solution at the end of the day all of our
predecessors have been designed to give

882
00:56:41,050 --> 00:56:46,300
clinicians time back but a big thing that
we're noticing with this too is it the

883
00:56:46,310 --> 00:56:49,460
ability that allows you to be
fully present with your patients.

884
00:56:49,810 --> 00:56:53,940
You know I talked about ROI a little bit
it's ROI is something I've been talking

885
00:56:53,950 --> 00:56:57,880
about since I've been selling Dragon for
over a decade and, you know, we used to

886
00:56:57,890 --> 00:57:01,980
measure it in a matter of, you
know, it went from months to weeks.

887
00:57:02,010 --> 00:57:04,800
Now we're seeing ROI in
a matter of patients.

888
00:57:05,030 --> 00:57:07,130
You know, that's how far we've progressed.

889
00:57:07,190 --> 00:57:11,100
So everyone on this call, you
know, you trusted us with DMO.

890
00:57:11,110 --> 00:57:13,320
This is the next evolution.

891
00:57:13,490 --> 00:57:15,240
You know, it's time to take the leap.

892
00:57:15,250 --> 00:57:17,260
AI isn't going anywhere.

893
00:57:17,510 --> 00:57:21,900
As much as it scares me sometimes, you
know, it's sometimes in a good way.

894
00:57:21,910 --> 00:57:26,680
But I promise, you know, the investment,
it's minimal, but the results, they're

895
00:57:26,690 --> 00:57:30,260
game-changing. Heck, actually,
they're life-changing.

896
00:57:30,330 --> 00:57:32,370
So if you have to go, thank
you for your time today.

897
00:57:32,380 --> 00:57:35,940
We're gonna follow up with each and every
one of you with a recorded webinar.

898
00:57:35,950 --> 00:57:38,560
We absolutely can carve
out some one-on-one time.

899
00:57:38,890 --> 00:57:43,040
Your Dragon Solutions partner will
be notified of your attendance and

900
00:57:43,050 --> 00:57:44,900
registration today as well.

901
00:57:44,930 --> 00:57:47,790
So like I said, if you have
to go, thank you so much.

902
00:57:47,800 --> 00:57:50,880
But Aaron, I know we enjoy
this part thoroughly.

903
00:57:50,890 --> 00:57:52,790
you want to get into some Q&A with me?

904
00:57:52,870 --> 00:57:56,860
Sure, although in order to make sure I can
see the questions clearly, I'm gonna turn

905
00:57:56,870 --> 00:58:00,300
off our slideshow here. So you guys are
gonna look at my boring desktop for a

906
00:58:00,310 --> 00:58:03,680
little bit, but just in case I need to
pull Dragon back up to answer a question,

907
00:58:03,690 --> 00:58:05,160
I'm gonna leave the screen share running.

908
00:58:05,170 --> 00:58:10,400
As I get through the first 10 minutes
of, should we be seeing a different slide?

909
00:58:10,550 --> 00:58:12,980
Right. We'll get to them.

910
00:58:13,350 --> 00:58:17,740
Our practice uses Veridigm Pro EHR.

911
00:58:17,830 --> 00:58:22,200
Many of the tasks that are the most
time-consuming are ordering tests and

912
00:58:22,210 --> 00:58:24,160
changing dates for future tests.

913
00:58:24,170 --> 00:58:29,780
Can this test could be automated
with integration into the EHR itself?

914
00:58:30,650 --> 00:58:36,540
So, I've got a little one-sheeter here

915
00:58:36,550 --> 00:58:42,280
that describes exactly what fields and
functions the clinical app connector that

916
00:58:42,290 --> 00:58:45,300
is CNX is capable of interacting with.

917
00:58:45,350 --> 00:58:49,380
I'm gonna find that and I'll get
it up here on the screen for you.

918
00:58:49,390 --> 00:58:51,820
So you can kind of see like,
okay These are the EHRs.

919
00:58:51,830 --> 00:58:56,740
These are the fields that it will do While
I am getting that for you, though Let's go

920
00:58:56,750 --> 00:59:00,240
ahead and ask our next question and then
we'll circle back and I'll show that Okay.

921
00:59:00,250 --> 00:59:05,940
Our friend Logan is there
a way to drop in templates from

922
00:59:05,950 --> 00:59:11,160
DMO and have DCP generate
them with the drag-and-drop.

