CRESCENDO SYSTEMS LIMITED

Dragon Medical One (DMO)

Cloud-based clinical speech recognition for documenting care in the EPR.
Dragon Medical One (DMO) is a cloud-based, GDPR-compliant speech recognition solution that enables clinical documentation to be completed from any location. It allows clinicians to use their voice to securely capture the patient story more naturally and efficiently-anywhere, anytime.

Features

  • World class clinical speech recognition with accuracy up to 99%
  • Medical dictionary including over 60 specialty and sub-specialty topics
  • No speech profile training required
  • Supports dictation into EPR's, clinical and non-clinical Windows applications
  • Installs in minutes on any clinical workstation or laptop
  • Supports enterprise deployments through virtual environments with thin-zero clients
  • Built-in analytics provide usage and adoption dashboards and user metrics
  • Speech-related data securely communicated over 256-bit encryption channels
  • PowerMic app turns clinician’s Smartphone into a secure wireless microphone
  • Supports customised vocabulary, auto-texts and voice commands

Benefits

  • Doctors are more productive with fast, accurate, and responsive dictation
  • No speech profile training ensures optimal clinician experience immediately
  • More complete narratives mean improved decision-making and quality of care
  • Compatible with all leading EPRs; designed with virtualisation in mind
  • Easy to install and maintain: one-click installation and automatic updates
  • Budget-friendly: Affordable subscription-based pricing with little up-front capital investment
  • Healthcare compliant hosting that supports security demands of the NHS
  • Access to data, analytics, and insights to inform better decisions
  • Flexibility to use your smartphone as a microphone
  • Consistent documentation process is personalised across platforms & devices

Pricing

£29 to £50 a licence a month

  • Free trial available

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at tenders@crescendosystems.co.uk. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 13

Service ID

7 1 2 9 2 1 4 9 3 9 1 0 1 9 4

Contact

CRESCENDO SYSTEMS LIMITED John Bendall
Telephone: 01932 789433
Email: tenders@crescendosystems.co.uk

Service scope

Software add-on or extension
No
Cloud deployment model
Private cloud
Service constraints
No constraints other than technical specifications.
System requirements
  • OS: Supported Microsoft Windows Operating Systems, with latest patches applied
  • .NET: Microsoft .NET Framework 4.5 (or higher) is required
  • Processor: Minimum 1.7Ghz, Recommended 2.8 Ghz or Higher
  • Memory: 512MB minimum / 4GB recommended
  • Internet Connection: 80kBps and higher
  • Web Browser: Internet Explorer 11+, Google Chrome v65+
  • Network latency < 50ms
  • Microphone: Android/iOS Smartphone, or Nuance approved microphone

User support

Email or online ticketing support
Email or online ticketing
Support response times
Support is available Monday to Friday 9am to 5pm, out of hours support available at an additional charge
User can manage status and priority of support tickets
No
Phone support
Yes
Phone support availability
9 to 5 (UK time), Monday to Friday
Web chat support
No
Onsite support
No
Support levels
PLACEHOLDER HERE
Support available to third parties
Yes

Onboarding and offboarding

Getting started
Prior to a customer purchase we provide online or onsite demonstrations to familiarise the organisation with the service features.On receipt of a PO we co-ordinate delivery of the software with the Clients IT team, checking specification and any other relevant factors.
In parallel, we will liaise with the project team to ensure that goals are achieved and that workflow is consistent with the organisations expectations. Planning Services include project management activities such as definition and management of project goals; development and tracking of implementation plans; training plans and scheduling; change management; managing and driving resolution of issues log; regular status calls and post training follow up activities; strategic alignment to make sure the project is aligned to the organisational goals. Once the software is delivered we offer both onsite and online training modules, dependent upon the customers requirement (this can also include a Train-the-Trainer course if the client wishes to train internally). Online training cost £150 + VAT per 2 hour module, Onsite training £650 + VAT per day and a 3-day Train-the-Trainer at £1950 + VAT. We also supply electronic 'Quick Start' training materials at no extra cost.
Service documentation
Yes
Documentation formats
PDF
End-of-contract data extraction
When a contract terminates all user data is deleted. There is no requirement to extract the data as this was simply the audio to create the text which is not kept in the system for future reference. The resultant text remains stored in the customer's EPR or other clinical system.
End-of-contract process
Upon termination of the contract the organisations users no longer have access to the speech recognition software, DMO, (and microphones if bought on subscription) and would not be able to use the software to dictate in to their computer.
The contract price includes the access to the software and the updates during the contract period, all of which ceases at the end of the contract.

