Once you have logged in to the Nuance Healthcare Community, you can now find specific articles that support PowerScribe One.

From the PowerScribe One User Documentation launch pad knowledge article, you can access the following information and articles:

• Available patches / hot fixes
• Administrator Guide
• Version Specific Articles
• Installation Articles
• Product Related Articles
• Quick Reference Card Articles

Available patches / hot fixes - Provides users information about the latest software updates available for PowerScribe One. Simply clicking the Build Number link for the listed patch or hot fix launches the release notes details. This information allows users to decide if their PowerScribe One system should be upgraded.

PowerScribe One Admin Guide - Provides users quick access to chapters or downloading the entire PowerScribe One Admin Guide.

Version Specific Articles - Provides users access to:

• Specifications
• Release Notes
• Feature Comparison for PowerScribe One v2019 and PowerScribe 360 V1.0-4
• Introduction for Providers and Administrators
• Client Integrations
• Microsoft Updates
• Server Maintenance and Management

Installation Articles - Provides users access to the PowerScribe One installation/Conversion manual, as well as Hot Spare, Client, and Fax installation and configuration manuals.

Product Related Articles - Provides users access to the product related articles, such as Assisted Diagnosis, AutoText, Best Practices, BI-RADS coding, Client Portal, Custom Fields, Merge Fields, and Follow-up Recommendation, Mobile Radiologist, Modality and Anatomy Tables, Order Entry, Peer Review, PowerConnect Mobile Clinician, Sites, and Words and Vocabulary.

Quick Reference Card Articles - Provides users access to the latest QRCs available for PowerScribe One.

To access 9070 PowerScribe One User Documentation:

1. Log in to the Nuance Healthcare Community.
2. Click the search icon.

   

3. In the search field and enter 9070 or PowerScribe One User Documentation and click Search.

   

   In this example, 9070 is used that provides the following search result.

   

4. Click PowerScribe One User Documentation to launch the article, and then click the information or article that can provide information to assist you with your PowerScribe One system.

You can use the steps above to access all the Diagnostic Solutions launch pad articles with the same content structure by replacing the article number in the search field with any of the following article numbers:

• 12985 mPower Clinical Analytics User Documentation
• 12909 PowerConnect Actionable Findings User Documentation
• 12910 PowerScribe Advanced Data Integration with ModLink User Documentation
• 14357 PowerScribe Lung Cancer Screening User Documentation
• 12270 PowerScribe Workflow Orchestration User Documentation
• 14266 PowerScribe 360 Reporting V4.0 User Documentation
• 12270 PowerScribe 360 Reporting V3.5 User Documentation
• 9125 PowerShare Network

Automated peer review keeps count of the number of reports a user has read for each modality for which peer review is enabled (the modality’s counter has been set to a value greater than zero).

When the counter for a modality reaches its threshold, automated peer review will be launched the next time an eligible prior report for that modality is encountered.

A prior report is considered eligible for peer review if it meets all the following criteria:

• Comes from the same site
• Created for the same patient
• The prior report has the same anatomy and modality as the newly created report, or a related anatomy and/or modality if an exact match is not available.
• Does not have any non-final addendums
• Does not include the logged in radiologist as dictator, signer, or contributor
• Is not dictated or signed by inactive users (if the Exclude inactive accounts from auto peer review site preference is enabled)
• Is not older than the Maximum age for peer reviewed report site preference setting
• Has not already been peer reviewed

Reminder: You can configure your Peer Review modality interval settings.

1. Log in to the RadPortal.
2. From Setup > Site <select a site> > click Peer Reviews.

   

   The site Peer Reviews modality interval dialog displays where you can set the review frequency for each modality.

