![Transform Clinical Mobility
It takes a village
Treating cancer patients takes a village of specialists and hospital departments, and all the
paperwork and bureaucracy can slow patient care. In Europe, the average time between
first patient visit and treatment-start is 48 days an interminably long time for the
patient or family waiting anxiously for a diagnosis and treatment to begin.
At Centre Oscar Lambret (COL), a leading cancer care, education, and research center in
Lille, France, the wait was not quite that longan average of 30 daysbut COL knew that
patients deserved better.
The culprit was paperwork. Managing oncology patients is a complex, multidisciplinary
process. At COL, various specialists run tests on a patient, then meet to discuss and create
a treatment plan. However, after each test, a doctor created a report that was distributed
to other team members, and doctors had to wait for colleagues reports before they
could weigh in with their own treatment plans. The time to create and distribute each
report at COL averaged 21 days. We needed to speed up report generation so we could
speed up treatment, says Didier Cauchois, Chief Information Officer at Centre Oscar
Lambret.
In 2005, Cauchois introduced Winscribe Digital Dictation, which provided a big
productivity gain over writing reports by hand. But doctors and their assistants still had
to transcribe, correct, and distribute the reports. Cauchois looked at speech recognition
technologywhich automatically transcribed dictated textbut the products available
then were not mature enough.
Mobile speech-enabled workflow solution
In 2014, Centre Oscar Lambret embarked on a major initiative to digitize all patient files
and become a paperless facility. This was the perfect time to revisit speech recognition.
Cauchois turned to Winscribe to look at its latest speech recognition offering, Winscribe
Text. Winscribe Text is a Windows operating systembased program that provides
not only speech recognition but end-to-end workflow, electronic signature, and
documentation management tailored to the needs of healthcare organizations. The
products speech recognition capabilities are based on the Microsoft Speech engine that
is part of Windows.
The version of Microsoft Speech that Winscribe Text uses was further advanced by
Recognosco, which adapted the Microsoft technology for use in complex, enterprise
healthcare IT environments. Recognosco added features such as the ability to understand
medical terminology, centralized management of profiles and vocabularies, built-in
streaming capabilities, and failsafe and recovery features. To the Microsoft Speech and
Recognosco foundation, Winscribe adds workflow, healthcare interoperability, and
document management capabilities geared to the needs of hospitals.
Our doctors are much
more productive and
our workflow more
transparent with Winscribe
Text [based on Microsoft
Speech technology].
When the solution is fully
deployed, our doctors
could save an hour or
more a day, which they
can use to extend time
with patients or see more
patients.
Didier Cauchois
Chief Information Officer
Centre Oscar Lambret
1 http://scienceblog.cancerresearchuk.org/2015/11/12/unacceptable-cancer-waiting-times-are-testing-patients-patience/](https://image.slidesharecdn.com/cd8dab28-27e8-4630-976e-448cacbdb4f1-160629043626/85/Centre-Oscar-Lambret-Winscribe-Microsoft-Case-Study-2-320.jpg)
![Transform Clinical Mobility
We looked at other speech recognition solutions, but we were already a solid Windows
shop and were very impressed with Microsoft Speech and the comprehensive workflow
management capabilities in Winscribe Text, Cauchois says. Because of our Windows
foundation, Winscribe was able to integrate Winscribe Text into our existing health
information system [HIS] so that doctors can automatically pull patient health data from
the HIS and insert it into reports, Cauchois says.
COL is using Winscribe Text on hospital workstations but is evaluating ways to make the
speech-enabled reporting solution even more accessible by testing it on the Microsoft
Surface Pro 3. COL is considering the possibility of distributing Surface Pro 3 devices to
all physicians and many administrative staff as their only computer. Because we have
switched to digital patient files, we want doctors to have access to those files wherever
they are, Cauchois says. We can have this kind of mobile productivity with the Surface
Pro 3, which is every bit as powerful as our workstations.
Faster report creation speeds patient care
With its new speech-enabled document management solution, COL has cut the time-
consuming reporting process down to size. With Winscribe Text based on Microsoft
Speech, weve reduced report creation and distribution time from 21 days to 3 days,
Cauchois says. This reduces patient anxiety and speeds the start of treatment. Often,
doctors can access reports within 24 hours.
After performing a patient test, a doctor selects the patient name in the HIS, opens the
appropriate report template, and dictates the test results into Winscribe Text using a
microphone attached to the Surface Pro 3. Winscribe Text automatically pulls patient
health data from the HIS and inserts it into the report. Winscribe Text transcribes the
doctors speech into text, and the doctor reviews the text, makes any corrections, and
electronically signs and distributes it to other members of the medical team. Any team
member can also listen to the audio file, stored in the HIS, if he or she wishes.
