WEBVTT NOTE Automatically aligned from the supplied transcript and edited audio. Human accuracy review remains required. 1 00:00:00.350 --> 00:00:06.120 We'll get started. Okay okay I gave it a couple minutes I do want to get 2 00:00:06.130 --> 00:00:11.640 rolling though here because we absolutely got some cool new stuff to show if you've 3 00:00:11.650 --> 00:00:16.080 attended any of our previous webinars before and looks like we got a pretty big 4 00:00:16.090 --> 00:00:20.300 audience today so I'm really excited about that so absolutely welcome you know 5 00:00:20.310 --> 00:00:26.180 appreciate everyone's time today and you know let me say that the time is gonna 6 00:00:26.190 --> 00:00:31.120 be top of mind because that is exactly really the basis and the promise that 7 00:00:31.130 --> 00:00:33.960 we're giving to give you back in your day. 8 00:00:34.090 --> 00:00:38.440 You know this solution you're going to see today this was custom built for this 9 00:00:38.450 --> 00:00:43.040 audience so this this invite list is is our Dragon Medical One user base right so 10 00:00:43.050 --> 00:00:48.080 what you're going to see it's a culmination of the years of the work that 11 00:00:48.090 --> 00:00:53.320 you've put into dmo with this niche medical community and really the billions 12 00:00:53.330 --> 00:00:55.960 of minutes of audio that you brought with it. 13 00:00:56.110 --> 00:01:02.060 So I'll say this, you know, personally I just had my 13th year anniversary 14 00:01:02.070 --> 00:01:07.680 in this industry. So going back to the box product, watching the transition 15 00:01:07.690 --> 00:01:13.200 to the cloud and now seeing our world being shaped by AI and you know, 16 00:01:13.210 --> 00:01:15.460 this is what you've been waiting for. 17 00:01:15.590 --> 00:01:18.970 So, you know, the solution absolutely never been better. 18 00:01:18.980 --> 00:01:20.720 The price is on point. 19 00:01:20.870 --> 00:01:25.980 And I'll say this, I don't think I could be more excited for you to witness what 20 00:01:25.990 --> 00:01:31.540 I'm claiming it, you know, this is the largest leap in medical documentation and 21 00:01:31.550 --> 00:01:34.760 the physician patient encounter that we've ever experienced. 22 00:01:34.770 --> 00:01:39.920 So welcome, welcome. Okay, couple quick quick housekeeping items. 23 00:01:40.050 --> 00:01:44.440 So know that we're going to follow up with each and every one of you after the 24 00:01:44.450 --> 00:01:49.160 webinar. So if you can't stick around for the Q&A, any of that stuff, you want some 25 00:01:49.170 --> 00:01:52.710 more one-on-one time, absolutely gonna be following up with you. 26 00:01:52.720 --> 00:01:57.720 You might see something auto-generated from go to meeting, that's just you know, 27 00:01:57.730 --> 00:02:02.940 the way it works, but absolutely something more actionable and concrete will follow. 28 00:02:03.030 --> 00:02:08.540 You'll have access to the recorded webinar to review as well, but the next 29 00:02:08.550 --> 00:02:12.600 obvious thing will be, you'll have a good next steps to really embrace the 30 00:02:12.610 --> 00:02:17.740 technology showcase today. So like I said, we're going to leave Q&A till the end. 31 00:02:17.790 --> 00:02:23.580 Just ask that you use the questions box, not the chat button. 32 00:02:23.930 --> 00:02:28.260 And like I said, we, Aaron, myself, we stick around till the last question's 33 00:02:28.270 --> 00:02:33.460 asked if we have to. And speaking of Aaron, my partner in crime today, 34 00:02:34.470 --> 00:02:38.640 You know, I don't think I can speak more highly of him. 35 00:02:38.650 --> 00:02:40.060 He's my jack of all trades. 36 00:02:40.110 --> 00:02:44.630 He's my Jedi master. I think we settled on on dragon with dragon wizard. 37 00:02:44.640 --> 00:02:47.880 And so do you want to say hello to the people mr. 38 00:02:47.910 --> 00:02:49.800 Dragon wizard? Hello, everybody. 39 00:02:49.830 --> 00:02:52.240 Hey, I think every dragon needs a wizard. 