Today in health it Ambient Clinical intelligence and patient room. Next. My name is Bill Russell. I'm a former CIO for a 16 hospital system and creator of this week Health. A set of channels dedicated to keeping health IT staff current and engaged. We wanna thank our show sponsors who are investing in developing the next generation of health leaders, Guardian Dynamics, Quill Health, to site nuance, Canon Medical.

And current health. Check them out at this week, health.com/today. All right, I'm sitting here at Hurricane Central. We are the eye of the hurricane. I actually passed us here in Naples, Florida, and we are getting hit by the, uh, I was, I would say the outer bands, but really the inner bands. The, uh, hurricane took a hard right after it passed Cuba and, uh, got pretty close to us.

Uh, but we're doing well. I wanna thank everybody who reached, And, uh, wished us well and people I've been texting with all day today, people who've checked in. Uh, really appreciate it and appreciate your thoughts and prayers around that and for all the people who are in the hurricane path. Um, alright, webinar today, one o'clock Eastern Time.

Patient room. Next, uh, we're gonna explore, uh, clinical efficiency. You can sign up on our website, top right hand corner. And, uh, would love to have you there. Go ahead and put any questions you have in that form and we will try to get to those. Now, every Monday we put out a poll and the week of webinars, we actually have the poll center on the topic of our conversation during the webinar.

And here is the results from this week's poll. Okay, so, uh, today we look at patient room next. , which technology has the greatest potential to change this care setting? All right, so I gave four options. Ambient clinical intelligence, computer vision, touchless, remote sensors, and care companions. And we have, uh, let's say 83.

83 votes at this. That I'm reading this, which is Wednesday afternoon and about 47% came in for ambient clinical intelligence, 30% for computer vision care. Campaignings came in at 20 and 4% touch list remote monitors and. That's gonna be the topic for the webinar, the, the conversation. We're gonna be talking to professionals from hca, from Intermountain, from, uh, Monument Health, and we're gonna be talking about and, and, um, Serious Healthcare, a CDW company.

We're gonna be talking about these four different areas, what we're seeing in these areas. What are some challenges? What are, what are some things that are working? But since Ambient clinical intelligence came in first place, I, uh, I thought I would spend a little bit of time on it this morning, and you can hear more about it on the webinar at one o'clock Eastern time, uh, today.

So this actually mirrors a recent class survey, which identified the work of Nuance and ACI as the number one item for improving the clinician experience. So what is, uh, Ambient Clinical Intelligence ACI is the use of, um, advanced Voice enabled AI to automatically document patient encounters during a natural free, free flowing conversation between the physician patients and their families.

Um, and it enables physicians to give the patient their full attention during the visit while. The ACI technology creates the complete accurate clinical notes directly in the EHR for the clinician to review as they sign. So that's the, that's the textbook's definition of what it is. And, uh, and if you've implemented this, if you've looked at implementing this, this is a huge.

Clinician satisfier. Uh, we implemented earlier versions of this. I mean, I haven't been a CIO since 2016, but we implemented earlier versions of this, uh, back in the day. And, uh, clinicians love this and it was, uh, well, they, they loved the solutions we were looking at back then. Since then, it has evolved to be so much more than what we were doing.

We were doing basic documentation. And, uh, transcription via nuance, and now you're looking at aci. ACI is much more than that. We can have just a natural conversation and it can pull out the clinical note and it can document as we go. I got to see this at the, uh, booth, at their booth at hymns, I believe it was, and they had a demonstration of this, and it really is impressive and it continues to evolve and change.

But the, uh, I was looking at the questions we have for the webinar, getting ready for tomorrow, and one of the things that people want to know is, Hey, what problem are we trying to solve with this? Is there a problem we're trying to solve? And the first thing I would note is clinician burnout. That is probably the number one thing we're trying to, uh, solve.

There was a survey. Uh, done in 2021, Physician survey by Med scape. 42% of physicians reported feeling burned out, signing too many bureaucratic tasks, spending too many hours at work as the main causes for that. Uh, providers as you know, spend hours of their day documenting patient care. A lot of 'em have to spend hours after their rounds are done and their work is done to.

To finalize and approve those notes as well. And the, the administrative burden of that whole thing, um, is, is pretty overwhelming on the physicians. I would go a step further. Another problem we're trying to solve is cognitive load context. Switching for anyone is hard. , and I talk to my team about this all the time.

You know, if you, if you stay focused on one thing for a period of time, you're able to get into a flow. You're able to, uh, really organize your thoughts, organize your work, and get things done. The clinician does not have that, that luxury. The clinician is going from as context switching all the time. They, you know, go to this room, talk to this patient, um, you know, order a lab test, uh, you know, check their, their meds.

Uh, you know, it just, it just constant. Different patients, different rooms, uh, different, uh, challenges. So their context switching all the time. That creates a cognitive load and that load creates stress that can lead to errors and um, and anxiety and those kind of things. And overworked physicians, uh, they will appear, uh, rushed and distracted.

