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Nuance is pleased to present you with this edition of eTips, highlighting the following new content:

eTip 1: VIDEO: Dragon Medical One "Optimize for rapid navigation" feature addresses "jumping cursor" issues.

eTip 2: VIDEO: Anchoring Speech Focus in Dragon Medical One.

eTip 3: NEW! Nuance Healthcare Community user interface.

eTip 4: Dragon Medical support policy for Epic EMR.

Also:

Upcoming events  |   Nuance Healthcare Community
NHNS registration  |   New releases  |   Product information
Contacting support  |   Implementation training
Helpful links  |   Connect with us

Nuance 2019 User Conference & Leadership Summit

Don't miss out on the Nuance Healthcare User Conference & Leadership Summit, March 31 – April 2, 2019 at the Gaylord Opryland Resort.

Register today using the code "MC19" at checkout to receive $400 off the regular price of $499.

Go to nuance.com/go/nashville19 to register now!

Get even more with Dragon Medical One

Now it's easy for clinicians to compute various clinical scores and indices within their documentation. Dragon Medical One users can access 30 evidence-based clinical calculators—medical equations, scores, and algorithms—within their documentation workflow.

With no additional software to install and no additional cost, users can access Dragon Medical Clinical Calculators by registering their Nuance Healthcare ID (NHID), included with every Dragon Medical One license.

Increase clinician productivity while improving charting compliance, supporting clinician decision-making, and creating consistent and complete clinical documentation. In addition, unlock access to your personal Dragon Medical voice profile in select mobile productivity apps and built-in productivity tools like Dragon Medical Clinical Calculators.

Register your NHID today by logging into Dragon Medical One, accessing the menu from the Dragon Medical speech bar, and selecting "My Nuance Healthcare ID."

Learn how to sign up for a Nuance Healthcare ID and how to access clinical calculators within Dragon Medical One.

Want to share this opportunity with your physicians?
Simply cut and paste the above message to send to your team.

Questions? Contact your Nuance representative or call 1-800-833-7776.

This Month's eTips

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eTip 1

VIDEO: Dragon Medical One "Optimize for rapid navigation" Feature Addresses Jumping Cursor Issues

Dragon Medical One provides flexibility for users to control how and where their cursor focuses insertion for speech recognition. One such feature "Optimize for rapid navigation" decides if speech recognition should be inserted at the current cursor position when the cursor position is changed manually during recording. This feature addresses jumping cursor symptoms during two scenarios:

1. When providers change cursor position frequently and rapidly as part of their workflow.
2. When background noise accidentally starts an utterance (note: an utterance is a normal segment of recognized text ended by a pause).
   
   The insertion position of text is determined at the beginning of an utterance. The text is inserted at the cursor position that was active when the background noise initiated the utterance.

Note: Enabling this feature will start a new utterance each time the cursor is moved.

Click VIDEO here for a demonstration of the differences when this feature is enabled and disabled for both of the aforementioned scenarios.

Configure the "Optimize for rapid navigation" Feature

To configure this feature, access the General User Options from the DragonBar:

Click and select Options from the Options menu. Click General for access to this setting.

As an alternative, Dragon Medical One provides configuration of the default settings that the user logs on with through the SoD.exe.config file. All settings located in the DragonBar's Options dialog box can be set in the configuration file. Specific settings can also be locked to prevent changes from the client user interface.

The "Optimize for rapid navigation" feature uses the General.OptimizeForRapidNavigation setting identifier within the SoD.exe.config file. To learn more, review the Dragon Medical One 4.0 Installation and Administration Guide, beginning on page 11.

Users can also access the end user help resources by saying "launch help" or by clicking Help on the DragonBar menu.

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eTip 2

VIDEO: Anchoring Speech Focus in Dragon Medical One

The topic of anchoring speech focus in Dragon Medical One was covered in detail in last month's August eTips Newsletter.

This month we want to present a new video that was not available last month:
Click Video here for a demonstration of how to anchor the speech focus.

Otherwise, the details from last month's newsletter are included below for your convenience:

You can set the speech focus to be anchored automatically. When you anchor the speech focus to your target application, you can open and navigate through other applications without removing the speech focus from the target application. You can anchor the speech focus to any application that Dragon Medical One can directly write the text in. The icon changes to when the speech focus is anchored to an application. When recording is on, the icon changes to . You can change which application has the speech focus anchored to it at any time. Anchoring the speech focus to another application automatically releases the speech focus from the application it was previously anchored to.

