Fluency Direct with CAPD constantly improves the accuracy of clinical documentation by delivering contextspecific, clinically-relevant information for needed details or clarifications as the report is being created. Consider a physician dictating a note that mentions unspecified chronic congestive heart failure (CHF). Welcome to the Fluency Direct Help & Training site!We encourageyou to begin using our new home site.If you do not have an account, please register at our home site.If you need help with the Fluency Direct application, please contact Fluency Direct Support at 1.888.290.2001 or fluency.direct@mmodal.com. Direct treatment focuses on changing the child’s speech, attitudes, and beliefs in order to manage stuttering or facilitate fluency (Yaruss et al., 2006). Direct treatment approaches may include speech modification (e.g., reduced rate of speech, prolonged syllables) and stuttering modification strategies (e.g., modifying a stuttered word. M.Modal Fluency Direct is now accessible from your personal device keyboard. Your Fluency Direct voice profile and custom template commands are available to dictate medical text into any app on.
Beginning this month, Michigan Medicine will launch a speech recognition technology called Fluency Direct. Michigan Medicine is retiring Dragon services effective Feb. 3 and Phone Transcription services effective Feb. 15.
“Michigan Medicine has seen a steady decline in phone transcription users, but still incurs substantial per-line transcription costs and fixed vendor costs,” said Jeff Terrell, M.D., professor of otolaryngology. “As part of the economic recovery plan, and part of the Michigan Medicine plan to improve clinical documentation and coding, 3M M*modal was chosen as a vendor with a suite of applications to help clinicians with documentation. Fluency Direct will be the first application implemented.”
Fluency Direct provides an improved user experience and supports more documentation needs. This transition from Dragon allows clinicians to use speech recognition to perform immediate documentation within MiChart as well as speech tools to navigate, search and perform many manual workflows in MiChart.
This transition will enable some significant enhancements, including:
- Utilize any cell phone/digital device to dictate through a mobile application into MiChart Hyperspace or directly into Haiku/Canto.
- Dictate an entire note via Fluency voice to text and watch it populate the documentation section.
- Improved accuracy of the new cloud-based products.
- No risk for corruption or loss of individual profiles because everything lives in the cloud.
- No more waiting for transcriptions to come back and having to read them after the fact.
- Voice commands to navigate, order, paste lab results or smart links, chart search and perform many manual workflows.
To prepare, required training will occur in phases over several weeks in January and early February. There will be an online training course with multiple date/time options available.
Phase One of the implementation is to train current/active Dragon and Phone Transcription users. Users will be contacted individually via an email to sign up for an online training course but can also sign up using this link — Fluency Direct Sign Up — to attend one of the sessions.
Providers who are not current/active Dragon or Phone Transcription users will have an opportunity to sign up for an online training course in early February.
“The goal is to make our clinicians as a group more efficient and effective in documenting care and navigating clinical workflows in MiChart. Within a short period of usage and practice using the software, they will be able to complete documentation and potentially sign documentation in one step, without delay, ” said Terrell.

Please look to the Fluency Direct project page for updates, training resources and access to the sign up link.
Awarded 2018 and 2017 # 1 Best in KLAS, Speech Recognition: Front-End EMR, M*Modal Fluency Direct is designed to speech enable athenaClinicals® with real-time narrative dictation. M*Modal Fluency Direct is an artificial intelligence powered speech recognition system that enables physicians of any medical specialty to create, edit and sign reports directly in athenaClinicals templates for the faster creation of higher-quality documentation.
The M*Modal documentation platform enables physicians to seamlessly utilize different speech options, all with the same cloud-hosted user profile which is shared across workflows, applications and devices (front-end speech recognition, mobile speech recognition and back-end dictation/transcription). For an optimal user experience, physicians can document directly and accurately into athenaClinicals from any workstation and care setting, using any device and workflow.
Top-ranking M*Modal Fluency Direct also:
Fluency Directions
- Creates time to care by improving the quality, speed, and efficiency of clinical documentation.
- Accelerates physician adoption of athenaClinicals and drives physician satisfaction.
- Minimizes the cost and delay of medical transcription.
- Maximizes EHR investments and optimizes EHR workflows.
M*Modal Fluency Direct further boosts physician productivity with speech-driven workflows supported by a robust library of speech commands for easy EHR navigation, customized templates and macros, and single sign-on capabilities. Far more than speech-to-text software, M*Modal Fluency Direct:
Fluency Direct Instruction
- Provides built-in Computer-Assisted Physician Documentation (CAPD) functionality that can deliver real-time clinical intelligence to physicians as they document by continuously analyzing the note, suggesting improvements in quality, and reporting on physician engagement with the system.
- Utilizes unique Speech UnderstandingTM which includes natural language understanding technology for the highest out-of-the-box accuracy and performance.
- Is a cloud-based but not 100% cloud-dependent solution that is secure and reliable. M*Modal Fluency Direct is quick and easy to install and use with flexible deployment options that can support multiple practices and specialties for a cohesive documentation strategy.
- Automates frequent tasks and normal text with speech-enabled commands for increased productivity.