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Dragon® Medical

 

    December 2009,   Volume 1, Number 6   

TopGreetings!

In this edition of eTIPS you will find tips on how you can find out if your EMR is Nuance certified, learn about the impact enunciation has on your recognition accuracy, learn about Numbers Mode to better your recognition accuracy, and how to save a dictation so it may be transcribed by a transcriptionist.   
eTIPSeTIPS
 
eTIPS
Did you know that your EMR may be Dragon certified?
 
Nuance classifies three (3) levels of compatibility between the Dragon Medical product and Electronic Health Record (EHR) systems, listed below.
  1. "Dragon Works"
  2. Dragon Tested Vendors
  3. Dragon Certified Vendors  (highest level of compatibility)
Refer to each of the links below for additional classification information and specific vendor participation.

 
"Dragon Works"
Although Dragon Medical is able to provide an adequate level of function and compatibility within most Windows-based EHRs, no formal collaboration between Nuance and these EHR vendors has occurred. Refer to the link above for a list of EHRs that have self-reported to EHRScope.com that they "work with" Dragon Medical.  Nuance makes no guarantee to the compatibility claims of these vendors. Customers should contact the EHR vendor to confirm their expectation of compatibility.  

 
Dragon Tested Vendors
Each vendor in this category followed a Nuance specified self-evaluation within their EHR focusing on how a provider would ultimately use Dragon Medical 10 within their application. Each vendor received a minimum score on the self-evaluation in order to be deemed: "Dragon Tested" by Nuance.  Note that the self-evaluation is self-reported by each EHR vendor and therefore Nuance cannot be held responsible for Dragon Medical compatibility claims made by each vendor. 
 
Dragon Certified Vendors
http://www.nuance.com/healthcare/services/dragon-CertifiedEHRs/ehr-certified.asp The highest level of distinction attainable with Nuance, each vendor participated in a formal testing event during which they collaborated with Nuance engineers to further test Dragon within their EHR. Successfully completing the Nuance-Vendor Joint Evaluation guarantees an optimal clinician experience using speech recognition. Vendors in this category are dedicated to ensuring that speech recognition is a standard part of their documentation workflow. Each vendor achieved a minimum score on the joint evaluation in order to be deemed: "Dragon Certified" by Nuance. 

 
IMPORTANT: The "Dragon Works" and Dragon Tested Vendors classifications can mean Dragon Medical will still support basic dictation operations even within "non-standard windows" where the Dragon Select-and-Say capability is disabled.  However, this may limit full voice command function and insertion point synchronization.  Note that the Dragon Dictation Box feature can be used to compensate for the aforementioned limitations.
 
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Did you know that you can improve accuracy in Dragon Naturally Speaking by paying attention to how you enunciate your words?
 
The ideal example of a speaker that would receive the best recognition would be a TV news anchor reading the news.  But on the other hand Dragon would have more problems recognizing the speech of a casual conversation between friends. If you can picture the speaking patterns of a news anchor speaking in a loud, clear voice, talking with a natural rhythm while you dictate.  As opposed to in a conversational tone you would use with friends, with plenty of pauses, 'ums' and 'ahs', slurring from one word to the next, then you should find that Dragon does a better job of recognizing your speech.
 
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Did you know about Numbers Mode?
 
One of the most frequently used modes, Numbers Mode makes it easy to dictate complex numeric strings such as medical record numbers, accession numbers, and phone numbers. In contrast, when utilizing normal mode (default mode), numbers dictated will be typed out as words, such as "eight five nine" versus the numeral equivalent of "859". It should be mentioned that it is possible to produce a numeral via normal mode by dictating the word numeral before the number is dictated. Dictating "Numeral five" will produce output of "5" versus "five".
 
To access Numbers Mode simply dictate "switch to numbers mode", then dictate the numeric string. Once complete, dictate "switch to normal mode" to continue dictating non numeric characters. Alternatively, Numbers Mode can be accessed via the Dragon Medical tool bar, Words menu.
 
