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Dictaphone® Enterprise
Speech System

 

    February 2011,   Volume 3, Number 2   
TOPGreetings!

Nuance is pleased to present you with this edition of eTIPS where you will find tips about:
eTIP 1: How to avoid sending Stat Jobs to the Automatic Concurrent Review (ACR) queue.
  

eTIP 2: How to install the Olympus DS-5000 portable on a DESS VoiceSystem running version 7.5 or greater.

  
eTIP 3: How to configure users of certain DESS client applications to be alerted about the number of days remaining until their password will expire.
  
eTIP 4: How to monitor your DESS Turbo SpeechSystem backlog in order to determine if you need additional Recognition Servers.
It's not too late to join in on Nuance's new eTIPS Webinar Program which may earn you up to 12 AHIMA CEUs during 2011. Click the eTIPS Webinar link to go directly to an article which includes detailed information about this program and how you can sign up. 
  
Save the date for Conversations Healthcare 2012. Click here to navigate to the article providing more information.
 
eTIPSeTIPS 
eTIPS
  

Automatic Concurrent Review allows you to send predetermined quantities of created or edited documents to the QA staff for review prior to completion. Because these documents are withheld from any distribution until QA review is complete, this can impact the turnaround time for them. The TextSystem allows you to bypass sending stat (high priority) jobs to the Automatic Concurrent Review queue so that turnaround time is impacted at a minimum for these jobs.

 

Click the play button on the video image below to view a short demonstration on how to configure a group of transcriptionists to avoid sending stat jobs to Automatic Concurrent Review.
  

Avoid Sending 
 

Perform the following to configure the system to ignore stat jobs when determining which documents to send to the QA staff:

  1. Launch the TextSystem Explorer application and login.
  2. Navigate to and expand the User Types.
  3. Right click the user type for the transcriptionists where ACR filters are configured and choose Edit User Type.
  4. Navigate to the QA Settings tab.
  5. Check the box labeled Ignore Stat Jobs.
  6. Click OK to save the changes.
User Type
  

Keep in mind that stat jobs are defined as those that have a priority greater than the setting for these same users in Voice Explorer.  Perform the following to locate this setting:

  1. Launch VoiceSystem Explorer application and login.
  2. Navigate to and expand the Site/Master Profile.
  3. Right click the master profile and choose Modify Master Profile.
  4. On the Transcription tab, choose Transnet Details.
  5. Locate the Priority over x is considered HIGH setting and enter a value.
  6. Click OK to save and exit.
Transcription Distribution 
  

Please note: In the example above, this value is set to 200.  This means that any job with a priority greater than 200, or 201 and above would be considered a stat job and ignored by the ACR filters.  Priority 200 jobs will not be considered stat jobs in this example. However, changing the value to 199 will allow the priority 200 jobs to ignore the ACR filter.

 

For additional information about the Text System user administration, login into iSupport and search for "Administrator Courseware and Reference Guide, Enterprise Text L-2955-006." If you are not an ISupport subscriber, click iSupport Timesaver for more information. 

 

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eTIPS2Did you know that the Olympus DS-5000 portable is supported on the VoiceSystem running version 7.5 and greater? 

 

 

With Version 7.5 or greater of the DESS VoiceSystem software, you can use the DS-500 digital portable to dictate and transfer reports to the VoiceSystem. The following provides step-by-step instructions on how to install and configuring the portable with its associated software.  

Before you begin make sure you have the following items available:

  • Olympus DS-5000 portable
  • Olympus DSS Player Pro version 5.x software CD (supplied with portable)
  • Olympus DSS Player Pro version 5.x license key (supplied with portable)
  • Nuance (Dictaphone) Olympus Upload Utility software CD
  • The name and IP address of the VoiceSystem you plan to connect to
  • The VoiceSystem login ID and password for the portable user

The following describes how to install the Olympus DS-5000 and configure it for a user:

  1. Install the Olympus DSS Player Pro version 5.x software. 
     

    NOTE: If you are replacing an Olympus DS-4000 with a DS-5000 on the same computer then you must first uninstall both the Nuance Olympus Uploader client software and the Olympus DSS Player Pro 4.x before attempting to load the 5.x version.
      