923
00:59:11,310 --> 00:59:17,260
I think you called it So, the answer is
yes, kind of, and because you got to be

924
00:59:17,270 --> 00:59:21,140
a little careful when it comes to the
terminology surrounding templates, because

925
00:59:21,150 --> 00:59:25,560
when we think templates in the context
of DMO, we're thinking of auto text

926
00:59:25,570 --> 00:59:29,060
shortcuts, right, where I say a short
phrase and it fires off a big block of

927
00:59:29,070 --> 00:59:31,680
text for me, maybe there's
some variables in there.

928
00:59:31,790 --> 00:59:34,360
Can you turn those into
Dragon Copilot templates?

929
00:59:34,370 --> 00:59:39,800
Yes you can. But what I encourage people
to think of, and when you're, you know, if

930
00:59:39,810 --> 00:59:43,600
you decide to launch with this, your
reseller is going to be able to assist you

931
00:59:43,610 --> 00:59:45,160
in kind of getting this put together.

932
00:59:45,170 --> 00:59:51,100
Because the templating engine of Dragon
Copilot can leverage conditional logic

933
00:59:51,110 --> 00:59:56,940
and build a flexible template that can
adjust depending on the circumstances of

934
00:59:56,950 --> 01:00:02,900
the visit, very often, even if you have
a whole stack of auto text shortcuts that

935
01:00:02,910 --> 01:00:08,540
you use on a daily basis because it's
a dictation-centric workflow, Often we

936
01:00:08,550 --> 01:00:13,720
find that people can leave behind a lot
of those because flexible intelligent

937
01:00:13,730 --> 01:00:17,600
templating within Dragon can
replace a lot of that functionality.

938
01:00:17,610 --> 01:00:20,980
So you don't have to dictate
and fire in templates and so on.

939
01:00:21,050 --> 01:00:26,440
That being said, sometimes you got that
niche template for that particular type of

940
01:00:26,450 --> 01:00:30,320
visit that just kind of doesn't
quite fit Dragon Copilot's modeling.

941
01:00:30,330 --> 01:00:35,860
And for those ones, you can bring those
over and still make use of them or turn

942
01:00:35,870 --> 01:00:37,660
them into a separate custom template?

943
01:00:37,670 --> 01:00:42,000
Because I can put together in
Dragon as many templates as I want.

944
01:00:42,010 --> 01:00:45,200
So the answer is yes, but don't feel
like you have to bring them all along.

945
01:00:45,210 --> 01:00:49,320
Often they can be kind of aggregated
into the intelligent system.

946
01:00:49,790 --> 01:00:52,520
Great answer, great answer.

947
01:00:53,090 --> 01:00:54,290
Okay.

948
01:00:54,370 --> 01:01:00,180
Try removing the animations
from the slides in the future.

949
01:01:00,330 --> 01:01:01,520
That's a good one.

950
01:01:01,530 --> 01:01:03,640
Actually, I will remember that one.

951
01:01:04,270 --> 01:01:08,940
Here is our slide, by the way,
of the different medical records and the

952
01:01:08,950 --> 01:01:11,900
different boxes that they can handle.

953
01:01:11,990 --> 01:01:16,820
So these are our EHRs up at the top here
that are supported by CNEX, and then these

954
01:01:16,830 --> 01:01:21,020
are the note fields. And if there's
a green dot, then that note field is

955
01:01:21,030 --> 01:01:23,490
supported for integration
for the clinical app connector.

956
01:01:23,500 --> 01:01:27,680
So if you want to take a screenshot of
this, I certainly wouldn't hold it against

957
01:01:27,690 --> 01:01:31,840
you, but I'm sure that Mark can supply you
with a copy of this graphic if you need

958
01:01:31,850 --> 01:01:35,400
it. So you were saying
VeriDyme, will it do orders?

959
01:01:35,410 --> 01:01:39,980
It looks like orders functionality
is not available for VeriDyme, sorry.

960
01:01:40,350 --> 01:01:42,840
Is that pointed? I just
wanted to check that.

961
01:01:44,110 --> 01:01:50,060
Will CNX surface relevant info from
the chart, prior imaging consults?

962
01:01:50,070 --> 01:01:55,530
So will CNX surface relevant info from the
chart, prior imaging consults, et cetera?

963
01:01:55,540 --> 01:01:57,460
It's a good question.

964
01:01:57,810 --> 01:02:01,740
So CNX is a push engine,
not a pull engine.

