Dragon Speech for Your Electronic Health RecordIn this article, we will address questions you may have about using Dragon Medical speech recognition software within your Electronic Health Record (EHR); specifically, Dragon features that pertain directly to Electronic Medical Records (EMR). We’ll include tips on how to make dictation easier, both with application functions and microphones, and address a common question about using Dragon directly within your medical record. My Computer and Dragon This article is specifically written for healthcare professionals using the Windows-based Dragon voice recognition system with their EMRs. . Since we’re talking about Dragon in a healthcare environment—and only for Windows computers—the application we’re using today is called Dragon Medical One. If you are using this software, be sure you are fully up to date, as that can affect your ability to dictate into your EHR. The information in this article may apply to any EHR that can use Dragon Medical, including:
- Practice Fusion
1) Use the Dictation BoxThe Dictation Box, included with Dragon Medical, is designed to enable you to dictate into windows where you don’t have full-text control. In effect, it acts as a bridge between Dragon and the field where you need to dictate. We recommend setting up the Dictation Box in Hidden Mode, to enable full Dragon speech-to-text functionality without having to switch between windows. If you have a Nuance PowerMic, you can program it to make using the Dictation Box even simpler.
2) Change Your DeploymentChanging your deployment means changing where you have an application installed and how you deliver it. It’s very possible that Dragon could have full text control in your EHR, but your EHR is coming to you over a remote connection. In many cases, these kinds of local-virtual relationships cut off full-text control.
Locally InstalledAn application that is installed locally is on your workstation. It is not coming over Citrix or Remote Desktop to get to you. If Dragon is installed locally, and you can install your EHR locally as well, consider working with your IT team to see if this is an option. Please note that it’s possible your EHR may not natively support Dragon full-text control, regardless of your deployment strategy. For instance, your EHR may already be installed locally. In this case, use the Dictation Box.
VDI and Remote ConnectionsIf your EHR is coming to you over Remote Desktop or Citrix, you may have the option to install Dragon Medical on the server where your EHR is installed. While you’ll need to check with your IT team/EHR vendor before proceeding, Dragon Medical does support this scenario. There are specific configurations that need to be made for this to work, but it is the supported method for deploying Dragon when working with virtualization. Again, be sure to verify that your EHR natively supports Dragon full-text control before proceeding.
3) Dragon Software Developer Kit (SDK)If your clinic, hospital, or EHR vendor wants to incorporate Dragon Medical functionality within your electronic health record, you can also purchase the Dragon SDK. This kit will allow your development team to bring Dragon functionality into your EHR natively. Do note that this is a high-cost investment, and will require programming expertise to implement. Using Dragon Templates Instead of dictating full reports into your EHR, you should consider creating Dragon templates. These pre-configured reports can be pasted right into your EHR, and then filled in with the specific patient information. Fillable fields can be added, which allow you to move between them with a voice command… or the press of a button. Programmable Microphones Dragon speech-to-text has all sorts of voice commands that allow you to control it and other applications. You can even control your computer, to some extent. If you have a programmable microphone, like the Nuance PowerMic or the Philips SpeechMike, you can assign some of these commands to buttons. Imagine, instead of using voice commands or your keyboard and mouse, you can program your microphone buttons to:
- Turn the Dragon microphone on/off
- Call up one of your templates
- Move between fields in your report or your EHR
- Press hotkeys that your EHR uses
- Open the Dictation Box
- Transfer text from the Dictation Box to your EHR
- Open a program
- Train words, add words, add commands, and more.