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P r o d u c t F A CT S H E E TDragon Medical Practice EditionProduct Fact SheetDragon Medical Practice EditionProduct DescriptionProduct: Dragon Medical Practice Editionwith Maintenance and ServiceMedia: DVDPricing: 1,599.99/unitSKU Number:Single: M-A709A-X00-11.0 and M-A709A-X00-MNT-11.05-Pack: M-A709A-XP3-11.0 and M-A709A-XP3-MNT-11.010-Pack: M-A709A-XP4-11.0 and M-A709A-XP4-MNT-11The most widely used and successful speech recognition solu-NOTE: You must use BOTH SKUs/part numbers whenordering any of these options.physician assistants, therapists, and other care providers forDragon Medical Practice Edition with PowerMic II Product: Dragon Medical Practice Edition with PowerMic II,Maintenance and ServiceMedia: DVDPricing: 1,899.99/unitSKU Number:Single: M-A709A-X97-11.0 and M-A709A-X97-MNT-11.05-Pack: M-A709A-XV6-11.0 and M-A709A-XV6-MNT-11.010-Pack: M-A709A-XV7-11.0 and M-A709A-XV7-MNT-11.0NOTE: You must use BOTH SKUs/part numbers whenordering any of these options.Supported Upgrades1. Dragon Medical Small Practice Edition 9 or higher toDragon Medical Practice Edition2. Dragon Medical 9 or higher toDragon Medical Practice Edition3. Dragon Medical Enterprise Edition 9 or higher toDragon Medical Practice Edition4. Dragon NaturallySpeaking Professional 9, 10,or 11 to Dragon Medical Practice Edition.Customers upgrading from all of the above-mentionedproducts will experience a Smart Upgrade, which meansthat Dragon Medical Practice Edition will verify the serialnumber so it does not have to be entered during installation.In addition, if the previous version being used is from theDragon Medical family, Dragon Medical Practice Edition willallow customers to open existing profiles.These upgrades are only available to independent practiceswith less than 25 physicians.tion in medical practices around the country, Dragon Medicalhas been selected by more than 180,000 clinicians worldwideto document care directly in an electronic health record (EHR).Dragon Medical Practice Edition is designed for use notonly by doctors, but also by nurses, nurse practitioners,use in small to mid-sized physician practices.For practices with less than 25 physicians, Dragon MedicalPractice Edition is Nuance’s real-time speech recognition solution designed specifically to meet the needs of busy clinicians.Dragon Medical Practice Edition introduces the fastest,most efficient way for medical professionals to create medical records, medical correspondence, or email messages.Dragon Medical Practice Edition introduces a new, fasterspeech recognition engine that is 15% more accurate thanDragon Medical 10.This solution turns voice into text three times faster thanmost people can type, with up to 99% accuracy, using anyWindows -based EHR system. Dragon Medical PracticeEdition includes vocabularies covering nearly 60 medicalspecialties and subspecialties.Making EHRs easy to use by significantly reducing thenumber of mouse clicks and typing, Dragon Medical PracticeEdition enables clinicians to document care much moreefficiently. This solution seamlessly drives all major EHRsystems, including those from Allscripts MyWay ,Allscripts Professional, NextGen Ambulatory EHR ,eClinicalWorks , athenaHealth , Henry Schein MicroMD ,Practice Fusion , and Greenway .
