1
00:00:00,000 --> 00:00:04,970
I feel like two minutes went by quick,
but looking at the clock, so excellent.

2
00:00:05,100 --> 00:00:06,450
All right, so welcome.

3
00:00:07,120 --> 00:00:09,690
Absolutely appreciate your time today.

4
00:00:09,980 --> 00:00:15,030
And, you know, time is kind of the word
of the day here because that's really what

5
00:00:15,040 --> 00:00:16,870
we're promising to give
back to you in your day.

6
00:00:16,880 --> 00:00:21,170
So I want you to know this, you know, this
this solution here that you're going to

7
00:00:21,180 --> 00:00:24,110
see is basically custom
built for this audience.

8
00:00:24,360 --> 00:00:29,370
You know, this is this is a culmination
of kind of years of working in this niche

9
00:00:29,380 --> 00:00:31,070
medical space with all of you.

10
00:00:31,100 --> 00:00:36,850
And really, you know, from DMO and DMP
and all the millions of minutes worth of

11
00:00:36,860 --> 00:00:38,470
audio that you brought with it.

12
00:00:38,500 --> 00:00:44,210
So, you know, for me personally, I've
been doing this for 13 years now.

13
00:00:44,280 --> 00:00:46,610
I just had an anniversary
there last month.

14
00:00:46,880 --> 00:00:52,730
But I confidently, honestly, truly believe
that this is what you've been waiting for.

15
00:00:53,260 --> 00:00:55,990
The solution, it's never been better.

16
00:00:56,020 --> 00:00:58,110
I promise you the price is on point.

17
00:00:58,320 --> 00:01:00,430
And, you know, I couldn't be more excited.

18
00:01:00,500 --> 00:01:05,150
And I think what you're going to see today
is basically, at least for me, you know,

19
00:01:05,160 --> 00:01:08,660
this is the largest leap I've ever
witnessed in medical documentation.

20
00:01:09,060 --> 00:01:12,470
So a couple housekeeping items.

21
00:01:12,480 --> 00:01:16,180
We're going to follow up with each
and every one of you after the webinar.

22
00:01:16,880 --> 00:01:21,590
your emails from your registration um you
might see something auto generated from go

23
00:01:21,600 --> 00:01:26,210
to meeting just saying thank you for that
but something more actionable and concrete

24
00:01:26,220 --> 00:01:30,730
will absolutely follow to assist with next
steps i'm also going to be in touch with

25
00:01:30,740 --> 00:01:36,730
all your dragon solution partners
as well any questions and answers i

26
00:01:36,740 --> 00:01:42,290
just ask that you use the the questions
box and not the chat field

27
00:01:42,300 --> 00:01:44,010
we'll get to them.

28
00:01:44,360 --> 00:01:49,590
Some we might be able to get to during the
presentation, but absolutely at the end we

29
00:01:49,600 --> 00:01:50,800
will.

30
00:01:52,240 --> 00:01:54,250
How come I can't hear anything?

31
00:01:54,400 --> 00:01:55,690
Your screen is black.

32
00:01:56,880 --> 00:02:00,950
Mark, I'll share my screen, but I'm
pretty sure the audio is working.

33
00:02:00,960 --> 00:02:06,630
I'm not. Daniel, check the audio settings
at the bottom of the presentation and

34
00:02:06,640 --> 00:02:09,130
see if it comes through there.

35
00:02:09,240 --> 00:02:11,390
And then meanwhile, I'll share my screen.

36
00:02:13,760 --> 00:02:17,210
All right. Can you all see the slides now?

37
00:02:18,500 --> 00:02:19,700
There we go.

38
00:02:22,700 --> 00:02:24,230
All right. All right.

39
00:02:24,240 --> 00:02:28,010
Well, I was going to introduce you,
Aaron, as my partner in crime today.

40
00:02:28,600 --> 00:02:33,450
Aaron McQueen, he's our jack of all
trades, Jedi master, dragon wizard.

41
00:02:33,620 --> 00:02:39,070
But he's the he's the person for the job
to make sure that dragon's working like

42
00:02:39,080 --> 00:02:40,470
that well-oiled machine.

43
00:02:42,300 --> 00:02:46,130
air screening. Aaron, I know you could get
that to work if we had a little more time,

44
00:02:46,140 --> 00:02:48,290
but do you want to say
hello to the people?

45
00:02:48,860 --> 00:02:51,110
Hello, everybody. I'm
happy to be of service.

46
00:02:51,600 --> 00:02:53,990
Excellent. Excellent. Okay. All right.

47
00:02:54,680 --> 00:02:58,950
A couple slides to set the stage that
I'm going to have to now say next slide,

48
00:02:58,980 --> 00:03:03,610
please. But we'll jump into the demo so
you can see in an action, a couple wrap-up

49
00:03:03,620 --> 00:03:07,490
slides. If you can stick around for the
Q&A, we'll stick around as long as the

50
00:03:07,500 --> 00:03:11,850
questions keep coming. But if you want
something more one-on-one, any questions

51
00:03:11,860 --> 00:03:16,470
you just want to take off the webinar, we
absolutely welcome you to reach out in a

52
00:03:16,480 --> 00:03:18,810
one-on-one capacity. So, okay.

53
00:03:19,320 --> 00:03:22,990
So I want to introduce Dragon Copilot just
so you understand what you're seeing when

54
00:03:23,000 --> 00:03:28,390
we do do the demo. So MDC, you might hear
me call it as I get into my groove here,

55
00:03:28,400 --> 00:03:33,650
Microsoft Dragon Copilot. So it's really
designed to support clinicians kind of the

56
00:03:33,660 --> 00:03:37,530
way you actually work. What I mean by
that is that it has a pool of talent.

57
00:03:37,540 --> 00:03:42,510
Now, no matter what phase of the patient
experience you're at, so it's going to

58
00:03:42,520 --> 00:03:46,110
bring together, and everyone should be
familiar, you were invited to this webinar

59
00:03:46,120 --> 00:03:50,270
because you're a Dragon Medical One user,
but it's got your trusted voice dictation

60
00:03:50,280 --> 00:03:54,330
of Dragon Medical One. It's got that
ambient listening capabilities from its

61
00:03:54,340 --> 00:03:56,590
predecessor solution, DAX Copilot.

62
00:03:56,620 --> 00:03:59,870
And the real new piece that's going
to bring all this together is this

63
00:03:59,880 --> 00:04:04,250
healthcare-specific generative AI. So
really you're looking at an all-in-one

64
00:04:04,260 --> 00:04:09,890
seamless experience kind of, you know,
before, during, and after the physician

65
00:04:09,900 --> 00:04:14,390
encounter here. So really what you do
is you pick that right tool for the job,

66
00:04:14,400 --> 00:04:18,710
right? You know, dictate naturally, let
the AI capture the ambient encounter,

67
00:04:18,840 --> 00:04:21,670
summarize the patient,
you know, generated note.

68
00:04:21,780 --> 00:04:24,530
And that's going to allow you kind
of to focus solely on the patient.

69
00:04:24,540 --> 00:04:29,330
So it's that generative AI that you'll see
that's really going to help you complete

70
00:04:29,340 --> 00:04:31,230
an insane amount of enhancements.

71
00:04:31,780 --> 00:04:33,930
extend beyond the visit here.

72
00:04:34,020 --> 00:04:37,750
So absolutely, I don't get
into security too much.

73
00:04:37,760 --> 00:04:43,690
If you require your IT side of things,
we absolutely have enough to even make

74
00:04:43,700 --> 00:04:49,010
most stringent IT manager feel, you know,
accept the solution, but everything's

75
00:04:49,020 --> 00:04:53,790
hosted on Microsoft Azure platform, kind
of borrowed this from Aaron, it is the

76
00:04:53,800 --> 00:04:57,970
most secure hosting platform in the world
kind of hard stop, I think he calls it

77
00:04:57,980 --> 00:05:01,970
bulletproof. But, But, you know, like
I said, Dragon Coalpilot, it's going to

78
00:05:01,980 --> 00:05:05,910
reduce documentation burden. It's going
to preserve that focus on the patient.

79
00:05:05,940 --> 00:05:09,090
It's going to give you that time
back that I was talking about.

80
00:05:09,140 --> 00:05:15,250
It's unlimited access to an AI assistant,
drives meaningful financial impact.

81
00:05:15,460 --> 00:05:19,890
You know, we used to measure our ROI with
these solutions when I started in a matter

82
00:05:19,900 --> 00:05:21,910
of months. And then it
was a matter of weeks.

83
00:05:21,920 --> 00:05:24,410
And now we're starting to see
it in a matter of patience.

84
00:05:24,420 --> 00:05:26,850
So, okay, next slide for me, Aaron.

85
00:05:29,360 --> 00:05:33,390
Okay, so I kind of put myself out there
and I said, you know, this is the largest

86
00:05:33,400 --> 00:05:36,370
leap in medical
documentation ever witnessed.

87
00:05:36,380 --> 00:05:39,070
So kind of want to make that digestible.

88
00:05:39,180 --> 00:05:41,490
So we kind of put it into three pillars.

89
00:05:41,500 --> 00:05:44,730
You heard me say, you know, before,
during and after the patient encounter.

90
00:05:44,740 --> 00:05:46,670
I will say this, too.

91
00:05:47,220 --> 00:05:53,090
Nobody is going further, deeper and beyond
capturing the patient encounter as we

92
00:05:53,100 --> 00:05:58,990
do. Microsoft, I know they've been in the
news a little bit lately, but, you know,

93
00:05:59,080 --> 00:06:02,650
they have $5 billion invested
in the next five years.

94
00:06:02,660 --> 00:06:08,450
um hopefully still the thousands of
researchers and developers and doctors on

95
00:06:08,460 --> 00:06:13,450
staff and that's all designed to keep
the platform cutting edge so um

96
00:06:13,460 --> 00:06:19,330
it's all that going beyond documentation
though that we're excited to show you you

97
00:06:19,340 --> 00:06:24,550
know it's automating a lot of those
administrative tasks with a single click

98
00:06:24,560 --> 00:06:29,370
so this is going to help clinicians you
know summarize evidence prepare orders,

99
00:06:29,420 --> 00:06:32,990
draft referral letters,
generate after visit summaries.

100
00:06:33,000 --> 00:06:38,850
It's an absolute ever growing list
of AI enhancements that we use to

101
00:06:38,860 --> 00:06:43,210
automate the day that you used to spend
hours with this documentation burden.

102
00:06:43,460 --> 00:06:48,430
You know, if you would have joined us four
or five, three years ago, Aaron and I used

103
00:06:48,440 --> 00:06:52,470
to do presentations all about physician
burnout when we were showcasing Dragon

104
00:06:52,480 --> 00:06:58,430
medical one right so this continues
to build upon that so all right

105
00:06:58,440 --> 00:06:59,640
slide me aaron

106
00:07:01,040 --> 00:07:04,650
so you might have to do a few more clicks
on this one because i kind of made it

107
00:07:04,660 --> 00:07:10,410
animated but uh i wanted to spend 30 more
seconds on this one because this is the

108
00:07:10,420 --> 00:07:15,690
newest piece to the puzzle here especially
to everyone on this call um and i'm you

109
00:07:15,700 --> 00:07:21,530
know the possibilities are really endless
when it comes to how we can train the AI.

