These are challenging times that are affecting all of us in profound ways as we each learn how to live and work within a new reality.

For our Healthcare customers, Nuance can help you during these challenging times.

Making it easier to document care.

For details click here.

For disinfection guideline details, please log in to the Nuance Healthcare Community, and search for 11294 PowerMic Cleaning & Disinfecting Guidelines.

 

AI thought leaders and Nuance customers Irena Tocino, MD, FACR of Yale New Haven Health System and Tarik Alkasab, MD, PhD of Massachusetts General Hospital explore challenges, strategies and solutions associated with integrating AI into clinical radiology practice. Karen Holzberger, Senior Vice President & General Manager of Nuance Diagnostics, moderates. Their conversation focuses on end-to-end components necessary to bring AI into radiology -- from aligning on a vision and setting a course, to integrating AI into the workflow so it's accessible and usable, to driving adoption and validation.

 

Learn how:

• AI models are often built from limited data sets and are not always generalizable
• Analytics tools can help with validation and testing in your environment
• To put AI into action at scale and with confidence

 

Read how Einstein:

• Achieved 100% closure rate within 3-day targeted time frame for non-emergent findings
• Increased solution utilization by 11% on average year over year
• Decreased physician interruptions and streamlined workflow
• Improved referring provider satisfaction and participation

 

The error message that is seen when accessing the SQL Reporting Service by the SQL Administrator is similar to:

Error: Microsoft.ReportingServices.Diagnostics.Utilities.ReportServerDisabledException: The report server cannot decrypt the symmetric key used to access sensitive or encrypted data in a report server database. You must either restore a backup key or delete all encrypted content. Check the documentation for more information.

To address this issue, you need to:

1. Create a SQL login with SA rights to use in place of the SA account.
2. Log in to the SQL server and launch the Reporting Services Configuration Manager.

   

3. On the Reporting Services Configuration Manager, click Encryption Keys.

   The Encryption Keys dialog displays.

   

4. From the Delete Encrypted Content area, click Delete to delete the current Encryption Key.
5. Click the Database, and under Current Report Server Database Credentials area, update the existing SA credentials being used for the new account you created in Step 1 above.

   

6. On the Reporting Services Configuration Manager, select Web Portal URL.

   

7. On the Web Portal URL dialog, click the URL to launch the Native SQL Reporting Application.
8. Select Nuance Data Sources and drill down to the COMM4 Data Source, click the ... three dots, and then click Manage.
9. Reset the data source as shown below in the ps360user example by updating the password for either the ps360user or the PSOneUser.

   

10. Apply your changes and restart the SQL Reporting Services via the Service Manager.
11. Log in to the Nuance RadPortal.
12. From System > Configuration > Other Settings, update the Reports User account and password so that PowerScribe One or PowerScribe 360 Reporting reinitiates the connection to the Reports Server.
13. Select Logs > Reports Tab to run reports.

    

If you are still unable to run reports, please contact Nuance Technical Support for assistance.

 

Adjusting the Microphone Recording Level

Before attempting to fix any misrecognized words or phrases, make sure the system is recording your dictated content with the recording level being configured at an appropriate level. This is accomplished by using the Audio Setup Wizard.

It is very important to follow the step-by-step instructions exactly as written. Doing so has proven to deliver the largest boost in recognition accuracy for most users.

The following describes how to run the Audio Setup Wizard.

1. Log in to the PowerScribe Client.
2. From Speech, select Audio Setup.

   

   The Check Microphone dialog displays.

   

3. Click Next.

   The available audio devices will be displayed.

4. While the optimal position for a headset shown above is one inch from your mouth, for a hand-held microphone the optimal position for dictation should be to hold the microphone out at the furthest distance at which you would normally hold a microphone when dictating.

5. Click Start Volume Check and read the text as instructed until you see Finished.

   

   Once you click Start Volume Check, you see Listening as shown below.

   Remember to speak at a normal dictation level and maintain your head positioning when reading the text aloud if you are dictating with a hand-held microphone.

   

   

6. Click Next, and then click Start Quality Check, and start reading the text normally until Micro Phone Test Passed displays.

   

7. Click Finish to finish the audio setup.

Adjusting the Speed Versus Accuracy Setting to 70%, Favoring Accuracy

The following includes step-by-step instructions on how to adjust the "Speed Versus Accuracy" setting to 70.

IMPORTANT: It is very important to follow the step-by-step instructions exactly as written as the goal is to increase the accuracy setting to 70 percent, favoring accuracy.

1. Click the PowerScribe Client application so it is in focus and active.
2. On the Menu bar, click Speech > Options.
3. In the Options dialog, click the Miscellaneous tab.
4. In the Speed vs. Accuracy section, use your mouse to move the slider to the right as far as possible.
5. Click Apply to save this setting.
6. Click OK to exit the Options dialog.

   At this point, a message may appear stating that the maximum allowable adjustment cannot exceed 70 percent and will be adjusted automatically. This is perfect!

 

To resolve this issue:

1. Install the PowerScribe 360 Client and Dragon.
2. From the PowerScribe 360 File menu, check Offline Speech Files mode BEFORE the user enters their login credentials.

   

   This mode tells the PowerScribe 360 Reporting application to create and use a profile on the local workstation. This will eliminate the time it would normally take to download a user's roaming profile from the Application Server.

   After the Offline Speech Files mode is checked, a confirmation dialog displays.

   

   This mode is sticky and remains in this mode until the user manually turns it off.

3. Click Yes.

   Another confirmation message displays to use offline speech files.

   

4. Click OK.

 

When this occurs, a few simple measures can be taken to get the physician working quickly.

