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Douglas Golding, MD
Douglas Golding, MD, is the Buffalo region medical director and associate chief of health care informatics for Lifetime Health Medical Group, a nonprofit organization that provides primary health care to more than 100,000 patients in Buffalo and Rochester, N.Y.

Speech Recognition Speeds Data Entry
For many physicians, electronic medical record (EMR) systems offer the potential to improve the quality of health care they deliver and reduce costs as well. However, many factors inhibit widespread adoption of EMRs, and one of the most significant roadblocks for physicians is the high installation and operating costs of these systems. EMR systems also can be inflexible and have other limitations that often prevent physicians from using them. Many physicians find that EMR systems are more effective with the help of enabling technologies. For the physicians at the Lifetime Health Medical Group, an example of enabling technology is speech recognition software to assist with transcription. We installed speech recognition technology shortly before implementing EMR systems in our offices in Buffalo and Rochester, N.Y., and experienced a smooth integration of the two technologies. The Rochester offices began EMR implementation in late 2006, while Buffalo began implementation early this year. In both places, speech recognition technology was implemented prior to EMR, and then integrated into the system. In both cases, the results were pleasantly surprising.