In high-volume medical contact facilities, each affected person dialog carries each medical and operational significance, so automated workflows require correct, real-time transcription. Correct, instantaneous transcription allows clever automation with out sacrificing readability or consideration, permitting groups to automate digital medical file (EMR) file matching, streamline workflows, and remove handbook knowledge entry. By eradicating routine course of steps, employees can stay totally targeted on the dialog with the affected person, bettering each expertise and outcomes. As well being techniques search a stability between effectivity and empathy, real-time transcription has turn out to be a functionality to ship responsive, high-quality care at scale.
maryland switchboard is a physician-led AI and knowledge science firm with a mission to prioritize human connections in healthcare. Its companies enhance affected person engagement and outcomes whereas decreasing inefficiency and burnout. Switchboard, MD designs and deploys clinically related options that assist healthcare suppliers and operators work collectively extra successfully to ship superior experiences for each sufferers and employees. One in all its key options streamlines contact facilities utilizing AI voice automation, real-time medical file matching, and next-step options, resulting in important reductions in wait instances and name abandonment charges.
Maryland Switchboard handles greater than 20,000 calls every month, serving to healthcare suppliers ship well timed, customized communications at scale. The corporate’s AI platform is already serving to cut back name wait instances, enhance affected person engagement, and streamline contact middle operations for clinics and well being techniques. Clients utilizing Switchboard have seen the next:
- Scale back wait time by 75%
- Scale back name abandonment fee by 59%
Regardless of these early successes, Switchboard confronted important challenges. Present transcription approaches haven’t been in a position to scale economically whereas sustaining the accuracy required for medical workflows. Value and phrase error fee (WER) have been extra than simply operational metrics; they have been key elements in increasing automation and lengthening the influence of the switchboard throughout extra affected person interactions.
On this submit, we discover the precise challenges Switchboard, MD confronted in bettering transcription accuracy and cost-effectiveness in medical settings, the analysis course of they used to pick the suitable transcription resolution, and the technical structure they carried out utilizing Amazon Join and Amazon Kinesis Video Streams. On this submit, we element the spectacular outcomes achieved and present how we have been ready to make use of this basis to automate EMR matching and release medical employees to concentrate on affected person care. Lastly, we’ll have a look at the broader influence of healthcare AI automation and the way different organizations can implement related options utilizing Amazon Bedrock.
Deciding on correct, scalable, and cost-effective transcription fashions for contact middle automation
Maryland Energy Board wanted a transcription resolution that delivered excessive accuracy at a sustainable value. Transcription accuracy is important in medical follow, as errors can compromise EMR file reconciliation, influence really useful therapy plans, and disrupt automated workflows. On the similar time, scaling help for 1000’s of calls every week meant that inference prices couldn’t be ignored.
Switchboard initially thought of a number of paths, together with evaluating regionally hosted open supply fashions equivalent to Open AI’s Whisper mannequin. Nonetheless, these choices had tradeoffs in efficiency, value, and integration complexity.
After testing, the workforce decided that Amazon Nova Sonic offers the suitable mixture of transcription high quality and effectivity wanted to help healthcare use circumstances. The mannequin labored reliably all through the caller’s reside audio, even in noisy and variable situations. It supplied:
- Scale back transcription prices by 80-90%
- Phrase error fee in Switchboard’s proprietary analysis dataset is 4%
- Low-latency output for real-time processing wants
Equally necessary, Nova Sonic seamlessly built-in into Switchboard’s present structure, minimizing engineering effort and accelerating deployment. With this basis, the workforce lowered handbook transcription steps and scaled correct, real-time automation throughout 1000’s of affected person interactions.
“Our imaginative and prescient is to revive human relationships in healthcare by eradicating the executive obstacles that get in the way in which of significant interactions. Nova Sonic provides us the pace and accuracy we have to transcribe calls in real-time, so our clients can concentrate on what actually issues: conversations with sufferers. By decreasing transcription prices by 80-90%, we have additionally made real-time automation sustainable at scale.”