965
01:02:01,750 --> 01:02:06,340
And so it will take the Dragon Copilot
note sections and various specific data

966
01:02:06,350 --> 01:02:11,900
based on that slide a moment ago and it
places it into the EHR but it does not

967
01:02:11,910 --> 01:02:15,840
have the ability to peer into
the different medical records and read

968
01:02:15,850 --> 01:02:21,120
information out of them. Now in terms
of Dragon Copilot's capabilities and the

969
01:02:21,130 --> 01:02:25,300
development roadmap over time, Microsoft
is aware that people want this kind of

970
01:02:25,310 --> 01:02:30,360
context-aware AI functionality and they
are working on it but the clinical node

971
01:02:30,370 --> 01:02:32,170
exchange connector does not do that.

972
01:02:32,570 --> 01:02:38,300
Can non-audio info be added
to a patient's session and be integrated

973
01:02:38,310 --> 01:02:39,940
into the note by the AI?

974
01:02:40,370 --> 01:02:45,740
Example, drop in a previous diagnostic
result or summaries of consultations in

975
01:02:45,750 --> 01:02:51,420
the text form. So yes, the only
thing I would caution you on

976
01:02:51,430 --> 01:02:53,370
is total volume of text.

977
01:02:53,380 --> 01:02:57,580
So if I go into that little copilot
chat and I say, add a summary of this

978
01:02:57,590 --> 01:03:01,740
information into the HPI and then I paste
in a previous visit or something like

979
01:03:01,750 --> 01:03:03,940
that. It'll digest that pretty easily.

980
01:03:03,950 --> 01:03:09,820
But if I take say like a 20 page medical
history and I say incorporate all of this

981
01:03:09,830 --> 01:03:14,200
into the appropriate note sections into
the note, the output is not necessarily

982
01:03:14,210 --> 01:03:16,860
going to be as flawless as I might like.

983
01:03:16,870 --> 01:03:21,600
I'd be better off at that point doing an
ambient recording and kind of verbalizing

984
01:03:21,610 --> 01:03:26,440
a quick summary of the patient's history
so that it can build it in itself rather

985
01:03:26,450 --> 01:03:28,700
than ingesting it through a text box.

986
01:03:29,330 --> 01:03:33,620
Excellent. There's a long one.

987
01:03:33,670 --> 01:03:36,480
So I have a couple of questions.

988
01:03:36,690 --> 01:03:40,920
First, when is this coming
out or available for Epic?

989
01:03:40,930 --> 01:03:43,680
So I didn't see it as one
of the EMRs on your slide.

990
01:03:43,810 --> 01:03:46,920
Are there launch specials or deals?

991
01:03:46,930 --> 01:03:49,200
Next. So let's focus.

992
01:03:49,210 --> 01:03:51,040
on, Okay. So Epic will be question one.

993
01:03:51,050 --> 01:03:56,140
Next, can I train the AI on a specific
template that I created so that they

994
01:03:56,150 --> 01:03:58,360
format it the same way every time.

995
01:03:58,570 --> 01:04:00,600
Why don't I stop there
and I'll keep going.

996
01:04:00,610 --> 01:04:06,180
Okay, so question number
one, we're working on getting

997
01:04:06,190 --> 01:04:10,520
set up for distribution
for the Epic Connected version.

998
01:04:10,610 --> 01:04:15,000
So Epic has, you know, because they are
of course a giant hovering mothership of a

999
01:04:15,010 --> 01:04:18,190
medical record company, they
have a connector as well.

1000
01:04:18,200 --> 01:04:19,780
That's kind of like Cinex.

1001
01:04:19,790 --> 01:04:25,400
It's actually a little more
seamless in in some ways, but it

1002
01:04:25,410 --> 01:04:30,800
requires its own special
rules and policies and well,

1003
01:04:30,990 --> 01:04:33,600
without getting too deep into
the technical weeds, there are special

1004
01:04:33,610 --> 01:04:36,900
arrangements that have to be made to be
able to set somebody up with the Epic

1005
01:04:36,910 --> 01:04:41,320
Connector. And that is something that
we are actively working on to make that

1006
01:04:41,330 --> 01:04:47,140
available. And then in terms
of, can I train the AI so that it

1007
01:04:47,150 --> 01:04:52,180
comes through? You can always tell when
there's somebody in the audience who

1008
01:04:52,190 --> 01:04:53,700
already uses AI on the regular.

1009
01:04:53,710 --> 01:04:59,720
So contemporary AI tools, things
like say ChatGPT or Claude,

1010
01:04:59,770 --> 01:05:04,140
they train based on
text-based input, right?

1011
01:05:04,150 --> 01:05:08,740
So I write a big old prompt that says,
here are the rules of this conversation.