40 00:02:52.250 --> 00:02:57.680 I'm just saying There's there might be some Dungeons & Dragons undertones there 41 00:02:57.690 --> 00:03:01.580 But that's exactly the guy you want working on your dragon to make sure it's a 42 00:03:01.590 --> 00:03:07.560 well-oiled machine So, okay, we have a couple slides to set the stage A couple 43 00:03:07.570 --> 00:03:11.460 new ones and then we're going to jump it back and kind of back and forth today 44 00:03:11.470 --> 00:03:16.000 between the demo so you can see it in action then now like I said couple wrap-up 45 00:03:16.010 --> 00:03:21.880 slides Q&A and then we'll have you on your merry way so nothing worse than 46 00:03:21.890 --> 00:03:26.700 preaching about saving time and wasting yours so let's let's get right into it so 47 00:03:26.710 --> 00:03:32.440 okay so Microsoft Dragon Copilot you might hear me call it DCP 48 00:03:32.450 --> 00:03:38.080 Dragon Copilot, all the same thing, but the way this was designed was to support 49 00:03:38.090 --> 00:03:40.360 the way clinicians actually work, right? 50 00:03:40.490 --> 00:03:45.220 So it's gonna have kind of a pool of talent baked into it, no matter which 51 00:03:45.230 --> 00:03:48.620 phase of really that patient experience you're at, right? 52 00:03:48.630 --> 00:03:52.980 It's gonna bring together that trusted voice dictation of Dragon Medical One. 53 00:03:52.990 --> 00:03:57.680 You've got the ambient listening capabilities of DAX Copilot, which was a 54 00:03:57.690 --> 00:04:03.460 DCP's predecessor here that that is now refined to absolutely ungodly 55 00:04:03.470 --> 00:04:08.120 levels here. But, and then really what we're excited to show you is this 56 00:04:08.130 --> 00:04:10.150 healthcare specific generative AI. 57 00:04:10.160 --> 00:04:15.740 So this is an all-in-one experience built specifically for clinician workflows, 58 00:04:15.910 --> 00:04:18.920 right? So what you're gonna do, like I said, it's a pool of talent. 59 00:04:18.930 --> 00:04:21.560 You're gonna choose the right tool in the moment. 60 00:04:21.610 --> 00:04:23.790 So, you know, dictate your notes naturally. 61 00:04:23.800 --> 00:04:25.840 That's what you're all accustomed to. 62 00:04:25.850 --> 00:04:30.700 Let that ambient AI summarize that patient encounter while you focus solely on the 63 00:04:30.710 --> 00:04:34.900 patient, or what you're going to see today is that generative AI, and we're going to 64 00:04:34.910 --> 00:04:40.720 use that to help complete, really, an insane amount of enhancements that these 65 00:04:40.730 --> 00:04:42.830 are what's going to extend beyond the patient visits. 66 00:04:42.840 --> 00:04:47.580 So, I don't get too much into security like I used to anymore. 67 00:04:47.590 --> 00:04:52.500 We absolutely can provide any of the most stringent IT personnel with enough 68 00:04:52.510 --> 00:04:56.880 documentation to make their head spin, but know that this is all hosted on the 69 00:04:56.890 --> 00:05:02.640 Microsoft Azure platform. For me being a non-techie person, I say it like this. 70 00:05:02.650 --> 00:05:06.300 This is the most secure hosting platform in the world, hard stop. 71 00:05:06.970 --> 00:05:09.460 Aaron calls it virtually bulletproof, right? 72 00:05:09.650 --> 00:05:14.840 So just to reiterate, Dragon Copilot's gonna, you know, reduce that documentation 73 00:05:14.850 --> 00:05:17.920 burden. It's gonna preserve that focus on the patient. 74 00:05:17.930 --> 00:05:20.720 It's gonna give clinicians their time back. 75 00:05:20.770 --> 00:05:22.640 It's gonna promote physician wellbeing. 76 00:05:22.650 --> 00:05:25.880 You've got unlimited access to an AI assistant. 77 00:05:25.890 --> 00:05:29.780 We're gonna show you how this can drive meaningful financial impact. 78 00:05:29.950 --> 00:05:33.270 It's gonna cook dinner, do the laundry, it's all here. 79 00:05:33.280 --> 00:05:34.840 So here we go. 80 00:05:34.890 --> 00:05:38.540 Okay, so I called myself out. 81 00:05:38.550 --> 00:05:42.980 I said this was the largest leap in medical documentation ever witnessed. 82 00:05:43.050 --> 00:05:47.280 So what I want to do now is kind of make it all digestible so that when you see the 83 00:05:47.290 --> 00:05:48.830 demo, you see what we're talking about. 