In PowerScribe One, incrementing the peer review counters is now deferred to ensure that all radiologists will be eligible for automated peer reviews regardless of their workflow. A peer review counter increments at the earliest point in the workflow where the report is considered read by the radiologist:

• In a send-to-editor workflow, the counter is incremented when the editor finishes the report (when the report reaches Corrected status).
• In a self-edit workflow, the counter is incremented when the report is finalized by the radiologist:
  • For attendings: when the Sign function is invoked (Final status)
  • For residents: when the Approve function is invoked (Pending Signature status)

For more details on Peer Review, log in to the Nuance Healthcare Community and search for PS1A026 Peer Review Counters: How They are Updated.

Custom field data can be imported into PowerScribe 360 Reporting via an HL7 message. This will allow the data to be available to the dictators via their AutoText and be automatically inserted into their reports.

To be able to receive the data you must first create a custom field in PowerScribe 360. Once you have created the custom fields in the PowerScribe RadPortal, your RIS team should send the information to PowerScribe using an OBX|CE (custom element) segment.

The format should be as follows:

OBX|1|CE|CTLE1^CT LOWER EXT WO CONTRAST||AOI^AREA OF INTEREST|
OBX|2|CE|CTLE1^CT LOWER EXT WO CONTRAST||ICD9^454

This format breaks down to:

OBX|1|CE|ProcedureCode||CustomFieldName^CustomFieldData

If a physician attempts to log in to the PowerConnect Mobile Clinician App and receives the following message, the site administrator should check that both the Enable Mobile option and the physician's account is provisioned.

For the PowerConnect Mobile Clinician App to work properly, both the Enable Mobile option should be selected, and the physician's account must be provisioned.

To ensure that the Enable Mobile option is enabled for the physician to access the PowerConnect Mobile Clinician App:

1. Click www.nuanceactionablefindings.com.

   The PowerConnect Actionable Findings Log In page displays.

   

2. Enter your Username and Password, and click Log in.
3. Click the Directory tab.

   

4. Locate the physician's profile and open it.
5. In the Preferences area, verify if the Enable Mobile option is checked.

   

6. If Enable Mobile is unchecked, check it, and save the physician's profile.
7. Ask the physician to log in to the PowerConnect Mobile Clinician App.

   If the physician is still unable to log in to the PowerConnect Mobile Clinician App, you must confirm that the physician's account is provisioned.

To ensure that the physician's account is provisioned:

1. From the Administration tab, select Manage Account Provisioning.

   

2. In the Filter Criteria area, select Ordering Clinician, and click GO.

   

3. Find the physician on the filtered list and select either Start Provisioning or Resend Notification in the Action column.

   

   In this example, Resend Notification is selected. A message displays to confirm the correct email address.

   

4. Validate that the email address is correct and click Resend Notification.

   The physician receives an email with instructions to complete the account revisioning.

5. Once the physician has completed provisioning, ask the physician to log in to the PowerConnect Mobile Clinician App.

If the physician is still unable to log in to the PowerConnect Mobile Clinician App after the Enable Mobile is checked and the email account has been provisioned, please contact your Nuance Customer Success Executive for assistance.

The Custom Graph tool in mPower Analytics allows you to define the axes, filters, and visual presentation of the data of a custom report that you want to run frequently and share on an as-needed-basis.

After the custom report is created in mPower Analytics, you can run the report when you need it if you apply the Permalink option. The Permalink option creates a bookmark of the current filters set for the custom graphic report.

To create a custom graph report with filters:

1. Double-click the mPower icon on your desktop and log in.
2. On the mPower page, click mPower Analytics.

   The Analytics page contains two main areas: Custom Graph and Dashboards.

   

3. In the Custom Graph area, click Graph. The Custom graph page displays.

   In the following custom graph example, the criteria selections include: Bar graph report, all reports finalized between 8:00 AM and 5:00 PM for male patients for the last 30 days.

4. From the Chart Type option, select Bar.

   This option lets you to select a Bar, Line, Pie, or Table visual presentation for the report.

   The Custom Graph in this example is set for Volume by Date Interval.

   

5. From the filters area, make the following selections:
   1. Click Date and select 30 days ago for the end date, today for the start date, and report finalized.

      NOTE: Date criteria is where you decide which event (exam ordered, exam completed, prelim report, final report, and so on) and defines the report the start and end date criteria.

