We Partnered with 885-Bed Healthcare System to

Increase Utilization and Self-Editing for Speech Recognition.

A speech recognition system had been in place at John Muir Health for a few years, but radiologists were still dependent on a pool of transcriptionists/editors to edit their documents. John Muir Health leadership recognized that this was neither the most cost-effective nor the most efficient use of the expensive and advanced software that they had purchased. Because the radiologists for John Muir Health are a contracted group, care needed to be taken not to overstep contract parameters or to upset the excellent long-standing working relationship that the two parties shared. Administrators from both parties agreed that an acceptable number of reports to be self-edited was 60% as a group, and SpeechCheck™ was brought in to achieve this goal through coaching of the radiologists’ documentation process, increased efficiencies, and enhanced productivity.

BUSINESS CHALLENGE/OBJECTIVES

John Muir Health had an initiative to cut transcription costs and increase radiologist productivity with Nuance’s Powerscribe 360™ speech recognition system. Expected outcomes for this utilization/productivity initiative included:

  • Increased utilization of self-editing to an overall group average of 60%
  • Improved productivity of radiologists on best practices of dictation and self-editing
  • Increased efficiencies for each radiologist through template creation and use
  • Decreased transcription costs of 50% or more
  • Continued excellent reputation among referring physicians and community served

In addition, John Muir Health was moving to an Epic™ EMR, and requested support and assistance from SpeechCheck™ through this go-live and beyond.

SOLUTION

To increase radiologist productivity and utilization of the speech recognition software, SpeechCheck™ trainers/coaches worked alongside each radiologist to analyze habits, self-editing skills, and issues.  Trainers/coaches then put together an individual plan for each radiologist and worked with clinical staff for a period of six months.

When John Muir Health partnered with SpeechCheck™, the self-editing rate for the radiologists was an aggregate average of 21.3%.

Following five monthly sessions

That rate was increased to 77.2%,

which was 17.2% above the original goal.

John Muir Health experienced a 263% increase in self-editing rates overall.

Transcription costs were decreased significantly, and the radiologists are now very comfortable with both the self-editing process and the support received.  Partnering with SpeechCheck™ has allowed John Muir Health to achieve all of its primary objectives for this project. SpeechCheck™ continues to work with John Muir Health on the use of its Powerscribe 360™ system to drive system utilization and quality forward.  Both parties agree that this is a true partnership with common goals and adoption of successful processes.
“Speech Check has been instrumental in helping us surpass our goals for self- editing.  Physician satisfaction has gone way up due to improved report turnaround. I can’t say enough great things about the support and knowledge of the Speech Check staff.  It was exceptional!”

speechcheck_website_casestudies_logo_jhnmuirJohn Muir Health is an 885-bed healthcare system in the San Francisco Bay area with 2 hospitals (one in Walnut Creek, CA and one in Concord, CA) and two outpatient radiology centers. A leader in health care in the San Francisco Bay Area, John Muir Health is a not-for-profit integrated system of doctors, hospitals and other services.

 

http://www.johnmuirhealth.com/