84 00:05:48.840 --> 00:05:51.900 So I kind of sorted this into three pillars, right? 85 00:05:52.350 --> 00:05:57.020 Design to support the clinicians before, during, and after the patient counter. 86 00:05:57.130 --> 00:06:02.980 So, and I will say this, I understand the industry, I know what 87 00:06:02.990 --> 00:06:08.980 else is out there. Nobody is going as far as deep beyond capturing the patient 88 00:06:08.990 --> 00:06:12.680 encounter as we are, and honestly, we'll continue to do so. 89 00:06:12.690 --> 00:06:18.580 And I can say continue to do so because I think recently, it was 5 billion in the 90 00:06:18.590 --> 00:06:23.540 next five years, Microsoft invested to keep this platform cutting edge. 91 00:06:23.630 --> 00:06:27.000 You know, It's thousands of researchers and developers on staffs. 92 00:06:27.010 --> 00:06:28.960 We have doctors on staff. 93 00:06:29.150 --> 00:06:33.780 you know, that There's some staying power here to say the least. 94 00:06:33.870 --> 00:06:39.660 you know, I've seen multiple AIs come and go already through you know, the first 95 00:06:39.670 --> 00:06:44.150 couple of years that we've really been in this kind of industry with AI taken over. 96 00:06:44.160 --> 00:06:49.880 So know that you know, something that they have a lot of eggs in this baskets, 97 00:06:49.890 --> 00:06:53.600 make sure that this platform is cutting edge now and moving forward. 98 00:06:53.630 --> 00:06:57.100 So your first pillar, you know, this is your streamlined documentation. 99 00:06:57.110 --> 00:07:02.560 So this is all done through ambient note creation, your natural language dictation, 100 00:07:02.670 --> 00:07:07.220 your DMO, right? You're all familiar probably with customizable templates, but 101 00:07:07.230 --> 00:07:09.660 now we're going to show you AI powered prompts, right? 102 00:07:09.670 --> 00:07:14.020 These are all the things that are going to streamline that documentation portion of 103 00:07:14.030 --> 00:07:17.860 the patient encounter, right? It's going to give you control over how the document 104 00:07:17.870 --> 00:07:22.620 is created as well. So you're going to be able to get that output exactly how you 105 00:07:22.630 --> 00:07:26.280 see fit, the way it looks, the way it behaves, all that good stuff. 106 00:07:26.350 --> 00:07:29.020 Unfortunately, there's no symmetry in healthcare. 107 00:07:29.030 --> 00:07:32.890 How you chart and how your neighbor charts is probably completely different, right? 108 00:07:32.900 --> 00:07:34.560 So look for that. 109 00:07:34.610 --> 00:07:39.580 The second pillar, this is that surfaces critical information directly within the 110 00:07:39.590 --> 00:07:43.260 workflow. This is going to give you access to medical information. 111 00:07:43.270 --> 00:07:45.840 and you're gonna be able to receive encounter guidance. 112 00:07:45.850 --> 00:07:50.240 For example, you could ask it questions like, what types of vaccines are 113 00:07:50.250 --> 00:07:52.060 recommended for a trip to Honduras? 114 00:07:52.070 --> 00:07:55.480 What side effects are possible with this prescription? 115 00:07:55.770 --> 00:07:58.520 Look up here. Yep. I apologize for interrupting. 116 00:07:58.530 --> 00:08:00.580 It looks like the slide is not advancing. 117 00:08:00.790 --> 00:08:02.580 Am I still on my title slide? 118 00:08:03.210 --> 00:08:08.520 It's the three-point slide, Dragon Medical One DAX fine-tuned generative AI. 119 00:08:08.890 --> 00:08:10.700 Hold on a second. 120 00:08:11.330 --> 00:08:13.530 It wouldn't be the first time this happened. 121 00:08:14.450 --> 00:08:17.300 All right, do you have the three pillars now? 122 00:08:17.390 --> 00:08:22.980 Automate tasks? I don't think so. 123 00:08:23.450 --> 00:08:27.140 Try advancing an extra slide forward and then backing up. 124 00:08:27.630 --> 00:08:29.050 All right, thank you. 125 00:08:29.060 --> 00:08:30.810 Go to meeting. What do you see now? 126 00:08:31.450 --> 00:08:33.160 Well, I'm afraid it's still the same. 127 00:08:33.170 --> 00:08:35.640 Try canceling your screen share and then bringing it back up. 128 00:08:35.650 --> 00:08:40.060 Oh, now we see interface to further optimize workflows. 