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact SheetMarket Factors Driving EHR AdoptionEHRs offer the potential to dramatically improve the costand quality of healthcare. Despite this potential, EHR software is used by only 20% of clinicians in the U.S. today.In order to understand the potential benefits of DragonMedical, it is important to articulate the factors that aredriving U.S. healthcare toward EHR adoption, as well asthe factors that are inhibiting EHR adoption.Incentive payments to physicians have dramatically accelerated EHR software purchasing and implementation.Passed in 2009, the Health IT for Economic and ClinicalHealth Act (HITECH) will provide physicians up to 64,000each “for showing that they are meaningfully using healthinformation technology,” by purchasing and using CCHITcertified (www.cchit.org) EHRs. According to the 2010These healthcare providers will form “Accountable CareOrganizations” that will need to have patient informationreadily available. This “care team” approach and paymentphilosophy also puts a premium on ensuring that electronic patient documentation is complete and up-to-date andreflects clinicians’ thoughts and medical decision-making,thus ensuring better medical decisions.Clinicians repeatedly express concern that EHRs slowthem down and reduce the completeness of medicalrecords because clinicians are required to type and areforced to use an EHR’s structured templates, which do notallow clinicians to express patient assessments, diagnoses, and treatment plans in their own words.Factors Inhibiting EHR AdoptionCapSite Ambulatory EHR and PM Study, 42% of all physi-In the rush to computerize patient information, it iscian practices indicated they had purchased an EHR in theassumed that once EHRs are widely deployed, patientprevious two years—up from 37% a year earlier.records will be more complete and care will universallyPhysicians must also purchase EHRs in order to reportto the Center for Medicare and Medicaid Services (CMS)improve.Clinicians have the following concerns about EHR adoption:a number of Clinical Quality Measures (CQMs) as well asmaintain Problem Lists and Medication Lists. Clearly, EHR Dramatically Slower Clinician Productivity in Docu-templates are required to capture these elements of thementing and Providing Care. On average, EHRs addpatient encounter to meet CMS guidelines.30 minutes or more a day to the documentation processfor clinicians. This lower productivity has reduced clini-But structured data capture is only part of the new man-cians’ patient loads and resulted in longer wait times anddate for electronic patient documentation. Other changesreduced patient satisfaction.include: Lower-quality Patient Notes. The sole reliance onA Change in Reimbursement PhilosophyU.S. healthcare is evolving from “fee for service” to “payfor quality,” with pilots for a new payment methodologycalled Accountable Care. As part of this methodology, allcaregivers for an individual patient—including PCP, specialists, hospital, and post-acute care, as needed—sharereimbursement of a single payment by the federal government for an instance of care, such as hospitalization.2EHR’s point-and-click templates requires that a clinicianclick through required menus to provide all detail abouta patient case. Without a corresponding “patientnarrative”—a dictated, free-text description of theclinician’s findings, thoughts, assessment and plan, or“medical decision-making”—the patient note will beincomplete and satisfy neither the clinician providing carenor ancillary providers.
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact SheetAccording to a survey conducted by Nuance Healthcareof over 1,000 physicians, two-thirds said that using themouse and keyboard to document care in an EHR represents a “major hurdle” in their practice of medicine. Moretellingly, 97% of physicians indicated that the structuredtemplates of an EHR prevent the physician from telling theCore Value PropositionToday, small to mid-sized practices face the challenge ofadopting an EHR in a busy practice, which could have asubstantial impact on the quality of patient documentationand clinician satisfaction.patient’s full story or accurately reflecting the physician’sWith Dragon Medical Practice Edition, these practices candecisions—vital in an integrated delivery network whererealize the following benefits:one-on-one conversations between primary care physician Accelerated EHR adoptionand specialist cannot economically or efficiently take place Clinician satisfactionabout each patient. Higher quality patient notes.Given this scenario, an alternative or assistive technology isneeded to facilitate EHR adoption rates, which addressesclinician productivity, clinician and patient satisfaction, andquality of medical record concerns.Accelerated EHR AdoptionClinicians who are using Dragon Medical will benefit from abetter recognition of medical terminology than when usinga non-medical product. As a result they are able to dictateIn an era of Accountable Healthcare, where there is sharedfaster and get more accurate results than ever before.responsibility for the quality and cost of patient care, DragonDragon Medical Practice Edition is specifically devel-Medical Practice Edition empowers healthcare organiza-oped to support dictation directly into an EHR system—tions and clinicians to accurately capture and transforma capability not supported by Dragon NaturallySpeakingthe patient story into meaningful, actionable informationnon-medical editions. Dictating patient notes with Dragonto facilitate smarter, more efficient decisions across theMedical is more than three times faster than typing. Usinghealthcare enterprise.macros, clinicians can streamline their navigation from onepart of the EHR to the next, and, more importantly, createDragon Medical Practice Edition is the Solutiona comprehensive—though individualized—medical report.Dragon Medical Practice Edition is a mission-criticalproduct line that supports HIPAA and governmental patientspeech recognition solution for clinicians in small- to mid-security and confidentiality guidelines.Dragon Medical is the only product within the Dragonsized practices. It accelerates