Modernizing radiology reporting—without disrupting care: A practical path to PowerScribe One
With growing imaging volumes, increasing complexity, and the rapid emergence of AI, healthcare organizations are reevaluating how their reporting environments support clinicians and strengthen operational performance. They are faced with how to modernize without interrupting the work that matters most. We developed our PowerScribe One solution and implementation approach with that reality in mind. In active production across a wide range of healthcare environments (including large integrated delivery networks, academic medical centers, independent radiology practices, and community hospitals), PowerScribe One reflects a solution that is both proven in practice and designed for what comes next. Over 250 organizations and 10,000+ radiologists use PowerScribe One to generate millions of reports each month. This scale is significant; it’s validation of what we bring through our solution and support. It reflects a system and team tested across diverse environments, integration landscapes, and operational models, performing reliably in real-world conditions. Combining the strength of our solutions with an experienced Microsoft team, we deliver a seamless implementation that minimizes disruption. Redefining the migration experience As I’ve worked with customers modernizing their reporting environments, I’ve noticed a consistent pattern of concern: how to modernize without disrupting the workflows teams rely on or the care they deliver. In my experience, even when a solution offers meaningful capabilities, customers still worry about the potential downsides of a prolonged migration. I understand that perspective. Many have worked with vendors who promise a “lift-and-shift” implementation but fall short of that expectation. Migrations can introduce real challenges, including downtime, retraining, and workflow disruption. Over time, we’ve seen that successful transformation is driven not only by the strength of the technology, but also by how effectively the transition is managed. With years of experience supporting PowerScribe environments, we’ve taken those insights and applied them to our approach. We defined what a successful PowerScribe One implementation looks like and developed a migration model designed to reduce risk while supporting adoption. Rather than viewing migration as a single milestone, PowerScribe One transitions are designed as a structured journey with clearly defined phases and timing: Discovery: Align on goals, workflows, and integration requirements Build: Preparing the technical and operational foundation Testing: Validating workflows end to end and addressing issues proactively Production: Supporting go-live with a focus on stability and adoption Each phase includes checkpoints and shared accountability to increase transparency and reduce uncertainty. Our Microsoft team works closely with our customers to build a project timeline that fits their needs while existing PowerScribe 360 workflows and content are leveraged, eliminating the need to rebuild from scratch. I’d also like to highlight at the center of this migration model is a parallel transition strategy. We enable PowerScribe 360 and PowerScribe One to operate side-by-side during our customer’s migration period. This approach provides organizations with the flexibility to: Introduce PowerScribe One to early adopters Validate workflows and integrations in a live environment Phase adoption across teams Maintain continuity throughout the transition In this measured approach, our customers can move forward with confidence, ensuring that systems, workflows, and teams are ready for successful adoption. The result is a model that is both repeatable and adaptable, capable of supporting organizations with varying levels of complexity. Our efforts to center our implementation process on the customer experience shows how migration work is not simply a technical capability proposition. This focus reflects our broader philosophy: transformation should be deliberate, not disruptive. From implementation to enablement Minimizing disruption doesn’t end with implementation. It extends into how teams are supported, trained, and enabled in their day-to-day workflows. Our focus on enablement is especially important in radiology, where even small workflow disruptions can have outsized impacts on productivity and the radiologist experience. With PowerScribe One, organizations not only gain access to a modern reporting solution but also support from teams with deep experience in radiology workflows, integrations, and large-scale deployments. With that in mind, I’ve seen firsthand how the healthcare landscape has radically changed over the last six years. Our customers tell us how workforce shifts in radiology means they are adapting their staffing models and workflows to include telework. With these changes in the workforce, organizations benefit from training and support models that are flexible, digital, and accessible remotely. We made live expert access (known to our customers as “drop-in help”) easily accessible through a simple QR code. It can be an ad hoc or scheduled engagement which ensures the offering aligns with a radiologist’s schedule. The feedback on this level of access we’ve received has been extremely positive and is resonating strongly with customers. I know that for any healthcare solution deployment to be successful, it requires a learning and support model that aligns with clinical schedules and operational realities. Modernizing radiology reporting is both a technical and operational effort with its success depending on advancing capability without disrupting clinical continuity. The transition to PowerScribe One shows this balance is achievable through phased adoption, low-disruption deployment, and strong user readiness. Organizations can modernize without affecting day-to-day care delivery with our structured approach, proven expertise and a focus on provider experience and patient outcomes. If you want to learn more about our approach or PowerScribe One, I’ll be at SIIM26, June 10-12, please stop by the Microsoft booth at 630-632. You can also discover how we partner with our customers why they decided to move to PowerScribe One by reading our Industry Blog.