129 00:08:40.230 --> 00:08:41.840 Okay, now I wanna go back one. 130 00:08:46.030 --> 00:08:48.260 Transform the way clinicians work. 131 00:08:48.390 --> 00:08:50.420 It must not like that slide. 132 00:08:50.770 --> 00:08:55.340 That's crazy. Okay Let me go back. 133 00:08:55.350 --> 00:09:00.160 I'll go to the next. Can you see this one and I'll just wrap up what I was saying So 134 00:09:00.170 --> 00:09:03.880 what we're seeing right now is the copilot chat interface to further optimize 135 00:09:03.890 --> 00:09:05.480 workflows. No, you're right. 136 00:09:05.490 --> 00:09:08.060 It absolutely Yeah, skip the slide. 137 00:09:08.070 --> 00:09:12.000 So I had a slide with three pillars on it before during and after the patient 138 00:09:12.010 --> 00:09:17.100 encounter I was just moving from the second pillar with that's your AI where 139 00:09:17.110 --> 00:09:21.820 you can ask it things like look up the ICD 10 codes for these Diagnostics your third 140 00:09:21.830 --> 00:09:23.440 pillar that was beyond documentation. 141 00:09:23.450 --> 00:09:28.380 So you'll see all this in the demo, but this is where the AI can really 142 00:09:28.390 --> 00:09:34.280 Come up with a bunch of different after-visit, you know kind of Enhancements 143 00:09:34.290 --> 00:09:36.980 referral letters prepare orders summarize evidence. 144 00:09:36.990 --> 00:09:41.860 We'll make sure to spend a little extra time on that during the demo So, okay, so 145 00:09:41.870 --> 00:09:47.740 really what this last slide was, was this was 30 more seconds about the AI because 146 00:09:47.750 --> 00:09:52.120 really the possibilities are endless with how we can train the AI. 147 00:09:52.310 --> 00:09:56.400 So, like I said, you know, as much as we wish there was symmetry in healthcare, 148 00:09:56.410 --> 00:09:58.060 it's just not the case, right? 149 00:09:58.110 --> 00:10:02.600 And so it's these AI powered prompts and really that natural language chat 150 00:10:02.610 --> 00:10:07.410 interface that we can use to customize the output of the note to your liking. 151 00:10:07.420 --> 00:10:13.260 So again, non tacky hat, I call this Hey Siri, but with access to more 152 00:10:13.270 --> 00:10:17.760 medical data than the entire archives of the Library of Congress, you know, that's 153 00:10:17.770 --> 00:10:23.360 a real stat to we're in the hundreds of something terabytes, but the nice thing to 154 00:10:23.370 --> 00:10:29.320 know about our AI and how it pulls information is 155 00:10:29.330 --> 00:10:33.480 that it's all done through credible healthcare appropriate sources. 156 00:10:33.650 --> 00:10:39.620 I'm talking like the CDC, the FDA, Aaron will show these off, but this is something 157 00:10:39.630 --> 00:10:44.360 to take note of. You know, There's a lot of other AIs out there that when they pull 158 00:10:44.370 --> 00:10:48.280 their information, it's using the entire internet as a source. 159 00:10:48.290 --> 00:10:52.900 You know, I mentioned that we bring with us billions of audio of medical 160 00:10:52.910 --> 00:10:57.860 information And with that information along with the credible sources that's 161 00:10:57.870 --> 00:11:01.960 what our AI is trained on to make sure that the output of that note is what you 162 00:11:01.970 --> 00:11:06.920 are looking for so but like I said it's through this chat interface that you speak 163 00:11:06.930 --> 00:11:11.820 to it like you want to see happen you know edit summarize retrieve any other verbs 164 00:11:11.830 --> 00:11:15.840 you can come up with right but instead of having to search through documentation 165 00:11:15.850 --> 00:11:20.660 switching applications you simply speak for what you need so clarifying 166 00:11:20.670 --> 00:11:25.020 assessment, refining a note, review key details from the account or all that good 167 00:11:25.030 --> 00:11:26.230 stuff, right? So, 168 00:11:26.870 --> 00:11:29.760 okay. All right. Hopefully my slides are still switching. 169 00:11:29.770 --> 00:11:33.520 So this is a new slide for this presentation. 170 00:11:33.530 --> 00:11:39.280 So what we're presenting today, which we didn't last month is this, this is the 171 00:11:39.290 --> 00:11:41.500 latest iteration of Dragon Copilot. 