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.Dragon Copilot centralizes trusted medical content and relevant contextual information in-workflow
This blog is co-authored by Bert Hoorne, Principal Program Manager & Ksenya Kveler, Principle Medical Science Manager Dragon Copilot delivers medical intelligence from trusted sources directly within clinical workflows for healthcare organizations in one solution. We are pleased to announce that we are expanding those knowledge sources with additional best‑in‑class content providers and enabling broader access to your organization’s internal sources with Microsoft 365 Copilot integration. Access information from new credible medical content providers Dragon Copilot users will gain access to an additional robust collection of trusted clinical content from leading evidence-based resources. We are partnering with renowned publishers to bring you the best, most trusted content, safely and securely, within clinician’s workflows while helping to reduce the use of unauthorized AI tools and applications, commonly referred to, as “shadow AI.” Access content from Wolters Kluwer UpToDate We’ve partnered with Wolters Kluwer UpToDate to bring trusted, evidence-based clinical guidance directly into Dragon Copilot. Customers with an active Wolters Kluwer UpToDate license will be able to access UpToDate content in Dragon Copilot, within the context of their clinical workflows. This integration allows clinicians to ask both general questions and patient specific questions and receive answers grounded in UpToDate evidence, with clear references to supporting sources. Over time, it will also introduce contextual links to UpToDate concepts layered on top of Dragon Copilot–generated notes, further enhancing clinical insight at the point of care. “Clinicians need reliable guidance that supports fast, confident decision-making without disrupting care delivery. We are excited to partner with Microsoft to bring UpToDate’s gold standard evidence and expertise-based clinical insights to Dragon Copilot, helping clinicians quickly access, actionable answers that reduce cognitive burden and support better patient care.” Yaw Fellin, Senior Vice President and General Manager, UpToDate Clinical Decision Support and Provider Solutions Wolters Kluwer Health Here’s an example of UpToDate content embedded in the Dragon Copilot workflow: Obtain trusted clinical evidence with Elsevier ClinicalKey AI Elsevier’s ClinicalKey AI will be available in Dragon Copilot. This integration enables customers with an active Elsevier ClinicalKey AI license to surface trusted medical literature and clinical evidence directly within clinicians’ workflows. “Clinicians are navigating a complex and rapidly changing healthcare landscape and need solutions they can trust. The ClinicalKey AI extension for Dragon Copilot transforms how clinicians interact with trusted medical literature and clinical answers. The conversational interface makes evidence discovery faster and more intuitive.” Jukka Valimaki, SVP Clinical Solutions Elsevier Here’s an example of ClinicalKey AI content embedded in the Dragon Copilot workflow: Support clinical decisions with EBMcalc With the integration of EBMcalc medical calculators, Dragon Copilot enables clinicians to use evidence-based calculators directly within their workflows—applied in context to the patient they’re caring for. “Clinicians need trusted, evidence-based insights exactly at the point of care. By integrating EBMcalc’s rigorously curated clinical calculators and references into Dragon Copilot, we’re helping make high quality medical evidence more accessible, more actionable, and easier to use within everyday clinical workflows”. Louis Leff, MD, MACP, Founder and CEO EBMcalc Access independent evidence in Dragon Copilot with Wiley and Cochrane Wiley and Microsoft are partnering to bring scientific literature and clinical evidence directly into the healthcare workflow, starting with the Cochrane Library. Through this integration, customers with an active Cochrane Library AI license will be able to access Cochrane’s high-quality, independent evidence, systematic reviews, and clinical answers, to inform more reliable and efficient decision-making. This includes the Cochrane Database of Systematic Reviews (CDSR), the home of gold-standard evidence syntheses, widely used to inform clinical guidelines worldwide. "Working with Microsoft to bring the Cochrane Library into Dragon Copilot reflects a shared commitment to meeting researchers and clinicians where they are. Healthcare Institutions can now access independent, peer-reviewed evidence— right within their clinical workflow” Josh Jarrett, SVP & GM of AI Growth Wiley Access work context with Microsoft 365 Copilot in Dragon Copilot With the Microsoft 365 Copilot integration, Dragon Copilot enables clinicians to seamlessly access information from their emails, chats, OneDrive and SharePoint, within the flow of their clinical work. Clinicians can combine this information with additional questions and actions, all governed by existing organizational and user access controls. Use of this data within Dragon Copilot workflow remains fully at the user’s discretion. Here’s an example of content from an email surfaced by Microsoft 365 Copilot accessible through the Dragon Copilot workflow: Read more for a deeper dive on how Dragon Copilot enables work context access with Microsoft 365 Copilot integration. Safe web search Dragon Copilot safe web search delivers trusted, evidence linked answers when curated sources are unavailable—ensuring clinicians continue to receive timely support without disrupting their workflow. The goal of safe web search is to prevent broken workflows and eliminate unsafe external browsing. Clinicians remain within their clinical context, focused on the patient—without tab hopping or the risk of landing on unreliable or unverified websites. Safe web search eliminates “no response” dead ends by maintaining a seamless conversational experience in Dragon Copilot and reducing unanswered prompts. This capability is enabled by using verified, secure, and responsible mechanisms designed for safe clinical experiences. It enforces multilayer protection through evidence validation, provenance linked responses, content filtering, and regulated search with built in safeguards. Here’s an example of content from a safe web search in the Dragon Copilot workflow: Conclusion These advancements represent an important step forward in how Dragon Copilot delivers trusted medical intelligence - bringing together best‑in‑class clinical evidence, organizational knowledge, and safe web access in one governed, in‑workflow experience. We will continue to expand our partner ecosystem, deepen integrations with leading evidence providers, and evolve Dragon Copilot conversational extensibility to meet clinicians where they work.
