October 2010, Volume
2, Number 10 | |
Greetings!
Nuance is pleased to present
you with this edition of eTIPS
where you will find tips about:
eTIP 1: How there are 2
views on the Reports tab in EWS that allow you
to edit a report in your E-sig queue.
eTIP 2: How to
customize the Variable Entry Screen (a.k.a.
Document Information Screen) to display
more recognizable User Defined
Fields. (Includes eTIPS
video)
eTIP 3: How
to setup Job Lister so it computes the
average total turnaround time and average
transcription turnaround time for all jobs
appearing in a given report.
eTIP 4: How
to remove a user from Enterprise Turbo
Speech.
There is still time to
register for Conversations Healthcare
2010, click here or open
your internet browser and navigate to the
following link to learn more about Conversations
Healthcare 2010:
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eTIPS
Did
you know that there are 2 views on the
Reports tab in EWS that allow you to edit a
report in your ESig queue?
If you would like to make changes to a
report in your ESig queue, you must be on
the Reports tab and
have selected either I can
sign or I can proxy sign
from the Show
Reports dropdown box. Any
other selection from the Show
Reports drop-down box, for example
"I Dictated", will allow you to
search for and view the report, but not edit
or electronically sign. EWS displays a reminder in
red text at the top right hand portion of your
screen that states, "Items in This List Are Not
Editable." The
following are screenshots that show this
distinction:
The picture below shows the EWS
"Reports" tab displaying a list of
reports resulting from the "Show Reports"
filter being set to "I can sign." Reports
listed here can be viewed, edited, and
electronically signed. These options are also
available when the Show Reports filter is set to
"I Can Proxy Sign."
The picture below shows the "Reports"
tab displaying a list of reports resulting
from the "Show Reports" filter being set
to "I dictated." Reports listed here
can be viewed only. These
reports may not be edited nor may they
be electronically signed.
NOTE: Any reports
displayed in the Reports tab resulting from
the Show Reports filter being set to anything
other than "I can sign" or "I can proxy sign"
cannot be edited nor electronically
signed.
For more information on this
topic, login to iSupport and search for
Solution #14112: "How to edit a report in
the EWS ESig queue". For more
operational information regarding EWS, you can
also reference solution 10207: "Enterprise
Workstation Operator Manuals." Select the "System
Administrator Courseware and reference Guide"
pertaining to your version of software. If
you are not an iSupport subscriber, click iSupport Timesaver for information
on how to get started with iSupport.
Did
you know that you can customize your Variable
Entry Screen (a.k.a. Document Information
Screen) to display more recognizable User
Defined Fields?
User Defined Fields (UDF's) contain data
that are not part of the standard fields
included in the Dictaphone Enterprise Speech
System (DESS) - TextSystem
database. UDFs are custom fields that
have been added to your system so you may
store additional information in the
database. Once created, the UDFs can be
placed on the Variable Entry Screen (VES) or
Document Information Screen (DIS) for your Medical
Transcriptionists (MTs) to either
validate data content or to input appropriate
data when transcribing reports. You
can modify the Screen Prompt and Help Prompt
for an existing UDF which is displayed on the
DIS/VES, to offer your MTs a better
understanding on what needs to be entered or
validated in this field, instead of the MTs having
to decipher this information from the field's
sometimes cryptic field name.
Perform the following to modify the Screen
Prompt and Help Prompt for a UDF displayed on the
VES/DIS:
- Launch the TextSystem
Explorer application.
- Depending upon where the UDF was added to
the VES/DIS, either right-click the
Site or
Worktype, and then select
edit.
- Navigate to the VES Setup
tab.
- In the Selected Fields group,
select the Field name (for
example, "TrnInterfaceID") so it is
highlighted.
- click the Properties
button to open the VES Field dialog
box.

- Modify the text in the following text
boxes.
- The Screen Prompt is the
text which is displayed on the VES/DIS next
to this field.
- The Help Prompt is
the text which is displayed at the bottom
of the VES/DIS screen when the MT places
the cursor in the field.
-
The following shows how
the MT will see the modifications to the
VES/DIS.
For additional information about User
Defined Fields, login into iSupport and search for
Solution #10128, "EXSpeech Operator
Manuals." Locate your version of the
Administrator Courseware and Reference Guide. If
you are not an iSupport subscriber, click iSupport Timesaver for information
on how to get started with iSupport.
Did
you know that Job Lister computes the average
total turnaround time and average transcription
turnaround time for all jobs appearing in a given
report?
By adding the Overall D/T TAT column
to the Job Lister report output, Job Lister
will display the average total
turn-around-time (TAT) and the average
transcription TAT in a menu bar at the bottom
of the executed report. These two averages
will show in the bottom of the report
as shown below.
The following describes the two
averages:
-
Average Total Turnaround Time
(Avg. Total TAT) is the average time between
when the dictations are completed and when the
transcription is completed, determined by
dividing the combined Overall D/T TAT by the
number of jobs.