This erodes the physician patient relationship, which obviously can lead to disillusioned patients. And if you just keep moving down the chain, that would lead to patients that may be less inclined to engage in their care. Uh, so there's two things. You have clinician burnout, you have cognitive load. A third thing I would just say is, is joy of medicine.

I talked to. Stephanie Laura about this, and this is one of the things she keeps coming back to. Let's restore the joy of practicing medicine. Clinicians got into healthcare to help people. Well, most of them did. I will say most got into healthcare to help people. Um, let's get them away from being clerks and back into practicing medicine.

This was the things she's always talking about. I agree with that, and this is one of those solutions that helps to take away that. Burden that documentation burden. So, you know, what outcomes have we seen? I had the, uh, University of Michigan health, uh, system on and, um, we were talking about just all the, the, the benefits they saw on the physician side and they, they just rattled 'em off.

But then they shared a stat with me, which was really Impre impressive. And they saw. Their patient satisfaction rates rise 98%. Um, and they were using, uh, nuance stacks in that, in that scenario, and I had 'em on. You can go back and listen to that podcast. Um, I had the CIO and CMIO who rolled that out o on the show.

We talked about some of the, uh, benefits. So, you know, 98% patienter, that's a significant increase. And, um, a number definitely worth looking at. You know, what, what are the limitations of this? What could be next? You know, as I look at this, it, it is a, a great solution for some areas of medicine, but not for all at this point.

Uh, we've learned a bunch from organizations that have implemented aci. Um, I would, if I were implementing this today, and this is sort of my so what on this, seek out reference organizations and understand what has worked for them, what hasn't. Go for the quick wins, get the wins, build the momentum, um, and then, you know, allow the technology to evolve.

And in some, in some areas, this is a. Uh, I would say it's a very much maturing, uh, stack of technology and it's, it's getting better by the day. Uh, as we continue to, to push, you know, literally millions of notes through this, uh, it gets smarter and smarter. Uh, but there's still some areas where we are not pushing that many notes through, and it, it needs some learning, uh, before it's ready.

So seek out those organizations that have done it, the reference organizations and learn what is working well for them, what's not working well for them. You could also listen to. I've done, uh, at least two podcasts with different organizations talking about their implementations of aci. Um, I, I would say the other thing, if anyone from Nuance is listening to this, uh, I or, or any of the other organizations that are doing this, uh, there's not been enough of a focus on nursing.

For these solutions yet, uh, I'm hoping that will change. The nursing situation is, is I think, more acute right now than the physician situation with regard to burnout and this type of solution is such a huge satisfier on the clinician side. I would like to see it. Uh, really impact the, the nursing side of it as well.

To take that natural conversation that a nurse would have, pull out the discrete data elements and put it into the, uh, ehr, I think would help significantly to reduce the documentation burden for nurses that cannot be overstated as, as a, uh, as a challenge, uh, you know, some exciting. Um, you know, over and above the results that we saw.

I mean, clearly the clinician and patient are huge, and that's, uh, should be top of mind. Uh, the technology's evolving, uh, and I think this is one of the more exciting things to me. It's getting smarter with each note we write. Uh, once we, um, we're looking at complex rooms with lots of devices as well, and now we're seeing docs implement DS from their smartphone.

Uh, the flexibility that that provides and the options to many health systems. Is, uh, it is fantastic. I mean, many of 'em are cash strapped and this is an easy way to implement. The second thing I would say is, uh, you know, supply chain constraints at this point, for some of the devices that would be needed to create a, a.

Specific room for aci, uh, may not be worth it, uh, in the short term and in the long term, you might find out you may not need it. And the flexibility of, of this kind of solution would be pretty interesting. I could see a situation at some point where, uh, you come into the room, you sit up your phone on a.

Tripod, not a tripod, but somehow you just connect it somewhere where it's facing you as the physician you are, uh, talking about your note and whatnot. It's not only capturing the audio, it's also capturing the video. Cuz quite frankly, um, the iPhone cameras that we are looking at today are better than, uh, most things that we're looking at, um, that are going to be fixed in that room.

And they're constantly evolving and getting better and better. And so you could actually use the, the video and the audio for. Uh, for the entire, uh, note creation, and I think that's, that's an exciting option for a lot of health systems. So, uh, again, webinar today. One o'clock Eastern Time. Patient room Next.

Uh, looking for clinical efficiency. You can sign up on our website, top right hand corner. Love to have you there. We're gonna talk about this topic as well, you know, ambient clinical intelligence. We're also gonna talk about computer vision, touch touchless, remote monitors and care companions with some great.

Panelists. Love to, love to see you there. That's all for today. If you know someone that might benefit from our channel, please forward them a note. They can subscribe on our website this week, health.com, or wherever you listen to podcasts. Apple, Google Overcast, Spotify, Stitcher, You get the picture. We are everywhere.

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