1012
01:05:08,750 --> 01:05:10,550
I want you to abide by them.

1013
01:05:10,560 --> 01:05:15,360
And so I use it to try and steer the
output of the AI that I'm interacting with

1014
01:05:15,370 --> 01:05:18,640
by telling it what to do and kind
of feeding it information.

1015
01:05:18,890 --> 01:05:22,550
Dragon Copilot aims for a greater
degree of precision than that.

1016
01:05:22,560 --> 01:05:28,340
So the customizable template feature
that you saw, when I program in my

1017
01:05:28,350 --> 01:05:31,160
templates, it will follow them exactly.

1018
01:05:31,170 --> 01:05:36,620
It uses them actively to make sure that
the note output aligns with what I've

1019
01:05:36,630 --> 01:05:42,500
specified, rather than feeding it a block
of text to kind of tell it what to

1020
01:05:42,510 --> 01:05:46,060
do and then sort of hoping that it
understands and outputs accordingly.

1021
01:05:46,170 --> 01:05:49,300
Dragon Copilot actually gives
you more control than that.

1022
01:05:50,350 --> 01:05:56,040
Perfect, perfect. Okay, will
it correct errors or make small

1023
01:05:56,050 --> 01:06:00,180
notes if it thinks it's misheard
something to prompt the doc to clarify?

1024
01:06:00,990 --> 01:06:06,740
So it doesn't audit in the way that

1025
01:06:06,750 --> 01:06:10,900
perhaps you're envisioning. So again,
without getting too deep into the

1026
01:06:10,910 --> 01:06:16,520
technical weeds, pardon me, the Dragon
Copilot AI is actually three AIs working

1027
01:06:16,530 --> 01:06:21,260
together. One of them is programmed
to generate the note, one of them is

1028
01:06:21,270 --> 01:06:24,600
programmed to analyze everything that it's
hearing, and the other one is programmed

1029
01:06:24,610 --> 01:06:29,140
to, or the third is programmed to keep
track of, call it the shape and rhythm of

1030
01:06:29,150 --> 01:06:33,560
the conversation so it knows context
and who to pay attention to and who to

1031
01:06:33,570 --> 01:06:39,520
exclude, et cetera. And when it hears
the recording, it converts that into a

1032
01:06:39,530 --> 01:06:44,380
transcript and then rifles through it
many, many, many times, iterating to

1033
01:06:44,390 --> 01:06:47,450
decode the conversation and then
ultimately turn that into a note.

1034
01:06:47,460 --> 01:06:50,320
So the accuracy is very, very high.

1035
01:06:50,470 --> 01:06:55,220
Ultimately, though, because we're talking
about medical records here, it does depend

1036
01:06:55,230 --> 01:06:59,880
on the physician to double-check that
the details of the note are accurate.

1037
01:06:59,990 --> 01:07:03,960
So there's always going to be that caveat
to read the note and make sure that

1038
01:07:03,970 --> 01:07:05,930
everything kind of reflects
the conversation.

1039
01:07:05,940 --> 01:07:09,660
And if you want, you've got the transcript
right there that you can use to compare

1040
01:07:09,670 --> 01:07:11,980
and make sure. Excellent.

1041
01:07:12,070 --> 01:07:13,040
Okay.

1042
01:07:13,050 --> 01:07:18,160
Can it read previous notes from the EMR
and help with pulling in coordinated care

1043
01:07:18,170 --> 01:07:21,920
notes from other specialists so
that care isn't being overlapped?

1044
01:07:22,990 --> 01:07:28,940
That is a question that also kind of
references that desire for the EHR context

1045
01:07:28,950 --> 01:07:32,660
aware functionality. That's on the
development roadmap for the product, but

1046
01:07:32,670 --> 01:07:35,840
it's not presently available. And I
wouldn't want to speculate as to a

1047
01:07:35,850 --> 01:07:39,000
timeline because you can never be sure
with software development, how long

1048
01:07:39,010 --> 01:07:40,860
different features are going to take.

1049
01:07:41,210 --> 01:07:43,580
This is still one person.

1050
01:07:43,590 --> 01:07:48,340
I love this. Is this available on
a discrete app on the mobile, like iPhone?

1051
01:07:49,050 --> 01:07:50,250
Yes.

1052
01:07:50,370 --> 01:07:54,820
So there is a Dragon
Copilot app for iPhone.