172 00:11:41.530 --> 00:11:45.320 This is 5.0. It happened about a week ago. 173 00:11:45.390 --> 00:11:47.900 I hate to say this, Mark, but it did not advance. 174 00:11:47.970 --> 00:11:50.820 Try breaking your screen share and then resharing it out. 175 00:11:51.030 --> 00:11:54.660 I'm sorry, I've never had this much trouble on a demo. 176 00:11:54.810 --> 00:11:57.820 Okay, let me do that. 177 00:11:57.830 --> 00:12:00.920 I'm going to stop sharing my screen for a second. 178 00:12:01.070 --> 00:12:13.680 All 179 00:12:13.690 --> 00:12:14.890 right, ready Aaron? 180 00:12:15.310 --> 00:12:17.600 What do you got? 181 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 182 00:12:24.410 --> 00:12:27.260 screen. It's showing your demo slide now. 183 00:12:27.510 --> 00:12:29.880 Okay, how about DCP 5.0? 184 00:12:29.910 --> 00:12:35.720 I'm 185 00:12:35.730 --> 00:12:40.660 afraid not. Try advancing the slide again and then backing up. 186 00:12:45.930 --> 00:12:47.420 Okay, 187 00:12:48.270 --> 00:12:52.820 I still showing the demo slide Okay, we're gonna wing it. 188 00:12:52.830 --> 00:12:55.600 We're gonna wing it folks. We can do this We practice. 189 00:12:55.710 --> 00:13:01.600 So, okay What I want you to see is a slide about Dragon Copilot 5.0 190 00:13:01.610 --> 00:13:07.310 Honestly, this was released about a week ago We're Aaron can attest to this. 191 00:13:07.320 --> 00:13:11.580 We're still uncovering really I'd call them Aaron unpublished findings that have 192 00:13:11.590 --> 00:13:16.400 enhanced the solution So this was a big, big uptick of an iteration here. 193 00:13:16.450 --> 00:13:21.300 So if you could see my slide, you'd see two of them that really stuck out to me 194 00:13:21.310 --> 00:13:24.020 that I wanted to bring attention to before we start the demo. 195 00:13:24.030 --> 00:13:27.340 But you know, you heard me talk about the AI there now. 196 00:13:27.350 --> 00:13:30.780 So now this AI, we call it AI at the cursor. 197 00:13:30.930 --> 00:13:36.000 So previously the AI was used in conjunction with the generated note to 198 00:13:36.010 --> 00:13:39.130 kind of influence and adjust the findings, seek medical information. 199 00:13:39.140 --> 00:13:43.200 And that was all done within the Dragon Copilot application. 200 00:13:43.290 --> 00:13:47.860 So this new AI, it can be used on any focused area. 201 00:13:47.890 --> 00:13:53.220 So think, you know, especially within your EHR, the information in your EHR, you'll 202 00:13:53.230 --> 00:13:58.860 be able to use the AI to manipulate it, to uncover things, to ask questions, really 203 00:13:58.870 --> 00:14:01.230 to perform a multitude of tasks, right? 204 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 205 00:14:05.630 --> 00:14:08.980 used to have to do that within the Dragon Copilot application, right? 206 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 207 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 208 00:14:18.130 --> 00:14:20.840 application to complete the required work. 209 00:14:20.850 --> 00:14:24.020 You know, this is absolute possibilities are endless here. 210 00:14:24.030 --> 00:14:28.050 And then the second thing I wanted to talk about was the template creation. 211 00:14:28.060 --> 00:14:33.820 So Aaron was becoming an absolute wizard and still is in creating and 212 00:14:33.830 --> 00:14:35.800 prompting templates through the AI. 213 00:14:35.910 --> 00:14:40.880 You know, this really was the best feature, one of the best features that we 214 00:14:40.890 --> 00:14:42.830 used to like over any other competitor on the market. 215 00:14:42.840 --> 00:14:48.820 And what they went and did was made this best feature even better and took 216 00:14:48.830 --> 00:14:50.620 away the manual piece to it, right? 217 00:14:50.950 --> 00:14:55.680 So think about this, you know, any new or existing templates that you require from a 218 00:14:55.690 --> 00:14:59.280 patient visit, you know, a lot of these are probably unique to your individual 219 00:14:59.290 --> 00:15:01.430 vitamin, but they can be absolutely uploaded. 