Greater productivity, new mobile scenarios
Now that reports are no longer such a quagmire, busy doctors get more done every
day. Our doctors are much more productive and our workflow more transparent with
Winscribe Text, Cauchois says. When the solution is fully deployed, our doctors could
save an hour or more a day, which they can use to extend time with patients or see more
patients.
COL has to revise its HIS and other core medical applications for responsive design
before staff can effectively use them on mobile computers, but thats coming. When the
hospitals Windows-based medical applications become mobile, doctors will have patient
files with them wherever they go. They will also be able to show X-rays and other images
to patients at bedside and take photos with the camera built into the Surface Pro 3.
Mobile computing will open up new efficiencies inside the hospital and out, Cauchois
says. Using Windows security features and Active Directory, we can fully secure patient
data so that doctors can access patient files from home for the first time ever.
We used to have eight
people in radiology
imagery reviewing and
managing reports, and
weve transferred two
of those people to new
jobs. Report management
doesnt consume as many
hospital resources as it
used to.
Didier Cauchois
Chief Information Officer
Centre Oscar Lambret](https://image.slidesharecdn.com/cd8dab28-27e8-4630-976e-448cacbdb4f1-160629043626/85/Centre-Oscar-Lambret-Winscribe-Microsoft-Case-Study-3-320.jpg)
Centre Oscar Lambret - Winscribe Microsoft Case Study
- 1. Transform Clinical Mobility With Winscribe Text based on Microsoft Speech, weve reduced report creation and distribution time from 21 days to 3 days. This reduces patient anxiety and speeds the start of treatment. Didier Cauchois, Chief Information Officer, Centre Oscar Lambret Hospital streamlines workflow, speeds patient care with speech- enabled reporting solution For patients diagnosed with cancer, it can be difficult to learn that they have to wait for paperwork before they can begin treatment. To speed the lengthy reporting process that precedes treatment, Centre Oscar Lambret (COL), a French cancer hospital, implemented a speech-enabled reporting solution based on the Microsoft Speech Platform and Winscribe Text. COL has slashed report creation time from 21 days to 3 days. By running Winscribe Text on Microsoft Surface Pro 3 devices, COL gives doctors unprecedented mobility. Centre Oscar Lambret 850 employees www.centreoscarlambret.fr France HealthcareProvider Company Profile Centre Oscar Lambret (COL) is a leading oncology care, research, and education center located in Lille, France. COL contains a 220-bed hospital and serves more than 21,000 patients a year. Transform Clinical Mobility
- 2. Transform Clinical Mobility It takes a village Treating cancer patients takes a village of specialists and hospital departments, and all the paperwork and bureaucracy can slow patient care. In Europe, the average time between first patient visit and treatment-start is 48 days an interminably long time for the patient or family waiting anxiously for a diagnosis and treatment to begin. At Centre Oscar Lambret (COL), a leading cancer care, education, and research center in Lille, France, the wait was not quite that longan average of 30 daysbut COL knew that patients deserved better. The culprit was paperwork. Managing oncology patients is a complex, multidisciplinary process. At COL, various specialists run tests on a patient, then meet to discuss and create a treatment plan. However, after each test, a doctor created a report that was distributed to other team members, and doctors had to wait for colleagues reports before they could weigh in with their own treatment plans. The time to create and distribute each report at COL averaged 21 days. We needed to speed up report generation so we could speed up treatment, says Didier Cauchois, Chief Information Officer at Centre Oscar Lambret. In 2005, Cauchois introduced Winscribe Digital Dictation, which provided a big productivity gain over writing reports by hand. But doctors and their assistants still had to transcribe, correct, and distribute the reports. Cauchois looked at speech recognition technologywhich automatically transcribed dictated textbut the products available then were not mature enough. Mobile speech-enabled workflow solution In 2014, Centre Oscar Lambret embarked on a major initiative to digitize all patient files and become a paperless facility. This was the perfect time to revisit speech recognition. Cauchois turned to Winscribe to look at its latest speech recognition offering, Winscribe Text. Winscribe Text is a Windows operating systembased program that provides not only speech recognition but end-to-end workflow, electronic signature, and documentation management tailored to the needs of healthcare organizations. The products speech recognition capabilities are based on the Microsoft Speech engine that is part of Windows. The version of Microsoft Speech that Winscribe Text uses was further advanced by Recognosco, which adapted the Microsoft technology for use in complex, enterprise healthcare IT environments. Recognosco added features such as the ability to understand medical terminology, centralized management of profiles and vocabularies, built-in streaming capabilities, and failsafe and recovery features. To the Microsoft Speech and Recognosco foundation, Winscribe adds workflow, healthcare interoperability, and document management capabilities geared to the needs of hospitals. Our doctors are much more productive and our workflow more transparent with Winscribe Text [based on Microsoft Speech technology]. When the solution is fully deployed, our doctors could save an hour or more a day, which they can use to extend time with patients or see more patients. Didier Cauchois Chief Information Officer Centre Oscar Lambret 1 http://scienceblog.cancerresearchuk.org/2015/11/12/unacceptable-cancer-waiting-times-are-testing-patients-patience/
