Baptist Memorial Health Care Decreases Radiology Report Turn-Around Time and Lowers Transcription Costs with PowerScribe

Nuance’s PowerScribe for Radiology Surpasses Goals for Medical Report Accuracy, Clinician Usability and Provider Communications at 10 BMHC Hospital Facilities

BURLINGTON, Mass. November 3, 2008 – Nuance Communications, Inc. (NASDAQ: NUAN), a leading supplier of speech solutions, today announced that its PowerScribe for Radiology has been rolled out at ten of the 15 hospital facilities that collectively form the Baptist Memorial Health Care (BMHC) network. Since installing PowerScribe® for Radiology in February 2008, the network has seen an 81 percent reduction in radiology report turn-around time (TAT), decreasing TAT from 11.4 hours to 2.2 and far surpassing the original 5-hour TAT goal. Transcription costs have also been lowered by nearly $400,000 to date.

PowerScribe has been invaluable for healthcare organizations, such as BMHC, that have looked to implement a speech-enabled clinical documentation solution for radiology without disrupting productivity among providers. Consistently receiving the Top 100 Integrated Healthcare Networks award as well as being named one of the 100 Top Hospitals: Performance Improvement Leaders in 2008, BMHC sought a solution that could deliver against its clinical documentation goals to decrease radiology report TAT and transcription costs.

“As with implementing any new technology, we did not want to negatively impact clinician workflow or our report TAT,” said Johnny Stanford, Administrator for Clinical Services with Baptist Memorial Health Care network. “The PowerScribe for Radiology interface is easy-to-use, presenting all essential information in understandable windows and tabs. Our original goal was that after one year, 50 percent of radiologists would be able to self-edit their reports. Because the training is so straight forward, physicians were quickly brought up to speed and 99 percent of the radiologists in our network were able to self-edit using the software right out-of-the-box.”

Because PowerScribe enables radiologists to sign off on a completed report while viewing the original image, the need to double check reports returning from transcription is eliminated. As a result, not only is radiologist efficiency boosted, but referring physician satisfaction and patient quality of care are also improved. When a patient visits the emergency room, risks can be detected by a radiologist immediately, rather than the following day, which reduces medical errors and delays in treatment caused by slow report turn-around time.

“As with anything, PowerScribe for Radiology presented our team with a new way of doing things and with that came a learning curve. That being said, I would never want to go back to documenting radiology reports with traditional transcription,” said Dr. Dexter Witte, Radiologist in the BMHC network. “The biggest benefit we’ve seen since implementation is radiology reports are created and available faster than before. Speech recognition for reporting is where the healthcare industry is heading and faster report turnaround time paired with the fact that at 5:00 pm my reports are done for the day, and I’m not signing them throughout the night has me fully on board.”

BMHC worked with Nuance reseller Rhodes, Lauck & Associates to purchase and implement PowerScribe. BMHC’s five remaining sites plan to rollout PowerScribe for Radiology in the coming months. For BMHC, the goal for adoption of PowerScribe for Radiology was to implement a real-time speech recognition solution with self-editing capabilities. The successful deployment of the software resulted in 99 percent of the radiologists in the network self-editing within one month. The group expects similar results for future implementations. In addition to PowerScribe for Radiology’s real-time speech recognition with self-editing capabilities, PowerScribe also supports speech recognition with delegated editing, in which radiologists do not edit their own reports; instead, their speech-recognized draft report is forwarded to a transcriptionist/editor for correcting and formatting. Turn-around time and transcription costs are significantly reduced as reports no longer have to be transcribed from scratch.

PowerScribe for Radiology is one of many offerings in Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions. These include other radiology solutions, RadWhere™, RadPort™, RadCube™, and Veriphy™ Critical Test Result Management solution, as well as eScription on-demand platform for computer aided medical transcription, Enterprise Express on-premise platform for integrated transcription workflow and speech recognition and Dragon® Medical for real-time speech recognition within an EMR. All of these solutions enable healthcare provider organizations to reduce operating costs, increase reimbursement, and enhance patient care and safety. No matter the specific requirements of a healthcare provider organization, Nuance has solutions to meet its needs. For more information on all of Nuance’s Healthcare solutions please visit: www.nuance.com/dictaphone/

Nuance’s Healthcare Business

Nuance’s Healthcare Business provides a comprehensive family of speech-driven clinical documentation and communication solutions that enable healthcare provider organizations to reduce operating costs, increase reimbursement, and enhance patient care and safety. No matter the specific requirements of a healthcare provider organization, Nuance has solutions to meet its needs. For more information, please visit www.nuance.com/dictaphone/.

Nuance Communications, Inc.

Nuance (NASDAQ: NUAN) is a leading provider of speech and imaging solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance’s proven applications and professional services. For more information, please visit www.nuance.com.

Nuance, the Nuance logo, PowerScribe, RadWhere, RadPort, RadCube, Veriphy, Dictaphone, Dragon and Enterprise Express are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other company names or product names may be the trademarks of their respective owners.

The statements in this press release, relating to future plans or future events or services, are forward-looking statements which are subject to specific risks and uncertainties. These could involve particular market trends, competition factors and other risks described in the documents submitted to the US Securities and Exchange Commission. The actual results, events and services may vary significantly from the forecasts. The reader is warned not to rely on these forward-looking statements without reservation, since these are simply reflections of the current situation.