EHR adoption, helping clinicians navigate quickly through EHRs to review lab tests orDragon Medical Practice Edition frees up clinicians topast medical history, while documenting care anywhere inspend more time with patients, thus increasing patient anda patient record. Dragon Medical Practice Edition providesclinician satisfaction.seamless integration with most EHRs, medical specialtyvocabularies, and regional accent tools, as well as numer-Clinician Satisfactionous other features that make clinicians more productive.Because it’s faster and easier to document more com-This means that clinicians can now deliver the highestplete notes with Dragon Medical Practice Edition—whenquality care while improving the outcomes and economicscompared to pointing and clicking, or typing—clinician sat-across an entire healthcare enterprise.isfaction is improved. As a result, clinicians can see morepatients and get home on time for dinner, with paperworkcompleted before they leave the office.3
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact Sheet“ I often use my voice to trigger a command which pulls in labs information—with a singlecommand It’s fun! It makes a tedious taskmore enjoyable.”and coding appropriateness are improved. The cost ofDragon Medical’s sizeable effect on practice economics,— Dr. John Kaschkotranscription is dramatically reduced when Dragon MedicalPractice Edition is implemented in the practice.Overall ImpactPrimary Care Physicianquality of care, and physician satisfaction is demonstratedGroup Health Cooperativeby the results of a study of Dragon Medical’s impact onSeattle, WashingtonEHR use at Fallon Clinic (Worcester, Massachusetts).The study compared efficiency, note “quality,” reimburse-Higher Quality Patient Notesment, and overall physician satisfaction for a group ofphysicians initially using an EHR with transcription againstWhen using Dragon Medical Practice Edition, practicethe same group just 30 days after being trained on Dragoneconomics can be substantially improved. Patient notesMedical. Further, there were significant, quantified differ-dictated using Dragon Medical Practice Edition are moreences in all aspects of care, including projected annualcomplete, which informs more detailed clinician decision-transcription savings of 5,000 per physician. The studymaking. All of which supports higher levels of reimburse-also indicated that Dragon Medical can increase annual re-ment than simple notes created by point-and-click EHRimbursement per physician from 10,000 to 13,000 due totemplates. Denial rates are reduced as documentationmore complete notes, which justify a higher level of service.SummaryThe following is a summary of the impact Dragon Medical has on handwriting, typing, or transcribing users:4Physicians Using EHRs.Physicians Using Dragon Medical Practice Editionwith EHRs.Spend more time on documentation than via handwriting ortranscribed dictationReduce their time spent documenting careComplain their notes aren’t in their own wordsDictate a personalized patient narrative unique to each patientdirectly in the EHRSpend more time focused on the computer than the patientHave more time to focus on the patientFind their already-long days are further lengthened as typing into anEHR is slower than dictatingDictate each note and complete it prior to seeing the nextpatient, which means they can leave on time with their notessignedTurn physicians into typistsCan dictate by voice, in their own words, directly into the EHRComplain that the notes are less detailed than with traditionaldictationFind their notes are more detailed, more complete, and oftenjustify higher reimbursementClick through the EHR system’s cumbersome navigation windowsSay one word and get the appropriate check boxes filled ondifferent pages
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact SheetTarget AudienceDragon Medical Practice Edition is targeted at the small- to mid-sized, independent, non-hospital-owned(1 to 24 doctors) practice market. There are approximately 311,000 physician practices that have between 1 and 24 doctors. A sizeable percentage are evaluating/selecting EHRs during the next 12 to 24 months.Table: Distribution of Physicians Working in Private Practice, by Size of PracticeDescriptionEst. Percentage of all MDsEst. Number of MDsPhysicians working in 1-2 doctor practices30%240,000Physicians working in 3-5 doctor practices10%80,000Physicians working in 6 doctor practices25%200,000Total65%520,000Source: Center for Studying Health System Changewww.hschange.orgCharacteristicsThe 1 to 24 physician practice has the followingcharacteristics: 1 to 4 offices/locations. Can be single or multi-specialty. Physicians are owners and decision-makers:–M ulti-specialty or subspecialty (not primary care)typically makes a significant annual transcription spend.–A t 5K to 12K per physician, they may be spendingbetween 5K to 150K a year or more on transcription.– Input from “professional” manager and/or IT—minimal– Responsiveness/referrals to primary care physicians isdecision cycle—can range from a “one-call close” toan important driver of specialty practices’ business.requiring “board approval” for larger practices.Slow transcription turnaround time is a potential “buy– Small (0 to 5) IT department has little/no influence.Smaller practices often outsource their IT support tolocal IT consultant.sign” to explore.– I T-dependent: These practices are on second- or in somecases third-generation practice management/patientscheduling systems, which means they have someexpertise in computerization.5Organizational StructureLarger practices (i.e. those with 10 or more physicians)Although there is no “typical” organizational structure in atypically have one or two non-physicians in key adminis-1 to 24 physician practice, physicians are not only the own-trative roles—usually with the title of Chief Administrator,ers in most cases, but also provide day-to-day administra-Practice Manager, or Chief Operating Officer—overseeingtive leadership, with one of the physicians typically servingbilling, reimbursement, patient accounting, general financialas the CEO or Managing Partner.management of the practice, and “operations,” including IT.
