Abstract: This study utilizes qualitative and quantitative methods to measure the adoption of speech recognition (SR) and its impact on provider satisfaction, documentation quality, efficiency, and cost when used for clinical documentation within the electronic health record (EHR). Qualitative surveys were used to gauge providers’ expectations and experiences regarding documentation before and after SR implementation. A new methodology was developed to retrospectively measure SR adoption as a proportion of total documentation volume. Quantitative data was collected from the EHR, transcription and SR solutions to measure SR adoption and cost savings. Study results revealed significant improvements in satisfaction, documentation quality, and efficiency among providers as a direct result of SR use. An improved provider experience correlated to an 81% reduction in monthly medical transcription costs, an increase from 20% to 77% in electronic clinical documentation adoption, and a 74% SR adoption rate.

Learning Objective 1: Learn a new methodology for the analysis of Speech Recognition (SR) technology implementation. Understand the adoption of SR versus other input modalities for electronic provider clinical documentation. This 31-month study (evaluated over 1 million provider notes, six note types and five input modalities) measured the evolution and degree of adoption of electronic provider documentation within the EHR using SR and its effect on the volumes of notes created by other input modalities.

Learning Objective 2 (Optional): Understand the impact SR adoption has on provider satisfaction, documentation quality, efficiency and cost when used for clinical documentation within the EHR. While all study measures were positive, provider satisfaction was significantly improved, as evidenced by the 99-point positive shift in Net Promoter Score®, while an 81% reduction in monthly medical transcription costs was achieved.

Learning Objective 3 (Optional): Leverage best practices for implementing SR to support more efficient, accurate, comprehensive capture of clinical documentation, optimization of the EHR, enhanced usability and improved provider satisfaction, while decreasing medical transcription costs.

Learning Objective 4 (Optional): Identify opportunities to expand upon this research, the review of literature regarding SR, and support requests by ONC, AMIA, ACP, NAM and other organizations seeking to expand upon research and best practices regarding healthcare information technology, clinical documentation improvement, efficiency, workflow and clinician satisfaction.


Kshitij Saxena (Presenter)

Robert Diamond, Health-Quest
Reid F. Conant, Nuance Communications
Terri Mitchell, Nuance Communications
Guido Gallopyn, Nuance Communications
Kristin Yakimow, Nuance Communications

Presentation Materials: