The latest member of the Dragon Medical family, it’s designed and priced especially for smaller practices to help clinicians accelerate adoption of their chosen EHR. Using Dragon Medical Practice Edition 4 ensures clinicians document care more completely and ‘in their own words’. Clinicians using Dragon Medical solutions have experienced substantially greater satisfaction than clinicians who use the EHR without Dragon Medical.
Available only for practices of 24 physicians or less, Dragon Medical Practice Edition 4 is 99% accurate ‘out of the box’ and includes medical vocabularies covering more than 90 medical specialty and subspecialty vocabularies. It allows clinicians to dictate in their own words, generating ‘once and done’ documentation, which they can then review.
Dragon Medical Practice Edition 4 lets clinicians use a narrative format to dictate the elements of a patient encounter where clinicians need to document care in their own words, including the History of Present Illness, Review of Systems, Physical Examination, and Assessment and Plan. Dragon Medical Practice Edition 4 supports HIPAA patient confidentiality guidelines, a critical requirement for any practice concerned with patient confidentiality.
Clinicians also save additional time by using customized macros to enter frequently-dictated text with a single voice command. Additionally, the Dragon Medical Template Library—a library of more than two dozen macros for standard notes and an extensive list of ‘medical normals’ by body system—facilitates rapid note creation. Overall, Dragon Medical solutions dramatically reduce the time clinicians spend documenting care—saving 30 minutes or more a day, according to a number of studies.
Turns your voice into text with up to 99% accuracy. Dragon Medical Practice Edition 4 is over 20% more accurate ‘out of the box’ than the previous version.
Dragon Medical Practice Edition 4 runs on a variety of hardware, from small netbooks to high-powered servers. The software automatically detects hardware resources and sets up the recommended configuration. Its state-of-the-art technology takes advantage of advances in hardware and runs in multiple threads automatically when multi-core hardware is detected, to achieve better recognition performance.
A percentage of misrecognitions can be caused by simple audio quality issues, such as incorrect microphone connection or placement, background noise, and microphone out of range or low on battery. Dragon Medical Practice Edition 4 automatically detects poor audio input; it then alerts the user (in various ways depending on the issue), offering advice to remedy the situation. This lets Dragon Medical Practice Edition 4 use the best audio possible—an important factor for accuracy.
Dragon Medical Practice Edition 4 significantly improves recognition response time. The software is also faster than previous editions when selecting application menu items by voice, or executing voice commands that perform actions within applications (e.g., “insert page break”, “make that red”, etc.).
In the past, corrections entered using the keyboard were not incorporated into the user profile. Now, when a user dictates something and retypes it to correct a misrecognition, Dragon Medical Practice Edition 4 identifies this as a correction and uses it to adapt the user’s profile, improving the software’s accuracy over time.
Help system and tutorials
The Help system incorporates new tips and illustrations, a redesigned Tutorial, short videos, and easy access to related details such as a glossary of key terms.
Use your iPhone and Android devices for speech recognition input.
Navigating the computer desktop
Dragon Medical Practice Edition 4 now supports more voice commands to show common Windows® elements, including the desktop and Control Panel, or folders such as My Documents and My Pictures. New commands enable users to effortlessly switch to a specific window (Dragon Medical displays a numbered list so the user can just say the number of the desired window). In addition, Dragon Medical Practice Edition 4 allows shorter names for starting popular applications (e.g., “start Microsoft Word” instead of “start Microsoft Office Word 2007”).
Smoother fast-forward and rewind behaviors are now available and users now have options to control speed and volume.
Initial training time reduced for digital recording devices
Creating a new user profile for a digital recorder, or adding a digital recorder as a new audio source for an existing user profile, is now much faster: the minimum reading time required to train Dragon Medical Practice Edition 4 with a recorder has been reduced from 15 to 4 minutes. That means clinicians can spend more time providing patient care.
Supports HIPAA guidelines
Dragon Medical Practice Edition 4 protects sensitive and confidential patient information by supporting encrypted network file storage of speech files, helping your organization satisfy HIPAA privacy and confidentiality guidelines. Dragon Medical Practice Edition 4 features secure encryption methods, which provide even greater levels of information security.
Medical professionals can navigate and dictate inside EHR application software. Nuance Healthcare’s Dragon Medical Certification Program, ensures compatibility with most EHR vendors’ latest releases.
Improved Hidden mode
Users can dictate while reviewing lab or radiology test results and save when finished anywhere in the EHR.
