All right, so Nuance,
Dragon Ambient Experience or DAX
and the newest product called DAX Express.
Both run straight at the heart of this problem
that we call physician burden and physician burnout.
Many of us probably don't realize this,
but as patients, when you speak to your physician
for 20 or 30 minutes, there is an incremental,
on average, 16 minutes of clinical documentation,
administrative burden that sits on top of that,
outside of that moment of care.
And as you've heard Satya speak about this morning,
we've brought generative AI
together with Dragon Medical One,
which is our flagship clinical documentation product,
with all of our EMR partners and integrations
and that is what DAX Express actually is
and that's what we'll actually show you right now.
So let's see how Dr. Walker here
leverages DAX Express with this patient, George Adams,
as he's opted into the program.
So what you see here is the physician
just starts the natural conversation,
basically picks up the cell phone,
asks George if it's okay to start recording.
After that, it's a completely natural experience.
So DAX mobile is then put down,
physicians eyes are free to make eye to eye contact.
Hands are free as well.
Physicians no longer burdened
by having to take notes in real time,
having to remember any details of the conversation.
Fundamentally, what we're attempting to do here
is bring joy back to the practice of medicine
for physicians worldwide.
This patient happens to have presented
with complaints of something called chronic fatigue.
So this could be super simple,
like, you need to get a little bit more sleep,
but it could be super complex
and could be an advanced disease state.
So these transcripts can be super long
and involve, cover a ton of territory.
A 10 minute encounter can literally produce several pages
of transcript.
Then when the episode is complete,
generative AI takes over again.
And then within seconds this transcript
is turned into clinical documentation.
This is, for lack of a better description,
it's called a SOAP note,
subjective objective assessment and plan.
It's basically clinical documentation formatting.
All the relevant details are captured
and the irrelevant details are ignored.
So what you've seen here is DAX listens,
generative AI converts the speech stream
over to a transcript.
The speech is diarized,
it's split between physician and patient
and there could be a number of patients
actually in the room,
and then it's turned into the final document.
But the physician is basically in complete control
of this experience and does the final editing.
What you're seeing here is a mobile use case,
where the physician walked out of the room,
picked up DAX Express mobile,
and actually did a simple voice command to do an edit.
Editing can also be done at the desktop
with Dragon Medical One.
Both the mobile app and DMO
support a huge number of voice capabilities,
natural language commands, literally thousands.
Dr. Walker finally sends the finalized note through voice
to the EMR.
And in this case, what you're actually seeing
is a cropped to image of Epic.
This all comes with a mind blowing
level of value and impact.
We cut about 50% of the time
out of the clinical documentation experience,
a 70% reduction in feelings of fatigue and burnout.
And here's the whopper,
the physicians can actually see an incremental
three to five patients per day using a product like DAX.
And so you got a happy physician, get happy patients,
and then you also have a happy health system
'cause it's impacting the top line.
This is an actual experience inside of Epic.
It's called the In Basket.
In this demo, Dr. Walker receives a message
from that same patient, George
and he's basically saying that he became a new grandpa,
he is got all these sick grandkids crawling all over him,
and he's worried about his condition,
and whether or not he should take precautions.
So what you saw happen here
is the message float into the In Basket,
physician, basically clicked on the message,
read the message from George.
Then what generative AI did is it looked at the message,
looks at information inside of the inside of the EMR
and then it produces a message for this physician to see.
So Dr. Walker can check the response for accuracy,
make edits before sending
and then send a thoughtful response back to the patient.
Since the pandemic, physicians have seen 150% increase
in this type of patient messaging.
So Epic has developed this AI powered solution
that helps physicians organize,
draft and send messages more efficiently.
So they've been doing completely awesome works
and this is really just the beginning.