KnowBrainer Speech Recognition
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Topic Title: Best small practice EHR/EMR for Dragon?
Topic Summary: Longtime Dragon doc opening solo practice 2018
Created On: 02/12/2018 05:31 PM
Status: Post and Reply
Linear : Threading : Single : Branch
 Best small practice EHR/EMR for Dragon?   - Leander - 02/12/2018 05:31 PM  
 Best small practice EHR/EMR for Dragon?   - MDH - 02/12/2018 06:33 PM  
 Best small practice EHR/EMR for Dragon?   - Leander - 02/12/2018 07:40 PM  
 Best small practice EHR/EMR for Dragon?   - smeyer - 02/13/2018 06:39 AM  
 Best small practice EHR/EMR for Dragon?   - Leander - 02/13/2018 09:46 AM  
 Best small practice EHR/EMR for Dragon?   - DoctorW - 02/13/2018 10:07 AM  
 Best small practice EHR/EMR for Dragon?   - Lunis Orcutt - 02/13/2018 07:11 PM  
 Best small practice EHR/EMR for Dragon?   - Marklarian - 02/13/2018 10:07 AM  
 Best small practice EHR/EMR for Dragon?   - Leander - 02/13/2018 02:19 PM  
 Best small practice EHR/EMR for Dragon?   - MDH - 02/13/2018 02:47 PM  
 Best small practice EHR/EMR for Dragon?   - smeyer - 02/20/2018 07:57 PM  
 Best small practice EHR/EMR for Dragon?   - Lunis Orcutt - 02/21/2018 11:18 AM  
 Best small practice EHR/EMR for Dragon?   - smeyer - 02/22/2018 06:57 AM  
 Best small practice EHR/EMR for Dragon?   - psy1 - 07/02/2020 08:09 PM  
 Best small practice EHR/EMR for Dragon?   - Lunis Orcutt - 07/02/2020 08:52 PM  
 Best small practice EHR/EMR for Dragon?   - DoctorW - 07/07/2020 08:04 AM  
 Best small practice EHR/EMR for Dragon?   - holycowdidyouseethat - 07/07/2020 10:31 AM  
Keyword
 02/12/2018 05:31 PM
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Leander
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Hi all,

I apologize if this has been addressed recently.  I have searched prior threads and do not find anything recent.

I am a longtime DNS user (>10 years), and have used with AllScripts, NextGen, and Epic in my corporate medicine settings, but also DNS Premier and Professional versions at home.

I am now toying with the idea of starting a solo practice and choosing an EHR.  Dragon will be essential-I am a poor typist.

Do any of you have opinions, good or bad, of current small office practice EHR/EMRs with respect to how well they incorporate Dragon?

Thanks for any ideas,

Leander



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Leander

 02/12/2018 06:33 PM
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MDH
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Greenway sucks.

MDH

 



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 02/12/2018 07:40 PM
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Leander
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Thank you for commenting on Greenway, MDR.  It looks like my old Medical Manager of 12-15 years ago went:

Medical Manager>Intergy>Sage>Greenway.

I had already decided 10 years ago that they seemed to be losing the battle, but haven't followed since.

Leander



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Leander

 02/13/2018 06:39 AM
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smeyer
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The answer depends on what you are trying to accomplish with your EMR.  Is it an interface to practice management?  Is it for electronic information exchange (with pharmacies, with insurers, etc)?  Is it merely for keeping medical information at your fingertips?

https://klasresearch.com/Segment/3/65545 KLAS is a company that has the best research on EMRs.  Although Athena is highly rated, I know physicians who dislike it.  Epic is not available to small practices, but you already have familiarity with it.  Although I like Cerner, I know many who do not.  AllScripts is rated very low, but you at least are familiar with it.  eClinical is very popular but not rated high.  I cannot answer your question other than to share this link.

Steve Meyer MD

 02/13/2018 09:46 AM
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Leander
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Thank you, Dr. Meyer.

I think my goals for an EHR are typical for any modern US medical practice, small or large:  comprehensive clinical patient data at hand in a useful format for rapid scanning of old data and efficient entry of new data, electronic prescribing, good interface with practice management.

I may not have communicated well enough in my original post.  I didn't want to turn this excellent KnowBrainer forum into a general discussion of EHRs.  There are other forums with good discussions of that more general topic.  My question for this forum is more focused and specific:  have any of you noticed that some EHRs incorporate Dragon more easily than others?

 

Thanks,

Leander



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Leander

 02/13/2018 10:07 AM
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DoctorW
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I have used 2 different cloud based systems , one with a RDP connection and another with similar connection through parallels. Both struggle with functionality with Dragon. 

I typically use dragon for copying and pasting from notepad in the the subjective and plan. Both did not have any good functionality with using dragon to move through the program and select items or text directly in the program.

