It?s not Ver. 11 but Ver. 9 that will work in an EMR but at this point, the technology has improved so much that even if you could purchase Ver. 9 and you?re still willing to work with Windows XP (because it cannot be installed on Windows 7/8) it would be equivalent to changing your car?s spark plugs with an adjustable wrench. While I can appreciate that the cost of Dragon Medical is high at $1600, you wouldn?t purchase your stethoscope at Kmart. Even if you could use DNS Premium in your EMR, you wouldn?t have the command capability, network capability or the proper language model (among many other features that are designed for physicians). DNS Premium also comes with a $5 microphone which may or may not work on your computer. This is why I recommend contacting a proper speech recognition consultant because all you need is one weak link in the chain to make you think that speech recognition isn?t ready for prime time. You?d be amazed at how many people return their software because they didn?t realize that their integrated soundcard wasn?t up to the task. If speech recognition is going to play an important role in your workflow, don?t purchase the equivalence of over-the-counter eyeglasses from Walmart. Purchase from specialist.
Dragon Medical is MAP priced everywhere and while I can?t do much about that price, I can include virtual Onsite support, free training (there is a bit of a learning curve) and a complimentary copy of our KnowBrainer 2012 command utility (simplifies the learning curve while increasing your efficiency). Our company is also offering a Dragon Medical Forum Special.
The previous recommendation is the right way to do it but there are other options. If you feel that you simply cannot justify that price, you can use DNS Premium and cut and paste from other applications such as Microsoft Word or DragonPad but every time you click into your EMR, the microphones going to be turned off.
Another, slightly more expensive option would be KnowBrainer 2012 Medical which not only incorporates our KnowBrainer command utility but additionally incorporates medical language models (medical vocabularies) and a rich text editor which will allow you to dictate into Amazing Charts. Here?s how it works: Place your cursor inside of the field you wish to dictate into in Amazing Charts. Your microphone will be turned off but there?s nothing we can do about that because Nuance has all the cards. Now click the KnowBrainer Medical Editor Window which will pop up our rich text editor while simultaneously turning on your microphone. After you finish dictating say ?Transfer? and your text will disappear from the KnowBrainer editor, land in the Amazing Charts field, tab to the next Amazing Charts field (note that your microphone will turn off but this is no longer a problem), re-open the KnowBrainer Editor and turn the microphone back on so that you can repeat the circle of events. Is this as good is being able to dictate directly into Amazing Charts? Absolutely not but the price of combining KnowBrainer 2012 Medical with DNS Premium is less than $700. We still recommend going with the full Dragon Medical product but at least you have an option.
You can forget about the class-action suit, notifying a federal prosecutor or taking any other legal action because Nuance has managed to quash all previous attempts and they have managed to get away with this for over 5 years. While I completely disagree with Nuance?s marketing strategy (I prefer the carrot approach) it doesn?t look like anyone can change their policy.
Dragon knows that you are dictating into Amazing Charts because it?s been coded directly into the application. Dragon also reads the Window name of your application. For example, if you open a Microsoft Word document, name your document Amazing Charts, save your document and reopen the document, NaturallySpeaking will turn the microphone off because it suspects that you are attempting to dictate into an EMR. The reason why NaturallySpeaking reads the Windows is because many EMRs are web-based and NaturallySpeaking would have no other way to identify the application. I?m afraid that Nuance is holding all the cards.
