Case Study
Advocate Illinois Masonic
Medical Center reduces
transcription costs 70%,
drives EHR adoption
Summary
One of the top health systems in the U.S., Advocate
Illinois Masonic Medical Center (AIMMC) is a 408-
bed hospital in Chicago with a Level I trauma center
and a Level III Neonatal Intensive Care Unit, with
nearly 900 physicians, 300 residents and 700 nurses
using Cerner Millennium
®
.
When a Joint Commission site visit revealed
indecipherable and incomplete documentation in
its GI and surgery departments—illegible
documentation, missing signatures, dates and time
stamps—AIMMC chose PowerNote
®
, part of the
Cerner Millennium EHR, to x things.
Challenge
– Eliminate indecipherable,
incomplete documentation
– Achieve 100% EHR adoption
– Maintain patient care and
physician satisfaction
excellence
Solution
– Deploy Cerner PowerNote
®
enterprise-wide on Intel
®
processor-based PCs
– Speech-enable EHR with
Dragon Medical Network
Edition
– Engage consultants to create
specialty-driven workows
Results
– Reduced outsourced
transcription costs 70%
– Reduced net transcription
costs 50%
– Near 100% adoption of EHR
Nuance Healthcare Solutions
Dragon
®
Medical Network Edition
Case StudyNuance Healthcare Solutions
Dragon
®
Medical Network Edition
To ensure rapid and comprehensive adoption while
still maintaining physician satisfaction, AIMMC
implemented Dragon
®
Medical Network Edition from
Nuance Healthcare.
With 100% adoption, the benets would be huge:
complete and universally available electronic patient
records, increased physician efciency, Meaningful Use,
Joint Commission compliance, and the ability to bill more
accurately for services.
Implementation
Until AIMMC achieved 100% use of Cerner PowerNote,
it would be living in a “hybrid” environment, with parts
of the patient record on paper and other parts in digital
format. The EHR wouldn’t provide a complete picture
of the patient; physicians might be making decisions
without key patient data.
Many physicians did not like typing notes into Cerner
PowerNote, so boosting adoption meant accommodating
a variety of preferences with a wide range of input
options, including advanced speech recognition.
AIMMC’s clinical IT team chose an enterprise-wide
rollout, which required designing and implementing
specialty-specic workows throughout the hospital. To
maintain the aggressive deployment schedule, AIMMC
brought on Conant and Associates, Inc. (CAI), leading
experts in Dragon Medical Network Edition and Cerner
EHR solution design, implementation, and optimization.
To support their high-volume, they selected Intel
processor-based PCs for their optimal performance,
reliability, and scalability.
Lower transcription costs
In the rst 10 months, AIMMC saved more than 70%
on outsourced transcription and more than 50% in net
transcription costs.
Higher documentation quality, faster access to data
With Dragon Medical Network Edition, history and
physical information are far more complete—especially
the narrative portion. Surgeons dictate, see and edit
notes right away, when they’re fresh in their memories.
Attending physicians know the details of the surgery
virtually in real time because the note is available
immediately in PowerNote.
Increased EHR adoption and physician satisfaction
Boosting adoption meant accommodating a variety of
preferences with a wide range of input options. Rather
than limit physicians to one clinical workow, AIMMC was
provided with three options: Type directly into PowerNote;
leverage outsource transcription services; or use real-time
voice recognition with Dragon Medical Network Edition.
In the rst year, nearly 600 providers documented care in
PowerNote with Dragon Medical Network Edition; AIMMC
will deploy to more than 700 nurses in the future.
To learn more about how Nuance Healthcare can help
you improve nancial performance, raise the quality of
care, and increase clinician satisfaction, please contact
us at 877-805-5902 or visit www.nuance.com/healthcare.
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HC-4024 JAN16
About Nuance Communications, Inc.
Nuance Communications, Inc. is a leading provider of voice and language 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 devices and systems. Every day, millions of users and thousands of businesses experience
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“ AIMMC was the rst Advocate site to mandate the use of the EMR for
physicians, all because we had a Dragon/PowerNote strategy.”
Adem Arslani BSN, MS
Advocate Illinois Masonic Medical Center
Chicago, IL
“ The history and physical information are
far more complete when we use Dragon
Medical Network Edition to dictate—
especially for the narrative portion. It’s
painful to handwrite the story—and the
negative or positive ndings.”
Richard J. Fantus, MD, Chief of Trauma Surgery
Advocate Illinois Masonic Medical Center
Chicago, IL