    IMPORTANT: The Olympus DSS Player Pro software installation requires a unique, Olympus provided license key during installation. The license key is printed on a card that is shipped with the DS-5000 portable. Keep this card in a safe place. The license key will be required should you ever need to reinstall the software. The license key cannot be replaced if it is lost. You can only use a license key on one computer.
      

  2. Install the DS-5000 Nuance (Dictaphone) Olympus Upload Utility software.  This software is shipped with the DS-5000 when you purchase the portable and VoiceSystem license from Nuance.  If you have not already purchased the required license for the Nuance (Dictaphone) Olympus Upload Utility software please contact Nuance Sales at 888-350-4836.
     
  3. After the software has been installed, make sure the icons for the Olympus Device Detector and the Nuance (Dictaphone) Olympus Upload Utility show in the computer's systray, indicating they are running in the background. You may need to double-click the Olympus Uploader icon to enable it in the Systray.
     
    DSS Uploader
     
  4. Right click on the Device Detector icon in the Systray. Verify that DSS Player Pro Dictation module shows in the list and that it is unchecked to not start automatically.
     
    DSS Settings


    On the first run of the Nuance (Dictaphone) Olympus Upload Utility you may need to create an EXV (VoiceSystem) Commander Selection entry. Click the New button in the Commander Selection screen. Enter a descriptive name in the first field, leave the second field set to TCP/IP; enter the IP address of the local VoiceSystem server in the third field. 


    Note:
    Ichart hosted customers should use the IP address of the local voice capture VoiceSystem server (if you have one) not the main IDC datacenter server.
     

  5. When the portable is docked for the first time, the Olympus DSS Player Pro application will prompt for a User ID and Password.  Replace the default Olympus user "DS5000" with the user ID and password for the VoiceSystem.
     
  6. Assign the portable to a user (provider). To do this, dock the portable and launch the Nuance (Dictaphone) Olympus Upload Utility. From the menu click File then Configure Portable. A list of users that are configured with "Olympus" privileges in their VoiceSystem profile will be returned. Select the user from the drop down list.
     
    DSS Upload Utility

The following describes how to create a test dictation on the portable:

  1. Undock the portable and power it on.
    A list of VoiceSystem Worktypes (WT) should be displayed on the portable.
  2. Select one of these worktypes and then click the OK/Menu button.
  3. Click the Finish button to skip entering an Account or MRN number.
    The Dictation screen should show New File and the Author's User ID in the upper left hand corner.
  4. Move the Slide switch, on the side of the portable, to the REC position and create a test dictation.
  5. Move the slide switch back to the Stop position.
  6. Place the portable in the docking station and the test dictation will upload to the VoiceSystem. Multiple test files can be created by using the New button on the side of portable.

NOTE: VoiceSystem user profiles that will be using Olympus portables must be configured with Olympus Uploader privileges.  Optionally, if the user is to be presented with a list of Worktypes to choose from, then these Worktype must be checked in that user profile, under the Portables tab. 

 

For additional information and step-by-step instructions to install and configure the Olympus portable, login into iSupport and search for solutions: 

  • L-3211-003 - Olympus DS-5000 Recorder Administrator and Provider Installation and User Guide
  • L-3077-003 - Olympus DS-5000 System Administration Guide for EXVoice 8.0
  • L-3211-001 - Administrator and Provider Installation and User Guide for the Olympus DS-4000 Recorder

If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started with iSupport.

 

    

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eTIP3Did you know the DESS VoiceSystem can be configured to alert users, of certain VoiceSystem client applications, about the number of days remaining until their password will expire?  

 

 

By default, the DESS VoiceSystem is configured so that many VoiceSystem client application user login password never expire. This configuration is unobtrusive and suits most organizations' needs. If desired, system administrators can modify this option so that users of these client applications are forced to change their login password periodically. Additionally, the system can be configured to alert the user each time they login of the number of days remaining before they must change their current password and offer the user an opportunity to change it at that time. This feature can be configured for the following clients:

  • Job Lister
  • Explorer
  • Client Viewer
  • Lucid/Personal Job Lister
  • Customization Client in Build 8 or higher

Note: Password days-remaining expiration notices are not supported for the TransNet application.