   2. Click Time of Day and select 8:00 AM and 5:00 PM.
   3. Click Date Interval and select Day.
   4. Click Advanced Search and select Male.
      
      
6. Once all the criteria for the custom report is selected, click Permalink.

   

   The Permalink option creates a bookmark URL (bookmark-able link) similar of the example below that saves the custom report filters.

   https://xxxxxx/nuancempower.com/analytics/rad/v2/graph/date-interval/volume?start_date=30%d20days@20ago&end_date=today&event_type=8...

You can save and share this Permalink, allowing quick access without having to re-select filters when you need the same report analytics.

Using the Contact feature of the PowerShare application allows your facility administrators or clerks to add and view internal notes about a contact. This can include notes about outside facilities, physicians, and patients.

Example notes for a contact can include:

• Names of contacts who helped with image requests.
• Names of contacts in other departments. (For example, Radiology or Cardiology might be different.)
• Sites who send specific study types.
• Accounts shared with other hospitals in their health system.
• After-hours contacts for a site.

To add notes to your contact's account in PowerShare that is only visible to your facility administrators or clerks:

1. From the Contacts tab drop-down menu, select Contact Overview.

   

   The Contact Overview displays the contact name and Contact Information provided by the contact.

   

2. In the Notes About This Contact field add the appropriate notes and click Submit.

   The Notes About This Contact field is limited to 512 characters and the information is only visible to your facility administrators or clerks of the account.

Using the Account Information feature of the PowerShare application allows your facility to communicate account contact information (primary, secondary, and fax telephone contact telephone numbers) and any workflow notes to an outside facility, physician, or patients.

Example contact Information can include:

• Acceptable workflow for Study Requests. Should facilities use PowerShare, Call/Fax, etc.
• Inbound workflow: Whether your site routes images to PACS.  Details regarding your nomination / reconciliation process.
• Is this account shared with other hospitals in your Health System? If so, you may want to list all facilities that will have access to studies that are sent to your PowerShare account.
• What are your hours of operation? Who should sites call after hours?
• Are there any upcoming holidays or projects that would impact staffing or change your current workflow?
• Are there contacts for other departments? (For example, Radiology or Cardiology might be different)

To configure the Account Information and Contact Information details visible to external contacts:

1. Log in to PowerShare as a facility Administrator or clerk.

   In this example, we are logging in as a facility Administrator.

2. Click Account Settings.

   

   The Account settings panel displays.

   

3. Click Account Information.

   The Account Information window displays.

   

4. Enter the Primary, Secondary, and/or Fax Number numbers.
5. In the Contact Information field, add information you want visible to external contacts.

   The Contact Information field is limited to 512 characters and is visible to external contacts.

6. Click Save.
   

We have recently discovered that the Accelerator Gateway (AGW) performs MUCH better when installed on Windows Server 2012 or 2016. AGWs installed on older Windows operating systems such as Win7 or Server 2008 are restricted in the bandwidth each upload/download thread can use when connecting to our data center (between 4-16Mbps).

To get the most out of your Accelerator Gateway (AGW) with PowerShare, Nuance recommends Windows Server 2016 or 2012.

PowerShare support for Win7 and Server 2008 runs until January 2020.

To upgrade to Windows Server 2016 or 2012:

1. Check the Windows server version you are currently running for your AGW.
2. If you are running an outdated version of Windows, please contact Outreach or Support to review your options to update to a newer Windows server environment.
   

• Outreach: outreach@nuancepowershare.com or contact your Outreach Manager directly.
• Support: support@nuancepowershare.com or call (866) 809-4746.
  

For your convenience, Nuance has added the SR Modality list table to knowledge article 12916: ModLink v3.0.1 SR Modality list.

This document provides a table that includes the vendor, DEXA, CT, Injectors, Mammo, and Other modalities currently available.

To access the ModLink v3.0.1 SR Modality List, log in to the Nuance Healthcare Community and search for article 12916 and click the document link.