Dragon Medical Practice Edition 4 contains vocabularies covering more than 90 medical specialty and subspecialty vocabularies, which ensures high dictation accuracy.
Program your PowerMic II buttons to run a Dragon Medical Practice Edition 4 function or user voice command.
Medical formatting rules
Smart software expands medical abbreviations and follows capitalization rules of medical terms.
Show user commands only in Command browser.
Text and graphics commands with voice fields. Quickly automate form-filling applications. Users can now create text and graphics commands in the MyCommands Editor, which contains fields with a list of values that can be specified at the time of dictation.
Dragon Medical Practice Edition 4 includes dozens of additional features and enhancements, which are categorized below for ease of review.
Regional accent support
Dragon Medical Practice Edition 4 supports many regional accents of non-native speakers (Asian-Pacific, Asian-Indian, Australian, British, Hispanic, Pakistani), and U.S. accents (Deep South, Northern Inland).
Medical Bluetooth® acoustic model support
Special new acoustic software makes recognition with your Bluetooth headset higher than ever.
NAVIGATION AND CONTROL FEATURES
Medical search commands
Dragon Medical Practice Edition 4 offers multiple voice shortcuts for searching medical information on the Web. Physicians can now search medical data via a single command on WebMD®, UpToDate®, PubMed™, and ICD-9 at any time, without even having an Internet browser open. These commands combine multiple clicks into one fast command for the busy physician. Simply say, “Search UpToDate for Wellbutrin contraindications”, and Dragon Medical and UpToDate take you there.
Voice shortcuts to search the web
Dragon Voice Shortcuts collapse common tasks into simple voice commands. Now you can search the Web faster than ever before.
Quick voice formatting (delete and format commands)
In addition to the many existing editing commands such as “Delete line”, Dragon Medical Practice Edition 4 introduces direct commands for formatting, deleting, and copying named words and passages. Rather than selecting the relevant word(s) or passage and commanding what to do with that text (e.g., “Select very, [pause] Bold that”), you can now directly name the desired text with the desired action in a single voice command, such as “Bold very”.
More powerful capitalization rules
Users can instantly set capitalization rules for words as they are added for the following word categories: Person, Department, and Drugs. Clinicians can have capitalization set to initialcaps, all-caps, or no-caps for the categories.
Disable web commands
Disable HTML commands separately from dictation support, so Dragon Medical Practice Edition 4 won’t confuse commands with dictated words.
SYSTEM MANAGEMENT FEATURES
Improved Security Features
Encrypt macros for distribution, providing resellers and administrators alike with better control of Dragon Medical Practice Edition.
Uses your voice profiles and language models from Versions 9, 10 and Dragon Medical Practice Edition 1, so your voice profile and all commands, added words, phrases and macros are available.
PowerMic II barcode support
The PowerMic II with integrated barcode scanner can be used to scan MRNs, patient IDs, or accession numbers in your EHR system.
Microphone sleep mode
Users can set Dragon Medical Practice Edition 4 to have their microphone go to sleep when they want: 10 minutes, a half hour, or even two hours since Dragon Medical Practice Edition was last used.
More Efficient Care
Clinicians receive the following advantages from Dragon Medical Practice Edition 4 over Dragon Medical Practice Edition 1, Versions 8, 9, and 10, or non-medical Dragon products:
Dictate faster and more accurately than ever
Dragon Medical Practice Edition 4 is over 20% more accurate than the previous version—saving valuable minutes. Additionally, Dragon Medical Practice Edition 4 has virtually instant response time, saving clinicians valuable minutes in their day.
Dictate anywhere in your EHR system
Dragon Medical Practice Edition 4 allows clinicians to dictate anywhere in an EHR system, while reviewing Lab Tests, Patient History, or Current Medications. Clinicians no longer have to click back and forth between information they’re reviewing and the dictation window. They dictate while reviewing information, and the improved Hidden Mode feature allows the clinician to paste the dictation directly where he or she wants it.
Accelerate clinician adoption and acceptance of EHR systems
Dragon Medical Practice Edition 4 reduces time spent documenting care in an EHR:
- Voice commands specific to each EHR reduce the amount of searching and mouseclicks needed to move to the right screens.
- ‘Free text’ open dictation of medical decision-making (History of Present Illness, Assessment, Plan, and other elements of a medical note), directly into the EHR eliminates the need for clinicians to type.