1053
01:07:54,890 --> 01:07:59,880
That same Dragon Copilot app is in iPad,
because they're both Apple operating

1054
01:07:59,890 --> 01:08:05,520
systems. So Apple has a Dragon Copilot
version, or Microsoft created a Dragon

1055
01:08:05,530 --> 01:08:07,720
Copilot app for Apple platforms.

1056
01:08:07,730 --> 01:08:10,620
So it'll be on the iPhone and the iPad.

1057
01:08:10,630 --> 01:08:15,280
And then there's also an app available
for Android as well, so Android phones and

1058
01:08:15,290 --> 01:08:20,940
tablets. Can this also support
general meeting notes, taking, or only

1059
01:08:20,950 --> 01:08:26,500
encounters? So technically speaking,

1060
01:08:26,510 --> 01:08:30,320
it's just going to try to turn
whatever it hears into a medical note.

1061
01:08:30,330 --> 01:08:34,720
And so if I were to have this running and
I was in like a conference room meeting

1062
01:08:34,730 --> 01:08:39,280
about something non-medical, it might
struggle to create something cogent from

1063
01:08:39,290 --> 01:08:43,100
that because it's looking for doctors
and patients and you know guardians rather

1064
01:08:43,110 --> 01:08:48,560
than you know accounting
and logistics and you know operations.

1065
01:08:48,810 --> 01:08:52,410
So I'm not sure I would want to use
it for something that's not medical.

1066
01:08:52,570 --> 01:08:58,240
A couple more. He gives us a big
thanks for answering their several

1067
01:08:58,250 --> 01:09:03,520
questions. I like it. Can the AI be
trained to recognize certain acronyms that

1068
01:09:03,530 --> 01:09:08,580
are specialty-specific and not widely
known and accurately transcribed?

1069
01:09:08,610 --> 01:09:14,420
So Can it recognize certain acronyms that
are specialty-specific and accurately

1070
01:09:14,430 --> 01:09:19,980
transcribe it? So it will happily
transcribe, it will make a, note.

1071
01:09:19,990 --> 01:09:25,520
like if I have a specialty acronym that I
say out loud, it is going to put that into

1072
01:09:25,530 --> 01:09:29,680
the note if it can tell from the context
of the conversation that it's important.

1073
01:09:30,770 --> 01:09:36,680
It's not necessarily like If there's
a really niche acronym, it won't

1074
01:09:36,690 --> 01:09:38,480
necessarily know to expand it.

1075
01:09:38,510 --> 01:09:43,880
That being said, the total amount
of medical information and supported

1076
01:09:43,890 --> 01:09:46,860
specialties, well, let's
just say it's verbose.

1077
01:09:46,870 --> 01:09:51,980
And so I would be surprised if there were
something medical that it was utterly

1078
01:09:51,990 --> 01:09:53,190
unfamiliar with.

1079
01:09:54,510 --> 01:09:58,120
You might, you know, I suppose if you
wanted to double check If you're thinking

1080
01:09:58,130 --> 01:10:01,980
about it, when you're in
discussions with your reseller, um,

1081
01:10:02,690 --> 01:10:06,080
they have access to demo copies
of Dragon Copilot, just like I do.

1082
01:10:06,130 --> 01:10:07,690
And maybe they can test it
for you and double check.

1083
01:10:07,700 --> 01:10:08,900
Um,

1084
01:10:09,010 --> 01:10:13,740
but the thing to remember is that the
entire Dragon Medical One voice dictation

1085
01:10:13,750 --> 01:10:17,200
engine has been forklifted up
and brought into Dragon Copilot.

1086
01:10:17,210 --> 01:10:21,500
So if all else fails, you can always
put it into your custom vocabulary and

1087
01:10:21,510 --> 01:10:23,050
dictated in if you, if you need to.

1088
01:10:23,060 --> 01:10:26,860
But I would be surprised if it, if it
weren't already aware of it, but you can

1089
01:10:26,870 --> 01:10:31,140
check, ask your reseller they can
double-check for you okay is the

1090
01:10:31,150 --> 01:10:34,340
microphone that you use the hardware
connected to the internet or just

1091
01:10:34,350 --> 01:10:40,020
Bluetooth it connects by Bluetooth to the
computer itself so the base station is a

1092
01:10:40,030 --> 01:10:44,940
little kind of hockey puck sized docking
station and then it has a Bluetooth

1093
01:10:44,950 --> 01:10:49,880
antenna that is in it and it pairs up to
the computer using a USB cable so the base

1094
01:10:49,890 --> 01:10:55,260
station hooks up physically to the
computer and then the microphone itself

