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Dictaphone® Enterprise
Speech System

 

    March 2011,   Volume 3, Number 3   
Greetings! 
  
TOPNuance is pleased to present you with this edition of eTIPS where you will find tips about:
eTIP 1: Setting the Style and Formatting Options in Worktype Templates using Word 2007.
  

eTIP 2: Why Enterprise Workstation (EWS) can control data formatting for barcode entry.

  
eTIP 3 : How VoiceSystem worktype descriptions should not contain special characters when using the Olympus DS5000 Portable Worktype pick list.  
  
eTIP 4: How to configure the order in which dictations are delivered for EXSpeech recognition in Build 8.
It's not too late to join in on Nuance's new eTIPS Webinar Program which can potentially 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
   

In the June 2010 edition of eTIPS we showed you how to set the Styles and Formatting options in TextSystem Worktype templates using Word 2003.

This eTIP is an update to include the steps in Word 2007. Essentially the procedure is the same but of course the Word 2007 options look somewhat different.

 

The styles and formatting applied to your Worktype templates in the TextSystem can cause Normals and draft text to be inserted in different font sizes and types than those set in the user's normal.dot. 

 

Click the play button on the video image below to view a demonstration on how to configure the style and formatting options:

 

Style Formatting

 

Perform the following to check the Normal Style in each of the Worktype templates on your system to ensure consistent formatting:

  1. While editing a Worktype template in the TextSystem Explorer application, select Home on the Microsoft Word ribbon.
  2. From the Home ribbon, click the drop-down arrow under the Change Styles button. This opens the Styles menu in Word.
  3. From the drop down menu right click on Normal and select Modify. This opens the Modify Style dialog. This will show the Normal style's configured font and size. It will also show you the spacing.
  4. To reset the font and size, right-click Normal and choose Modify.
  5. Set the font, size, and spacing as desired.
  6. Select the New documents based on this template option.
    NOTE: If this last step is missed, the template will not use these new settings
  7. Click OK to save this to the Normal Style.
  8. Ensure the cursor is placed in the position where users should start the body text on the template, then press Ctrl+N to save the Worktype template with these changes.

For additional information about the Text System user administration, login into iSupport and search for "System Administrator Courseware and Reference Guide, L-2957-008." If you are not an ISupport subscriber, click iSupport Timesaver for more information. 

 

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eTIPS2Did you know that Enterprise Workstation (EWS) Can Control Data Formatting for Barcode Entry?

 

Enterprise Workstation (EWS) supports dictation data entry via barcode scanning. This is done with a Powermic I or Powermic II with the barcode scanning feature. It may be necessary to control the formatting of the barcode entry in your specific environment. For example, if the Medical Record Number (MRN) on the ADT (Admission, Discharge, and Transfer) interface download into the TextSystem has no leading zeroes, but the barcode being used to enter this information in at the point of dictation does, then it will be necessary to configure the dictator's Master Profile so that the leading zeroes are stripped out when wanding in the barcode.

 

Perform the following steps to change barcode formatting options.

 

  1. Launch the VoiceSystem Explorer application, and log in with a user that has sufficient application rights to make Master Profile changes.
  2. Expand the appropriate Site,
  3. Expand the Master Profiles section, right click the appropriate master profile and then select Modify Master Profile.
  4. Select the PowerMic tab.
     
    PowerMic Tab
     
  5. Select the appropriate actions that you wish to have performed on the barcode entry. The system will perform ALL selected entries for dictators that have this master profile assigned.
  6. For entries that require an additional definition of the 'Number of Characters', when selected, the field will become active and you will need to enter in the appropriate value. 

The available selections and their definitions are as follows.

 

 

Remove leading zeroes - - Removes ALL leading zeroes from the barcode entry. So, for example, if the barcode is 000012345, the entry stored in the job record will be 12345.

 

Remove characters from beginning - - removes a definable number of characters from the beginning of the scanned barcode. You must enter the number of characters to remove in the 'Number of Characters' field. So, for example, if you enter a value of '2' in the Number of Characters field, then if the barcode is 12345678, the entry stored in the job record will be 345678.

 

Remove characters from end - - removes a definable number of characters from the end of the barcode. You must enter the number of characters to remove in the 'Number of Characters' field. So, for example, if you enter a value of '3' in the Number of Characters field, then if the barcode is 12345678, the entry stored in the job record will be 12345.

