Automatically document care with the Dragon Ambient eXperience
The exam of the future has arrived with clinical documentation that writes itself™
Redefining the 21st‑century healthcare provider‑patient experience
Learn how Nuance DAX is helping to solve sub‑optimal patient care, clinician burnout and missed reimbursement and financial pressures from physicians who are using it.
Get our latest resources
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White paper: Redefining the 21st‑century healthcare provider‑patient experience (Open a new window)
Read real examples of the exceptional return on investment achieved with Nuance DAX.
Download white paper(Open a new window)Unmatched outcomes
The positive impact on care delivery
76%
Physicians surveyed across specialties believe Nuance DAX improves the quality of the patient experience
9 min
Decrease in average wait time for primary care patients—cutting the industry average wait time by 50%
6 min
Physicians across specialties reported saving per patient encounter in documentation time
+24%
Increase in the number of patients a cardiologist saw per day
Redefine the provider‑patient experience
Discover how to create a positive impact on care delivery with the Dragon Ambient eXperience
Learn moreAmbient clinical intelligence (ACI)—a comprehensive, AI‑powered, voice‑enabled solution
ACI uses ambient sensing technology to securely listen to clinician‑patient encounter conversations while offering workflow and knowledge automation to complement the EHR. Exceeding the capabilities of a virtual or on‑site scribe, the Nuance Dragon Ambient eXperience (DAX), innovated by Nuance and Microsoft, promotes a better patient experience by accurately capturing and appropriately contextualizing every word of the patient encounter and automatically documenting patient care without taking the physician's attention off the patient.
Ambient device and mobile application
Clinicians engage in conversation with their patients while a dedicated mobile app or purpose‑built ambient device with highly optimized microphone array, large interactive display, integrated biometrics, and multi‑sensory capabilities securely captures a multi‑party conversation.
Ambient skills
Simply say "Hey Dragon" to get information in and out of the EHR. Integrated virtual assistant capabilities enable care teams to complete a growing list of tasks in real time within their EHR and other third-party applications.
Ambient documentation
Deep‑learning‑based AI securely converts encounter conversations into standardized, structured notes tailored for each specialty that adhere to established documentation standards. AI‑generated notes go through a brief quality review process to check for accuracy, omissions, and appropriateness before being delivered to the clinician for signature in the EHR—creating an AI learning loop for continuous improvement.
- Incorporates CMS E/M guidelines and clinical documentation integrity standards from the Association for Healthcare Documentation Integrity (AHDI). We tune documentation through an architecture embedded with specialty-specific requirements gleaned from extensive research and analysis of thousands of sample notes and the design principles of quality, integrity, enhancement and optimization.
- Integrates subject matter expertise and clinical knowledge with real-world experience to produce high-value, adaptable, cross-specialty documentation. Documentation includes explicit CMS guidance, structure and terminology.
- Contains a consistent set of sections, terminology, and formatting that use Association for Healthcare Documentation Integrity (AHDI) styles and standards. These standards help ensure concise, unambiguous communication of health information.
- Is tailored to meet each specialty’s diverse clinical workflows, conventions, and care pathways. It incorporates specialty and sub-specialty norms and requirements to improve usability and value.
- Is optimized so you can create high-quality clinical notes with ease. Our team of clinical documentation experts assess the EHR workflow and templates currently used and identify opportunities for improvement. Put simply, the better the verbalization of the patient encounter, the better the note and less time spent on documentation.
Videos
Explore Nuance DAX
It’s easy to get started with the DAX mobile app (Play a video)
Automatically document care for in-office and telehealth visits with the Dragon Ambient eXperience (DAX) mobile app to improve quality of care and the patient experience, reduce provider burnout and improve your top and bottom line.
Experience better telehealth visits (Play a video)
Nuance DAX is now integrated into Microsoft Teams to broadly scale virtual consults aimed at increasing physician wellness and providing better patient health outcomes. It enables physicians to activate Nuance DAX from within their Teams workflows, so they can focus on the patient while the AI securely captures the details of the virtual visit in context.
The exam of the future has arrived (Play a video)
Ambient intelligence allows a patient and a doctor to be a patient and a doctor like it used to be. Discover how this technology allows physicians and patients to connect as human beings, with the added benefit of saving time, preserving the patient experience, and eliminating after‑hours work.