When you are working with an application that Dragon Medical One can directly write the text in, do the following:

1. Open Dragon Medical One and your target application.
2. Place the cursor in your target application where you want the text to be written and press CTRL + ALT + A or say "Anchor Speech Focus" to anchor the speech focus to your target application.
3. Open any other application you need for analysis/reference (for example, your PACS).
4. Click and start speaking. The text is written directly in your application.

To learn more and to keep current with any changes to this topic, users can access the end user help resources by saying "launch help" or by clicking Help on the DragonBar menu.

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eTip 3

NEW! Nuance Healthcare Community User Interface

Nuance has incorporated customer feedback and leveraged the industry standard features to improve the Nuance Healthcare Community (aka Nuance Healthcare Support Platform).

Nuance launched the updated Nuance Healthcare Community user interface (UI) on September 13, 2018.

To log in or to register, you can click here.

We would like to point out the updates in the screen capture below made to the NEW Nuance Healthcare Community UI:

At the top, the frequently used items have been placed in a Navigation menu and available on all the pages.

The Navigation menu includes the following:

• Home returns you to the Community login page.
• Knowledge Articles replaced the Topics list selection but all the Nuance solution remained the same.
• Discussion Groups replaced the Groups list area. The same groups that existed prior to the update of the UI still exist.
• Support replaced the Contact Support area and takes you to the new cases area where you can see the cases, log a case, or use live chat to speak with a technical support representative.
• More provides access to Product Resources (software downloads), Top Articles, and Nuance News and Events.
• Search icon dynamically expands when clicked to let you enter the search criteria.
• Notification icon has remained the same (no change).
• User Account icon has remained the same (no change).

The new Technical Support area lets you log a LOG A CASE or see your existing cases. You can also speak to a representative through LIVE CHAT.

The new Support channels area provides quick and easy access to:

• Support
• Product Resources
• Discussion Groups
• News | Events

Live chat access is now available on the lower right-hand side of every Nuance Healthcare Community page.

The Top Influencers area has been added and shows the most active Community members.  These Top Influencers may be valuable resources for answers to your questions.

The More area provides access to the following:

• Product Resources lists the latest Software Downloads available by solution.

• Top Articles displays the most commonly visited knowledge articles by our community users.

• News and Events highlights Nuance Press releases, Tradeshows and industry events, and Nuance in the news articles.

Additional knowledge articles of interest about the Nuance Healthcare Community include:

• 6656: Requesting Updates for Support Case(s) (Service Requests)
• 6493: Live Agent Chat on Nuance Healthcare Community
• 6494: Nuance Healthcare Technical Community Article Library
• 6769: Nuance Healthcare Community Registration

To learn more and to keep current with any changes to this topic, review this information within Article 6495 - Nuance Healthcare Community Navigation.

This content was made possible by Sandra Paradis.

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eTip 4

Dragon Medical Support Policy for Epic EMR

Article 3268 - Dragon Medical support policy for EHRs begins our topic by outlining the general Dragon Medical support policies for all EHRs and their vendors. Be informed about:

• Dragon Medical products and entitlements
• Full Text Control
• Edit Controls and Windows Classes
• Basic Dictation Mode
• Dragon Medical Dictation Box
• Nuance's EHR Integration & Alliances

Epic Hyperspace

Specific to the Epic EMR, the most recent Epic Hyperspace EMR releases are listed below along with each of their support positions with Dragon Medical Network Edition (DMNE) and Dragon Medical One (DMO) products. The versions are listed as stated and higher through current released versions today:

To learn more and to keep current with any changes to this topic, review the following information by product:

• Dragon Medical Network Edition:
  Article 3432 - Dragon Medical support policy for Epic EMR.
• Dragon Medical Network Edition Release Notes:
  Article 3328 - DMNE Client Software Downloads.
• Dragon Medical One Release Notes:
  Article 6377 - Dragon Medical One - Documentation & Release Notes.

Nuance Healthcare  Community

We're excited about the launch of the new Nuance Healthcare Community back in January 2018. Thank you for the opportunity to support you!