 

Remove all letters - - removes all alpha characters (letters) from the barcode. So, for example, if the barcode is 123ab456cd789e, the entry stored in the job record will be 123456789. 

Barcode DTMF

 

Convert all letters to numbers (DTMF) - - If there are any alpha characters in a barcode, it will convert those letter values into the numerical equivalent as found on a standard telephone keypad. So, for example, if the barcode is 12345ADGJM78, the entry stored in the job record will be 123452345678. The conversion values for the alpha characters are shown on the right.

 

Use characters from beginning - - only uses a definable number of characters from the beginning of the barcode. You must enter the number of characters to use in the 'Number of Characters' field. So, for example, if you enter a value of '6' in the Number of Characters field, then if the barcode is 123456789, the entry stored in the job record will be 123456.

 

 

Use characters from end - - only uses a definable number of characters from the end of the barcode. You must enter the number of characters to use in the 'Number of Characters' field. So, for example, if you enter a value of '7' in the Number of Characters field, then if the barcode is 123456789, the entry stored in the job record will be 3456789.

 

Remove non-numeric characters - - only accepts the numerical characters in the barcode, all other characters are stripped. So, for example, if the barcode is 1234-56-78abc, then the entry stored in the job record will be 12345678.

 

For additional information on how to configure the PowerMic Barcode reader, login into iSupport and search for: "System Administrator Courseware and Reference Guide, Enterprise Workstation, L3033-006." 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 that the VoiceSystem Worktype descriptions should not contain special characters when using the Olympus DS5000 Portable Worktype pick list?  

 

The VoiceSystem can be configured to pass Work Type descriptions to the Olympus DS5000 portable.  If the Portables tab in the providers profile has multiple Worktypes enabled, then these Worktype descriptions will appear on the portable's Worktype Pick List when the device is powered on. This Worktype Pick List will be presented for every new dictation created on the portable ensuring that each dictation will upload with the selected Worktype in the appropriate field.

 

However, the Worktype description for any of the Worktypes selected on the Portable tab may not show up correctly on the DS-5000 if special characters are used in the Work Type description. Specifically, the Worktype description cannot contain any of the following characters in the Id Field matching dialog: '.', '-', '*', '?', ':', '\', '>', '<', '/".

 

If you modify the Worktype description or make any changes to the Portables tab in the VoiceSystem Explorer application for the users' profile, you must reassign the portable to the user. You can assign the portable to the user by clicking on File, then Configure Portable. Pick the user name from the selection list presented in the Olympus Uploader log screen.

 

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

  • 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
  • Solution ID 14042 - Worktypes Not Showing Correctly on the Olympus DS5000

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 you can configure the order in which dictations are delivered for EXSpeech Recognition in Build 8?

 
Beginning with Build 8 of the Dictaphone Enterprise Speech System (DESS), you have two options for determining the order that dictation jobs are sent for speech recognition. The configuration settings to control this are found in the VoiceSystem Explorer application. To change these options follow these steps.

Note: You must have administrative permissions in order to configure this setting.

  1. Launch the VoiceSystem Explorer application and login with your username and password.
     
  2. Right-click Server [name] in Explorer and choose Modify Server Settings.
     
    Modify Server
     
  3. At the bottom of the window you will see an option named "Order to deliver jobs to EXS:"
     
    Sort Priority
     
  4. There are two choices from which you can select in the drop-down menu including:
     
    • Job ID: When selecting Job ID, the dictations are delivered for recognition in FIFO order (first in, first out) of the Job ID.
       
    • Priority + Job ID: When selecting Priority + Job ID, the jobs are delivered for recognition by the Priority level and then by the Job ID (FIFO). This enables jobs with a high priority level to be submitted for speech recognition before normal priority jobs. Please note that you must configure Priority Pools for this to work correctly. 

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 we held our second session of Nuance's 2011 eTIPS webinar program, "Improving DESS System Performance to Maximize Return on Investment." "This session, "Improving Provider Real-Time Recognition Accuracy in EWS - Part 1" is the first in a three part series focused on improving the providers' speech recognition accuracy, and includes the following topics: 

  1. Understanding Speech Recognition technology and what is needed to obtain a high return on your investment.
  2. Identify dictation environments which directly influence speech recognition accruacy.
  3. Identify dictation habits which negatively impact speech recognition accuracy.
  4. Identify tools designed to improve speech recognition accruacy and increase productivity.
  5. Understanding how to use the microphone wizard as a tool to optimize recording in different environments.