110
00:07:22,660 --> 00:07:27,550
As much as I think everyone in here wishes
there was symmetry in healthcare, it's

111
00:07:27,560 --> 00:07:32,390
absolutely not the case. You know, how you
do things different, how you do things is

112
00:07:32,400 --> 00:07:35,330
different than your neighbor
two doors down the hall, right?

113
00:07:35,340 --> 00:07:40,150
But it's through this AI-powered prompts
and templating and natural language chat

114
00:07:40,160 --> 00:07:44,330
interface that we can customize
the output of the note to your liking.

115
00:07:44,820 --> 00:07:46,850
Aaron, how do you say it?

116
00:07:48,900 --> 00:07:54,110
it's not it's your dragon i'm putting you
on the spot but i love the way you say it

117
00:07:54,120 --> 00:07:59,690
i don't know if you're with me or not i am
here uh yeah it's this guy in the bottom

118
00:07:59,700 --> 00:08:03,710
right hand corner that i always like
to highlight style customize and automate

119
00:08:03,720 --> 00:08:08,090
because you know these days let's be
honest there are a lot of ai note writers

120
00:08:08,100 --> 00:08:12,630
out there and anybody can make a note
writer that'll make a note but dragon

121
00:08:12,640 --> 00:08:18,520
copilot can make your note
the difference is stark um I

122
00:08:18,530 --> 00:08:23,130
would say that there's nothing out there
that compares with Dragon Copilot's

123
00:08:23,140 --> 00:08:26,790
ability to customize its output
to suit your specific needs.

124
00:08:26,840 --> 00:08:31,570
Whether or not it's you like to see your
HPI laid out in a specific way or you need

125
00:08:31,580 --> 00:08:36,370
the information in the assessment and plan
organized just so or particular templates

126
00:08:36,380 --> 00:08:41,990
for procedures that you use regularly or
secondary documents for different reports

127
00:08:42,000 --> 00:08:45,710
that you want it to be able to generate
for you so you don't have to dictate them

128
00:08:45,720 --> 00:08:47,450
or create them with a second step.

129
00:08:48,520 --> 00:08:52,770
things can be customized and with one
handy dandy little switch featured right

130
00:08:52,780 --> 00:08:58,430
here it can be configured to do all those
things automatically so it's record and

131
00:08:58,440 --> 00:09:03,230
then it does the rest yeah yeah you nailed
it it would make your dragon there but you

132
00:09:03,240 --> 00:09:08,210
know for the less technical people like
myself out there you know it's hey siri

133
00:09:08,220 --> 00:09:12,690
you know that's literally how you can talk
to it right but we're talking more access

134
00:09:12,700 --> 00:09:17,110
to more medical data than the entire
archives of the library of congress and

135
00:09:18,520 --> 00:09:22,930
lost maybe reminisce but no when it pulls
its information it's pulling it through

136
00:09:22,940 --> 00:09:28,910
credible healthcare appropriate
sources you know the CDC the FDA you

137
00:09:28,920 --> 00:09:32,730
know if you look at some competitors out
there and other large language models you

138
00:09:32,740 --> 00:09:37,850
know they're using social media and the
entire internet as a source you know not

139
00:09:37,860 --> 00:09:43,490
not cool yes me right so it's really
though it's this chat interface you speak

140
00:09:43,500 --> 00:09:48,930
to it what you want to see happen you know
edit summarize navigate retreat retrieve

141
00:09:48,940 --> 00:09:54,150
million other verbs right but you simply
ask what you want and uh you'll get to

142
00:09:54,160 --> 00:09:58,130
what you need so we'll uh we'll highlight
this really well for you during the uh

143
00:09:58,140 --> 00:09:59,390
during the demo so

144
00:10:00,340 --> 00:10:02,950
okay speaking of which i believe

145
00:10:08,540 --> 00:10:14,130
i believe you are correct it is
about that time uh so let me go ahead

146
00:10:14,140 --> 00:10:15,340
and share

147
00:10:17,080 --> 00:10:18,930
the back of the screen.

148
00:10:19,980 --> 00:10:23,290
I'm going to temporarily
stop the slideshow.

149
00:10:23,980 --> 00:10:25,510
And here we have.

150
00:10:25,900 --> 00:10:30,370
So this is something that we wanted to
specifically highlight for you all today.

151
00:10:31,660 --> 00:10:36,710
It's not just a question of creating an AI
note writer that is going to be able to

152
00:10:36,720 --> 00:10:41,210
produce a note, and then you have to find
a way to sort of finagle getting it into

153
00:10:41,220 --> 00:10:45,630
your medical record system. Now, don't get
me wrong, the BaseDragon Co-Pilot product

154
00:10:45,640 --> 00:10:49,910
has a lot of really great streamlined
tools to output a note and then transfer

155
00:10:49,920 --> 00:10:54,530
it wherever you need it, whether it's a
particular niche EHR that you use for your

156
00:10:54,540 --> 00:10:57,610
practice. Mark always likes to say that
there's no symmetry in medicine, right?

157
00:10:57,620 --> 00:11:01,570
Everybody has their own workflow, their
own tools, and Dragon Copilot can cope

158
00:11:01,580 --> 00:11:05,830
with all of them. If it happens to be
the case that you're using a short list of

159
00:11:05,840 --> 00:11:10,530
specifically supported EHRs, we have
this, which is known as the Clinical Note

160
00:11:10,540 --> 00:11:11,750
Exchange Connector.

161
00:11:12,720 --> 00:11:18,030
us to generate the note using the Dragon
Copilot engine, but then it takes that

162
00:11:18,040 --> 00:11:23,210
note and in an automated fashion performs
the data entry on your behalf so that you

163
00:11:23,220 --> 00:11:27,490
don't need to worry about copying and
pasting or even using voice commands to

164
00:11:27,500 --> 00:11:31,150
get the note into place. It'll
take care of that all on its own.

165
00:11:31,720 --> 00:11:34,110
So this is what that connector looks like.

166
00:11:34,200 --> 00:11:35,900
I'm going to go ahead and sign in.

167
00:11:38,080 --> 00:11:42,070
You'll notice on that right-hand side
there, it kind of flashed by a little

168
00:11:42,080 --> 00:11:47,990
pop-up screen. What that does,
essentially, is grabs my regular work

169
00:11:48,000 --> 00:11:52,910
credentials. So Dragon Copilot uses
Microsoft Entra for its authentication.

170
00:11:52,920 --> 00:11:56,330
That's the kind of standard
issue Microsoft login system.

171
00:11:56,340 --> 00:12:01,390
So I enter my username and password when
I log in at work, and then Dragon can grab

172
00:12:01,400 --> 00:12:07,370
those credentials so that I don't have
to keep, so I don't have to keep entering

173
00:12:07,380 --> 00:12:11,610
them in every time. I can come to my
computer double click the icon and then I

174
00:12:11,620 --> 00:12:17,490
can sign in straight away without any
trouble so because the app connector

175
00:12:17,500 --> 00:12:22,270
is aware of my schedule this one happens
to be hooked up to an instance of Athena

176
00:12:22,280 --> 00:12:27,230
but there are other supported the HRs let
me see Athena clinicals Athena practice

177
00:12:27,240 --> 00:12:32,770
Veridigm mod med ECW and

178
00:12:32,780 --> 00:12:38,710
next gen are all supported you've got a
slide on that too it's just after the demo

179
00:12:38,720 --> 00:12:41,490
so yes um

180
00:12:42,220 --> 00:12:46,590
and because it's plugged in it can see my
appointment list so i went in earlier and

181
00:12:46,600 --> 00:12:49,910
i've gone in and i've created an
appointment for ms annabelle white we're

182
00:12:49,920 --> 00:12:55,230
going to open up Dragon Copilot it's right
here in the interface and we'll be able to

183
00:12:55,240 --> 00:13:01,150
pull this into the dragon engine so this
that you're about to see in this little

184
00:13:01,160 --> 00:13:05,670
fly out window this is what Dragon
Copilot's like, whether you're using the

185
00:13:05,680 --> 00:13:10,090
baseline, normal Dragon Copilot, or the
clinical node exchange connected version.

186
00:13:10,300 --> 00:13:11,750
This is the main screen.

187
00:13:12,500 --> 00:13:14,390
It's a very straightforward interface.

188
00:13:14,400 --> 00:13:16,330
I've got my ambient listening button here.

189
00:13:16,340 --> 00:13:19,430
And if I want to do dictation,
I can check this box right here.

190
00:13:19,440 --> 00:13:21,630
I can also map these
to do different buttons.

191
00:13:21,640 --> 00:13:26,170
If I have an intelligent microphone, like
a speech mic, Mark's got a slide about

192
00:13:26,180 --> 00:13:28,210
different microphones
a little bit later on.

193
00:13:28,220 --> 00:13:29,970
Or I can use keyboard shortcuts.

194
00:13:29,980 --> 00:13:33,950
If I don't have a specialty microphone,
I can still slide back and forth between

195
00:13:33,960 --> 00:13:35,610
those two work close very easily.

196
00:13:36,660 --> 00:13:38,230
Here's my patient session.

197
00:13:38,280 --> 00:13:40,690
And all I need to do
is start the recording.

198
00:13:40,760 --> 00:13:44,230
So Mark, are you ready
to become suddenly ill?

199
00:13:48,060 --> 00:13:49,260
Okay,

200
00:13:49,580 --> 00:13:51,190
so let's see here.

201
00:13:52,420 --> 00:13:53,620
One moment.

202
00:13:54,600 --> 00:13:59,050
I want to make sure that
I've got us set up here.

203
00:14:02,480 --> 00:14:04,830
And there we go. All right, here we go.

204
00:14:05,100 --> 00:14:07,290
Oh, wait a minute. I
need to change my audio.

205
00:14:07,300 --> 00:14:11,110
The audience can hear us, but my
dragon microphone is not hearing you.

206
00:14:11,180 --> 00:14:13,670
I understand that Aaron and I
are not in the same room, right?

207
00:14:13,680 --> 00:14:16,110
So he has to play with his
audio settings a little bit.

208
00:14:16,120 --> 00:14:17,320
This is true.

209
00:14:18,860 --> 00:14:23,330
Yeah, he is about as far physically
away from me as you can possibly get.

210
00:14:23,340 --> 00:14:25,190
I think it's because he doesn't like,

211
00:14:25,940 --> 00:14:27,550
No, I'm just kidding. We get along great.

212
00:14:27,560 --> 00:14:29,930
Mark, can you say something
for me just to test our audio?

213
00:14:29,940 --> 00:14:31,190
Testing. One, two, three.

214
00:14:32,160 --> 00:14:36,490
Okay. I believe we are up and running.

215
00:14:36,880 --> 00:14:42,130
Think about your virtual telehealth
or video conferencing, phone health, you

216
00:14:42,140 --> 00:14:43,430
know, all covered here.

217
00:14:48,400 --> 00:14:51,250
Okay. And I'm going to go
ahead and start us recording.

218
00:14:51,260 --> 00:14:52,750
So I've walked in.

219
00:14:52,780 --> 00:14:54,250
I've got my patient checked in.

220
00:14:54,260 --> 00:14:56,250
We're sat down at our table for our visit.

221
00:14:56,260 --> 00:14:58,760
I'm just going to go ahead
and start my recording.

222
00:14:58,920 --> 00:15:00,330
So good morning, Mark.