-
Average Transcription Turnaround
Time (Avg. TRN TAT) is the average time MTs
spent in a report before completing the report,
determined by dividing the combined T.
Total TAT by the number of jobs.
These two averages can be used by
your organization as indicators of workflow and
transcription performance. For
detailed information on Job Lister reports please
login into iSupport and search for
Solution #10136 "System Administrator
Guide, L-2957-008" If you are not an
ISupport subscriber, click iSupport Timesaver for more
information.
Did
you know that you can quickly remove a user
from Speech Recognition? The
Dictaphone Enterprise Speech System (DESS)
provides a quick and easy way to completely remove
a provider from the DESS - Turbo Speech
system. You might want to use this feature
when providers leave your institution and you wish
to disassociate the providers from speech
recognition. Removing a speech recognition
user from your system allows you to reclaim the
system resources consumed by these profiles and
makes overall system administration much
easier. Removing a provider from
speech processing does not remove any dictation
files for the user. Removing a provider from
speech processing removes all speech database
records, input device associations and evaluation
ratings for the provider. Removing speech
processing for a provider returns the speech
license for that provider to the available
licenses pool. Removing a speech
user is irreversible. Once a user is removed
from the system; training files and language model
adaptations for that user are removed. If
you wish to add the user back to Turbo Speech for
speech processing, that user will need to be setup
in the same way as a new speech
user. To remove a Turbo Speech
user:
- Launch the
VoiceSystem Explorer
application, expand the relevant
site and then select
Users. A list of users for
that site will be displayed.
- Right-click the
user and select
Modify User. The dialog
box for modifying that user profile will
appear.
- Select the EXSpeech
tab.
- Click the Remove User from
EXS Processing button.
- A warning dialog followed by a confirmation
dialog will be displayed. Click
yes in response to both dialog
messages to confirm and execute the Remove User
action.
For additional information about
EXSpeech user administration, login into iSupport and search for
Solution #10128, "EXSpeech Operator
Manuals," and locate your version of the
Administrator Courseware and Reference Guide. If
you are not an iSupport subscriber, click iSupport Timesaver for information
on how to get started with iSupport.
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All
Aboard the Speech Express
The following describes
three important habits to master. These
habits help improve personal MT
productivity.
-
Remember the basics, keep your
hands on Home Row and avoid
reaching for the mouse. All commands
in Correction Client and EXEditor can
be executed by keystroke, which saves
valuable time.
- Use the time saving key stoke combination
of Shift+F11 and
Alt+Shift+F11 to remove
beginning and ending content spoken by the
provider which is not intended for
inclusion in the legal document.
To
delete unwanted text at the beginning of the
Draft:
- Listen and place (stop) your cursor on the
last introductory word
which needs to be removed.
- Press Shift+F11. This
will highlight all the text back to the
beginning of the draft text.
- Remove the highlighted text by
pressing the Delete key,
Ctrl+D (EXEditor) or
Alt+D (Correction
Client).
To delete unwanted
text at the end of the Draft:
- Place the cursor on the first
word of the closing text
which needs to be removed.
- Press Alt+Shift+F11 to
highlight from the cursor position to the end of
the document.
- Remove the highlighted text by pressing the
Delete key, Ctrl+D (EXEditor)
or Alt+D (Correction
Client).
- Speed up the playback in
draft dictation for appropriate providers.
Keep a "team list" of providers whose draft
is very good and for whom increasing the
playback speed is helpful to increase
productivity.
Perform the following
to control the playback speed in Correction
Client:
 Perform
the following to control the playback
speed in EXEditor:
______________________________
Speech Gone
Wild - Blooper of the Month
In our March, 2010 (Solution #14132) edition of
eTIPS, we announced a call for speech
bloopers, and want to say thank you to those
who have responded. Here are two Speech Gone
Wild ( SGW) bloopers.
Dictated by Provider: "She
sleeps better with the Ambien."
Translated by
Speech: "She sleeps better with the
young men."
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eTIPS Webinar
This month's Webinar will provide
information about how a supervisor
can use sticky notes to communicate special
circumstances or instructions about a voice
dictation directly to the Medical Transcriptionist
(MT). You will learn how a supervisor
can mark a job super high priority, send to
a MT and have it automatically
bubble up to the top of his/her available job
list. You will also learn how to see who has
skipped jobs, reviewed jobs, and how to look up
document ID for a job.
Webinar
Information:
eTIPS Webinar: Working with
special jobs in Job Lister
Presented By:
Carol Huhn, CID/D, Certified Technical Trainer
When:
Thursday, October 28, 1:00 PM ET (12:00 CT,
10:00 PT)
Duration: 60
Minutes
Space is limited, so reserve your seat today!
Please RSVP before Monday, October 18th at etipsfeedback@nuance.com.
Please be sure to include: your full name, your
email address, your organization's name, and if
available your Nuance account number. A
confirmation of your reservation and the Webinar
coordinates will be returned to you via email no
later than Monday, October 25th.