 

To enable password expiration, perform the following steps. 

  1. Launch the VoiceSystem Explorer application and login with your administrator account.
  2. Right click the Administration group you wish to modify the password policy for and choose Modify from the context menu.
  3. Uncheck the Password never expires checkbox.
  4. Choose a Max Password Age (days) that you wish the password for users to expire in.
  5. Click Ok to save your changes.

From this point forward, users will be required to change their password on or before the number of days specified.

 

Admin Security

  

Some customers may have an interest in prompting client application users the additional information of how many days remain before their application password expires when they log in.  Once configured, on subsequent logins these users will be prompted with days remaining before their passwords expire.  Please note that the standalone Transnet application does not support a number of days alert to users.

 

Once the password expiration options are set in the administration group, follow these steps to disable/enable the password expiration days remaining functionality for users.  These example steps illustrate the Job Lister application however other applications (except standalone TransNet) behave the same way.

 

  1. Launch the VoiceSystem Job Lister application.
  2. From the top menu bar, click Help and then select About.
  3. Check the box Show days until password expires when logged in:

Enable Password Prompt
 

The next time that a VoiceSystem client application user logs in, depending on their previous password configuration options, they will receive one of two dialogs:

  1. Users in the following categories will receive the Password Status dialog message as illustrated below describing the expiration period and an option to change their password:
     
    • New users.
       
    • Users that have been created within the date range of the password expiration window.
       
    • Users that have had their password administratively changed in (Explorer administration group) as an overall part of this reconfiguration within the date range of the password expiration window. 
       
      Change Password Prompt 1
       
  2. Users in the following categories will receive the following dialog message, and will require intervention by the system administrator to reset their passwords:

     

    • Users that have never had password expirations configured and have been on the VoiceSystem longer than the date range of the password expiration configuration.
       
    • Users that were previously within the date range of the expiration time but are now outside of that window because of a reduced password expiration window (e.g. changing the expiration from 90 to 30 days).
       
      Password Expired

For more information about VoiceSystem configuration, including administration group options, log into iSupport and search for solution 10136, "System Administrator Guide L-2957-008. If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started with iSupport.

 

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eTIP4Did you know that you can monitor your DESS Turbo SpeechSystem backlog in order to determine if you need additional Recognition Servers?

 

DESS Turbo SpeechSystem job recognition turnaround performance is related to the number of recognition servers in a given system. Typically systems are sized with enough recognition servers to handle periods of heavy dictation without causing a significant backlog of queued jobs waiting to be processed for recognition. Over time your system usage could increase, to the point where you may experience longer turnaround times than desired for speech job recognition. Dictation could create a corresponding growth in speech recognition demand. As your system utilization grows the turnaround time for speech recognition may increase. These normal increases in speech recognition performance typically suggest the need for additional recognition servers.

 

Beginning with DESS Turbo SpeechSystem version 8, additional standard reports were added to the system, several of which can be used to help determine speech recognition performance. In particular, the Daily Summary and Backlog History reports are useful tools to monitor backlog and overall recognition turnaround performance.

 

Perform the following to access these reports: 

  1. Launch the DESS VoiceSystem Explorer application and login with an administrator ID and Password.
  2. Expand the EXS Administration node in the system tree.
     
    EXSpeech Admin

The Daily Summary report will show you the total number of jobs that are recognized, per day for the past several months. If you notice this number increasing over time it means you have more jobs being routed to the SpeechSystem for recognition. The Daily Summary report contains a report column titled Max Wait. As it's name suggests, this value shows you the longest waiting period for a job to be recognized on a given day.

The Backlog History report will show you the number of jobs which were queued and waiting to be processed by the SpeechSystem in 10 minute increments for the last 30 days. This report will also show you the time stamp of the oldest SRK job for that period. From that information, you can easily determine how long jobs are waiting to be recognized throughout the day. If you find those times are longer than your desired recognition turnaround times, you should contact Nuance Sales to assist you in further determining the need, and helping you acquire additional recognition servers.