223
00:15:00,420 --> 00:15:03,950
I understand you've been experiencing
some back pain and a fever.

224
00:15:04,020 --> 00:15:06,250
Can you tell me a little
bit about your symptoms?

225
00:15:06,260 --> 00:15:08,130
Yeah, Doug. Thanks for seeing me today.

226
00:15:08,140 --> 00:15:10,140
I guess it's been for the past few days.

227
00:15:10,180 --> 00:15:13,370
I've kind of had this dull
pain in my lower back.

228
00:15:13,380 --> 00:15:16,590
I'd say it mostly favors
my left side here.

229
00:15:16,600 --> 00:15:20,710
But it's been getting worse
to go along with that.

230
00:15:20,780 --> 00:15:26,390
I've had a fever, chills, which I'd say
are the worst thing, but really tired and

231
00:15:26,400 --> 00:15:27,600
just not myself.

232
00:15:28,300 --> 00:15:30,390
Okay. Well, I'm sorry to hear that.

233
00:15:30,400 --> 00:15:33,630
Lower back pain on the left-hand
side, fever, chills.

234
00:15:33,820 --> 00:15:38,930
I've taken a look at your medical history,
and just in your chart here, I want to ask

235
00:15:38,940 --> 00:15:40,540
a couple of follow-up questions.

236
00:15:40,960 --> 00:15:44,710
Have you noticed any burning or discomfort
when you go to use the restroom?

237
00:15:44,820 --> 00:15:46,910
Yeah, no, glad you brought that up.

238
00:15:47,380 --> 00:15:51,270
Definitely, you know, some burning, but I
guess even worse is that it kind of feels

239
00:15:51,280 --> 00:15:54,480
like I have to go all the time,
but there's not a lot of action.

240
00:15:55,020 --> 00:15:59,550
I understand. Well, those symptoms, along
with your fever and the back pain, suggest

241
00:15:59,560 --> 00:16:01,510
that you might have a kidney infection.

242
00:16:01,600 --> 00:16:05,730
Now, I reviewed your lab results from this
morning and compared them to the ones from

243
00:16:05,740 --> 00:16:07,310
your last visit a month ago.

244
00:16:07,380 --> 00:16:10,830
Your white blood cell count is
significantly higher, which can indicate

245
00:16:10,840 --> 00:16:16,730
infection. Additionally, your creatinine
levels have risen from 1.2 to 1.8, which

246
00:16:16,740 --> 00:16:19,110
suggests some additional
stress on your kidneys.

247
00:16:19,120 --> 00:16:23,010
That, combined with lower flow
and discomfort when you go to use the

248
00:16:23,020 --> 00:16:26,810
restroom, is really something
that we should look into.

249
00:16:27,760 --> 00:16:30,110
Okay, that doesn't sound great.

250
00:16:30,120 --> 00:16:33,430
Do you think that has to do with the
diabetes or the high blood pressure?

251
00:16:33,440 --> 00:16:35,390
Is it all related? Well, it's possible.

252
00:16:35,460 --> 00:16:38,690
Uncontrolled diabetes and high blood
pressure can make you prone to kidney

253
00:16:38,700 --> 00:16:42,090
problems. Let's take a look
at your hemoglobin A1c.

254
00:16:42,360 --> 00:16:48,330
Okay, now it is up from 7.2% to 8.1%
since your last visit, which means

255
00:16:48,340 --> 00:16:51,970
your blood sugar levels aren't as well
controlled as we generally like to see

256
00:16:51,980 --> 00:16:57,670
them. Your blood pressure today is also
higher than your last visit, 148 over 92.

257
00:16:58,040 --> 00:17:01,650
These factors could be contributing
to the current kidney issue.

258
00:17:01,740 --> 00:17:06,390
Now, have you been keeping up with your
medication and your diet plan the way that

259
00:17:06,400 --> 00:17:12,190
we discussed? well uh medication
absolutely been doing my best um

260
00:17:12,200 --> 00:17:18,090
some missed doses delayed
doses um you know vacation work

261
00:17:18,100 --> 00:17:23,730
kids school all that stuff but uh diet i'm
still trying to get under control it can

262
00:17:23,740 --> 00:17:29,030
be hard sometimes i understand managing
multiple conditions can be a challenge

263
00:17:29,040 --> 00:17:33,290
where'd you go on vacation uh well it's
funny we ended summer here with a nice

264
00:17:33,300 --> 00:17:35,610
camping trip with the with the kids so

265
00:17:36,900 --> 00:17:40,810
in the wilderness for a week there
and kind of be one with nature.

266
00:17:41,520 --> 00:17:43,950
Well, that sounds great.
Camping's always fun.

267
00:17:44,780 --> 00:17:48,310
We'll need to make some adjustments
to your medication to help you feel better

268
00:17:48,320 --> 00:17:52,170
and to protect your kidneys. First, I'm
gonna start you on a course of antibiotics

269
00:17:52,180 --> 00:17:56,470
to treat the infection. We're gonna
prescribe ciprofloxacin for seven days,

270
00:17:56,520 --> 00:18:00,050
but we're gonna wanna monitor your
response closely to make sure your system

271
00:18:00,060 --> 00:18:04,790
can handle it. I'd also like to adjust
your medications for blood pressure and

272
00:18:04,800 --> 00:18:06,000
diabetes.

273
00:18:06,900 --> 00:18:11,610
I'm going to increase your lisinopril dose
from 10 milligrams to 20 milligrams daily.

274
00:18:11,800 --> 00:18:14,290
This is going to help reduce
the pressure on your kidneys.

275
00:18:14,300 --> 00:18:18,050
And for the diabetes, I'm going to add a
low dose of empagliflozin, which can also

276
00:18:18,060 --> 00:18:19,490
have a protective effect.

277
00:18:19,720 --> 00:18:22,910
Okay. And you think that's going to kind
of bring the numbers down across the board

278
00:18:22,920 --> 00:18:25,370
for me here? Well, that's the goal.

279
00:18:26,180 --> 00:18:29,950
We're going to check again with some labs
in two weeks to see how your kidneys and

280
00:18:29,960 --> 00:18:32,810
your blood sugar levels
and your blood pressure respond.

281
00:18:33,240 --> 00:18:36,430
Okay. Anything else I can do internally?

282
00:18:37,280 --> 00:18:41,990
Yes, I do want to make sure that you try
and be a little bit more diligent with

283
00:18:42,000 --> 00:18:45,430
making sure that you're taking those
dosages when you're supposed to, as

284
00:18:45,440 --> 00:18:47,040
regularly as you're supposed to.

285
00:18:48,080 --> 00:18:51,970
Stay hydrated, stay away from sugary
beverages, sugary foods, and stick to that

286
00:18:51,980 --> 00:18:56,910
diet plan. And in the meantime, we're
going to order an ultrasound of your

287
00:18:56,920 --> 00:18:59,970
kidneys to check for any blockages
or structural issues that might be

288
00:18:59,980 --> 00:19:03,430
contributing to the infection
or the changes in your kidney function.

289
00:19:03,600 --> 00:19:06,330
Okay, when's the ultrasound,
do you think, sorry?

290
00:19:06,920 --> 00:19:08,510
We're going to get that done today.

291
00:19:08,520 --> 00:19:12,610
So once we're done here,
the nurse is going to come in.

292
00:19:12,620 --> 00:19:15,370
We're going to schedule that
for a little later this afternoon.

293
00:19:15,380 --> 00:19:16,950
Okay. We have a plan.

294
00:19:16,960 --> 00:19:18,160
I promise I'll keep it.

295
00:19:19,620 --> 00:19:23,150
All right. Well, you feel better,
and we'll be back here with you in just a

296
00:19:23,160 --> 00:19:25,230
little bit to get that
ultrasound taken care of.

297
00:19:25,240 --> 00:19:26,440
Thank you, doctor.

298
00:19:27,260 --> 00:19:30,360
Okay. And I'm going to go ahead
and stop my ambient recording.

299
00:19:30,840 --> 00:19:33,410
I'm also going to put my
audio back the way it was.

300
00:19:34,340 --> 00:19:35,850
There we go. All right.

301
00:19:35,860 --> 00:19:39,910
So it normally only takes about 10 or 15
seconds for Dragon Copilot to create a

302
00:19:39,920 --> 00:19:41,120
note.

303
00:19:41,140 --> 00:19:44,750
Mine is set up with some additional
templating that you'll be able to take a

304
00:19:44,760 --> 00:19:48,650
look at and see. So it makes
the transcript first, which we will have

305
00:19:48,660 --> 00:19:52,190
access to, this little transcript button
in the corner if I want to review the word

306
00:19:52,200 --> 00:19:54,610
for word of the conversation.
I can do that.

307
00:19:54,800 --> 00:19:57,390
It's then going to make
sort of the baseline note.

308
00:19:57,780 --> 00:19:59,710
Don't get me wrong.
The baseline note's great.

309
00:19:59,720 --> 00:20:04,630
It's driven by your specialty and Dragon's
understanding of how the documentation for

310
00:20:04,640 --> 00:20:06,510
your specialty generally appears.

311
00:20:06,720 --> 00:20:10,090
But on top of that, and you might have
seen it just change there on the screen,

312
00:20:10,100 --> 00:20:13,010
it started with little note and then it
popped out with something a little more

313
00:20:13,020 --> 00:20:18,290
templated and verbose. To whatever extent
I want to adjust the default output, I can

314
00:20:18,300 --> 00:20:22,310
do that. Nearly every one of the note
fields is fully customizable, and I can

315
00:20:22,320 --> 00:20:26,210
apply things like my own special
section headers that I prefer.

316
00:20:26,220 --> 00:20:29,450
I can bring information
in from the transcript.

317
00:20:29,720 --> 00:20:33,530
I can apply conditional logic.

318
00:20:33,580 --> 00:20:38,110
So if I have a variety of different visit
types or if I have an interdisciplinary

319
00:20:38,120 --> 00:20:43,910
practice, I can use the functionality
of Dragon to detect the type of the visit

320
00:20:43,920 --> 00:20:48,950
that this is, and it can intelligently
include and exclude and shape the output

321
00:20:48,960 --> 00:20:53,530
accordingly. And I have the ability
to perform all of those functions in an

322
00:20:53,540 --> 00:20:57,850
automated fashion. I can even have it do
things like go and look up codes for me.

323
00:20:57,880 --> 00:20:59,080
So here's our note.

324
00:20:59,720 --> 00:21:04,170
Like I say, the base note comes through
and it's got everything documented.

325
00:21:04,300 --> 00:21:09,770
I have mine set up to pull Mark's voice
in from the transcript for the chief

326
00:21:09,780 --> 00:21:13,610
complaint. Of course, depending on your
own documentation practices, you may or

327
00:21:13,620 --> 00:21:16,710
may not do that. I have mine set up
because I wanted to show off how it can

328
00:21:16,720 --> 00:21:21,090
pull the transcript in. We've got our
problem details, past medical history.

329
00:21:22,040 --> 00:21:24,030
Down here, we go a little bit further.

330
00:21:24,700 --> 00:21:29,690
Review of systems. Here's the physical
exam broken out into some subsections with

331
00:21:29,700 --> 00:21:34,310
nice bullets. And again, if I wanted this
to be just a block paragraph, I can do

332
00:21:34,320 --> 00:21:37,470
that. If I want just the bullets
with no headings, I can do that.