220 00:15:01.440 --> 00:15:05.960 Drag and drop here and the AI will build it out automatically. 221 00:15:06.770 --> 00:15:12.240 And then the cool part is that you can construct the AI to produce immediately 222 00:15:12.250 --> 00:15:16.440 after the encounter so that these templates are at your fingertips once the 223 00:15:16.450 --> 00:15:21.240 encounter is completed. You can have it create templates as well simply by giving 224 00:15:21.250 --> 00:15:23.000 it instructions of what you need. 225 00:15:23.030 --> 00:15:25.360 I've seen that in action and it's absolutely cool. 226 00:15:25.370 --> 00:15:31.340 But think about it this way, any forms, documents that you require are just 227 00:15:31.350 --> 00:15:32.810 welcomed as a nice to have. 228 00:15:32.820 --> 00:15:36.920 These can be generated on demand after the encounter, right? 229 00:15:37.170 --> 00:15:40.540 And the AI will purposely produce them straight from that encounter. 230 00:15:40.550 --> 00:15:42.340 So list goes on and on here. 231 00:15:42.370 --> 00:15:45.920 I know you can't see my note, but you know, this is procedure notes, patient 232 00:15:45.930 --> 00:15:49.530 education materials, prescription, medical leave, insurance, discharge summary. 233 00:15:49.540 --> 00:15:54.280 I think, Aaron, you had it up to like 20 before it maybe started breaking or 234 00:15:54.290 --> 00:15:57.290 something like that with all the template that you produced. 235 00:15:57.530 --> 00:16:01.960 Yep, you can get it to rifle off a whole stack of documents for you before it 236 00:16:01.970 --> 00:16:04.060 starts to struggle. Okay. 237 00:16:04.370 --> 00:16:07.040 All right. Well, I just switched my slide to the demo slide. 238 00:16:07.050 --> 00:16:09.250 Hopefully, that's the one you're seeing now. 239 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. 241 00:16:19.050 --> 00:16:21.660 All right. Let me share my screen. 242 00:16:22.130 --> 00:16:24.900 Give me just a moment to bring this up for you all. 243 00:16:24.910 --> 00:16:27.980 And I believe we want to share this monitor And click. 244 00:16:29.270 --> 00:16:33.320 And there we go. 245 00:16:33.950 --> 00:16:36.900 Is that coming through clearly for everyone? 246 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. 249 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. 251 00:16:58.370 --> 00:17:02.820 There are a couple of other versions of it, depending on how you need to operate. 252 00:17:02.910 --> 00:17:07.760 I can run Dragon Copilot in a Google Chrome tab or a Microsoft Edge tab, works 253 00:17:07.770 --> 00:17:13.540 just fine. And for those who need it, you can download the Dragon Copilot 254 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. 257 00:17:26.810 --> 00:17:28.180 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. 259 00:17:33.000 --> 00:17:36.960 Now, I'm going to go ahead and do this right now 260 00:17:36.970 --> 00:17:40.120 and 261 00:17:40.130 --> 00:17:44.700 get myself logged in. 262 00:17:44.710 --> 00:17:49.400 Two-factor authentication. Got to make sure that data is super secure so that the 263 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. 265 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. 271 00:18:13.310 --> 00:18:15.960 This is the main screen for Dragon Copilot. 272 00:18:16.050 --> 00:18:19.820 Over here on the left is where my patient sessions are going to populate. 273 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 274 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 276 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 277 00:18:33.490 --> 00:18:37.160 manageable over time. I'm gonna go ahead and make a new patient session. 278 00:18:37.950 --> 00:18:41.400 And this is the main screen for Dragon Copilot. 279 00:18:41.490 --> 00:18:45.900 For folks who have been following these webinars for a while, the interface looks 280 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. 282 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. 292 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 298 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.