 

Remember, jobs that are queued to the SpeechSystem are not available for editing until they have been speech recognized processed. Jobs awaiting speech recognition have the status flag SRK.

   

For additional information about SpeechSystem reports, 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.

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WebinareTIPS Webinar 
  Webinar 

Last month was our first session of Nuance's 2011 webinar program, "Improving System Performance to increase Return on Investment," which was by far our largest webinar thus far. Nuance sincerely appreciates the dedication and commitment of our valued customers who have proven time after time their desire to expand their knowledge by continually educating themselves on how to use Nuance products more efficiently. 

If you missed the first session, you can either click the link at end of this article to view a recording of this session or simply sign-up to attend the second session. It's not mandatory to take all 12 sessions to earn AHIMA CEUs.All sessions are independent of each other, and for each one-hour eTIPS Webinar session you complete, you will earn 1 CEU. If you attend the entire program, 12 eTIPS Webinar sessions, you will receive a total of 12 AHIMA CEUs. Please note; if you can't make it to the live session, which we strongly encourage, you can still earn CEUs by attending the recorded version of a session.

This month's eTIPS Webinar, "Improving Provider real-time recognition accuracy in Enterprise Workstation," begins a three part series on how to improve real-time recognition accuracy. Even if your site only uses back-end speech, you will want to attend this session. During this session, you will learn how to achieve a high level of recognition accuracy from the initial training, how to adjust the microphone to dictate in multiple environments, and how to get through the initial reading scripts properly. Additionally, you will learn about which user settings impact recognition accuracy and how to troubleshoot recognition accuracy issues.

* NOTE: Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

2011 Webinar Program Information:

Webinar Program: Improving System Performance to Improve Return on Investment 

eTIPS Webinar:   Session 2 of 12 - Improving Provider real-time recognition accuracy in Enterprise Workstation.

Presented By:     Michael Geraghty, Certified Technical Trainer
Co Presenter:      Carol Huhn, CID/D, Certified Technical Trainer

When:                  February 22, 1:00 PM ET (12:00 CT, 10:00 PT)

Duration:             60 Minutes

AHIMA CEUs:       1 CEU - (AHIMA - Clinical Data Management)

If you registered to attend session 1 of this webinar program you do not need to register for this session. An email invitation will be sent to you a few days before the event automatically. If you have not registered, please RSVP before Friday, February 18th at mailto:etipsfeedback@nuance.com?subject=February 2011 - eTIPS Webinar Registration Session 2 of 12&body=Mr. Geraghty;. Please be sure to include: your full name, your email address, phone number, your organization's name, and if available your Nuance account number. A confirmation of your reservation and the Webinar coordinates will be provided to you via email no later than Monday, February 21st.

eTIPS 2011 Webinar Program Archives:

The following includes a document which outlines the entire eTIPS 2011 Webinar program including; session name, learning objectives, dates and times, etc. Also included is an archive of the recorded sessions to date. Click the document title or session title to open the document or begin playback of the recorded session.

Webinar Outline: Improving System Performance to Improve ROI  

Session 1: Introduction to the DESS Components and how they interact with third party systems  

WhatsNewWhat's New 
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.

What's Fixed 
What's Fixed - Check mark on button

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.
     

 
DESS TextSystem Software

  1. Version 8.1.0.5 of EX Editor has been released and corrects the following:
     
    • Text on a worktype template that is between the HEADING and HEADING_END bookmarks is being deleted when the template is used with a job containing draft text. In the case where the Insertion point has been left between the bookmarks, the delete process is also removing the StartTypingHere bookmark, and not recreating it. This results in no draft text being inserted.
       
    • This fix will insert the draft text in the home position should StartTyping Here be between HEADING and HEADING_END
       
  2. A hot fix for Version 8.1 Text servers running in a Windows 2008 environment has been released and corrects the following: 
     
    • The EXText Service Utility (EXText Re-UploadUtility.exe) fails to run in a Windows Server 2008 environment.
       
