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Nuance Healthcare Managed Speech Solution

A full-service transcription solution with single accountability for the technology platform and associated transcription and editing services.

The Managed Speech Solution is a full-lifecycle transcription solution for clinical documentation. Nuance Healthcare sets up and maintains your transcription system and provides all speech editing and transcription workflow management—all with single-vendor accountability. Customers contract with Nuance to produce and deliver completed documents within your prescribed turnaround time and quality requirements. Organizations can significantly reduce the internal resources required to manage the transcription process, enabling greater focus on patient care and core business activities.

For HIM, the technology at the core of the Nuance Healthcare Managed Speech Solution is the industry-leading eScription background speech recognition platform. With eScription, intelligent background speech recognition software turns a clinician’s dictated audio into highly accurate, formatted draft documents that medical transcriptionists (MTs) quickly review and edit. This powerful technology dramatically improves MT productivity and delivers significant per-line cost savings when compared with traditional transcription

All transcription and editing services for the Nuance Healthcare Managed Speech Solution are delivered by Nuance’s team of the industry’s most experienced transcription service providers, including Nuance’s subsidiary Focus Infomatics. These service providers represent over a billion lines of experience editing on the eScription platform, and can support an on-shore or “follow-the-sun” labor strategy. Performance standards such as TAT and quality are continuously monitored for all MT resources by Nuance staff. As a result of our highly specialized, tightly managed network of resources, we can offer scalable, flexible, consistent MT production at lower per-line rates than most traditional transcription services.

The Managed Speech Solution minimizes direct IT costs because there is little investment in hardware. A dedicated Nuance Healthcare Account Manager services your organization during the implementation process and through all transcription activities, ensuring that your cost, quality and turn-around targets are achieved.  

Managed Speech Solution is also available within a Radiology-only environment for organizations using Nuance’s PowerScribe solution. This offering offers on-demand flexibility for Radiologists through a streamlined workflow that allows them both to self-edit or to send dictations for rapid editing and turnaround by experienced, Nuance-managed MTs in an outsourced model. The solution provides a single vendor approach to radiology reporting, leveraging leading Nuance technology and proven transcription processes for cost-effective, timely and high quality document delivery.

Managed Speech Solution for Enterprise-wide HIM

NHMSS Diagram

Read more:
Full-service Transcription Solution for Clinical Documentation Powered by the eScription Platform

ASP Architecture
Speech recognition servers are deployed in a secure data center, reducing customers’ upfront costs, simplifying maintenance, and enabling the software to draw upon the combined speech data of all customers to continually improve.

Interprets and Formats Documents
eScription’s powerful Interpretive Model interprets and formats clinicians' dictations, often determining what is meant for the report even if it is not exactly what is said. Please see the “Components” tab for more information.

Access to Experienced MTs
Speech editing services are provided by well-trained medical transcriptionists and editors from the industry’s most experienced transcription service providers. These organizations, including Nuance’s subsidiary Focus Infomatics have over a billion lines of experience editing on the eScription platform.

Flexible Dictation Interface
Clinicians have access to a powerful array of keypad controls that allow them to conveniently record, review, and edit dictations by medical record, account or job number, and can dictate with a number of dictation methods. There is no change to the clinician’s workflow.

eScription Platform Components
  • Digital Voice Capture
    Clinicians dictate over the telephone or through a digital recording device, and can take advantage of a variety of features that streamline the dictation and transcription workflow.
  • Background Speech Recognition
    The software’s sophisticated speech models interpret and format dictations into high-quality draft documents with the primary goal of significantly improving MT productivity and thereby reducing transcription costs. Based on corrections from MTs, the models continually improve, resulting in better drafts over time.
  • Transcription Tools
    eScription’s transcription tools enable MTs to efficiently edit draft documents, often doubling productivity over traditional transcription. Supervisors use priority rules, audit trails, user access rights, and other features to ensure high quality and fast turnaround time of completed documents.
  • Clinician Access and Electronic Signature
    With eScription, clinicians can securely review, revise, and electronically sign documents from remote locations via the Internet. eScription helps your organization streamline clinician workflow to improve patient care.
  • Automated Document Distribution
    The eScription platform provides automatic, flexible distribution of completed documents through network printers and fax machines at your healthcare facility.
Installations

From the first kick-off meeting through the day-to day implementation tasks, your project managers will work through a carefully-crafted installation process to meet project milestones while minimizing disruption to HIM staff and dictating clinicians. We help define a roll-out strategy that is right for your organization.

Account Management

During implementation and after go-live, your Nuance Healthcare Account Manager is responsible for day-to-day support, upgrades, and add-on needs of each customer, building close, long-term relationships with you in the process. Your Account Manager will ensure that your organization’s TAT and quality goals are achieved.

Quality Assurance

To ensure transcriptionists learn and improve transcription skills as well as deliver the highest quality documents, Nuance employs a rigorous turnaround time and quality assessment methodology through both the pre-delivery and post-delivery stages of your deployment:

Quality Assessment (QA) Flags — flags anomalies and blanks for the QA team to resolve first, so you are asked for input only when necessary.

Retrospective Report Audit — random audit and scoring of reports by transcriptionists ensure problems are resolved quickly.

Turnaround Time Delivery — measuring turnaround time from dictation to delivery, your Account Manager manages turnaround time performance to ensure your expectations are met – and even exceeded.