Nuance Healthcare Community is an Internet-based support site with the following key benefits:

• Network with your industry colleagues
• Share experiences and best practices for using Nuance solutions
• Provide feedback to Nuance about our solutions
• Receive up-to-the-minute information from Nuance
• Participate in roundtables and small-group events that provide access to Nuance leadership
• Search knowledge articles
• Log cases via the community
• Interact with an agent through Live Chat

Registration

Logging into the new Community requires a Nuance support account. If you don't have an existing Nuance support account, you can begin your registration from the Nuance Healthcare Support page:

http://www.nuance.com/healthcare/support, and click Register now.

Available resources on the Nuance Healthcare Community include:

• Customer Community login access:
  https://nuancecommunity.force.com/NuanceHealthcareSupport/s/login/
  
  
• Customer registration and assistance:
  This dedicated team will assist customers with registration, login, and user community issues:
  
  Email: hc.support@nuance.com
  Phone: 800-833-7776 (Say "Other", then say "Support Platform")
  
  
• Video: Nuance Healthcare Community Overview
  
  
• Customer Information page:
  http://nuance.com/healthcare/support/customer-information
  
  
• Customer Support page:
  http://nuance.com/healthcare/support
  

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Register NHNS Notification

Nuance Outbound provides customers with an incident communication system called Nuance Healthcare Notification Services (NHNS) that notifies customers of events such as:

• Product release announcements
• Nuance Data Center scheduled maintenance notifications for Cloud-hosted products
• Nuance Data Center outage alerts for Cloud-hosted products
• Other special announcements specific to Dragon Medical products

New Dragon Medical customers can register to receive NHNS notifications by clicking the link below. Use this same link to submit any notification changes to your existing NHNS profile's contact methods or products. https://www.envoyprofiles.com/ni6/nhns/sign_up

Additional information is available in the knowledge article below:
Article 3197 - Nuance Healthcare Notification Services (NHNS) Introduction and Registration for Dragon Medical

New Releases

Nuance uses an agile methodology, where urgent field issues and important, customer-triggered change requests are prioritized during the development cycle. The content for these pending releases and their projected release dates called out in this newsletter are tentative. Roadmaps may still be being finalized and therefore are subject to change. Please do not use this information for specific purchasing decisions.

Nuance Management Center/Server

Nuance Management Server (NMS) Version 5.10
Released May 15, 2018.

For information on new features and enhancements for NMS 5.x from the Release Notes, log into Nuance Healthcare Community and access articles:

• 3540: NMS 5.0 releases for Hosted Dragon Medical products on Nuance Cloud
• 3229: DMNE On-Premise Server Software Downloads

Dragon Medical One
 
Dragon Medical One Version 4.0 SR4
Released September 18, 2018.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access articles:

• 6377: Dragon Medical One - Documentation & Release Notes

Dragon Medical Advisor
 
Dragon Medical Advisor Version 1.5
Release date to be announced.

Dragon Medical Advisor Version 1.4
Released May 9, 2018.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access articles:

• 3222: Dragon Medical Advisor (DMA) Introduction, Releases and Resources

Dragon Medical Network Edition

Dragon Medical Network Edition Version 2.7.6
Release date to be announced.

Dragon Medical Network Edition Version 2.7.5
Released May 4, 2018.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access articles:

• 3328: DMNE Client Software Downloads
• 3229: DMNE On-Premise Server Software Downloads
• 2850: DMNE Software Downloads for International Customers
• 3354: Dragon Medical Network Edition Documentation

PowerMic Mobile

PowerMic Mobile Version 4.0.3
Released August 14, 2018.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access article:

• 2830: PowerMic Mobile - Product Release Documentation, Resources and VIDEOs

Dragon Medical Practice Edition - ENU (US English)

Dragon Medical Practice Edition Version 4.1.1
Released August 14, 2018.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access article:

• 6399: Dragon Medical Practice Edition - What's New and Can I Download Replacement Software?

Dragon Medical NuanceLink medical updates

Medication Update
Released May 4, 2018.

• A recent medical update has been made available for Dragon Medical Network Edition (DMNE) customers. The customer's Nuance Management Server(NMS) will automatically "pull" (download) these updates as they become available.
• Once these updates are downloaded, each update will need customer approval through the Nuance Management Console (NMC) Messages page before the update is made available through the Profile Optimizer Server for distribution to the DMNE end-users.
• Once approved, the task status can be checked through the NMC Utilities under the Profile Optimizer Task List.

For more information on this Dragon Medical product offering, log into Nuance Healthcare Community and access article:

• 2868: Dragon Medical NuanceLink Medical Updates