    • This fix consists of replacing the file Dictaphone.EXText.Base.dll, Version 8.1.156.4, which allows the referenced utility to run as intended.

Voice System Software

  • Version 5.2.8.31 of ASRCore has been released and corrects the following:
     
    • In completed dictations on Enterprise Voice 7.5 or 8.0 systems, the year is being displayed incorrectly.
       
    • This fix consists of replacing two files, pp2com.dll and pp2.dll. 

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MeetEmployeeMeet Russell MerrellRussell Merrell 
 
 

Russell is a support engineer for the Dictaphone Enterprise Speech System team at Nuance. Russell assists customers with operational and technical issues, and is continuously focused on ensuring our customers are achieving the highest level of satisfaction with their Enterprise Speech System.

 

Outside of Nuance, Russell enjoys traveling throughout the United States and abroad. Russell's most recent trip was to Costa Rica where he spent much of his time just kicking back soaking in the beauty of this country. Russell also enjoys reading books, his favorites being related to crime mystery and music. Russell also enjoys taking long walks, working out at the gym, and sometimes plucks away at the guitar or keyboard.

 

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.
  
iSupport Knowledge Base Content Update
A number of important knowledge base articles have been added or reissued with updated information to iSupport, as follows:
  • 14244 Cleanup Utility for Office 2003, Office 2007 and Office 2010
  • 11227 TCP/IP Endpoint Service Port Requirements for Enterprise Express (reissued 1/27/11)
  • 14236 Setting the Styles and Format for Word 2007
  • 14054 What is the current version of the Dictaphone Enterprise Speech System and what is new/changed in the version? (reissued 1/25/11)
  • 12088 What is new or changed in iChart software? (reissued 1/25/11)
  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe and RadWhere Software? (reissued 1/25/11)
  • 13656 Enterprise Speech System, Version 8.1, Client Hardware/Software Requirements (reissued 1/24/11)
  • 14228 Configuring TVI with differing Site numbers on Voice and Text
  • 14224 "System is unable to set CC2.0 site profiles to local cache database" error when trying to install EX Editor
  • 14223 "Error Starting Document Edit" in EXEditor caused by incorrect placement of the DNStartCCBlock bookmark
  • 14212 Did you know that Enterprise Workstation (EWS) has several different Uniform Resource Locator (URL) Connections that can be used to Administer and check the System?
  • 14211 Did you know that correct positioning of Header and Footer tags in TextSystem Document Templates is very important to system behavior?
  • 14210 Did you know that you can print a complete list of all worktypes with their text descriptions from the VoiceSystem?
  • 14209 Did you know that configuring a Transcription User's profile to automatically load the next dictation can increase his or her productivity?
  • 13097 Downloads - Walkabout 5210 / 5215(DS) / 5220, Walkabout Voice Exchange (reissued 12/28/10)
  • 14202 Downloading EWS software to Workstation
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 member. You will also 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.

ConversationsConversations Healthcare 2012 
 
Conversations 2012 
  

Hold the date for Conversations Healthcare 2012!

 

Please join Nuance Healthcare for our user conference, Conversations Healthcare 2012, which will be held at the ARIA Resort & Casino in Las Vegas, Nevada, April 22 - 25, 2012.
  
The event is exclusively for the users of Nuance Healthcare products such as Dictaphone Enterprise Speech System(DESS), Dragon Medical, eScription, iChart, Nuance Transcription Services, PowerScribe, RadCube, RadPort, and Veriphy. We will continue to update you as information becomes available at http://www.nuance.com/hc/conversations2012/.
  
ContactingSupportContacting Support
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.
  
FeedbackNuance Welcomes Your Feedback
 
We are very much interested in your feedback regarding this eTIPS newsletter. Click here to reply to this email with your comments or suggestions.

We would love to hear your ideas for future eTIPS newsletters. If you have an idea, suggestion or an article you would like included in our eTIPS newsletter, click here to email your idea to our eTIPS editor.

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.

 

In This Issue
eTIPS
eTIPS Webinar
What's Fixed
What's New
Meet a Team Member
iSupport Timesaver
Conversations
Contacting Support
Newsletter Feedback
eTIPS