1095
01:10:55,270 --> 01:10:59,480
connects to the computer via the base
station using a Bluetooth connection so

1096
01:10:59,490 --> 01:11:03,880
the microphone itself is wireless using
Bluetooth the base station hooks up with a

1097
01:11:03,890 --> 01:11:08,700
cable excellent excellent okay well
I'm not here to talk specifically about

1098
01:11:08,710 --> 01:11:13,660
pricing I know you asked Rick about
specials or launch deals I will say one

1099
01:11:13,670 --> 01:11:19,060
thing we're allowing right now is that
if you do upgrade to Dragon Copilot

1100
01:11:19,070 --> 01:11:24,980
we're allowing you to keep your
DMO on at no charge while you get

1101
01:11:24,990 --> 01:11:26,450
more familiar with the transition.

1102
01:11:26,460 --> 01:11:32,440
So it's a pretty good opportunity if you
are and you know that you have to make

1103
01:11:32,450 --> 01:11:36,780
this jump to AI you're still able to keep
your DMO which you're comfortable and

1104
01:11:36,790 --> 01:11:40,780
familiar with while you learn the new
ins and outs of the AI is the front end

1105
01:11:40,790 --> 01:11:45,540
indication all that stuff that while you
kind of navigate through you still have

1106
01:11:45,550 --> 01:11:47,400
your trusty sidekick DMO.

1107
01:11:47,410 --> 01:11:50,380
Your subscription stays on
but the billing will stop.

1108
01:11:50,550 --> 01:11:54,520
I can't say that. So I was, I was,
somebody was paying attention.

1109
01:11:54,730 --> 01:11:58,300
Rick, I want to follow up with you
and I had to get a thumbs up.

1110
01:11:58,310 --> 01:12:03,020
Thank you. I want to follow up with Ed who
suggests sending two mounds bars with any

1111
01:12:03,030 --> 01:12:04,480
quote for the ambient microphone.

1112
01:12:04,490 --> 01:12:09,960
I love that. I get Another
question, how much is Dragon Copile?

1113
01:12:09,970 --> 01:12:12,630
Again, reach out to, to your
resellers about that.

1114
01:12:12,640 --> 01:12:16,960
Is the Cinex compatible
with Practice Fusion EHR?

1115
01:12:17,070 --> 01:12:22,620
Regrettably Practice Fusion is not on the
supported medical records list for Cinex,

1116
01:12:22,630 --> 01:12:24,060
But just like Microsoft,

1117
01:12:24,830 --> 01:12:28,680
clinically speaking, actively works to
expand the functionality of their clinical

1118
01:12:28,690 --> 01:12:33,080
app connector over time. So there, you
know, I wouldn't be able, you know, we

1119
01:12:33,090 --> 01:12:37,000
would not want to promise that because we
don't know what the development schedule

1120
01:12:37,010 --> 01:12:39,760
is, but there's always
the future to account for.

1121
01:12:39,830 --> 01:12:41,030
Yeah,

1122
01:12:41,730 --> 01:12:46,420
like I said, if your DMO was working
nicely, you know, that that transfer HBI

1123
01:12:46,430 --> 01:12:52,080
directly into your EMR, I swear by that,
I still do, It gives you that command

1124
01:12:52,090 --> 01:12:56,220
and control. And well, And that is
something that is worth mentioning.

1125
01:12:56,230 --> 01:13:00,400
If you look at the list of supported EHRs
for the Connector and you're like, ah,

1126
01:13:00,430 --> 01:13:04,740
man, mine's not on the list, don't you
know, sleep on the voice commands because

1127
01:13:04,750 --> 01:13:09,340
once you get the hang of it, you can rifle
off those voice commands inside of 10, 15

1128
01:13:09,350 --> 01:13:11,420
seconds, and then
the whole node is in place.

1129
01:13:11,430 --> 01:13:16,820
Can existing SH, FH, PMH,

1130
01:13:16,830 --> 01:13:20,820
PSH, preventative history
move forward note to note?

1131
01:13:21,150 --> 01:13:27,120
So that's an EHR functionality
question Because a

1132
01:13:27,130 --> 01:13:30,700
lot of medical record systems have
the ability to pull forward details from a

1133
01:13:30,710 --> 01:13:36,680
previous note into a current note Because
both Dragon Copilot and it's you know kind

1134
01:13:36,690 --> 01:13:42,060
of best friend Clinical note exchange they
place information into the medical record

1135
01:13:42,070 --> 01:13:46,960
But they aren't aware of what's already
in the record and so they aren't able to

1136
01:13:46,970 --> 01:13:52,120
interact with past notes in the same
way, they treat every note like it's new.

