Right now, Livi can accommodate several basic spoken queries as an Amazon Alexa skill, providing resources about UCHealth (finding the closest urgent care clinic to a person’s location, for example) and location-specific tips for healthy living via Amazon’s Echo family of smart speakers.
“Say you’ve just gotten your knee replaced and you’re looking for places to start hiking again,” Caputo says. “Livi can help you with that, along with helping you with your exercises to get there.”
Livi already has answered 255,500 queries for more than 80,000 users, with the ultimate goal of reducing burdens on UCHealth’s help desk and call center.
NLP Allows for Real-Time Records
On the provider side, natural language processing is transforming care through tools such as Nuance’s Dragon Medical One — a cloud-based, AI-powered platform that delivers real-time transcription to a patient’s electronic health record — and Dragon Medical Practice Edition, speech recognition software designed to serve the same function.
Concord Hospital, a 238-bed facility in New Hampshire, deployed Dragon technology as part of a move to Cerner’s Millennium EHR system. Clinicians can now provide dictation from any workstation or smartphone, says Garvin Eastman, an application analyst for the hospital.
Today, 610 Concord staffers, including about 130 nurses, use NLP tools — an adoption rate of nearly 90 percent. The use of phone-based transcription services, meanwhile, has dropped by 91 percent, saving more than $1 million.
Eastman attributes the success to clear expectations set by the leadership team and a thoughtful deployment that involved a pilot program followed by phased rollouts.
A need for efficiency fueled a similar initiative at Minneapolis-based Allina Health. Before adopting Dragon transcription tools, “it could be hours before your colleagues can read a note, know what you’re thinking and take action,” says Dr. David Ingham, medical director for information services at Allina.