DragonBar Words
 
Take a few moments to familiarize yourself with numbers mode as well as the other modes available via the DragonBar's Words menu. Additional information on these modes can be found within Dragon's built in help file. When used properly, these modes can help you increase your overall productivity.
 
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Did you know that Dragon Medical offers the option for you to save the recognized document along with the dictation audio to be corrected at a later time? 
 
This is particularly useful for physicians with a busy schedule. Here are the steps to enable this option:
  • Tools > Data and set to "Always" under "Save recorder dictation with document".
  • Click on Advanced... and enable "Always preserve wave data".
Dragon Medical saves the dictation audio in the same directory as the recognized document. The dictation audio will have the same name as the document and with the extension .DRA. We do recommend deleting the dictation audio file once the correction is complete since the audio files can get quite large.

The physician can correct the recognized document by browsing to the saved documents location and with Dragon Medical running, simply open the document and begin dictation playback.
   
MeetMeet Rob Prier 
  
Rob PrierRob Prier is a Senior Sales Engineer for Nuance's Dragon Medical and eScription solutions. Rob is a highly recognized team member with over 15 years history at Nuance. Rob is responsible for supporting our account managers with their customers and prospects designing solutions that are suitable to fit our customers requirements. This also means travel throughout the USA and Canada.

Outside of Nuance, Rob became a dad about 5 months ago so free time is hard to find! Rob is an avid golfer, outdoorsmen, model airplane instructor, boarder, skier, but mostly now a "Dad"! 
 
iSupportTimesaveriSupport is a Proven Timesaver 
   
iSupport 
iSupport is an Internet based support site where you can search our dynamic knowledge base for answers to your questions, access our library of operational manuals and quick reference guides, view the latest product enhancements and fixes, and submit online requests for service. 
 
 
iSupportContentUpdateiSupport Content Update:
A number of important articles have been added or reissued with updated information to iSupport, as follows:
  • 13839 Unable to execute German commands in Internet Explorer
  • 13838 The "Find" command does not always retrieve the correct item in Microsoft Outlook
  • 13837 Unable to switch between Microsoft Outlook Calendar views
  • 13163 Service Pack 1 for Dragon NaturallySpeaking 10 (reissued 11/12/09)
  • 12657 Dragon NaturallySpeaking 9 locks up or freezes in a noisy environment (reissued 11/12/09)
  • 13836 Service Pack 1 for Dragon NaturallySpeaking 9
  • 13728 How to Prevent Dragon Medical From Adding Unwanted Vocabulary
  • 13823 Dictation Box displays incorrect Correction when playback is in progress (External)
    13822 Dictation Box is not opened while in Tray Icon Only Mode
  • 13821 "Clear Variable Delimiters Hot Key has been disabled" message appears when launching Dragon NaturallySpeaking
  • 13231 Can PowerScribe and Dragon Medical software run on the same PC?  

iSupportGettingStartedGetting Started with iSupport:
Click here to access Nuance's iSupport website and get detailed information on how to register and use iSupport.

ContactSupportContacting SupportContacting Support
  
Dragon Medical customers who have an active maintenance contract with Nuance are serviced by a dedicated Healthcare Support team available 24x7x365.
Nuance Healthcare Technical Support:
This organization can offer assistance via remote on-line connectivity to your systems. It's available toll-free at 800 833-7776 via our "Say Anything" menu, , So Say, "Dragon Medical Support" at the prompt. Or save the call and access our Technical Support Center through our iSupport , Internet-based website, at https://isupport.nuance.com.
Click here to navigate to the Nuance Healthcare Technical Support website for additional details on contacting Dragon Medical Support.   
  
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Thank you for taking time out of your busy workday to allow us this opportunity to keep you informed about Nuance Healthcare Solutions Global Support Services.
 
Sincerely,
Nuance Healthcare Solutions Global Support Services 
Nuance Communications, Inc.
 
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