See how Nuance DAX works (Play a video)
See how the latest in AI and machine learning, combined with ambient sensing technology can move conversation back to the forefront while clinical documentation writes itself—all within the EHR.
Features
Designed for healthcare
Nuance DAX is built on decades of healthcare experience and an extensive market footprint. The wide‑scale deployment of our speech recognition platform across a large customer base gives us incredible amounts of data to continually improve our AI. Every word teaches and reinforces meaning, allowing the technology to better predict and understand how to contextualize new information. Built on the highly‑secure HITRUST CSF certified, Microsoft Azure platform, the Nuance DAX solution is available for an array of medical specialties.
Diarized speech recognition
Every word of the encounter is captured while punctuation and formatting happen automatically. Physician statements and relevant patient responses are added to the clinical note, eliminating the need to reenter information.
Intelligent translation and summarization
Physicians speak naturally, and key information is translated into clinical terminology through intelligent summarization.
Secure voice biometric authentication
Voice biometrics is used for secure authentication as well as speaker identification.
Extensive quality review
Clinical notes go through a rigorous quality process to check for accuracy, omissions, and appropriateness.
High‑quality note output
Produces a high-quality note that’s standardized, structured and tailored to each specialty. Notes adhere to documentation standards reducing the burden of compliance knowledge and enabling, accurate coding.
Three solution options for telehealth
The Nuance DAX mobile app, Nuance DAX for Microsoft® Teams and Nuance DAX for Microsoft® Teams for Epic users. All solutions securely capture and contextualize patient provider conversations in all ambulatory specialties including primary care and urgent care.
See the exam room
Experience what's possible today
Machine learning and AI show great promise for healthcare. Explore innovations that amplify human intelligence to improve how care teams interact with patients and document care.
Microsoft and Nuance partner to deliver ambient clinical intelligence (Play a video)
Physician burnout is at epidemic levels as doctors spend two hours on administrative tasks for every hour they spend with patients, plus one to two hours of after‑hours work at night. Discover how doctors from Nebraska Medicine use ambient clinical intelligence solutions from Nuance and Microsoft to lessen their administrative burden and to spend more time focusing on patients.
Witness the exam of the future using ambient clinical intelligence. (Play a video)
Witness the latest in AI and machine learning, combined with ambient sensing technology, where human conversation moves to the forefront and clinical documentation writes itself—all within the EHR.
Benefit from proven AI innovation across industries. (Play a video)
What makes ambient intelligence even stronger is the AI expertise leveraged from millions of people and thousands of organizations that rely on Nuance AI in their cars, throughout financial institutions, and across the world’s leading consumer brands.
Real-world case studies
How Nuance DAX transforms healthcare
Nuance spoke to physicians across the U.S., serving a diverse set of populations and specialties to understand the impact of Nuance DAX on their patients, practices, and organizations.
WellSpan Health
Learn how WellSpan Health enhances and expands access to care to serve the needs of their community.
Nebraska Medicine
Learn how Nebraska Medicine enhanced patient connections by significantly reducing time spent documenting care.
Pediatric physiatrist, Eastern U.S.
Learn how a pediatric physiatrist provides intensive, personalized quality care and thoroughly documents that care for accurate payment for services delivered.
Podiatrist, Wisconsin
Learn how a podiatrist engages and fully focuses on his patients, while getting back time in his day to spend with family.
Plastic surgeon, Illinois
Lean how a plastic surgeon improved operational efficiencies that enables him to see more patients and reduce duplication efforts within teams.
Journey to ambient
Your journey starts with Dragon Medical One
Nuance DAX leverages and extends the power of Dragon Medical One with the latest advancements in ambient sensing technology and AI to create a fully voice‑enabled and ambient exam room environment. Take advantage of the industry’s most widely used cloud‑based speech recognition technology and benefit from increased levels of workflow, task, and knowledge automation.
Insights into ambient intelligence technologies
Discover how ambient clinical intelligence can
improve the patient experience and reduce physician burnout.
Proven innovation across industries
What makes ambient intelligence an even stronger value proposition is the AI expertise leveraged from the millions of people and thousands of organizations that rely on Nuance AI across the world’s leading consumer brands.
600M
consumer voiceprints are powered by Nuance AI
The same technology securely identifies healthcare conversations to automatically document patient encounters.