– Dr. Blake Anderson, Founder, CEO, CTO, Switchboard, Inc. of Maryland
Structure and implementation
Switchboard’s structure makes use of Amazon Hook up with seize reside audio from each sufferers and personnel. Switchboard processes audio streams by way of Amazon Kinesis Video Streams and handles real-time media transformation earlier than routing the information to a containerized AWS Lambda perform. Switchboard’s Lambda perform makes use of BedrockRuntimeClient to determine a bidirectional streaming reference to Amazon Nova Sonic. InvokeModelWithBidirectionalStream API. This new structure creates separate transcription streams for every dialog participant, which Switchboard recombines to create an entire transcription file. The whole processing pipeline runs in a serverless surroundings, offering scalable operations designed to deal with 1000’s of simultaneous calls whereas offering instantaneous transcription processing utilizing Nova Sonic’s real-time speech-to-text capabilities.
Nova Sonic integration: Actual-time audio processing
Leveraging Amazon Nova Sonic’s superior audio streaming and processing, Switchboard developed and constructed the power to separate and recombine speaker streams and transcripts. This makes Amazon Nova Sonic notably efficient for Switchboard healthcare purposes the place correct transcription and speaker identification are important.
Amazon Nova Sonic affords configurable settings that may be optimized for a wide range of medical use circumstances, with the pliability to prioritize both transcription or speech technology primarily based in your particular wants. An necessary value optimization function is the power to regulate the audio output tokens. If organizations primarily concentrate on transcription, they’ll set decrease token values, leading to important value financial savings whereas sustaining excessive accuracy. This versatility and price flexibility make Amazon Nova Sonic a beneficial software for healthcare organizations like Switchboard seeking to implement voice-enabled options.
Why serverless: Strategic advantages for medical innovation
Switchboard’s selection of a serverless structure utilizing Amazon Join, Amazon Kinesis Video Streams, and containerized Lambda features represents a strategic choice to maximise operational effectivity whereas minimizing infrastructure overhead. The serverless method eliminates the necessity to provision, handle, and monitor the underlying infrastructure, permitting Switchboard’s engineering workforce to concentrate on growing medical automation capabilities moderately than server administration. This structure offers built-in fault tolerance and excessive availability for important medical communications with out requiring intensive configuration by the Switchboard workforce.
Switchboard’s event-driven structure, proven within the following diagram, permits the system to scale from dealing with tens to 1000’s of simultaneous calls, with AWS mechanically managing capability provisioning behind the scenes. A pay-as-you-go billing mannequin permits Switchboard to pay just for the computing assets used whereas processing calls, optimizing prices whereas eliminating the chance of over-provisioning servers that turn out to be idle in periods of low quantity.

conclusion
Amazon Nova Sonic’s implementation in Switchboard, Maryland, exhibits how the suitable transcription know-how can remodel healthcare operations. By reaching 80-90% value financial savings whereas sustaining clinical-grade accuracy, we’ve got created a sustainable basis for increasing AI-powered affected person interactions throughout the healthcare business.
By constructing on Amazon Bedrock, Switchboard has the pliability to scale automation throughout extra use circumstances and supplier networks. Their success demonstrates that healthcare innovators can mix precision, pace, and effectivity to rework the way in which care groups join with sufferers, one dialog at a time.
Get began with Amazon Nova on the Amazon Bedrock console. For extra details about Amazon Nova fashions, please go to the Amazon Nova product web page.
Concerning the writer
tanner jones is a technical account supervisor for AWS Enterprise Help, serving to clients function and optimize manufacturing purposes on AWS. He makes a speciality of serving to clients develop purposes that incorporate AI brokers, with a selected concentrate on constructing safe multi-agent techniques.
Anuj Jauhari He’s a Senior Product Advertising and marketing Supervisor at AWS, serving to clients drive innovation and enterprise influence with generative AI options constructed on the Amazon Nova mannequin.
Jonathan Woods is an AWS Options Architect primarily based in Nashville presently working with SMB clients. He’s enthusiastic about speaking AWS know-how to enterprises in the suitable method and making it simpler for patrons to innovate. Exterior of labor, he tries to maintain his three youngsters.
Nauman Zulfiqar is a senior account supervisor with SMB shoppers primarily based in New York. He loves constructing and sustaining robust relationships with clients, understanding their enterprise challenges, and serving as their key enterprise voice inside AWS.