More Effective Care
Clinicians receive the following advantages from Dragon Medical Practice Edition 4 over Dragon Medical Practice Edition 1, Versions 8, 9, and 10, or non-medical Dragon products:
Spend more time with patients
Increased accuracy and fewer errors to correct means clinicians can spend more time with patients, improving patient satisfaction.
Dictate in your own words
Dragon Medical Practice Edition 4 free-text dictation capability supports more detailed History of Present Illness, more flexible Review of Symptoms, and more descriptive Assessment and Plan—the ‘medical decisionmaking’ aspects of the note—which give referring clinicians and ancillary providers a clearer and more detailed patient assessment and prognosis.
Secure Patient Information
Dragon Medical Practice Edition 4 supports HIPAA compliance guidelines to protect patient confidentiality.
Improve clinician satisfaction
Clinicians who use Dragon Medical Practice Edition report that it significantly improves their enjoyment of practicing medicine. By allowing them to use their time more effectively, clinicians’ quality of life is improved.
More Profitable Care
Clinicians receive the following advantages from Dragon Medical Practice Edition 4 over Dragon Medical Practice Edition 1, Versions 8, 9, or 10, or non-Medical products:
Dramatically reduce the cost of documentation
Eliminate transcription by speech-enabling the EHR, freeing up resources to focus more on patients and invest in methods to help practice efficiency. Practices that are using Dragon Medical Practice Edition today are dramatically reducing transcription costs, ranging from $500 to $1,000 a month per physician.
Support higher level of reimbursement
Independent studies have shown that clinicians create more detailed notes with Dragon Medical Practice Edition than with notes built with ‘point and click’, template-only EHR menus.
Increase practice volume
Faster, more accurate response reduces time spent on dictation, allowing clinicians to see more patients and increase practice revenue and profitability.
Dragon Medical Practice Edition 4 delivers significant improvement in out-of-box accuracy compared to previous versions.
When it comes to correcting a word or phrase, Dragon Medical Practice Edition 4 now includes more choices to make it quicker and easier to make a change.
TRANSPARENT DICTATION WINDOW – ONLY IN DRAGON MEDICAL PRACTICE EDITION
Exclusively in Dragon Medical Practice Edition 4 it is now possible to configure the Dictation Window’s appearance when it is set to receiveany spoken text, independent of whichapplication is active during dictation. The Dictation Box can be set to be hidden or visible with customizable transparency according to the user’s preference allowing to view the recognized text even though another application, like, an EHR or RIS are active at the time.
FASTER PROCESSORS YIELD FASTER PERFORMANCE
If you use Dragon Medical Practice Edition 4 on a computer with multi-core processors and more than 4 GB of RAM, Dragon Medical Practice Edition automatically selects the BestMatch V speech model for you when you create your user profile in order to deliver faster performance.
Dragon Medical Practice Edition 4 boosts performance by delivering easier correction and editing options, and giving you more control over your command preferences, letting you get things done faster than ever before.
UPDATED RICH INTERNET APPLICATIONS SUPPORT
Dragon Medical Practice Edition’s Rich Internet Application feature enhances Dragon Medical Practice Edition’s functionality in selected browser-based applications: in these applications it provides Full Text Control as well as commands to access elements found in the main interface of the web page.
- Dragon Medical Practice Edition 4 now supports Gmail, Hotmail, and Microsoft’s Outlook.com mail service.
- Rich Internet Application (RIA) extensions are available in the following Web browsers:
- Microsoft Internet Explorer, version 9 or 10, 32-bit only
- Mozilla Firefox
- Google Chrome
Important: the makers of Firefox and Chrome frequently release new versions of their browser.
If you wish to use the enhanced capabilities provided by the plug-in, check your web browser’s settings to make sure the plug-in is enabled.
Proposed at the end of profile creation and available any time from the Help menu, the Interactive Tutorial offers short progressive simulations to help you practice good dictation, correction and editing habits so that you can create text efficiently within just a few minutes. Even experienced Dragon Medical Practice Edition users can benefit from the Interactive Tutorial.
MORE NATURAL TEXT-TO-SPEECH VOICE
Dragon Medical Practice Edition 4 includes new natural-sounding Text-To-Speech technology that reads editable text—with fast-forward, rewind and speed and volume control—for easy proofing and multi-tasking.