- 3. Transform Clinical Mobility We looked at other speech recognition solutions, but we were already a solid Windows shop and were very impressed with Microsoft Speech and the comprehensive workflow management capabilities in Winscribe Text, Cauchois says. Because of our Windows foundation, Winscribe was able to integrate Winscribe Text into our existing health information system [HIS] so that doctors can automatically pull patient health data from the HIS and insert it into reports, Cauchois says. COL is using Winscribe Text on hospital workstations but is evaluating ways to make the speech-enabled reporting solution even more accessible by testing it on the Microsoft Surface Pro 3. COL is considering the possibility of distributing Surface Pro 3 devices to all physicians and many administrative staff as their only computer. Because we have switched to digital patient files, we want doctors to have access to those files wherever they are, Cauchois says. We can have this kind of mobile productivity with the Surface Pro 3, which is every bit as powerful as our workstations. Faster report creation speeds patient care With its new speech-enabled document management solution, COL has cut the time- consuming reporting process down to size. With Winscribe Text based on Microsoft Speech, weve reduced report creation and distribution time from 21 days to 3 days, Cauchois says. This reduces patient anxiety and speeds the start of treatment. Often, doctors can access reports within 24 hours. After performing a patient test, a doctor selects the patient name in the HIS, opens the appropriate report template, and dictates the test results into Winscribe Text using a microphone attached to the Surface Pro 3. Winscribe Text automatically pulls patient health data from the HIS and inserts it into the report. Winscribe Text transcribes the doctors speech into text, and the doctor reviews the text, makes any corrections, and electronically signs and distributes it to other members of the medical team. Any team member can also listen to the audio file, stored in the HIS, if he or she wishes. Greater productivity, new mobile scenarios Now that reports are no longer such a quagmire, busy doctors get more done every day. Our doctors are much more productive and our workflow more transparent with Winscribe Text, Cauchois says. When the solution is fully deployed, our doctors could save an hour or more a day, which they can use to extend time with patients or see more patients. COL has to revise its HIS and other core medical applications for responsive design before staff can effectively use them on mobile computers, but thats coming. When the hospitals Windows-based medical applications become mobile, doctors will have patient files with them wherever they go. They will also be able to show X-rays and other images to patients at bedside and take photos with the camera built into the Surface Pro 3. Mobile computing will open up new efficiencies inside the hospital and out, Cauchois says. Using Windows security features and Active Directory, we can fully secure patient data so that doctors can access patient files from home for the first time ever. We used to have eight people in radiology imagery reviewing and managing reports, and weve transferred two of those people to new jobs. Report management doesnt consume as many hospital resources as it used to. Didier Cauchois Chief Information Officer Centre Oscar Lambret
- 4. Transform Clinical Mobility Reduced administrative work A year ago, the COL radiology department had a backlog of 600 reports. Today, there are fewer than 30 reports in that pile. We used to have eight people in radiology imagery reviewing and managing reports, and weve transferred two of those people to new jobs, Cauchois says. Report management doesnt consume as many hospital resources as it used to. One of the things these workers did was review dictated reports for accuracy. The Winscribe Text solution at COL boasts an average accuracy rate of 97.6 percent, which speeds or eliminates review work. The high speech-capture accuracy rate also helps with compliance requirements by tracking user and event activity and providing audit trails. Our goal is to have all doctors using Winscribe Text on Surface Pro 3 devices by the end of 2016, Cauchois says. It is one of the most exciting technologies weve ever used. Microsoft Health enterprise.microsoft.com/en-us/industries/health Customer Success Stories For more information about other Microsoft customer successes, please visit: customers.microsoft.com Hardware Microsoft Surface Pro 3 Product Solution Taxonomies Windows 8.1 Pro Technologies Microsoft Speech Platform This case study is for informational purposes only. MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS SUMMARY. Document published February 2016 Our goal is to have all doctors using Winscribe Text on Surface Pro 3 devices by the end of 2016. It is one of the most exciting technologies weve ever used. Didier Cauchois Chief Information Officer Centre Oscar Lambret