333
00:21:37,480 --> 00:21:40,180
If I want the headings
with paragraphs, I can do that.

334
00:21:40,240 --> 00:21:43,790
However you want the note to come
through, Dragon's got your back.

335
00:21:44,080 --> 00:21:47,770
Got our results down here, and then
here's our assessment and plan.

336
00:21:48,020 --> 00:21:50,650
Again, this template, fully customizable.

337
00:21:50,900 --> 00:21:55,000
This one that you're seeing right here, I
actually worked with a provider to make.

338
00:21:55,660 --> 00:21:59,390
you at the top here just one two three
kind of vanilla with uh vanilla with

339
00:21:59,400 --> 00:22:04,470
nothing on them and then each one gets its
own paragraph down in the plan separated

340
00:22:04,480 --> 00:22:09,330
some follow-up instructions and then the
ai has gone and looked up my codes for me

341
00:22:09,340 --> 00:22:12,590
and put them down here at the bottom so
that i don't have to go and look them up

342
00:22:12,600 --> 00:22:18,510
myself in some database somewhere um mark
before we get this into the ehr is there

343
00:22:18,520 --> 00:22:23,790
anything that you'd like to highlight um
no usually while it's producing um I just

344
00:22:23,800 --> 00:22:28,830
want to call out, too, since one of the
last updates there, you know, 58 different

345
00:22:28,840 --> 00:22:32,330
languages are now accepted and are
recognized with Dragon Copilot.

346
00:22:32,400 --> 00:22:36,910
And also, I know we get this question
a lot, too, from behavioral health.

347
00:22:36,960 --> 00:22:42,670
They increased the runtime from 75
minutes up to 120 minutes now per session.

348
00:22:42,820 --> 00:22:45,650
So just a couple updates
that I wanted to call out.

349
00:22:46,240 --> 00:22:47,610
Absolutely. Okay.

350
00:22:48,300 --> 00:22:53,550
And then again, before I do our sort of
data entry step, you know, as expedited as

351
00:22:53,560 --> 00:22:57,230
it is, one last thing I want to call out
is the little co-pilot chat guy down here

352
00:22:57,240 --> 00:23:01,630
in the corner. This is where I can go
in and I can instruct Dragon to take

353
00:23:01,640 --> 00:23:05,210
different actions for me
to further modify the note.

354
00:23:05,400 --> 00:23:08,450
And don't get me wrong, I love
this little co-pilot chat guy.

355
00:23:08,460 --> 00:23:10,230
It's incredibly capable. It's flexible.

356
00:23:10,240 --> 00:23:14,290
I can click on this guy, dictate in
whatever message I want to tell the AI to

357
00:23:14,300 --> 00:23:18,890
do, take something out, change something,
rearrange it, look up information.

358
00:23:19,620 --> 00:23:21,490
And I can't stress this enough.

359
00:23:21,620 --> 00:23:27,270
If I go down in here into my template
options, it's way better and convenient,

360
00:23:27,280 --> 00:23:30,280
more convenient for me to have
it do all that automatically.

361
00:23:30,340 --> 00:23:32,310
So all I have to do is
record the conversation.

362
00:23:32,320 --> 00:23:36,910
And the moment I stop the recording, it
makes the note, it applies my template,

363
00:23:36,920 --> 00:23:42,610
and it can even run
an AI-generated prompt afterwards

364
00:23:42,620 --> 00:23:46,750
to go and fetch that information and make
those modifications, apply conditional

365
00:23:46,760 --> 00:23:48,890
logic. And it'll do
this all automatically.

366
00:23:48,900 --> 00:23:54,290
So once I have it set up kind of just the
way I like it, my standard workflow for a

367
00:23:54,300 --> 00:23:59,390
patient visit is click into the session,
record the conversation, stop the

368
00:23:59,400 --> 00:24:01,970
recording, and it takes care of the rest.

369
00:24:01,980 --> 00:24:05,680
But if I want to, I can click into
these fields and I can dictate as well.

370
00:24:06,920 --> 00:24:12,850
in here or make a handful of edits all
right once I'm done I'm gonna close up my

371
00:24:12,860 --> 00:24:18,810
notes screen and I'm gonna go
back to the main page of clinical

372
00:24:18,820 --> 00:24:23,730
note exchange and you'll note we now have
a fancy button that has appeared and I'm

373
00:24:23,740 --> 00:24:27,150
gonna click on that and upload
that information to my EHR

374
00:24:31,260 --> 00:24:37,150
it's now uploaded and now I'm gonna
hop over into my Athena and you can see

375
00:24:37,160 --> 00:24:40,650
here's Annabelle White I'm going
to go into that appointment

376
00:24:46,840 --> 00:24:50,270
have to wait for Athena to catch
up to us here we go and here

377
00:24:53,960 --> 00:24:59,530
is our note in fact if I head to exam I
can even see the broken out individual

378
00:24:59,540 --> 00:25:01,310
sections so give me just a moment

379
00:25:09,040 --> 00:25:10,240
There they are.

380
00:25:10,740 --> 00:25:13,630
The exact same note that
Dragon Copilot just generated.

381
00:25:13,860 --> 00:25:17,270
And it's all here waiting
for me so I can sign off on it.

382
00:25:17,540 --> 00:25:20,640
And that's the workflow from one
end all the way to the other.

383
00:25:21,100 --> 00:25:23,050
I have my appointment in Athena.

384
00:25:23,160 --> 00:25:26,310
It's going to sync to the connector.

385
00:25:26,420 --> 00:25:31,110
I open up Dragon Copilot for that
patient, record my conversation.

386
00:25:31,300 --> 00:25:35,210
The intelligent templating and conditional
logic shapes the note to be exactly the

387
00:25:35,220 --> 00:25:36,420
way I want it.

388
00:25:36,920 --> 00:25:42,170
out to the main screen sync it to my
EHR review it over here make sure that

389
00:25:42,180 --> 00:25:45,410
everything's good maybe I want to put some
orders in you know different things that

390
00:25:45,420 --> 00:25:48,390
for legal reasons I got to do myself
you know maybe there's some prescription

391
00:25:48,400 --> 00:25:53,890
medication in there etc and then I sign
it and finish up now ours happens to be

392
00:25:53,900 --> 00:25:57,270
hooked up to an Athena sandbox for you
know so you all can kind of see it in

393
00:25:57,280 --> 00:26:01,850
action but again any of those supported
medical record systems it's the exact same

394
00:26:01,860 --> 00:26:07,690
flow clinical note exchange brings
up the note record note gets created,

395
00:26:07,760 --> 00:26:10,890
sync to the medical record,
sign off, and you're done.

396
00:26:11,360 --> 00:26:16,550
Do you want to show just further
non-clinical or connected EHRs how easy it

397
00:26:16,560 --> 00:26:18,370
is to use your voice to transfer as well?

398
00:26:18,380 --> 00:26:20,230
I think that's important. Sure.

399
00:26:21,160 --> 00:26:24,010
Let's move the connector out of the way.

400
00:26:24,320 --> 00:26:25,630
We'll bring out

401
00:26:26,280 --> 00:26:32,150
Dragon Copilot itself,
the mainstay of Microsoft's AI

402
00:26:32,160 --> 00:26:35,910
solutions. So
the freestanding product looks

403
00:26:36,920 --> 00:26:40,470
And it is worth mentioning that this
here, this is the fully installed desktop

404
00:26:40,480 --> 00:26:42,750
version of Dragon Copilot.

405
00:26:42,780 --> 00:26:45,490
You can also run it in a web browser tab.

406
00:26:45,680 --> 00:26:49,250
So if you're in an environment where
you're not allowed to install software,

407
00:26:49,260 --> 00:26:53,230
like maybe it's a very protected system
or your medical record's out on a server

408
00:26:53,240 --> 00:26:56,610
somewhere and they won't let you put stuff
on it, you can get at it through a web

409
00:26:56,620 --> 00:27:02,090
browser tab. And I also can use an Apple
mobile device, so an iPad or an iPhone

410
00:27:02,100 --> 00:27:03,410
or an Android phone.

411
00:27:03,420 --> 00:27:07,610
there's an app version so I can keep
Dragon Co pilot in my pocket and carry it

412
00:27:07,620 --> 00:27:10,450
with me from room to room
I'll go ahead and sign in

413
00:27:18,760 --> 00:27:20,650
and here's our Dragon Co pilot

414
00:27:20,660 --> 00:27:25,630
we're gonna head to

415
00:27:25,640 --> 00:27:29,830
our patient session where's one
they've got a note for here we go

416
00:27:29,840 --> 00:27:35,810
so here's the way that the note in
the Dragon Copilot sort of, again,

417
00:27:35,880 --> 00:27:38,970
freestanding version. And as you can
see, the visual is exactly the same.

418
00:27:38,980 --> 00:27:40,390
We've got our note here in the middle.

419
00:27:40,400 --> 00:27:42,010
There's our ambient recording button.

420
00:27:42,020 --> 00:27:43,510
There's our dictation checkbox.

421
00:27:43,520 --> 00:27:48,030
And all I need to do is get this
information out of Dragon Copilot and into

422
00:27:48,040 --> 00:27:53,350
the medical record. Let me pull the
medical record back out where we can see

423
00:27:53,360 --> 00:27:54,560
it.

424
00:27:58,340 --> 00:28:01,650
So I'm going to pull
Athena off to the side.

425
00:28:03,420 --> 00:28:06,670
into a narrow view when I'm
doing the data transfer step.

426
00:28:06,680 --> 00:28:08,390
That way it doesn't take
up the whole screen.

427
00:28:08,400 --> 00:28:12,930
And all I need to do is, well, I can
copy and paste if I want to, just for the

428
00:28:12,940 --> 00:28:16,050
record. That kind of standard
issue workflow does exist.

429
00:28:16,060 --> 00:28:19,770
If you'd like to use it, I can click copy
selected and I can paste it wherever I

430
00:28:19,780 --> 00:28:24,410
need this information to go. But suppose
I wanted to transfer this information into

431
00:28:24,420 --> 00:28:28,570
Athena kind of on my own or whatever
medical record I'm using.

432
00:28:28,580 --> 00:28:30,370
I can turn on my dictation.

433
00:28:33,520 --> 00:28:34,650
transfer physical exam

434
00:28:34,660 --> 00:28:40,990
and

435
00:28:41,000 --> 00:28:44,270
so I place the cursor where I want
that information to appear say transfer

436
00:28:44,280 --> 00:28:47,570
followed by the name of the note section
and the information kind of zips across

437
00:28:47,580 --> 00:28:51,330
for me so that's the way it works if
you're using the freestanding product you

438
00:28:51,340 --> 00:28:55,710
just click transfer transfer transfer and
you're done so even if you're not using a

439
00:28:55,720 --> 00:29:01,210
medical record that's supported by an
embedded connected solution it's very fast

440
00:29:01,220 --> 00:29:05,570
click transfer click transfer click then
you're finished, you sign off and you're

441
00:29:05,580 --> 00:29:06,830
off to your next patient.

442
00:29:08,240 --> 00:29:11,770
Excellent. Excellent. No, I just want to
make sure that that's very clear, whether

443
00:29:11,780 --> 00:29:14,810
it's an EHR or any other
platform out there.

