In 2012, a child’s drawing of her appointment with a physician was published in the Journal of the American Medical Association (JAMA). In the brightly colored sketch, the girl is sitting on the exam table accompanied by her mother and siblings. To those of us working in healthcare, her doctor is the most notable part of the image. He is sitting at his desk, typing on the computer — with his back to the patient.
This drawing, published alongside an article titled “The Cost of Technology,” is emblematic of the unintended consequences of healthcare innovation. With more tools for physicians to use and greater demands on their time, technology can easily become a barrier between the clinician and the patient. For example, in 2023 approximately 53% of physicians surveyed by Medscape reported feeling burned out, and 23% reported feeling depressed. Long working hours, bureaucratic demands and loss of work-life balance due to administrative requirements are leading causes. Our mission has always been to help clinicians turn their chairs around by providing the support they need to fully focus their attention on delivering care.
Fast-forward to today, and we’ve translated that goal into reality. After establishing the ambient technology category, we introduced DAX Copilot, the first generative AI voice-enabled solution, which has been generally available for one year, and we’re seeing remarkable momentum. Part of a proven and extensible platform, DAX Copilot leverages health systems’ existing investments in the trusted family of Dragon Medical solutions, which is used by more than 600,000 clinicians worldwide.
DAX Copilot combines proven conversational and ambient AI with generative AI to automatically convert multiparty conversations into specialty-specific standardized draft clinical summaries that integrate with existing workflows. DAX Copilot was the first ambient solution to be integrated into the Epic electronic health record (EHR) workflow and allows clinicians to seamlessly document patient visits directly within the EHR. Across the country, more than 400 organizations have already embraced its revolutionary capabilities, streamlining administrative tasks and lightening clinicians’ documentation workloads.
This transformative year has highlighted many of the ways we’re helping empower healthcare teams today and bringing joy back to practicing medicine for thousands of clinicians.
Improving Access to Care — and Enhancing Documentation Quality
DAX Copilot is helping Northwestern Medicine in Chicago improve patient access to care, with physicians using the solution in at least 50% of patient encounters and able to see an average of 11.3 additional patients per month. DAX Copilot users at Northwestern Medicine also report spending an average of 24% less time on notes and a 17% decrease in “pajama time,” working on administrative tasks late into the night.
“Northwestern Medicine is committed to providing a superior work environment that promotes well-being, and implementing DAX Copilot will allow our physicians to spend more quality time with our patients, focusing on their needs rather than on paperwork and data entry,” says Dr. Gaurava Agarwal, chief wellness executive, Northwestern Medicine.
Overlake Medical Center & Clinics in Bellevue, Washington, deployed DAX Copilot to help reduce after-hours documentation time and equip its clinicians with tools to manage escalating demands. A pilot with 30 Overlake clinicians saw a significant reduction in time spent on notes outside of scheduled hours. Users also reported other important benefits: 81% said DAX Copilot had reduced their cognitive burden and 77% said the solution had improved the quality of their documentation.
At Atrium Health, “DAX Copilot is enabling a better clinician experience,” says Dr. Matthew Anderson, senior medical director of primary care at Atrium Health. “Most of our surveyed users are reporting a positive impact on their day-to-day schedule, being able to increase the number of patients they are able to see and even spending more time with them.”
Enhancing Clinician Well-being
Atrium Health isn’t alone in finding that the time saved on documentation with DAX Copilot is having a positive impact on clinicians’ quality of life. “I finally have weekends back,” says Dr. Christy Chan, a family medicine physician at Overlake. “I used to always have to worry that there was something I had to do — get back onto the EMR, log back in — but I actually have some weekends back.”
Clinicians at Novant Health are experiencing similar benefits. “DAX Copilot has done an amazing thing for the physicians and clinicians who are currently using it,” says Dr. Aram Alexanian, a family physician at Novant Health. “When you hear a comment like ‘I am now able to do things with my daughter in the evenings and weekends that I couldn’t do before,’ nothing satisfies us more than knowing the impact DAX is having on our clinicians.”