Follow each option in order below:

Option 1

1. Ask the user to enter their username and password, and then hold the LEFT SHIFT KEY down when clicking on the Log In button.

   This action forces a complete copy of the user's profile to download.

2. If this option did not solve the issue, proceed to Option 2.

Option 2

If Option 1 did not solve the issue:

1. Ask the user to close the PowerScribe 360 application.
2. Navigate to: C:\ProgramData\Nuance\Dragon SDK Client Edition12\RoamingUsers\Location_1.
3. In the Location_1 folder, locate the file that is named the same as their user ID, and delete the file.
4. If this option did not solve the issue, proceed to Option 3.

Option 3

If Option 2 did not solve the issue:

1. Ask the user to close the PowerScribe application.
2. Log in to the RadPortal, as the system administrator.
3. From the Setup, Accounts tab, locate and select the user's account.
4. From the Roaming Profile list, select Restore Checkpoint (Entire Profile).
5. Ask the user to log in to the PowerScribe 360 application.
6. If this option did not solve the issue, proceed to Option 4.

Option 4

If Option 3 did not solve the issue, or the user does not have a Checkpoint profile, and to get the physician working as soon as possible, you should set the user to use Offline Speech Files on the local workstation.

To enable Offline Speech Files on a local workstation:

1. From the PowerScribe 360 File menu, check Offline Speech Files mode BEFORE the user enters their login credentials.

   

   This mode tells the PowerScribe 360 application to create and use a profile on the workstation. This will eliminate the time it would normally take to download their roaming profile from the Application Server.

   This profile will not contain any words the user may have trained in the past on the roaming profile.

   Once the Offline Speech Files mode is checked, a confirmation dialog displays.

   

   This mode is sticky and remains in this mode until the user manually turns it off.

2. Click Yes.

   A confirmation message displays to use offline speech files.

   

3. Click OK.
4. Ask the user to log in to the PowerScribe 360 application.
5. From the PowerScribe 360 Help menu, select Collect Logs.

   This uploads to the user's workstation logs so that the issue can be investigated.

6. Please contact Nuance Support to open a case to investigate the cause of the issue, advising Nuance Support that the user's logs have been collected.

 

To fix this issue, follow these steps:

1. Open the PowerConnect Actionable Findings Mobile Application.

   

2. In the Username field, enter your email address.

   The In-App Browser displays.

   

3. On the In-App Browser, tap Open in Chrome and the log in Single Sign On landing page displays.
4. Enter your email address in the Username field.
5. Scroll to the bottom of the Single Sign On landing page, and in the Open with Clinician area, click ALWAYS.

   

6. You will then see the Mobile Clinician application where you will be asked to set a passcode.
7. Input a 6-digit passcode of your choice without repeating digits.

After these steps, the Android Mobile user is provided access to the PowerConnect Actionable Findings Mobile Application.

 

As of the PowerShare Network 2020.1 release, study image counts are listed below the preview images on the images tab, nominations page, and advance search results page. Image counts are broken down into medical image and non-image files. Users should include both image counts when calculating the total image count for a study.

Medical images are the image files that are captured during the scan of the patient. Non-image files are additional files included to supplement the study such as presentation state, structured report, or radiology therapy report files.

Multi-frame images contain multiple frames that some PACS count individually.  PowerShare counts each Multi-frame image as a single image.

 

Users should note that replies to email notifications are not delivered to the contact whose action triggered the PowerShare email notification. 

To reply to your contact, you should:

1. Log in to PowerShare.
2. Select the Messages tab.
3. From the Messages list, click the message subject and add your response to the message in the context window, or the corresponding queue (requests/PACS).

   

4. Reply to the message.

 

Note: If you have an email address you want added to the support mailing lists that does not correspond to a PowerShare user account, you can submit a support request to have it added.  Be sure to include the first and last name of the user as well as their email address. 

Requests can be submitted via the Nuance Healthcare Support site or by emailing support@nuancepowershare.com.

Be sure to remove the unsubscribe links at the bottom of our support emails before forwarding to others.  This prevents others from clicking those links, thus unsubscribing you from our mailing lists.

Once logged into the Nuance Healthcare Community, search for the knowledge article: 11864 mPower Clinical Analytics Quick Refence Cards.

The following QRCs documents are available to help you form your own reports and queries:

• mPower™ Clinical Analytics Boolean Search Syntax QRC - Lets you create the queries.
• mPower™ Clinical Analytics Custom Graphs QRC - Lets you analyze, report volume (number of reports), turnaround time, relative value units.
• Managing mPower™ Clinical Analytics Groups QRC - Lets you create groups.
• mPower™ Clinical Analytics Tags QRC - Lets you set up tags.

To create and edit a form to capture all the clinical values required for a report, first create a new form (or rename an existing form) and then edit the form.

To create a form:

1. On the Web Forms menu, select Manage Forms.
2. Click Create Form.
3. In the Create Form dialog, type a name for the form.
   Optional. To create an advanced form, select the Advanced check box.
4. Click Create.
   The form editing dialog displays.
5. Click Save, and then click Finish.

To edit a form:

1. On the Web Forms menu, select Manage Forms.
2. Click the Edit Form corresponding to the form that you want to edit.
3. On the form editing dialog, edit the form.
   
   Some edits include:
   • Add fields, images, and other items
   • Customize common items properties on simple forms.
   • Customize check boxes, options, and lists
   • Add an image header
   • Customize an image field
     
     
4. Click Save Form when you are finished modifying your form.
5. Click Finish to exit the form editing dialog.

For more information about Web Forms, log in to the Nuance Healthcare Community and search for article 10919 PowerScribe Advanced Data Integration with ModLink Web Forms, and select the PACSGear User Help.