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- <silence>

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- Nuance is a pioneer

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and a leading provider
of conversational AI

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and cloud-based, ambient
clinical intelligence

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for healthcare providers
used by 77% of hospitals

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and 10,000 healthcare
organizations worldwide.

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Our AI powered solutions
capture 300 million patient

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stories each year.

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We help unburdened
clinicians, radiologists,

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and care teams with efficient new ways

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to capture clinical information,

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applying real time intelligence

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for better decision making
across the continuum of care.

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Now a Microsoft company
Nuance brings industry leading

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generative AI and deep vertical expertise.

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To address your biggest challenges

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and accelerate healthcare outcomes, visit

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www.nuance.com/healthcare
for more information.

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- Welcome everyone

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to the Becker's Healthcare podcast series.

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I'm Mariah Mohammed, writer

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and moderator with Becker's Healthcare,

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and I'm absolutely thrilled
to have with me today Dr.

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FJ Campbell, chief Medical
Officer at Arden Health Services.

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Doctor, it's very nice to
have you on the podcast.

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To get us started, would
you mind please introducing

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yourself and telling us a
bit about your background?

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- Sure. FJ Campbell, again,

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I'm the Chief Medical Officer
of Arden Health Services.

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I'm an emergency medicine p by training

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and effectively guided to
administration along the way

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to improve throughput.

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Um, that started off with VIR
Health, then I went on to HCA

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and CHS, uh,

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and now I'm at Arden Health
Services, where I'm responsible

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for our clinical initiatives.

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- Wonderful. Thank you so much

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for giving us that background.

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So to jump right into
our conversation today,

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can you tell me about your
most successful project

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or initiative from the last year?

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What issues were you trying to solve

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and also what drove the success?

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- Sure, no question about it.

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As we have been coming out of covid, um,

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and really thinking about
workforce demands, uh,

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it really demonstrated to us

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that there has become an
untenable amount of work

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for our nursing staff.

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And we began to really
question what are the elements

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of nursing workflow that we
could literally automate?

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And that work has taken place
in our Amarillo market at BSA,

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where we have endeavored

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to automate the collection of vital signs.

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Uh, our partner in that is a company

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called Bio Intelligence.

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Their product is bio button.

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Uh, we've also done that in
conjunction with Medtronic.

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And uh, the bio button
is placed on patients

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and we have the automated
collection of heart rates,

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respiratory rates, and temperature.

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Um, two success stories come out of this.

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Number one, it's reducing
some of the tasks,

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the mundane tasks at the
bedside that occupy workflow

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for our nurses and our
patient care technicians.

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Uh, but with 1,440 measurements
per day per patient, it has

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provided a profound amount of
data that is now going into

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our deterioration index
called Alert Watch,

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which is much more effectively identifying

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patients who are deteriorating.

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And we have seen as a result,
uh, a reduction in length

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of stay and a reduction in
mortality major success for us.

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So that was the last year,

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and we're in the process
of rolling that out to

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further facilities.

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We've completed it in our Tulsa market,

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and we'll be going to East Texas next.

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- Wonderful, wonderful.

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Thank you so much for
giving us, uh, that insight.

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And the next question I wanted
to ask you is, as you know,

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the clinical workforce has
changed a lot in the last few

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years for obvious reasons.

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Uh, what challenges are you still facing

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and how do you see the
clinical workforce evolving?

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- We're gonna have a virtual
workforce working alongside

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an onsite workforce.

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Um, we've been talking about
telehealth for decades now,

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and it's been very much
focused on physicians.

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Um, again, a byproduct of
our experience coming out

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of Covid, uh, was reflecting
on the bedside care

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paradigm for both nurses and
for patient care technicians.

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Um, we've been working with
a company called Care ai.

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Um, we're in the midst of
deploying 400 plus, um,

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telehealth sensors per, um,

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room across our East Texas market.

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And the goal there is to
actually drive virtual nurses,

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virtual techs and virtual attendings.

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Uh, this is about load
balancing workflow for nurses,

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but also load, uh, balancing acuity

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and patient volumes
across, uh, a whole market.

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And our hub and spoke model.

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When we look at the virtual nurses,

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we are specifically thinking
again, what can we do

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to improve the workflows for our nurses

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and technicians working in the hospital?

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And we thought we could
deploy virtual nurses

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who could take care of elements
of the admission process,

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medication reconciliation,
rounding the discharge process,

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creating an environment where the nurses

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who are now present on site
are not going to have to be

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so profoundly task focused

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that they can concentrate
more on critical thinking.

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And that's what we think is going to lead

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to a safer environment, both
for our patients, our nurses,

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and our techs as they're trying

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to execute on their patient care.

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When we realized that we could
do that for nurses, we began

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to realize we could also
extend this to bringing

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attendings from our tertiary care centers

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to our secondary hospitals for a multitude

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of clinical service lines to

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therefore increase the capability
of our secondary hospitals

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and open up capacity to
our tertiary care centers

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to take more patients
in from the community.

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- Wonderful, wonderful.

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Thank you so much for
giving us that insight.

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And Doctor, before I let you
go, what is your best advice

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for aspiring physician and nurse leaders?

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- We have become nearly

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symbiotic with technology.

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I know that's a dramatic statement.

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We no longer look at
things like Epic as an EMR.

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It really has become our
clinical operating system.

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Um, and there are increasingly
will be tools that are going

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to allow us to go through
a tremendous amount

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of patient data and really bring us down

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to the pertinent positives
and the pertinent negatives.

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And that's gonna be happening
in the nursing front.

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That's gonna be happening
in the physician front.

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There's a new skillset that
people are going to have

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to really embrace.

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It's not just how well you take a history.

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It's not just how well you come up

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with differential diagnosis

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or how well you do a physical exam.

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There's also going to be a skill

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and people are really gonna
have to commit to learning

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the new skills around how
do I leverage the tech,

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leverage the technology
around me to most effectively

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and efficiently take care
of the patients that I have.

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So that is something that
people associate with, Hey,

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you're going to be able

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to more effectively do
your workflows if you gain

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mastery over EMR.

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But there are gonna be new systems

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that are gonna be driving
this clinical decision support

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systems, artificial intelligence systems,

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and having that comfort level

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and having that understanding of necessity

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to gain mastery over these
new technology systems,

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information systems coming in.

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I think people are gonna
have to really know

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that their success

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and their happiness in this work

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will involve embracing these technologies.

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- Yes. Thank you so much for
those final thoughts, doctor.

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This has definitely been an amazing

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and informative discussion.

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So again, I wanna thank you so much

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for coming on Becker's Healthcare

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and I look forward to
connecting with you again soon.

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- My pleasure. Take care.

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- Nuance is a pioneer

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and a leading provider of
conversational AI in cloud-based,

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ambient clinical intelligence
for healthcare providers used

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by 77% of hospitals

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and 10,000 healthcare
organizations worldwide.

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Our AI powered solutions
capture 300 million patient

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stories each year.

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We help unburdened
clinicians, radiologists,

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and care teams with efficient new ways

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to capture clinical information,

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applying real time intelligence

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for better decision making
across the continuum of care.

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Now a Microsoft company
Nuance brings industry leading

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00:08:52,025 --> 00:08:54,785
generative AI and deep vertical expertise.

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To address your biggest challenges

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and accelerate healthcare outcomes, visit

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www.nuance.com/healthcare
for more information.