Community Health Network places a major focus on clinician well-being and implementing DAX Copilot has had a major impact on its clinicians’ ability to close notes before they leave for the day. “Since we have implemented DAX Copilot, I have not left clinic with an open note,” says Dr. Patrick McGill, chief transformation officer for Community Health Network. “We have seen improved access, improved numbers of patients, but overall, it’s really the clinician satisfaction that we’ve seen. In one word, DAX Copilot is transformative. It transforms how we’re able to deliver care and how we’re able to document it. It also transforms the patient experience.”
“DAX Copilot has made my professional life easier. My patients have also benefited from my using Nuance DAX during our appointments. I can be right there with the patient and not furiously writing notes. I cannot thank you enough,” said Anita M. Kelsey, M.D., Duke Health.
Transforming the Patient Experience
Dr. Dominick Lanzo, an orthopedic surgeon at Greater Baltimore Medical Center, agrees. “Once I introduced the DAX Copilot program, it completely transformed the patient experience, and it’s turned out to be incredibly accurate with regards to the history of present illness and the physical exam,” he says. “It’s made my practice much more efficient. I can see more patients, my notes are more accurate, and they’re done in a timely fashion by the end of the afternoon.”
For Dr. Alison Pomykala, an internal medicine specialist at Baptist Medical Group, the integration of DAX Copilot with the Epic EHR is particularly valuable. “The thing I like most about DAX Copilot embedded in the Epic workflow is I’m able to focus more on the patient and I’m spending less time in the exam room typing on the computer,” she says.
“I think the interface is wonderful with Epic. It has been great to see the notes coming up basically in real time on the Epic system. That’s also helped with other things: where we needed to generate a note quickly for referrals, for insurance pre-certifications, for imaging studies, or to have a complete note ready for a patient that we’re sending to the hospital.”
“At our academic health system, integrating DAX Copilot has revolutionized patient care,” says Dr. Anthony Mazzarelli, co-president and CEO at Cooper University Health Care. “By automating clinical documentation through ambient voice technology, it has significantly reduced administrative workloads. This allows our physicians to focus on real-time patient interactions, leading to better care outcomes and increased job satisfaction. DAX Copilot has not only improved efficiency but has also empowered our team to spend more time where it matters most — caring for patients.”
It’s a privilege to see this industry-leading solution make a meaningful difference for the clinicians who are already on board — but the work never stops. The Microsoft healthcare team is determined to continue solving some of the industry’s most complex challenges, and harnessing the power and potential of AI is how we’ll achieve that. We will continue to be leaders in innovation, collaborating across our ecosystem of incredible customers, partners and Microsoft researchers to bring real impact to clinical settings.
DAX Copilot is an innovative solution that goes beyond documentation, offering unique features such as orders, problem-based charting and pre-charting capabilities. For example, recent updates to DAX Copilot include a robust set of features, such as the ability to customize documentation style and formatting, as well as automatically create referral letters, diagnostic evidence, after-visit summaries and encounter summaries. The solution also now offers AI coaching to help users improve the quality and completeness of their notes. Also, the new Summarized Evidence capability offers a comprehensive and sophisticated approach that helps clinicians validate and trust the note output by combining insights that go beyond evidence linking, helping clinicians validate the note.
Importantly, when creating technologies that can change the world, Microsoft believes organizations need to ensure that the technology is used responsibly. Microsoft is committed to creating responsible AI by design that is guided by a core set of principles: fairness, reliability and safety, privacy and security, inclusiveness, transparency and accountability.
DAX Copilot is helping restore the human connection at the heart of medicine. We’re excited to drive this solution forward and expand its reach to more clinicians over the coming year and beyond.
Today, the solution can be used across ambulatory specialties, in-office primary care and urgent care, telehealth and emergency medicine. And we are scaling the solution’s availability and capabilities to even more care settings, such as nursing and geographies.
If you’d like to learn how DAX Copilot can help transform healthcare at your organization, please visit: the DAX Copilot website.
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