Using the service

Web browser interface
No
Application to install
Yes
Compatible operating systems
Windows
Designed for use on mobile devices
No
Service interface
Yes
User support accessibility
None or don’t know
Description of service interface
The interface is a simple, small menu bar (Dragon Tool Bar) which displays a microphone icon to show user whether it is on or off, together with a drop down list of features and help menus. The Dragon tool bar can be moved or hidden.
Accessibility standards
None or don’t know
Description of accessibility
Speech Recognition software is a key accessibility tool enabling users to access their computer or laptop by voice to generate documents and, to a degree, control application interfaces.
Accessibility testing
We provide speech recognition software to a wide variety of users requiring assistive technology. This includes, for example, Access to Work and the DSA government schemes.
API
No
Customisation available
No

Scaling

Independence of resources
This is a highly scaleable solution, housed in a secure UK Microsoft Azure data centre environment, which enables thousands of users from single organisations to be active on the system concurrently.

Analytics

Service usage metrics
Yes
Metrics types
The customer has access to DMO's built-in administration, analytics and insights, a web-based admin portal that simplifies system management and offers data insights to ensure doctors are using the solution as effectively as possible.
DMO feeds data into an analytics portal so the organisation can make more informed decisions. This comprehensive portal provides access to an intuitive dashboard that displays key metrics and trends, like active users, hours of audio and peak usage. Usage details allow you to drill down to user level utilisation statistics to provide a good indicator of individual user efficiency, voice command usage, AutoText usage, etc.
Reporting types
  • Real-time dashboards
  • Regular reports
  • Reports on request

Resellers

Supplier type
Reseller providing extra features and support
Organisation whose services are being resold
Nuance Communications

Staff security

Staff security clearance
Other security clearance
Government security clearance
Up to Security Clearance (SC)

Asset protection

Knowledge of data storage and processing locations
Yes
Data storage and processing locations
United Kingdom
User control over data storage and processing locations
No
Datacentre security standards
Managed by a third party
Penetration testing frequency
At least once a year
Penetration testing approach
Another external penetration testing organisation
Protecting data at rest
  • Physical access control, complying with CSA CCM v3.0
  • Physical access control, complying with SSAE-16 / ISAE 3402
  • Physical access control, complying with another standard
  • Encryption of all physical media
Data sanitisation process
Yes
Data sanitisation type
Explicit overwriting of storage before reallocation
Equipment disposal approach
A third-party destruction service

Data importing and exporting

Data export approach
Not applicable. The textual data generated by the software is created directly into the customers systems/applications so no export is necessary.
Data export formats
Other
Other data export formats
Not applicable to the DMO process
Data import formats
Other
Other data import formats
Not applicable

Data-in-transit protection

Data protection between buyer and supplier networks
  • Private network or public sector network
  • TLS (version 1.2 or above)
Data protection within supplier network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway

Availability and resilience

Guaranteed availability
24/7 365 days a year. Organisations are refunded based on an hourly compensation relative to the monthly subscription charge.
Approach to resilience
Microsoft Azure data centre. Further information on resilience is available upon request.
Outage reporting
Internal system management alerts and daily reports

Identity and authentication

User authentication needed
Yes
User authentication
Username or password
Access restrictions in management interfaces and support channels
Via username and password
Access restriction testing frequency
At least once a year
Management access authentication
Username or password