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact SheetNEW PRODUCT FEATURESBelow is a summary of new features and capabilities inDragon Medical Practice Edition.created commands, as well as tips. Its contents changedepending on what window is currently active. In addition,the Sidebar lets users print its content. (Note: This featurecan be viewed by selecting from the Help menu.) Smart configuration. Dragon Medical Practice Editionruns on a variety of hardware, from netbooks to highpowered desktops. The software automatically detectshardware resources and sets up the recommended configuration. Its state-of-the-art technology takes advantageof advances in hardware and runs in multiple threadsautomatically when multi-core hardware is detected toachieve better recognition performance. Recognition analytics. A percentage of misrecognitionscan be caused by simple audio quality issues such as incorrect microphone connection or placement, backgroundnoise, microphone out of range, or low on battery. DragonMedical Practice Edition automatically detects poor audio Recognition accuracy. Turns voice into text with up to99% accuracy. Dragon Medical Practice Edition is 15%more accurate out of the box than Dragon Medical 10. Recognition speed. Dragon Medical Practice Editionimproves recognition response time significantly.The software is also faster than previous editions whenselecting application menu items by voice, or executingvoice commands that perform actions within applications(e.g., “insert page break,” “make that red,” etc.). Profile creation wizard. User profile creation hasinput; it then alerts the user (in various ways depending onbeen redesigned to be simple and conversational. Thethe issue), offering advice to remedy the situation. This letsprocess now offers information about why each step isDragon Medical Practice Edition use the best audio pos-needed and helps users make optimal choices. Settingsible—an important factor for accuracy.up a microphone or new audio source is more clear and Accuracy tuning. Ability to analyze selected documentsand email; includes Nothing But Speech filter to automati-straightforward. Help System and Tutorials. The Help system incorpo-cally eliminate um/ah utterances, filtering out unwantedrates new tips and illustrations, a redesigned Tutorial,speech noise that previously lowered accuracy.short videos, and easy access to related details such as a Smart corrections. In the past, corrections entered usingthe keyboard were not incorporated into the user profile.glossary of key terms. Navigating the computer desktop. Dragon MedicalNow when a user dictates something and retypes it toPractice Edition now supports more voice commands tocorrect a misrecognition, Dragon Medical Practice Editionshow common Windows elements including the desktopidentifies this as a correction and uses it to adapt the user’sand Control Panel, or folders such as My Documents andprofile, improving the software’s accuracy over time.My Pictures. New commands enable users to effortlessly New Dragon Sidebar. A major enhancement overDragon Medical 10’s Sample Commands window, this newdesktop assistant allows users to discover and remembermany commands and tips. At any time, it lets you glanceat, or explore, global commands (including mouse commands), application-specific commands and custom-6Improved PRODUCT FEATURESswitch to a specific window. (Dragon Medical displays anumbered list so the user can just say the number of thedesired window.) In addition, Dragon Medical allows shorternames for starting popular applications (e.g., “start Microsoft Word” instead of “start Microsoft Office Word 2007”).