600M
virtual and live chats per year powered by Nuance AI
The same technology makes it possible for care teams to conversationally interact with the EHR.
125
Nuance AI delivers text‑to‑speech with 125 voices in 50 languages
The same technology makes our virtual assistant sound like an extension of the care team.
Resources
Blogs
- Why use medical scribes when you don’t have to?(Open a new window)
- Optimizing telehealth with AI-powered technologies – protect your patients and revenue(Open a new window)
- Telehealth – here to stay. The growing need to expand access to care.(Open a new window)
- Redefining the 21st-century healthcare provider-patient experience(Open a new window)
- Solving telehealth inefficiencies that exacerbate physician burnout(Open a new window)
- Ambient clinical intelligence technology addresses priority concerns for physicians(Open a new window)
- How to alleviate physician burnout: 5 tips that can help(Open a new window)
- The difference between ambient clinical intelligence and ambition (Open a new window)
- Keeping patients front and center with telehealth and ambient intelligence “helpers”(Open a new window)
- The critical importance of keeping patients front and center in the healthcare IT space(Open a new window)
- Microsoft and Nuance join forces in quest to help doctors turn their focus back to patients(Open a new window)
- Healthcare and the wisdom of people around us (Open a new window)
Data sheets
Infographic
Articles
- Nuance and Microsoft Integrate DAX into Microsoft Teams to Improve Telehealth(Open a new window)
- Ambient? Or Ambition? What To Look For In A Real-World Ambient Clinical Intelligence Solution(Open a new window)
- Digitize admin tasks to reduce staff burdens(Open a new window)
- Will Ambient Voice Tech Be the Tip of the Spear for Artificial Intelligence in the Near-Term?(Open a new window)
- The Auto Documentation Telehealth Solution Will Be a Big Winner(Open a new window)
- HIStalk Interviews Joe Petro, CTO, Nuance(Open a new window)
- Ambient Clinical Intelligence Improves Physician EHR Workflows(Open a new window)
- How AI in the Exam Room Could Reduce Physician Burnout(Open a new window)
- At Vanderbilt, Electronic Health Records Are Beginning To Talk Back(Open a new window)
- Nuance’s AI makeover to clinical documentation takes exam room to the future(Open a new window)
- Nuance Beats Competitors to Ambient Computing in the Clinic(Open a new window)
- ‘Wired into the walls’: Voice-recognition system promises to automate data entry during office visits(Open a new window)
- How Conversational AI Can Help Cure Physician Burnout(Open a new window)
- HIMSS: How Nuance is Revolutionizing Healthcare with Advanced AI (Open a new window)
- The exam room of the future: Nuance unveils AI‑based clinical documentation product at HIMSS(Open a new window)
- Nuance Unveils AI‑Powered Exam Room Where Clinical Documentation Writes Itself(Open a new window)
- Nuance Unveils AI‑Driven ‘Ambient Clinical Intelligence’ Solution at HIMSS(Open a new window)
- Nuance Launches New Category of AI‑Powered Healthcare Information Technology(Open a new window)
- HIS Talk Dr. Jayne discusses ambient clinical intelligence (Open a new window)
Press releases
- WellSpan Health Expands Nuance DAX Deployment to Improve Care Access and Patient and Provider Experiences
- Rush University Medical Center Expands Deployment of Nuance Dragon Ambient eXperience to 14 Clinical Specialties
- Nuance and Microsoft Announce the Integration of Dragon Ambient eXperience and Microsoft Teams for Virtual Telehealth Consults
- Monument Health Chooses Nuance Dragon Ambient eXperience to Transform Physician-Patient Encounters with Ambient Clinical Intelligence
- Cooper University Health Care Adopts Nuance Dragon Ambient eXperience to Transform Physician-Patient Encounters
- Nuance Launches Dragon Ambient eXperience for Telehealth Compatible with Any Telehealth Platform
- American Medical Association and Nuance Partner to Pilot Innovations in the Drive to Prevent Physician Burnout from Documentation Overload
- Nuance Announces the General Availability of Ambient Clinical Intelligence
- Nuance and Microsoft partner to transform the doctor-patient experience
- Nuance Unveils AI-Powered Exam Room Where Clinical Documentation Writes Itself
- Nuance Expands Vision and Capabilities for Next Generation AI Powered Virtual Assistants for Healthcare