444
00:29:14,820 --> 00:29:18,670
You know, if you have that functionality
with Dragon Medical One, you're going to

445
00:29:18,680 --> 00:29:23,690
be easily use your voice and transfer over
the appropriate sections into, you know,

446
00:29:23,720 --> 00:29:26,770
the same platforms that you're
familiar with using before.

447
00:29:26,920 --> 00:29:30,850
So very, very, you know, kind of agnostic
when it comes to that agnostic.

448
00:29:30,860 --> 00:29:35,130
sorry but uh can you show off one more
thing i just i talked about those ai

449
00:29:35,140 --> 00:29:39,450
enhancements i just kind of want
the people to see maybe just a uh referral

450
00:29:39,460 --> 00:29:45,090
letter or um one of the other ones there
sure i'm going to bring up my library

451
00:29:45,100 --> 00:29:50,230
uh let's do let's see here what do we want
to build let's do a referral letter there

452
00:29:50,240 --> 00:29:55,930
we go i'm going to go ahead and click on
that it's going to go ahead and draft that

453
00:29:55,940 --> 00:29:59,740
referral letter you can see it kind
of churning away down here at the bottom

454
00:30:05,160 --> 00:30:08,430
And then I've got my referral letter that
comes through right here in the sidebar.

455
00:30:08,440 --> 00:30:10,450
Now this is one of the default templates.

456
00:30:10,460 --> 00:30:14,550
Again, I want to stress the customization
because these secondary documents that it

457
00:30:14,560 --> 00:30:17,450
can create, we can template these.

458
00:30:17,460 --> 00:30:22,910
And so if you have a specific referral
letter that you have that is laid out kind

459
00:30:22,920 --> 00:30:28,670
of exactly how you like it, that can
all be programmed in and it can be

460
00:30:28,680 --> 00:30:32,910
programmed in to produce So right
alongside the note here, it can have

461
00:30:32,920 --> 00:30:34,120
referral letter,

462
00:30:34,600 --> 00:30:39,410
mental health assessment, dietician
report, whatever else you might need.

463
00:30:39,420 --> 00:30:41,590
You can sort of stack them up right here.

464
00:30:41,600 --> 00:30:45,010
And then at the same time as it makes your
note, it'll make all those other documents

465
00:30:45,020 --> 00:30:47,630
for you as well, kind of just
in case you need them.

466
00:30:47,640 --> 00:30:50,130
You can call them in one
by one if you'd like.

467
00:30:50,300 --> 00:30:54,070
But I love leveraging the automation.

468
00:30:54,080 --> 00:30:56,890
It makes it so much easier. And it
doesn't take any additional time.

469
00:30:56,900 --> 00:31:02,670
One of the fun capacities
of this suite is that

470
00:31:02,680 --> 00:31:08,510
however much you tell it to do, it only
changes the speed of the processing by

471
00:31:08,520 --> 00:31:10,090
a second or two.

472
00:31:10,280 --> 00:31:15,310
So the difference between I have the basic
note versus a fully complex and templated

473
00:31:15,320 --> 00:31:18,630
note is like a second of processing time.

474
00:31:18,640 --> 00:31:22,230
And if I add 10 documents, okay,
maybe that adds another two.

475
00:31:22,240 --> 00:31:27,370
And so instead of waiting 10 seconds for
my note to create, okay, well, if I give

476
00:31:27,380 --> 00:31:30,930
it another two seconds, it'll do all
the rest of the work for me as well.

477
00:31:30,940 --> 00:31:32,650
So don't sleep on that automation.

478
00:31:32,660 --> 00:31:37,990
It makes your life so much easier to just
let it, you know, take your templates,

479
00:31:38,040 --> 00:31:41,890
take the documents that you needed
to create and just rifle them off for you.

480
00:31:42,940 --> 00:31:44,140
Okay.

481
00:31:44,220 --> 00:31:46,650
One more thing I thought,
because this was good.

482
00:31:46,700 --> 00:31:48,710
Do you want to just quickly
show off the templating?

483
00:31:48,720 --> 00:31:50,030
I know you touched on that a lot.

484
00:31:50,040 --> 00:31:55,750
And one of those cool features from one
of the earlier releases was the ability to

485
00:31:55,760 --> 00:32:01,430
now basically drag and drop existing
organizational templates into Dragon.

486
00:32:01,440 --> 00:32:05,470
It will reproduce it, and you'll be able
to call that up and have the note input to

487
00:32:05,480 --> 00:32:09,330
those as well. So I'm having a lot
of experience here with these.

488
00:32:09,540 --> 00:32:12,670
So if I want to make a new
template, I can go in here.

489
00:32:12,680 --> 00:32:14,490
Well, here, let me show you, in fact.

490
00:32:14,500 --> 00:32:17,110
So this is the template
creator he's talking about.

491
00:32:17,120 --> 00:32:19,520
You've got up to 10,000
characters to work with.

492
00:32:20,040 --> 00:32:25,110
have like a an example note or an example
document maybe it's one of those reports

493
00:32:25,120 --> 00:32:29,770
you can I mean I can describe the template
in here like oh I want a template and I

494
00:32:29,780 --> 00:32:33,910
want it to look like this and then I can
sort of tell it sort of what I'm after but

495
00:32:33,920 --> 00:32:37,610
it's much easier most of the time to paste
in an example of a template that you

496
00:32:37,620 --> 00:32:42,110
already like and then you tell it to
process and it'll make a template for you

497
00:32:42,120 --> 00:32:47,690
that will output that shape the templates
themselves if I go in here let me find

498
00:32:48,820 --> 00:32:52,530
one the syntax looks kind of like this I
know it's a little intimidating to look at

499
00:32:52,540 --> 00:32:56,910
I promise you just tell it what you want
in plain English with as much context as

500
00:32:56,920 --> 00:33:00,210
possible you do not need to learn
how to be a computer programmer

501
00:33:01,380 --> 00:33:05,590
this you don't give me a new patient brief
introductory sentence and then if this is

502
00:33:05,600 --> 00:33:09,990
a follow-up visit don't give me that
section you know so I just tell it what I

503
00:33:10,000 --> 00:33:15,350
want and when I want it and I'm off
and running and so if I want to design a

504
00:33:15,360 --> 00:33:18,870
custom template and tweak it or maybe it
made one for me and i want to adjust it

505
00:33:18,880 --> 00:33:24,790
you do not have to be an ai engineer
to do this but the automated tool

506
00:33:24,800 --> 00:33:28,890
it'll get you there a lot of the time and
so if you need a quick template just paste

507
00:33:28,900 --> 00:33:34,170
in what you need here save it and you're
good to go excellent excellent love that

508
00:33:34,180 --> 00:33:38,870
okay i mean i know we could go into the
weeds here and we could absolutely spend

509
00:33:38,880 --> 00:33:43,690
hours right but oh i will i will nerd out
forever if you let me But like Aaron said,

510
00:33:43,760 --> 00:33:46,470
you know, give us an hour,
give us two hours, right?

511
00:33:46,640 --> 00:33:49,510
Let's get your work
the way you like your note.

512
00:33:49,540 --> 00:33:53,410
We create it once, you apply your style,
and it's going to appear how you like it

513
00:33:53,420 --> 00:33:55,550
every single time, which is great.

514
00:33:55,640 --> 00:33:59,990
So, you know, no reinventing
the wheel every time, which is great.

515
00:34:00,020 --> 00:34:05,350
So, okay, okay. I think time-wise, like I
said, Aaron could spend 10 days in this.

516
00:34:05,360 --> 00:34:10,350
Why don't I, just for my own sakes, try
sharing my screen out before you did that?

517
00:34:10,360 --> 00:34:12,710
I was just curious. Maybe it would work.

518
00:34:13,120 --> 00:34:15,650
No, grab it back. Let's see
if it cooperates with you.

519
00:34:15,660 --> 00:34:17,170
All right. Thank you.

520
00:34:20,800 --> 00:34:23,050
Okay. Let me just do this.

521
00:34:23,380 --> 00:34:25,550
Appreciate everyone bearing
with me for a second.

522
00:34:25,560 --> 00:34:26,760
Come on.

523
00:34:27,260 --> 00:34:28,650
I love you, technology.

524
00:34:28,660 --> 00:34:30,810
I love you, technology. And share.

525
00:34:34,580 --> 00:34:35,780
Anything?

526
00:34:37,300 --> 00:34:39,470
Hey, there it is. That's your CNX slide.

527
00:34:39,640 --> 00:34:42,350
Okay. Okay, bear with me, bear with me.

528
00:34:42,360 --> 00:34:44,830
All right, so Aaron touched on this.

529
00:34:44,940 --> 00:34:46,550
So CNX Clinical Node Exchange.

530
00:34:46,660 --> 00:34:49,090
So all powered by Dragon Copilot.

531
00:34:49,120 --> 00:34:54,710
But as you saw, this kind of extends the
AI documentation by directly integrating

532
00:34:54,720 --> 00:34:57,750
with the listed here supported EHR.

533
00:34:57,760 --> 00:35:02,010
So like you saw, patient appointments
are gonna automatically flow through CNX.

534
00:35:02,040 --> 00:35:05,950
It's gonna allow providers to launch
encounters with a single click, captures

535
00:35:05,960 --> 00:35:09,110
the conversation naturally,
just like you saw, right?

536
00:35:10,360 --> 00:35:13,550
point out that you know this doesn't
come standard with dragon right this is

537
00:35:13,560 --> 00:35:17,750
purchased alongside it so but as you saw
it you know when used in conjunction with

538
00:35:17,760 --> 00:35:21,710
Dragon Copilot you know you're really
talking about something next level but I

539
00:35:21,720 --> 00:35:25,650
also like I said you saw how easy it was
for Aaron to use his voice to transfer

540
00:35:25,660 --> 00:35:30,450
that not everyone lives inside the EHR you
know a lot of times you're working outside

541
00:35:30,460 --> 00:35:34,870
of that whether it's with email or other
platforms that your company uses you still

542
00:35:34,880 --> 00:35:39,290
have the ability to transfer all
the sections of that note very very easily

543
00:35:39,300 --> 00:35:40,500
with your

544
00:35:41,360 --> 00:35:45,610
So one thing I kind of make notes all over
the place here, I want to point out too,

545
00:35:45,640 --> 00:35:51,470
for anyone that is willing to make
the jump with us right now, we're offering

546
00:35:51,480 --> 00:35:56,150
to keep GMO for 90 days charge free.

547
00:35:56,320 --> 00:36:01,590
So while you get accustomed to the
transition of, you know, bringing on a new

548
00:36:01,600 --> 00:36:05,610
solution here, we'll keep
GMO for 90 days at no charge.

549
00:36:05,620 --> 00:36:09,120
I think that expires at the end
of the year, but it just helps, right?

