WEBVTT NOTE Automatic draft transcribed locally from the edited recording. No supplied transcript comparison yet. Human accuracy review remains required. 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