1137
01:13:52,950 --> 01:13:57,200
Okay. Okay, okay.

1138
01:13:57,210 --> 01:14:02,900
Is DCP

1139
01:14:02,910 --> 01:14:08,460
making any progress being able
to speech focus into Athena text fields?

1140
01:14:09,270 --> 01:14:11,480
That's a good question.

1141
01:14:11,690 --> 01:14:17,660
So depending upon the medical
record system that you use,

1142
01:14:17,710 --> 01:14:22,400
there are varying levels of what we in
the DragonBiz call full text control in

1143
01:14:22,410 --> 01:14:26,340
different environments. So the ability to
make use of all the intelligent dictation

1144
01:14:26,350 --> 01:14:29,820
features that we're accustomed
to with Dragon Medical One in different

1145
01:14:29,830 --> 01:14:35,640
environments. And the two feature
sets are not exactly identical, but

1146
01:14:35,650 --> 01:14:40,160
the big difference is that Microsoft
is working to continuously improve and

1147
01:14:40,170 --> 01:14:45,960
augment Dragon Copilot. They're aware
that focus or anchored dictation is

1148
01:14:45,970 --> 01:14:50,420
not available everywhere. And they're, you
know, they take feedback, they react to

1149
01:14:50,430 --> 01:14:54,300
it, and we get indications
of them working to improve.

1150
01:14:54,850 --> 01:14:59,380
You know, I would so like, say, let me
see, six, eight months ago, the voice

1151
01:14:59,390 --> 01:15:04,460
transfer command to move the note section
into Athena would not have worked.

1152
01:15:04,530 --> 01:15:08,200
That was something that wasn't there
originally when the product launched is

1153
01:15:08,210 --> 01:15:12,000
the voice commands into certain medical
records, and now it does because Microsoft

1154
01:15:12,010 --> 01:15:17,600
is in a process of continual refinement
to make it the solution that will

1155
01:15:17,610 --> 01:15:18,960
save us the most time.

1156
01:15:19,490 --> 01:15:20,690
Excellent.

1157
01:15:21,310 --> 01:15:25,140
My doctor likes to pull
the previous notes with each visit.

1158
01:15:25,210 --> 01:15:27,480
How does AI work with the editing?

1159
01:15:27,590 --> 01:15:32,740
Doctor likes to pull the previous
notes with each visit.

1160
01:15:33,050 --> 01:15:34,750
How does AI work with the editing?

1161
01:15:34,760 --> 01:15:37,020
You need more context on that maybe?

1162
01:15:37,210 --> 01:15:39,340
I think I can, I think I've got it.

1163
01:15:39,510 --> 01:15:45,140
So the idea, so the notion
of the pull the note forward workflow

1164
01:15:45,150 --> 01:15:50,700
when it comes to using an AI node creator
always requires a little bit of creativity

1165
01:15:50,710 --> 01:15:55,590
and flexibility because it's gonna place
the note all kind of at once, right?

1166
01:15:55,600 --> 01:16:00,840
It doesn't spread it like peanut
butter into an existing note.

1167
01:16:00,970 --> 01:16:06,700
So if I pull a note forward, as long
as I structure my note template in my

1168
01:16:06,710 --> 01:16:10,560
medical record so that there's a spot,
a single spot where the new stuff is

1169
01:16:10,570 --> 01:16:14,600
supposed to go, I can pull my note
forward, place in my new note from Dragon

1170
01:16:14,610 --> 01:16:20,000
and be done. Alternatively, I can grab
individual sections of the note that

1171
01:16:20,010 --> 01:16:23,980
Dragon has written for me and kind
of paste them in in the niche spots where

1172
01:16:23,990 --> 01:16:28,760
they need to go. It all is just a question
of how much control you have over the

1173
01:16:28,770 --> 01:16:30,340
shape of your documentation.

1174
01:16:31,090 --> 01:16:35,740
I can of course forego pulling the note
forward and just kind of verbalize the

1175
01:16:35,750 --> 01:16:39,460
patient's history. It'll build it all into
the new note and then I can put it into

1176
01:16:39,470 --> 01:16:42,560
place and then not bother pulling the note
forward because now I don't have to

1177
01:16:42,570 --> 01:16:45,300
dictate it all over, right?
The AI is handling that for me.

1178
01:16:45,310 --> 01:16:47,400
I just kind of have
to tell it what happened.