550
00:36:10,360 --> 00:36:14,170
you're accustomed to if you ever need to
fall back to dmo for any reason while you

551
00:36:14,180 --> 00:36:19,970
get familiar with with dmo or with with
Dragon Copilot um you know the idea is

552
00:36:19,980 --> 00:36:25,110
that a lot of the things that you do with
Dragon Medical One you're supposed to be

553
00:36:25,120 --> 00:36:29,370
able to allow the ai to take over and that
comes with a little bit of work right a

554
00:36:29,380 --> 00:36:32,590
little bit of training a little bit just
trial and tribulation and just getting

555
00:36:32,600 --> 00:36:36,390
accustomed to it right so we just want
to make sure that you know if you're in a

556
00:36:36,400 --> 00:36:39,990
pinch and you know you're working through
something and you know you need more time

557
00:36:40,000 --> 00:36:45,610
on it that uh you can fall back on dmo so
nice little offer while we transition into

558
00:36:45,620 --> 00:36:50,250
microsoft's latest products so um also
point out that epic that's a new one that

559
00:36:50,260 --> 00:36:53,930
we added to this slide as well that uh
probably wouldn't have been on your slides

560
00:36:53,940 --> 00:36:58,350
heading up to you aaron but uh like i said
this is hopefully an ever-growing list but

561
00:36:58,360 --> 00:37:02,630
uh we've got some good players on there
but by no means do i want it to deter you

562
00:37:02,640 --> 00:37:07,270
from bringing on co-pilot in this AI
that comes with it because your EHR isn't

563
00:37:07,280 --> 00:37:09,370
listed. Let's be honest,
Aaron, what do you think?

564
00:37:09,380 --> 00:37:13,080
You've probably worked with a couple
hundred different EHRs at this point.

565
00:37:13,560 --> 00:37:14,760
Yeah, right?

566
00:37:15,660 --> 00:37:17,310
It's probably the right number.

567
00:37:17,620 --> 00:37:22,650
And, you know, on the subject of the ease
of data entry, Mark is correct.

568
00:37:22,780 --> 00:37:27,470
If you don't happen to see your EHR on
this list, don't sweat it because the

569
00:37:27,480 --> 00:37:31,810
voice commands to transfer the information
across, it only takes a matter of seconds

570
00:37:31,820 --> 00:37:36,430
click transfer HPI click transfer physical
exam click transfer assessment and plan

571
00:37:36,440 --> 00:37:42,290
and it'll rifle them across
for you easy as pie yep yep okay

572
00:37:42,300 --> 00:37:45,870
moment of truth I'm gonna try
to switch my slide here we go

573
00:37:45,880 --> 00:37:51,510
anything

574
00:37:51,520 --> 00:37:55,190
sadly not oh wait it did
it it did it you're good.

575
00:37:56,880 --> 00:38:01,830
All right. So a good technology company
knows how to kind of tease the future

576
00:38:01,840 --> 00:38:06,570
here. And what was the future is actually
it was just released a couple of weeks

577
00:38:06,580 --> 00:38:11,130
ago. But what you're seeing here, you
know, you heard me talk about that five

578
00:38:11,140 --> 00:38:13,570
billion invested in the next five years.

579
00:38:13,700 --> 00:38:16,000
This is kind of what
you're looking at, right?

580
00:38:16,040 --> 00:38:18,850
So this is this is staying power, right?

581
00:38:18,980 --> 00:38:22,570
So Dragon Copilot is designed
as an extensible platform.

582
00:38:22,640 --> 00:38:27,470
So what that means is it place and so
within this marketplace you're going to

583
00:38:27,480 --> 00:38:31,890
find additional ai use cases that will
integrate directly with your clinical

584
00:38:31,900 --> 00:38:37,510
workflow um you know you meant you heard
me mention driven by physician feedback

585
00:38:37,520 --> 00:38:43,370
so nobody and i i i see the market
i see the competition and nobody's

586
00:38:43,380 --> 00:38:48,110
making meaningful changes and additions
faster to their platform than we can right

587
00:38:48,120 --> 00:38:53,350
so whether it's healthcare organizations
or third-party approved microsoft partners

588
00:38:53,360 --> 00:38:58,010
they're all going to be able to contribute
ai capabilities they're going to integrate

589
00:38:58,020 --> 00:39:03,070
kind of seamlessly into Dragon Copilot so
look at this kind of like an ever-growing

590
00:39:03,080 --> 00:39:08,650
ecosystem right clinicians you'll be able
to plug in organizational resources such

591
00:39:08,660 --> 00:39:13,590
as key ehr data directly into the workflow
but there's no switching screens or

592
00:39:13,600 --> 00:39:17,910
opening separate applications it's just
kind of instant access to the information

593
00:39:17,920 --> 00:39:19,120
that you require

594
00:39:20,080 --> 00:39:24,630
One example there is that
voice biomarker analysis.

595
00:39:24,800 --> 00:39:30,130
I know that we are really, really close
to working with the one company there.

596
00:39:30,180 --> 00:39:35,090
But, you know, this kind of runs in the
background and, you know, it screens for

597
00:39:35,100 --> 00:39:39,930
things such as anxiety, depression,
even goes beyond mood disorders.

598
00:39:40,000 --> 00:39:44,470
It can start screening for things like
cognitive and neurological conditions,

599
00:39:44,540 --> 00:39:47,240
your Alzheimer's, your
Parkinson's, your Huntington's.

600
00:39:48,360 --> 00:39:51,830
It's scary good is what it is, you know,
starting to see some of the things that

601
00:39:51,840 --> 00:39:53,550
this AI is able to do.

602
00:39:53,580 --> 00:39:58,510
But it's like Aaron said, though, you
know, you really can build the AI to your

603
00:39:58,520 --> 00:40:01,270
liking. Right. So that's
what you see here.

604
00:40:01,320 --> 00:40:05,490
But definitely, you know, once you take
that step, you kind of get into this

605
00:40:05,500 --> 00:40:10,050
marketplace and start picking and choosing
these different AI applications that you

606
00:40:10,060 --> 00:40:12,810
want to enhance your Dragon
Wish, which is really cool.

607
00:40:13,140 --> 00:40:14,940
OK, we're going to do another slide.

608
00:40:19,200 --> 00:40:20,400
Aaron?

609
00:40:21,120 --> 00:40:22,930
I think it's coming through.

610
00:40:23,000 --> 00:40:24,490
It's trying to fade into view.

611
00:40:24,500 --> 00:40:26,270
Yep, there it is. All right.

612
00:40:26,280 --> 00:40:28,570
This is the slide I kind
of added without Aaron.

613
00:40:28,580 --> 00:40:33,570
So I literally added this slide last
minute because honestly, it was updated on

614
00:40:33,580 --> 00:40:36,570
the Microsoft Dragon
Copilot just a few days ago.

615
00:40:36,620 --> 00:40:41,870
But again, this is reaffirming what I keep
saying about the developers at Microsoft

616
00:40:41,880 --> 00:40:44,570
responding to physician feedback.

617
00:40:44,580 --> 00:40:49,350
But, you know, what you're seeing
here is updates and changes.

618
00:40:49,900 --> 00:40:53,050
You know, obviously, I don't have
time to run through all of them.

619
00:40:53,060 --> 00:40:56,250
But, you know, this is what's
coming out with version six.

620
00:40:56,340 --> 00:41:00,210
Aaron, how long ago was
version five and 5.1 and 5.2?

621
00:41:00,220 --> 00:41:01,420
Like a month ago?

622
00:41:01,920 --> 00:41:04,790
5.2, let me see, was August.

623
00:41:05,000 --> 00:41:10,350
August? Okay. So, you know, so from five
to six within a matter of a couple months

624
00:41:10,360 --> 00:41:12,990
with a lot of point releases
in there too, right?

625
00:41:14,580 --> 00:41:20,010
cool things here though, the internal
sources and the 365 knowledge with DCP via

626
00:41:20,020 --> 00:41:24,790
WorkIQ, that is really what that's going
to allow is customers to really securely

627
00:41:24,800 --> 00:41:30,430
access institutional knowledge. So these
are kind of in-house policies, procedures,

628
00:41:30,560 --> 00:41:34,750
operational guidance that
Dragon can actually pull from.

629
00:41:34,940 --> 00:41:40,530
You know, the Microsoft 365 part
there, that's going to enable

630
00:41:40,540 --> 00:41:45,930
physicians to kind of search and summarize
and reference trusted content so it'll be

631
00:41:45,940 --> 00:41:51,210
able to pull information from you know
documents and emails and and team messages

632
00:41:51,220 --> 00:41:56,850
and it's going to respond with grounded
like with source citations as well so um

633
00:41:56,860 --> 00:42:01,850
you know sometimes when we get these these
releases you know it it's back end things

634
00:42:01,860 --> 00:42:07,110
you know for security and then other times
if we feel like a kid on christmas morning

635
00:42:07,120 --> 00:42:11,610
and we always get the the question you
know do you have to pay more when new

636
00:42:11,620 --> 00:42:16,330
features and enhancements and updates
and absolutely not you know once you're

637
00:42:16,340 --> 00:42:20,930
subscribed you know unlike the marketplace
or the connectors the things that they do

638
00:42:20,940 --> 00:42:26,890
to drag and you know the base is is
is amazing right so um and that's

639
00:42:26,900 --> 00:42:31,870
why you know we get this a lot too making
sure that you work closely with your

640
00:42:31,880 --> 00:42:36,990
dragon solutions partner because there's
always always something more to learn and

641
00:42:37,000 --> 00:42:41,310
and be trained on and to grow with right
which is great i always say those that get

642
00:42:41,320 --> 00:42:45,770
in there with the solutions early and grow
along with it are the ones that absolutely

643
00:42:45,780 --> 00:42:50,830
get the most benefit from the products so
um know that but a lot of great stuff here

644
00:42:50,840 --> 00:42:56,330
um because i think this is scheduled to be
released mid-november aaron i think you

645
00:42:56,340 --> 00:43:00,990
know better than i do mid november is
correct so i always keep my eye on the

646
00:43:01,000 --> 00:43:06,550
road map here it's really cool to see what
they got coming down the pipeline so okay

647
00:43:06,560 --> 00:43:11,830
another really slide hate that I have
to keep asking if it's working but

648
00:43:11,840 --> 00:43:17,430
let's give it a moment it hasn't come
through yet but I think it's just

649
00:43:17,440 --> 00:43:23,370
transitioning slowly well I

650
00:43:23,380 --> 00:43:27,270
think I might have to take it back on
this one all right bring me to my Phillips

651
00:43:27,280 --> 00:43:30,950
slide it was fun while it lasted though
this is what happened to me on a boatload

652
00:43:30,960 --> 00:43:32,160
of technology

653
00:43:34,060 --> 00:43:39,590
sharing platform but okay I see it there
so we get this question a lot after the

654
00:43:39,600 --> 00:43:44,930
webinar so figured we'd get a quick slide
about it and might alleviate that but what

655
00:43:44,940 --> 00:43:48,950
you're seeing in front of you now
this is the exact mic that Dr.

656
00:43:49,180 --> 00:43:54,170
Aaron was using for the encounter I want
everyone to know absolutely you can use

657
00:43:54,180 --> 00:43:59,470
your phone lots of various devices out
there that will kind of do this similar

658
00:43:59,480 --> 00:44:03,670
thing, but this is kind of next
generation wearable technology.

659
00:44:03,760 --> 00:44:09,250
So this has the ability to seamlessly
switch between ambient and focus dictation

660
00:44:09,260 --> 00:44:15,030
modes. So, you know, DMO or, you
know, the front end dictation with DCP

661
00:44:15,040 --> 00:44:18,250
there, that's where, you know, you're
speaking and the words appear in front of

662
00:44:18,260 --> 00:44:22,790
you. That's got that top facing microphone
that's only going to capture your voice,

663
00:44:22,800 --> 00:44:26,730
right? Well, it also has the ability
to switch into that ambient mode.