Audit information for users

Access to user activity audit information
Users contact the support team to get audit information
How long user audit data is stored for
Between 1 month and 6 months
Access to supplier activity audit information
Users contact the support team to get audit information
How long supplier audit data is stored for
User-defined
How long system logs are stored for
Between 1 month and 6 months

Standards and certifications

ISO/IEC 27001 certification
No
ISO 28000:2007 certification
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
Yes
Cyber essentials plus
No
Other security certifications
Yes
Any other security certifications
  • HIPAA
  • UK Government Minimum Cyber Security Standard
  • GDPR and Data Protection Act
  • NHS Data Security and Protection Toolkit
  • BS EN ISO 9001
  • IGSoC Level 2 and HSCN Access

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
Yes
Security governance standards
  • CSA CCM version 3.0
  • ISO/IEC 27001
Information security policies and processes
PLACE HOLDER

Operational security

Configuration and change management standard
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Configuration and change management approach
Software updates are applied to the data centre once they have been thoroughly tested by our internal technical support team. Such updates are pre-tested within an external environment to prevent compatibility issues. All changes to the live environment are internally tracked.
Vulnerability management type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Vulnerability management approach
PLACE HOLDER
Protective monitoring type
Conforms to a recognised standard, for example CSA CCM v3.0 or SSAE-16 / ISAE 3402
Protective monitoring approach
PLACE HOLDER
Incident management type
Conforms to a recognised standard, for example, CSA CCM v3.0 or ISO/IEC 27035:2011 or SSAE-16 / ISAE 3402
Incident management approach
PLACE HOLDER

Secure development

Approach to secure software development best practice
Supplier-defined process

Public sector networks

Connection to public sector networks
Yes
Connected networks
Health and Social Care Network (HSCN)

Social Value

Covid-19 recovery

Covid-19 recovery

Dragon Medical One (DMO) provides speech recognition access from any location, allowing users to work efficiently from the hospital, clinic, home or mobile environment. This is an excellent tool to deploy in an organisation that is undergoing change in staff's working practice and arrangements in the post-Covid environment.
Equal opportunity

Equal opportunity

Commitment to Equal Opportunities
We are committed to the principle of equal opportunities in employment. We are opposed to any form of less favourable treatment or financial reward through direct or indirect discrimination, harassment, victimisation to employees or job applicants on the grounds of race, religious beliefs, political opinions, creed, colour, ethnic origin, nationality, marital/parental status, sex, sexual orientation or disability and to any form of less favourable treatment on the grounds of handicap or age.
We recognise our obligations under the Sex Discrimination Act, The Equal Pay Act, Article 119 of the Treaty of Rome, The Race Relations Act, The Employment Equality (Sexual Orientation) Regulations 2003 and The Employment Equality (Religion or Beliefs) Regulations 2003 and The Codes of Practice published by the Equal Opportunities
Commission, the Commission for Racial Equality and the European Commission;
a) For the elimination of discrimination on the grounds of sex, sexual orientation or marital status and for the promotion of equal opportunity in employment.
b) For the elimination of racial discrimination and the promotion of equal opportunity in employment.
c) For the elimination of discrimination in pay between men and women who do the same work, or work of a similar nature or work of equal value.
d) For the elimination of discrimination on the grounds of religion or beliefs.
Wellbeing

Wellbeing

Dragon Medical One (DMO) provides speech recognition access from any location, allowing users to work efficiently from the hospital, clinic, home or mobile environment. This is an excellent tool to deploy in an organisation that is undergoing changes in staff's working practice and can assist in facilitating flexible working and a good work/life balance.

Pricing

Price
£29 to £50 a licence a month
Discount for educational organisations
No
Free trial available
Yes
Description of free trial
30-day trial of software for up to 10 users (licenses). Online training overview and trial support included but individual training is an additional cost. Trialists may need to purchase a microphone although are able to use a free Smart Phone application (PowerMic)

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at tenders@crescendosystems.co.uk. Tell them what format you need. It will help if you say what assistive technology you use.