1179
01:16:47,410 --> 01:16:52,160
But if I need to be able to pull
information forward, the tweak that makes

1180
01:16:52,170 --> 01:16:57,440
it run the most smoothly is to designate a
spot where the new information is gonna go

1181
01:16:57,450 --> 01:17:00,270
and then use the AI and then
place the note there.

1182
01:17:00,280 --> 01:17:03,600
Well, I like that, I like that, okay.

1183
01:17:04,170 --> 01:17:10,040
Can the staff slash doctor upload
to the EHR at the end of the morning

1184
01:17:10,050 --> 01:17:14,780
or day so the doctor can go to the next
patient more quickly or do you have to

1185
01:17:14,790 --> 01:17:17,330
stay on that patient until
processing is complete?

1186
01:17:17,340 --> 01:17:22,240
There's two answers to this question, and
it depends a lot about the rules your IT

1187
01:17:22,250 --> 01:17:23,780
personnel are going to set.

1188
01:17:23,870 --> 01:17:29,460
Because the idea is, it doesn't break the
licensing rules for Dragon Copilot to have

1189
01:17:29,470 --> 01:17:31,230
somebody else do the data entry for you.

1190
01:17:31,240 --> 01:17:36,580
And so if I am a provider and I'm seeing
a patient, but I don't want to do the step

1191
01:17:36,590 --> 01:17:42,400
of transferring in, I can leave my
Dragon logged in and then support people

1192
01:17:42,410 --> 01:17:45,760
who help me can come drafting in
behind me and do the transfer step.

1193
01:17:45,770 --> 01:17:51,520
That's allowed as long as IT
doesn't mind that somebody

1194
01:17:51,530 --> 01:17:55,060
other than me is piggybacking on my login.

1195
01:17:55,170 --> 01:18:00,680
So you want to double check with relevant
security authority where you work to make

1196
01:18:00,690 --> 01:18:04,270
sure that that's okay. But we have
seen practices do it that way.

1197
01:18:04,280 --> 01:18:08,960
We call it the split workflow and it's
very, very fast because it works exactly

1198
01:18:08,970 --> 01:18:11,960
like you just described. Providers They're
going room to room, seeing patients,

1199
01:18:11,970 --> 01:18:15,980
generating notes. Someone else does the
data entry, then they go back to the EHR,

1200
01:18:15,990 --> 01:18:18,290
look over everything, make sure
it looks good, and sign it.

1201
01:18:18,300 --> 01:18:20,520
Excellent, excellent.

1202
01:18:21,690 --> 01:18:23,680
Okay, I think we're pretty close.

1203
01:18:23,690 --> 01:18:28,900
I do see a lot of questions
from some of the resellers.

1204
01:18:28,990 --> 01:18:31,260
Absolutely take those offline.

1205
01:18:31,430 --> 01:18:35,900
Thank you guys, very good info.

1206
01:18:36,110 --> 01:18:38,180
No vague promises, very refreshing.

1207
01:18:38,210 --> 01:18:40,940
Keep up the great work.
Thank you, Logan Fredrickson.

1208
01:18:41,110 --> 01:18:42,760
So I think we'll call it there.

1209
01:18:43,030 --> 01:18:47,700
Like I said, anything one-on-one,
we absolutely will take those on.

1210
01:18:47,770 --> 01:18:50,720
Follow up the resellers
with your questions as well.

1211
01:18:50,730 --> 01:18:55,570
I know that was a first peek at some
of the Athena and the Cinex stuff as well.

1212
01:18:55,580 --> 01:18:58,080
So we'll follow up with all
of you on that as well.

1213
01:18:58,090 --> 01:19:00,490
So thank you, Aaron.
Appreciate your time today.

1214
01:19:00,510 --> 01:19:04,620
And like I said, look for something with
the next couple days, couple business days

1215
01:19:04,630 --> 01:19:09,280
as a follow-up, but absolutely feel free
to reach out to your Dragon Solution

1216
01:19:09,290 --> 01:19:13,310
partner reseller in the meantime, but like
I said, I'll make sure that they know of

1217
01:19:13,320 --> 01:19:15,260
your registration here today as well.

1218
01:19:15,310 --> 01:19:16,510
So thank you, Aaron.

1219
01:19:17,450 --> 01:19:19,460
My pleasure to help as always.

1220
01:19:19,750 --> 01:19:21,440
All right, have a good
rest of your day, folks.

1221
01:19:21,450 --> 01:19:22,650
Thank you.