664
00:44:26,740 --> 00:44:27,940
So it's that

665
00:44:29,000 --> 00:44:33,530
that whole room right so but the big idea
here is that you kind of don't even know

666
00:44:33,540 --> 00:44:38,170
you're wearing it right hands-free secure
lightweight it's even gonna allow you to

667
00:44:38,180 --> 00:44:42,130
be fully engaged with your patient even
more right so the technology kind of

668
00:44:42,140 --> 00:44:48,070
handles the documentation but know this
and this is important you know AI at

669
00:44:48,080 --> 00:44:52,730
the end of the day it's only as good as
the audio it receives right so what this

670
00:44:52,740 --> 00:44:56,830
device is going to do is deliver that
clean audio that dragon likes to perform

671
00:44:56,840 --> 00:45:01,190
at its best. So just, you know, make sure
that you got a device that really to pace

672
00:45:01,200 --> 00:45:04,130
with the various workflows
that Dragon is capable of.

673
00:45:04,180 --> 00:45:07,630
So it's just going to make the solution
that much more efficient when it's paired

674
00:45:07,640 --> 00:45:10,890
together. So excellent. Next slide.

675
00:45:12,840 --> 00:45:16,610
Oh, I actually just wanted to give one
last quick point of order on the subject

676
00:45:16,620 --> 00:45:18,810
of the speech mic ambient,
if you don't mind.

677
00:45:18,820 --> 00:45:20,020
I insist.

678
00:45:21,080 --> 00:45:25,230
So I just really, I wanted to highlight
the physical dimensions of the device

679
00:45:26,520 --> 00:45:30,790
wearable tech these days and you can never
be 100% sure what they really mean by that

680
00:45:30,800 --> 00:45:34,050
because everybody wants to have wearable
tech and then they make it and it's too

681
00:45:34,060 --> 00:45:39,370
big or it's too heavy. So just to give you
all a sort of an idea of scale here, it's

682
00:45:39,380 --> 00:45:43,830
about four inches long, maybe a quarter
of an inch thick and about an inch wide.

683
00:45:43,840 --> 00:45:48,970
So maybe about the size of your average
Twix, perhaps a couple of segments of a

684
00:45:48,980 --> 00:45:51,090
mounds bar, but it's very tiny.

685
00:45:51,200 --> 00:45:54,010
You can hold it in your hand,
but it's a nice comfortable size.

686
00:45:54,020 --> 00:45:58,410
It fits on a lanyard. It fits in your
breast It's got a little clip that you can

687
00:45:58,420 --> 00:46:03,410
hang it or you can clip it to like, well,
like I say, to your breast pocket or to

688
00:46:03,420 --> 00:46:06,070
your collar. It's very,
very easy to carry around.

689
00:46:07,180 --> 00:46:08,380
Beautiful.

690
00:46:08,480 --> 00:46:09,680
All right.

691
00:46:10,200 --> 00:46:12,090
And there we go. Okay.

692
00:46:12,100 --> 00:46:16,750
A couple wrap up slides. You know, it's
kind of a Google review slide, but I kind

693
00:46:16,760 --> 00:46:18,710
of want to, you know,
point a few things out.

694
00:46:18,720 --> 00:46:21,990
You know, it's funny. I don't think my
wife's ever made a purchase or booked a

695
00:46:22,000 --> 00:46:25,450
vacation without going down the Google
review rabbit hole these days.

696
00:46:26,680 --> 00:46:31,350
we get these daily Aaron and I, you know,
we're not, not saving lives like you, but

697
00:46:31,360 --> 00:46:34,010
I really feel like, like
we're changing lives.

698
00:46:34,120 --> 00:46:37,170
You know, Aaron, I think you
got the same one as me recently.

699
00:46:37,300 --> 00:46:41,270
We literally had a doctor that didn't want
his children to follow in his footsteps

700
00:46:41,280 --> 00:46:43,690
because of the burden
of all the documentation.

701
00:46:43,900 --> 00:46:49,350
You know, he missed out on a lot of
childhood things that normally you'd get

702
00:46:49,360 --> 00:46:53,230
to experience with his kids. And after
Aaron worked with them for, you know, a

703
00:46:53,240 --> 00:46:54,770
couple hours, he was like,

704
00:46:56,520 --> 00:47:01,130
footsteps now he's like you basically have
put the passion back in the profession for

705
00:47:01,140 --> 00:47:04,810
me and you know those are the changes that
we're seeing those are the things that

706
00:47:04,820 --> 00:47:09,390
resonate with Aaron and I you know do
every day so you know if we can make a

707
00:47:09,400 --> 00:47:14,330
fraction of that impact on your day today
I feel like we're we're making a change

708
00:47:14,340 --> 00:47:18,250
for the better in the world and I know you
get hundreds of these as well Aaron after

709
00:47:18,260 --> 00:47:21,950
you work with the doctors so you know
we appreciate these we really really

710
00:47:21,960 --> 00:47:26,150
appreciate the feedback from everyone
and they don't go unread or unnoticed.

711
00:47:26,460 --> 00:47:31,950
And like I said, any feedback, Aaron has
a direct line of communication to the

712
00:47:31,960 --> 00:47:35,890
developers at Microsoft and he submits
those, what is it, monthly that you

713
00:47:35,900 --> 00:47:38,430
provide the feedback
to the coders and developers?

714
00:47:38,700 --> 00:47:43,390
Well, the developers are in the super
secret Microsoft bunker and they only let

715
00:47:43,400 --> 00:47:44,970
me in there every once in a while.

716
00:47:44,980 --> 00:47:49,670
So really, every couple of months we send
them the accumulated feedback, but they

717
00:47:49,680 --> 00:47:51,350
love it every time.
They're very appreciative.

718
00:47:51,360 --> 00:47:55,790
And some of the features you've seen here
today came directly from them receiving

719
00:47:55,800 --> 00:47:57,670
that feedback and acting on it.

720
00:47:58,080 --> 00:47:59,280
Excellent.

721
00:47:59,320 --> 00:48:04,530
Okay. I think just to wrap up slide
here, but just to put a pretty bow on

722
00:48:04,540 --> 00:48:09,390
everything, like I said, these solutions
always have been and always will be

723
00:48:09,400 --> 00:48:12,190
designed to give clinicians time back.

724
00:48:12,260 --> 00:48:14,770
What you do with that time is up to you.

725
00:48:15,660 --> 00:48:21,190
We've had clinics who changed their
30 minute appointments to 15 minutes

726
00:48:21,200 --> 00:48:25,330
appointments we've had you know grandmas
that go hang out with their grandkids with

727
00:48:25,340 --> 00:48:30,130
that extra time but uh you know the roi
and our solutions like i said you know for

728
00:48:30,140 --> 00:48:34,950
some people it's a matter of patience now
that they're getting that roi right but um

729
00:48:34,960 --> 00:48:40,710
you trusted us with dmo um you know i i
i just you know this is taking the next

730
00:48:40,720 --> 00:48:45,670
leap right i i you know the investment's
minimal results are game-changing heck

731
00:48:45,680 --> 00:48:49,590
they're life-changing right so So
I appreciate everyone's time today.

732
00:48:49,780 --> 00:48:53,490
Like I said, we'll follow up with each
and every one of you personally.

733
00:48:53,500 --> 00:48:56,850
I'll reach out to your Dragon
Solutions partners as well.

734
00:48:56,860 --> 00:49:01,030
You'll see something come in an email
that will help you with next steps.

735
00:49:01,600 --> 00:49:04,410
If you can stick around for the
question and answer, absolutely.

736
00:49:04,420 --> 00:49:07,730
You want to book some one-on-one
time, we're here for you.

737
00:49:07,740 --> 00:49:09,110
So thank you once again.

738
00:49:10,480 --> 00:49:12,930
All right. Ready for some tough questions?

739
00:49:12,940 --> 00:49:16,030
We always get good questions. This
is absolutely my favorite part.

740
00:49:16,040 --> 00:49:20,050
Me too. questions. Okay, I
might start on the top here.

741
00:49:20,160 --> 00:49:25,530
Okay. When you say keep my DMO, I
thought DMO was included with Dragon

742
00:49:25,540 --> 00:49:29,690
Copilot. Are you referring to my
DMO app that I'm currently using?

743
00:49:29,700 --> 00:49:32,410
Can you just clarify? That's
actually a great question.

744
00:49:32,420 --> 00:49:34,110
So I kind of slid that in there.

745
00:49:34,140 --> 00:49:39,950
But so absolutely, you know, Dragon
Copilot comes standard with its

746
00:49:39,960 --> 00:49:45,050
own front end location, you saw Aaron
click on the microphone there to transfer

747
00:49:45,060 --> 00:49:46,810
over the text, right?

748
00:49:46,820 --> 00:49:52,750
When he said transfer HPI, transfer
assessment plan, that is Dragon Copilot's

749
00:49:52,760 --> 00:49:56,270
front-end dictation. And Aaron,
I know you articulate very well.

750
00:49:56,280 --> 00:50:01,690
I mean, pretty much all the brains and
guts of DMO have been transferred over to

751
00:50:01,700 --> 00:50:07,690
Co-Pilot. Yeah. One of the advantages
of the monolithic size of Microsoft is

752
00:50:07,700 --> 00:50:12,230
that they were able to forklift up
essentially the entire Dragon Medical One

753
00:50:12,240 --> 00:50:17,690
voice engine and bring it in to Dragon
Copilot so the question is very very apt

754
00:50:17,700 --> 00:50:23,070
it does come with it it's built in but the
idea behind retaining your dragon medical

755
00:50:23,080 --> 00:50:28,450
one standalone app that you're currently
using is for that bridge interval time

756
00:50:28,460 --> 00:50:31,890
when you're kind of getting used to the
new solution you don't have to leave the

757
00:50:31,900 --> 00:50:36,150
old workflow behind completely you can
still have that with you you know while

758
00:50:36,160 --> 00:50:39,710
you're getting the new solution
onboarded and getting used to using it.

759
00:50:39,980 --> 00:50:41,830
Excellent. Excellent. Okay.

760
00:50:42,940 --> 00:50:44,210
Let me go back.

761
00:50:45,800 --> 00:50:48,730
Is it compatible with practice fusion EMR?

762
00:50:49,300 --> 00:50:51,990
So, I mean, Aaron, I can
let you, like, compatible.

763
00:50:52,140 --> 00:50:53,910
I mean, how do you say agnostic, right?

764
00:50:53,920 --> 00:50:56,570
Is that your keyword that
you like to use, I believe?

765
00:50:56,580 --> 00:51:02,290
Right. Yeah. So Dragon Copilot is EHR
agnostic in that for the freestanding

766
00:51:02,300 --> 00:51:06,410
product, you can transfer the information
that it generates anywhere you like.

767
00:51:06,420 --> 00:51:08,670
It could be a Word
document, Practice Fusion,

768
00:51:09,260 --> 00:51:15,170
NextGen EHR, whatever is the system
that you're needing it to use, you can

769
00:51:15,180 --> 00:51:16,970
place that information in that spot.

770
00:51:16,980 --> 00:51:21,290
If the question is pertaining to the
clinical note exchange connector, Practice

771
00:51:21,300 --> 00:51:22,990
Fusion is sadly not on the list.