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact Sheet Improved playback. Smoother fast-forward and rewind Hidden Mode. Users can dictate while reviewing lab orbehaviors are now available and users now have optionsradiology test results and save when finished anywhereto control speed and volume.in the EHR. Dragon Medical Template Library. Dragon Medical Initial training time reduced for digital recordingdevices. Creating a new user profile for a digital recorder,Practice Edition comes with a library of more than twoor adding a digital recorder as a new audio source fordozen macros for standard notes, such as SOAP note,an existing user profile is now much faster: the minimumnew patient visit, and outpatient consults. In addition,reading time required to train Dragon Medical Practicean extensive list of “medical normals” by body system isEdition with a recorder has been reduced from 15 to 4also available, so that clinicians can immediately beginminutes. That means that clinicians can spend more timeusing Dragon Medical Practice Edition “out of the box”providing patient care.with less time spent creating their own templates. Ability to use .DSS and .DS2 files. Dragon Medical Medical Vocabularies. Dragon Medical Practice EditionPractice Edition can now accept .dss and .ds2 formatscontains vocabularies covering nearly 60 medical spe-directly. Files recorded using these digital speech record-cialties and subspecialties, which ensures high dictationing formats (found on recorders from Olympus , Grundig ,accuracy. and Philips ) previously required conversion prior totranscription. Enhanced profile-opening user dialog. Dragon Medical Practice Edition displays profiles in a tree structure forfaster access to multiple profiles.A Selection of Other Major Featuresand Enhancements Supports HIPAA Guidelines. Dragon Medical PracticeEdition protects sensitive and confidential patient infor-tons to run a Dragon Medical function or user voice command—customizable by user. Medical Formatting Rules. Smart software expandsmedical abbreviations and follows capitalization rules ofmedical terms. MyCommands. Show user commands only inCommand browser. DragonTemplates. Text and graphics commands withmation by supporting encrypted network file storagevoice fields. Quickly automate form-filling applications.of speech files, helping your organization satisfy HIPAAUsers can now create text and graphics commands inprivacy and confidentiality guidelines. Dragon Medicalthe MyCommands Editor, which contains fields with a listPractice Edition features secure encryption methods,of values that can be specified at the time of dictation.which provide even greater levels of information security. E HR Support. Medical professionals can navigate anddictate inside EHR application software. Nuance has theDragon Medical Certification Program, which ensurescompatibility with EHR vendors’ latest releases.7 PowerMic II -Ready. Program your PowerMic II but-
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact SheetDragon Medical Practice Edition includes dozens of addi-very, [pause] Bold that”), users can now directly nametional features and enhancements, which are categorizedthe desired text with the desired action in a single voicebelow for ease of review.command, such as “Bold very.” M ore Powerful Capitalization Rules. Users canAccuracy Featuresinstantly set capitalization rules for words as they are Regional Accent Support. Dragon Medical Practiceadded for the following word categories: Person, Depart-Edition supports many regional accents of non-nativespeakers (Asian-Pacific, Asian-Indian, Australian, British,Hispanic, Pakistani) and U.S. accents (Deep South,ment, and Drugs. Clinicians can have capitalization set toinitial-caps, all-caps, or no-caps for the categories. Disable Web Commands. Disable HTML commands sep-Northern Inland). Medical Bluetooth Acoustic Model Support. Specialnew acoustic software makes recognition with Bluetoothheadsets better than ever.arately from dictation support so Dragon Medical PracticeEdition won’t confuse commands with dictated words.System Management Features Improved Security Features: Encrypt macros forNavigation and Control Featuresdistribution, providing resellers and administrators alike Medical Search Commands. Dragon Medical Practice Edition offers multiple voice shortcuts for searchingwith better control of Dragon Medical Practice Edition. Upgradeable. Uses your voice profiles and languagemedical information on the Web. Clinicians can nowsearch medical data via a single command on WebMD ,models from Versions 9 and 10 so all words and phrasesUpToDate , PubMed , and ICD-9 at any time withoutyou’ve added are available. even having an Internet browser open. These commands combine multiple clicks into one fast commandfor the busy clinician. Simply say, “Search UpToDatefor Wellbutrin contraindications,” and Dragon MedicalPractice Edition and UpToDate take you there. Voice Shortcuts to Search the Web. Dragon VoiceShortcuts collapse common tasks into simple voicecommands. Now users can search the Web faster thanever before. PowerMic II Barcode Support. The PowerMic II withintegrated barcode scanner can be used to scan MRNs,patient IDs, or accession numbers in your EHR system. Microphone Sleep Mode. Users can set Dragon MedicalPractice Edition to have their microphone go to sleep whenthey want: 10 minutes, a half hour, or even two hours sinceDragon Medical Practice Edition was last used.PRODUCT BENEFITS Quick Voice Formatting (Delete that and Format that Commands). In addition to the many existingediting commands such as “Delete line,” Dragon MedicalPractice Edition introduces direct commands for format-8More Efficient Care Dictate Faster and More Accurately Than Ever.ting, deleting, and copying named words and passages.Dragon Medical Practice Edition is up to 15% moreRather than selecting the relevant word(s) or passageaccurate than Dragon Medical 10—saving valuableand commanding what to do with that text (e.g., “Selectminutes. Additionally, Dragon Medical Practice Edition