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What's New
For a complete listing of all updates for all
released versions, login to iSupport
and search for Solution #14054 What is the
current version of the Dictaphone Enterprise
Speech System and what is new/changed in the
version? If you are not an iSupport
subscriber, click iSupport
Timesaver for information on
how to get started with iSupport.
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What's
Fixed
The following contains highlights
of issues that have been addressed in recent
updates to the Dictaphone Enterprise Speech
System. If you are experiencing one or more of the
following, please submit a service request to
Nuance Healthcare Solutions Global Support
Services through iSupport or by
calling (800)
833-7776
Dictaphone Enterprise Speech
System 8.0
-
A TextSystem patch has been released for
systems in geographical areas, such as Arizona,
that do not observe daylight saving time
changes. This patch addresses the
issue where Transcription time stamp would be
applied incorrectly and the time zone tokens
being one hour different, when daylight saving
time was not in effect. This issue only
occurs when the source date and date of update
for the record occur on systems that are in
different daylight savings time-zone
modes.
To view an expanded What's
Fixed listing, by product
version, please login to iSupport
and search for Solution #13387
"Service Packs Patches and Fixes for
Enterprise Speech and PowerScribe
Products." If you are not an
iSupport subscriber, click iSupport
Timesaver for more information.
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Meet Jose
Fernandez
 Jose
is a Support Engineer for
Nuance's Dictaphone Enterprise Speech System
(DESS). Jose specializes in DESS -
Voice System Software, assisting our customers
with both operational and technical
issues. Jose is continuously focused on
ensuring our customers are achieving the highest
level of satisfaction with their Dictaphone
Enterprise Speech System.
Outside of Nuance, Jose spends most
of time with family. He also enjoys
camping, fishing and playing racquet
ball.
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iSupport is
a Proven Timesaver
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.
iSupport
Knowledge Base Content Update
A number of important knowledge base articles
have been added or reissued with updated
information to iSupport, as follows:
- Solution #14113 Microsoft Office Primary Interrupt
Assemblies causing Word errors for EXEditor and
Word Client.
- Solution #12300 What Microsoft Security Bulletins
Impact PowerScribe and Dictaphone Enterprise
Speech System (DESS) Software? (reissued
9/30/10)
- Solution #14112 How to edit a report in the EWS ESig
queue.
- Solution #14054 What is the current version of the
Dictaphone Enterprise Speech System and what is
new/changed in the version? (reissued 9/24/10)
- Solution #13387 Service Packs, Patches, and Fixes.
(reissued 9/24/10)
- Solution #14081 Did you know the EX Editor application
maintains multiple copies of your ESPs?
- Solution #14079 Did you know you can attach a Sticky
Note to a Dictation Job?
- Solution #14062 Self Edit EWS user gets an Error when
logging in "Enter your Password for Speech
Recognition."
- Solution #14089 Registry key that will prevent
deletion of Olympus files from the DS-4000 or
DS-5000.
- Solution #14076 Text of the first few lines not
visible when using EX Editor and Word 2007.
- Solution #12244 Remote Diagnostics (reissued 8/24/10).
- Solution #12231 Do you have any information about how
Products and Services support the HIPAA Security
Rule? (reissued 8/24/10)
To see the details of any item on the above
listing, simply log in to iSupport
and search for the article number that precedes
each item.
Getting Started with
iSupport
In order to use the full features of iSupport
and/or to submit an online service request you
need to be a registered iSupport User. Click " Getting Started with
iSupport - ESS" to open a
document providing you with step-by-step
instructions on how to register to become an
iSupport subscriber. Also you will learn how to
access and login to iSupport, configure your
iSupport profile, search our knowledge base,
create service request templates, and use iSupport
to submit a request for service.
Optimize
Your iSupport Profile
If you're
already an iSupport subscriber, you may want to
consider accessing the Getting
Started with iSupport - ESS link
above and view the instructions. There is
valuable information which will help you optimize
your iSupport User Profile. By doing this, you
will see additional features included on the
iSupport Home Page, and create service request
templates enabling you to submit a request for
service in about a minute.
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Contacting
Support
Dictaphone Enterprise Speech System
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. To narrow the search to a
specific Dictaphone Enterprise Speech Systems
component, say:
- "EXSpeech Support" for
Enterprise Turbo Speech help.
- "EXVoice Support" for
Voice System help.
- "EXText Support" for
Text System help.
- "Integration support" for
Integration help (HIS, PACs, RIS etc.).
- "EWS Support" for
Enterprise Workstation help.
Or save the call and access Nuance
Healthcare's Support Center through our iSupport,
internet-based website at https://isupport.nuance.com. If
you are not an iSupport subscriber click
here to learn more about
iSupport and how you may get
started.
Click here to
navigate to the Nuance Healthcare
Technical Support website for additional
details on contacting Dictaphone Enterprise Speech
Systems support.
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Nuance
Welcomes Your Feedback
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here to reply to this email
with your comments or suggestions.
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here to email your idea to our
eTIPS editor.
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Thank you for taking time out of your
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you informed about Nuance Healthcare
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Services.
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Services
Nuance Communications, Inc.
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