James

 02/13/2018 07:11 PM
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Lunis Orcutt
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We are probably a bit underqualified to answer this question but wanted to point out an all too common EMR mistake. We can see the potential of an EMR developer making their product do everything including storing patient information in their database, billing and building in speech recognition. The theory is that if everything is developed under one roof, it will work better but we have found the opposite to be true. For example, if you're having an issue with Dragon, just how qualified is your EMR support specialist to field Dragon questions. There is a reason why your GP doesn't perform cardiac surgery; besides legalities We believe that specialists work better when they stay within their specialty. As a reseller and developer, we look at the situation from a different approach. We can't tell you how many times that EMRs attempt to embed Dragon within their EMR and wind up biting off more than they can chew. That's just our $0.02…



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 02/13/2018 10:07 AM
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Marklarian
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Well, I use Soapware, but a very old version of Soapware (4.95 I think). DNS works will with it, and I believe that it also works well in the up-to-date version of Soapware. I've been looking for years for a simple EMR (in solo practice) - but seem reluctant to move away from what I am using now. Might want to look at Amazing charts and Practice Fusion too - although reviews certainly vary.

Paul Belliveau, MD.
 02/13/2018 02:19 PM
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Leander
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Thank you both, DoctorW and Marklarian.

You make me think of a few additional points:

1. I do have some familiarity with Amazing Charts-it is the "replaced" system at my current organization, and I often use it to look up old records. Have not used Dragon with it, however.

2. In contrast to DoctorW, I probably will not ask Dragon to use voice commands to control the EHR. 95% of my goal is accuracy in dictation.  I feel that my job is coming up with good ideas, precise sentences, and best words.  I often dictate with my eyes closed to focus my thoughts.   I resent spending time proofreading, still miss things when I do, and it drives me crazy when an assessment that I have put a lot of effort into creating (in my brain) appears ridiculous and fails at good communication when put into print by Dragon.

3. I probably should spend more time trying to dictate offline.  Most places I have worked, using large networks but often underfunded, have significant lag times with Dragon compared with my excellent home computer systems.



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Leander

 02/13/2018 02:47 PM
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MDH
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" 95% of my goal is accuracy in dictation. "

Then you are missing the greatest benefits of using Dragon.

MDH



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 02/20/2018 07:57 PM
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smeyer
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I have written a large number of commands for AllScripts.  a three word command will accomplish multiple mouse clicks and typing, automating prescribing and automating other tedious and annoying functions.  Dictation is just 1/2 of the joy of using Dragon.

I do not like AllScripts particularly, but the commands make using AllScripts much less onerous.  I have had to write all my own commands and have spent many hours doing so.  Most physicians don't have the time, but it ultimately saves time.  I read Larry Allen's book practically cover to cover 3 times to learn programming tricks.  Still have much to learn.

My commands are specific to my screen layout and options.  I doubt they would work well with other customized versions of AllScripts.  I use mouse coordinates to click on menu items for example, coordinates that may be very different on other user screens.

If you have time, you might find commands extremely useful.   In Pyramed, another EMR, I wrote commands that accomplished in 10 seconds what would take two minutes to click and type.  That would be my record for saving time.

 02/21/2018 11:18 AM
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Lunis Orcutt
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Are you using Allscripts through a browser? If so, would might consider using Google Chrome? If you add MDL's Click By Voice Google Chrome extension, you should be able to use the new KnowBrainer Click <0to500> and Click <0to500> <dictation> commands which could potentially make Allscripts significantly faster. We are using DMPE 4 but not EMRs so we cannot test this theory.



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 02/22/2018 06:57 AM
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smeyer
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My AllScripts EMR runs in its own environment and not in a browser environment.  Thanks for the suggestion though.  I did test it and although numbers appear  in chrome browser, none are appearing in my EMR.

My earlier description of commands in AllScripts was not to brag about all my commands but to emphasize what MDH meant with "missing the greatest benefits of using Dragon."  I originally meant only to use Dragon for dictation but quickly discovered the advantages of commands in AllScripts.

 07/02/2020 08:09 PM
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psy1
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I just finished 3 months working on Allscripts Sunrise. It is horrible, as if designed by the devil. For a solo practice, Word would be better than Sunrise. I would keep it simple, keep it inexpensive.
 07/02/2020 08:52 PM
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Lunis Orcutt
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                    Welcome (See Mission Statement)

 

Our favorite EMR is TexTALK which is also Dragon friendly and supported by KnowBrainer 2017 (w/2020 AI Commands).



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 07/07/2020 08:04 AM
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DoctorW
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I have been using NextGen for a few years now, through an RDP like connection. I would not recommend it, if I didn't have to use it. But instead of trying to do everything through Dragon, I would use the tracking and data management items through the EHR, ie meds, and disease tracking along with templates and use Dragon for the areas that need a more personal touch like HPI and Plan, this can easily be done in any dragon friendly program like word/note pad and transferred over with a few short scripts. I like using macro express for these set up as keyboard commands.
 07/07/2020 10:31 AM
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holycowdidyouse..
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Epic started to target this market back in 2019 would be worth a look
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