P r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact Sheethas virtually instant response time, saving cliniciansPlan—the “medical decision-making” aspects of thevaluable minutes in their day.note—which gives referring clinicians and ancillary provid- Dictate Anywhere in Your EHR System. DragonMedical Practice Edition allows clinicians to dictateanywhere in an EHR system, while reviewing Lab Tests,ers a clearer and more detailed patient assessment andprognosis. Secure Patient Information. Dragon Medical PracticePatient History, or Current Medications. Clinicians noEdition supports HIPAA compliance guidelines to pro-longer have to click back and forth between informationtect patient confidentiality.they’re reviewing and the dictation window. They dictatewhile reviewing information, and the Hidden Modefeature allows the clinician to paste the dictation directlywhere he or she wants it. Accelerate Clinician Adoption and Acceptance Improve Clinician Satisfaction. Clinicians who useDragon Medical report that it significantly improves theirenjoyment of practicing medicine. By allowing them touse their time more effectively, clinicians’ quality of life isimproved.of EHR Systems. Dragon Medical Practice Editionreduces time spent documenting care in an EHR:– Voice commands specific to each EHR reduce theamount of searching and mouse-clicks needed tomove to the right screens.– “Free text” open dictation of medical decision-making (History of Present Illness, Assessment, Plan,and other elements of a medical note) directly intothe EHR eliminates the need for clinicians to type.More Profitable CareClinicians receive the following advantages from DragonMedical Practice Edition over Versions 8, 9, or 10 ornon-medical Dragon products: Dramatically Reduce the Cost of Documentation.Eliminate transcription by speech-enabling the EHR,freeing up resources to focus more on patients andinvest in methods to help practice efficiency. Practicesthat are using Dragon Medical today are dramaticallyMore Effective CareClinicians receive the following advantages from DragonMedical Practice Edition over Versions 8, 9, and 10 ornon-Medical products: Spend More Time with Patients. Increased accuracyand fewer errors to correct means clinicians can spendmore time with patients, improving patient satisfaction. Dictate in Your Own Words. Dragon Medical Practice Edition’s free-text dictation capability supports moredetailed History of Present Illness, more flexible Review ofSymptoms, and more descriptive Assessment and9reducing transcription costs, ranging from 500 to 1,000 a month per physician. Support Higher Level of Reimbursement. Independent studies have shown that clinicians create moredetailed notes with Dragon Medical than with notes builtwith point-and-click, template-only EHR menus. Increase Practice Volume. Faster, more accurateresponse reduces time spent on dictation, allowingclinicians to see more patients and increase practicerevenue and profitability.
For Internal Use OnlyP r o d u c t F A CT S H E E TDragon Medical Practice Edition Product Fact SheetSYSTEM REQUIREMENTSRecommended Specifications: CPU: 2.4 GHz Intel Dual Core or equivalent AMDprocessor. (IMPORTANT: SSE2 instruction set required)Dragon Medical Practice EditionSummary Descriptions100 Words Processor Cache: 2 MB.Dragon Medical Practice Edition offers the fastest and Free hard disk space: 5 GB.smartest way for physicians, nurses, and other providers RAM: 2 GB RAM for XP and Vista, and 4 GB forin smaller practices to document care. Dictate medicalWindows 7 and Server 2003/2008 64-bit. Microsoft Internet Explorer 7, 8, and 9 (free downloadtimes faster than most people type, with up to 99%accuracy. Use voice commands to navigate quicklyat www.microsoft.com). Creative Labs Sound Blaster 16 or equivalent sound findings directly into any Windows - based EHR three card supporting 16-bit recording. DVD-ROM drive required for installation.Nuance-approved microphone (included in purchase).For details on Bluetooth microphones, recorders,Tablet PCs, and other hardware, please go tosupport.nuance.com/compatibility.Supported Operating Systems: Microsoft Wi
dragon Medical Practice Edition 3. dragon Medical Enterprise Edition 9 or higher to dragon Medical Practice Edition 4. dragon NaturallySpeaking Professional 9, 10, or 11 to dragon Medical Practice Edition. customers upgrading from all of the above-mentioned products will experience a Smart upgrade, which means that dragon Medical Practice .