WIDEBAND BLUETOOTH SUPPORT
Dragon Medical Practice Edition 4 adds support for wideband Bluetooth wireless headset microphones, and you can get up and running quickly. When it detects that the USB dongle of a certified wideband microphone is plugged into the PC, Dragon Medical Practice Edition 4 offers “Enhanced Bluetooth” as an audio source type and does not require a script to get started.
DRAGON REMOTE MICROPHONE APP FOR IOS AND ANDROID
Dragon Medical Practice Edition 4 lets you go wireless with an iOS or Android device and the free Dragon Remote Microphone App. Turn your compatible iPhone, iPod touch (4th generation), iPad or Android device into a wireless microphone for use with Dragon Medical Practice Edition 4 over a WiFi network. And it’s easier than ever to get started – simply use the camera on your device to scan the barcode that Dragon Medical Practice Edition 4 provides on-screen.
REMOTE DESKTOP CONNECTION
Dragon Medical Practice Edition 4 now supports remote use on a computer running Windows Server 2008 R2 or Windows 7 Ultimate. With Microsoft’s free Remote Desktop Connection software (formerly called Terminal Services Client), you can use Dragon Medical Practice Edition 4 from a local Windows computer on which Dragon Medical Practice Edition itself is not installed. While Dragon Medical Practice Edition 4 is running on the server, multiple Windows clients can use it simultaneously.
SUPPORT FOR MICROSOFT OFFICE 2013
Dragon Medical Practice Edition 4 now supports Office 2013 with the same functionality for the same currently supported applications available in earlier versions of Office. For more information, see the product help. To access the File tab in Office 2013 applications, say the command “Click File Tab”. For more information, see the product Help.
SUPPORT FOR MICROSOFT INTERNET EXPLORER 10
Dragon Medical Practice Edition 4 now supports Internet Explorer 10 with the same functionality that was found in Internet Explorer 9. For more information, see the product Help.
USABILITY IN WINDOWS 8
In Windows 8, Microsoft introduced major changes for end-users, compared to previous versions, but offers an interface similar to the familiar desktop (minus its Start menu button). Even though Dragon Medical Practice Edition 4 is designed to be used primarily on the Windows desktop, Dragon Medical Practice Edition 4 includes a small toolbar, the Dragon Audio Bar, which lets you use Dragon Medical Practice Edition’s microphone button outside the desktop environment. There are some restrictions on using Dragon Medical Practice Edition outside the desktop environment.
Dragon® Medical Practice Edition 4 contains medical vocabularies covering more than 90 medical specialties and subspecialties. It is important that you select the correct vocabulary. Using a specialized medical vocabulary that covers the cases you see in your medical practice will offer you the highest recognition and productivity gains. Selecting a non-medical vocabulary or the medical vocabulary of a different specialty can have a significant impact on your recognition accuracy.
OVERVIEW OF THE COVERED SPECIALTIES AND SUBSPECIALTIES
General English: Non-medical vocabulary for dictating emails, letters, etc.
General Medical: A broad, non-specific medical vocabulary covering a wide range of medical specialties. Select this model if no other choice is applicable to you.
- Allergy and Immunology
– Pain Medicine
– Cardiovascular Disease
– Clinical Cardiac Electrophysiology
– Interventional Cardiology
- Colon and Rectal Surgery
- Family Medicine
- Internal Medicine
Internal Medicine Subspecialties:
– EMG Examination
– Endocrinology, Diabetes, and Metabolism
– Geriatric Medicine
– Infectious Disease
– Medical Microbiology
– Medical Toxicology
– Pulmonary Disease
– Neurodevelopmental Disabilities
– Neuromuscular Medicine
- Nuclear Medicine
- Obstetrics and Gynecology
Obstetrics and Gynecology Subspecialties:
– Fetal Medicine
- Orthopedic Surgery
Orthopedic Surgery Subspecialties:
– Hand Surgery
– Developmental Behavioral Pediatrics
– Pediatric Otolaryngology
– Pediatric Pathology
– Pediatric Pulmonology
– Pediatric Rheumatology
– Pediatric Transplant Hepatology
- Physical Medicine and Rehabilitation
- Plastic Surgery
– Addiction Psychiatry
- Radiation Therapy
– Diagnostic Radiology
– Vascular and Interventional Radiology
– Bariatric Surgery
– Breast Surgery
– Cardiac Surgery
– Cardiothoracic Surgery
– Oral and Facial Surgery