772
00:51:23,080 --> 00:51:28,210
But again, I don't want that to make you
worried because using the voice commands

773
00:51:28,220 --> 00:51:34,110
to transfer the information across, it
makes the note and fully templates it so

774
00:51:34,120 --> 00:51:39,350
fast that the step of going transfer
transfer transfer becomes almost

775
00:51:39,360 --> 00:51:44,090
immaterial in the workflow so if you don't
see your EHR in the list for the clinical

776
00:51:44,100 --> 00:51:48,570
note exchange kind of integrated connector
don't worry about it too much because it's

777
00:51:48,580 --> 00:51:54,410
very quick um adrian i see yours here uh

778
00:51:54,420 --> 00:51:57,670
i will reach out to you and your
dragon partner personally.

779
00:51:57,680 --> 00:52:00,930
Sounds like we just need to get
some customization set up there.

780
00:52:01,500 --> 00:52:05,570
You just want to be able to copy
and paste over into our office note.

781
00:52:05,580 --> 00:52:09,990
Very easy. Just as the steps that Aaron
outlined there, we'll be able to get you

782
00:52:10,000 --> 00:52:11,200
set up.

783
00:52:14,680 --> 00:52:18,990
Where did your exam come from since
this was not a face-to-face appointment?

784
00:52:19,180 --> 00:52:20,380
Template?

785
00:52:20,480 --> 00:52:24,950
Aha. That is where the conditional logic
that I was harping on earlier comes in.

786
00:52:24,960 --> 00:52:30,690
So there's a couple of different ways that
you can essentially configure Dragon to

787
00:52:30,700 --> 00:52:32,650
behave when it comes to its templating.

788
00:52:32,760 --> 00:52:37,370
And without going too far down the rabbit
hole, essentially, because I can apply

789
00:52:37,380 --> 00:52:43,350
conditional logic to the template, I can,
for example, have a physical exam where

790
00:52:43,360 --> 00:52:48,310
if I don't bring up a particular topic, I
can tell it, hey, if I don't mention this

791
00:52:48,320 --> 00:52:50,210
topic, put in this normal.

792
00:52:50,520 --> 00:52:53,230
So that even though Mark
and I didn't talk about

793
00:52:54,300 --> 00:52:57,290
rate, it put in, oh, there's
a regular rate and rhythm, et cetera.

794
00:52:57,300 --> 00:53:01,090
Like it puts it in there for me so that I
don't have to remember to say it out loud

795
00:53:01,100 --> 00:53:03,430
every time. But this is optional.

796
00:53:03,440 --> 00:53:06,450
It doesn't do it by default. You can, you
know, because you might not want it to do

797
00:53:06,460 --> 00:53:09,950
that. If you prefer to only have it
document exactly what you said and nothing

798
00:53:09,960 --> 00:53:11,490
else, you can do that.

799
00:53:11,680 --> 00:53:17,470
Or if there are subsections of an exam
that you don't want it to have them in the

800
00:53:17,480 --> 00:53:20,910
template at all, if you don't talk about
that topic, so it doesn't show up as like

801
00:53:20,920 --> 00:53:23,090
a blank space, you can do that too.

802
00:53:24,140 --> 00:53:29,870
to incorporate normals, normals that are
dependent upon the presence of something

803
00:53:29,880 --> 00:53:33,570
in the transcript or not. You know, if
this was not a mental health visit, don't

804
00:53:33,580 --> 00:53:38,190
include this subsection. You
know, the world's your oyster.

805
00:53:42,060 --> 00:53:43,570
So you kind of had an add-on.

806
00:53:43,580 --> 00:53:47,670
So during the appointment, what if the
patient says, I saw my cardiologist last

807
00:53:47,680 --> 00:53:49,170
week. Did you get a note?

808
00:53:51,980 --> 00:53:57,950
so if the patient oh i see what
you mean so yeah it's a it's

809
00:53:57,960 --> 00:54:02,470
a question about um how um how much
finesse does that conditional logic have

810
00:54:02,480 --> 00:54:07,850
um so with regard to your specific
example it's got that base covered because

811
00:54:07,860 --> 00:54:12,150
again without getting too deep into the
technical weeds dragon isn't treating all

812
00:54:12,160 --> 00:54:16,590
the voices that it's hearing as the same
it can understand from the context of the

813
00:54:16,600 --> 00:54:20,410
conversation who's the provider who's the
patient who's the patient's guardian who's

814
00:54:20,420 --> 00:54:23,910
helping them answer questions who are the
two kids in the corner talking about video

815
00:54:23,920 --> 00:54:29,590
games and so as long as nobody's trying
to like intentionally deceive it it's not

816
00:54:29,600 --> 00:54:32,970
going to become confused it'll go all
the way up to ten people as part of the

817
00:54:32,980 --> 00:54:38,590
conversation before it starts to lose
track of who's who so if the patient were

818
00:54:38,600 --> 00:54:43,170
to say I saw my cardiologist last week
it's not going to accidentally interpret

819
00:54:43,180 --> 00:54:45,090
that as being oh now this is a

820
00:54:45,960 --> 00:54:48,360
So I want to put in all
the cardiology sections.

821
00:54:49,040 --> 00:54:52,570
It's going to be able to determine
that from the full context.

822
00:54:52,580 --> 00:54:55,170
It won't get tripped up
by a stray statement.

823
00:54:56,340 --> 00:55:01,810
Beautiful. Beautiful. And like
I said, we'll make sure that

824
00:55:01,820 --> 00:55:04,190
we'll reach out one-on-one.

825
00:55:04,200 --> 00:55:06,110
There's a little more to that. Okay.

826
00:55:06,640 --> 00:55:12,550
There is integrated dragging with iPads on
ModMed and spending separately on DMO for

827
00:55:12,560 --> 00:55:14,270
the computers in the exam rooms.

828
00:55:15,960 --> 00:55:21,630
that as a separate cost or would it be
offset the other cost that makes sense to

829
00:55:21,640 --> 00:55:27,370
you there's i think so so um there is a

830
00:55:27,380 --> 00:55:32,950
version of Dragon Medical One
so dmo has um sort of partnered

831
00:55:32,960 --> 00:55:36,830
versions of itself that are paired
with all sorts of different medical record

832
00:55:36,840 --> 00:55:42,710
systems where you know that medical record
worked with um nuance you know uh to make

833
00:55:42,720 --> 00:55:44,350
an integrated version so like

834
00:55:45,960 --> 00:55:49,810
Athena has a built-in one, and then Epic
has a built-in one as well where there's a

835
00:55:49,820 --> 00:55:51,020
Dragon button.

836
00:55:51,820 --> 00:55:54,170
Those are separate products.

837
00:55:55,080 --> 00:55:58,670
For something like this, if you're
getting set up with Dragon Copilot,

838
00:55:59,420 --> 00:56:03,470
that is something that
is separate from that.

839
00:56:03,580 --> 00:56:09,170
If the question is related to the keeping
the DMO for the 90 days thing, that

840
00:56:09,180 --> 00:56:12,310
applies to the freestanding
DMO standalone product.

841
00:56:12,320 --> 00:56:16,830
I wouldn't be able to guarantee that it
would be true for an embedded solution

842
00:56:16,840 --> 00:56:22,470
because those are often, you know, they
carry different contracting and so on.

843
00:56:22,480 --> 00:56:24,830
So I wouldn't want
to assume that in that case.

844
00:56:25,800 --> 00:56:28,330
Okay. We'll be a long one here.

845
00:56:28,440 --> 00:56:33,630
Can you dictate into your note a bunch
of info prior to entering the room?

846
00:56:33,840 --> 00:56:38,910
Example, summarize a recent hospital stay
and then have it carry on from there once

847
00:56:38,920 --> 00:56:43,910
you enter the room. I'm currently using
freed AI and it does not allow this.

848
00:56:43,940 --> 00:56:48,010
It seems like this is where the marriage
of Dragon and AI would be great.

849
00:56:48,240 --> 00:56:50,890
That is a brilliant question.

850
00:56:51,180 --> 00:56:54,450
So this is a very important point.

851
00:56:54,520 --> 00:56:57,910
A lot of the competing AI products
out there are a one and done, right?

852
00:56:57,920 --> 00:57:00,830
You do one recording. It'll
make one note for you.

853
00:57:00,860 --> 00:57:03,310
And then after that, all
the edits are manual, right?

854
00:57:03,320 --> 00:57:08,130
You can't do anything else. Dragon Copilot
does not suffer from this limitation.

855
00:57:09,720 --> 00:57:13,870
as you like all the way up to that two
hour recording limit of total recorded

856
00:57:13,880 --> 00:57:18,610
time. And so if I have a patient who's
coming up and they have a long and

857
00:57:18,620 --> 00:57:22,890
elaborate medical history, I can start
an ambient recording, tell them everything

858
00:57:22,900 --> 00:57:26,490
that, you know, tell the AI everything
that the patient has been through so far.

859
00:57:26,500 --> 00:57:28,390
And then I go into
the room with the patient.

860
00:57:28,400 --> 00:57:32,170
I do another recording with them
there and we go back and forth.

861
00:57:32,340 --> 00:57:35,590
But maybe there's some sensitive
commentary that I don't want to say right

862
00:57:35,600 --> 00:57:38,050
in front of them. Or maybe
there's some technical

863
00:57:39,720 --> 00:57:43,830
and awkward to fit into the conversation,
I can do a third recording after the fact

864
00:57:43,840 --> 00:57:47,070
if I want to, to add in
all that additional detail.

865
00:57:47,200 --> 00:57:51,910
Each time I add a new recording, Dragon is
gonna update the note with everything new

866
00:57:51,920 --> 00:57:56,290
that I've told it. So it kind
of redraws the painting each time.

867
00:57:56,780 --> 00:57:58,230
I have that flexibility.

868
00:58:00,660 --> 00:58:03,750
All right, that looks
to be about it for now.

869
00:58:03,800 --> 00:58:08,170
And you'd think that we timed this
perfectly for one hour because it worked

870
00:58:08,180 --> 00:58:09,380
out well.

871
00:58:09,720 --> 00:58:11,390
Thank you, Aaron, very much.

872
00:58:11,400 --> 00:58:13,500
Thank you to everyone with your questions.

873
00:58:13,680 --> 00:58:14,880
Like I said,

874
00:58:15,360 --> 00:58:17,350
everything to gain, nothing to lose here.

875
00:58:17,360 --> 00:58:20,330
Lots of different ways
to get this in your hands.

876
00:58:20,360 --> 00:58:24,790
And like I said, if you want more of a
one-on-one demo, you want to see how it

877
00:58:24,800 --> 00:58:28,850
behaves in your environment, we
can figure all that out for you.

878
00:58:28,900 --> 00:58:32,090
So appreciate everyone.
Enjoy the upcoming weekend.

879
00:58:32,180 --> 00:58:37,230
Happy Halloween. And I will promise I
should be able to get this done tomorrow.

880
00:58:37,400 --> 00:58:41,830
Reach out to everyone, your resellers,
follow-up sent out to you so you can have

881
00:58:41,840 --> 00:58:45,650
some time to look over things on the
weekend but i wouldn't that's we're trying

882
00:58:45,660 --> 00:58:49,970
to keep you away from doing but uh like i
said feel free to reach out one-on-one so

883
00:58:49,980 --> 00:58:54,590
aaron any parting words for the folks nope
looking forward to working with everybody

884
00:58:54,600 --> 00:58:58,450
excellent all right thank you
everyone and uh we'll talk soon cheers