– Thoracic Surgery
– Transplant Hepatology
– Vascular Surgery
– Behavioral Health
– Blood Bank and Transfusion Medicine
– Case Management
– Pediatric Dentistry
– Medical Education and Writing
– Radiation Oncology
– Social Worker
– Speech and Language Pathology
– Spinal Cord Injury Medicine
– Undersea and Hyperbaric Medicine– Sleep Lab
Recommended System Requirements:
- CPU: 2.4 GHz Intel Dual Core or equivalent AMD processor. (IMPORTANT: SSE2 instruction set required)
- Processor Cache: 2 MB
- Free hard disk space: 5 GB
- RAM: 2 GB RAM for XP and Vista, and 4 GB for Windows 7, 8 and 2008 64-bit/2012
- Microsoft Internet Explorer 8, 9, 10 (free download at www.microsoft.com)
- Creative® Labs Sound Blaster® 16 or equivalent sound card supporting 16-bit recording
- USB or DVD-ROM drive required for installation
Supported Operating Systems:
- Microsoft Windows 8, 32-bit and 64-bit
- Microsoft Windows 7, 32-bit and 64-bit
- Microsoft Windows Vista SP2, 32-bit and 64-bit
- Microsoft Windows XP SP3, 32-bit only
- Windows Server 2008, SP1, SP2, and R2, 32-bit and 64-bit (Windows 2008 R2 64 bit SP2 ONLY)
- Microsoft® Word 2007, 2010 (32 & 64 bit),
- 2013 (32 & 64 bit)
- Microsoft® Outlook® 2007, 2010, 2013
- Microsoft® Excel® 2007, 2010, 2013
- WordPerfect® x5, x6
- Apache OpenOffice Writer 3.4
- Internet Explorer 8, 9, 10
- RIA IE9
- Mozilla® Firefox® 8+
- RIA FF 12+
- RIA Google Chrome 16+
- Windows Live Mail
- Mozilla® Thunderbird™ x3 and up
- Lotus Notes 8.5
- FTC in Gmail and Hotmail thanks to RIA
A web connection is required for activation during installation. The software checks your system for minimum requirements; if they are not met, Dragon Medical Practice Edition will not be installed.
What Healthcare Challenges Does Dragon Medical Practice Edition Solve?
EHRs offer the potential to dramatically improve the cost and quality of healthcare. Despite this potential, EHR software is used by only 57% of clinicians in the U.S. today. In order to understand the potential benefits of Dragon® Medical Practice Edition 4, it is important to articulate the factors that are driving U.S. healthcare toward EHR adoption, as well as the factors that are inhibiting EHR adoption.
Incentive payments to physicians have dramatically accelerated EHR software purchasing and implementation. Passed in 2009, the Health IT for Economic and Clinical Health Act (HITECH) provides physicians up to $64,000 each ‘for showing that they are meaningfully using health information technology’, by purchasing and using CCHITcertified (www.cchit.org) EHRs. According to the 2010 CapSite Ambulatory EHR and PM Study, 42% of all physician practices indicated they had purchased an EHR in the previous two years— up from 37% a year earlier.
Physicians must also purchase EHRs in order to report to the Center for Medicare and Medicaid Services (CMS) a number of Clinical Quality Measures (CQMs), as well as maintain Problem Lists and Medication Lists. Clearly, EHR templates are required to capture these elements of the patient encounter to meet CMS guidelines.
Dragon Medical Practice Edition 4 is the speech recognition solution from Nuance® Healthcare designed for use not only by doctors but also nurses, nurse practitioners, physician assistants, therapists, and other care providers. For practices with less than 25 physicians, Dragon Medical Practice Edition 4 is the only real-time speech recognition solution which fits busy clinicians’ needs.
Dragon Medical Practice Edition 4 introduces a faster, more efficient way for medical professionals to create medical records, medical correspondence, or email messages. Dragon Medical Practice Edition 4 introduces a new, faster speech recognition engine that is over 20% more accurate than previous versions.
This solution turns voice into text three times faster than most people can type, with up to 99% accuracy, using any Windows®-based EHR system. Dragon Medical Practice Edition 4 includes vocabularies covering more than 90 medical specialties.
WHY USE DRAGON MEDICAL PRACTICE EDITION?
Here are just a few reasons why Dragon Medical Practice Edition is for you:
Improves the quality, efficiency, and profitability of the care you provide
Raises clinician satisfaction
Physicians who use Dragon Medical Practice Edition report that it makes the practice of medicine more enjoyable and that they can get home in time for dinner—no more late nights and weekends catching up on dictating/typing and signing patient charts.