If you missed the first and/or second session, links are provided at the end of this article where you can view video recordings of these sessions. 

 

This month's eTIPS Webinar, "Improving Provider Real-Time recognition Accuracy in EWS - Part 2," continues a three part series on how to improve the providers real-time speech recognition accuracy. During this session, you will learn how to work with misrecognized words, phrases and punctuation, manage words in PS SDK, optimize user profile settings, and how to fine tune the auto-format customization profiles for individuals or groups of users. 

 

March eTIPS Webinar Program Information:

 

Webinar Program: Improving DESS System Performance to Maximize Return on Investment 

 

eTIPS Webinar:   Session 3 of 12 - Improving Provider real-time recognition accuracy in EWS - Part 2.

 

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

 

When:                  March 29, 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 a prior session in 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, March 25th at mailto:etipsfeedback@nuance.com?subject=March 2011 - eTIPS Webinar Registration Session 3 of 12&body=Mr. Geraghty;. Please be sure to include: the organization name, your full name, your job title, your email address and phone number. A confirmation of your reservation and the Webinar coordinates will be provided to you via email no later than Friday, March 25th.

 

Please note: It's not mandatory to attend all  sessions to earn AHIMA CEUs. 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. If you can't make it to the live session, which we strongly encourage, you can still earn CEUs by viewing the video recording of a session and completing the related survey.

 

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

 

eTIPS 2011 Webinar Program Archives:

 

The following includes a link to a document which outlines the entire eTIPS 12 session Webinar program including; session name, learning objectives, dates and times, etc. Also, links to each session's video recording which also includes a link to the survey at the end of the video. Click the document title or session title to open the document or to begin playback of a video recording of a session.

 

Webinar Outline: Improving System Performance to Improve ROI

  

eTIPS Videos:

 

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

 

Session 2: Improving Provider Real-Time Recognition Accuracy in EWS - Part 1 

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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 VoiceSystem Software

 

A replacement vnserver.exe file (Version 81.0.3078) was released and corrects the following:

  • Corrects issue wherein TMA and LMID would no longer function
     
  • Corrects voice-driven QA issue where XSD flagged jobs were not being retrieved
     
  • Corrected an issue where the Dragon Medical Mobile Recorder (DMMR) login was not paying attention to Password Expiration or ADM Group lockout
     
  • Includes a hot fix that is required to fix the Change Password issue with DMMR Version 1.1 

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MeetEmployeeMeet Mike Rollins  

 

Mike RollinsMike Rollins is a Senior Project Manager with Nuance's Professional Services Team (Enterprise Speech Division), responsible for coordinating and delivering all components associated with the implementation of the Dictaphone Enterprise Speech Solutions (DESS)  for our customers. Mike works closely with the Nuance Project Planning, Integration Services, Field and Technical Services, and Application Training teams to ensure Nuance implementations are successful. Mike has been with Nuance Professional Services for six years and has twenty plus years in the Healthcare Technology industry. Mike is PMP certified and is an active member of the Metrolina Chapter of the Project Management Institute.

Outside of Nuance, Mike enjoys spending most of his time with his 20-year-old son, family and friends. He also enjoys being outdoors, golfing, relaxing at the beach, NASCAR, and grilling out. Mike resides in Waxhaw, North Carolina. 

 

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:
  • 14118 eTIPS Newsletter Archive - Dictaphone Enterprise Speech System
  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe and RadWhere Software? (reissued 2/24/11)
  • 11227 TCP/IP Endpoint Service Port Requirements for Enterprise Express (reissued 2/22/11)
  • 12938 Enterprise Express Reporting Operator Manuals (reissued 2/15/11)
  • 12841 What is the current version of Enterprise Express Reporting and what is new/changed in the version? (reissued 2/15/11)
  • 14260 Did you know that you can monitor your DESS Turbo SpeechSystem backlog in order to determine if you need additional Recognition Servers?
  • 14259 Did 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?
  • 14258 Did you know that the Olympus DS-5000 portable is supported on the VoiceSystem running version 7.5 and greater?
  • 14256 Did you know that it is Possible to Avoid Sending Stat Jobs to the Automatic Concurrent Review Queue
  • 13387 Service Packs, Patches, and Fixes (reissued 2/11/11)
  • 12751 Troubleshooting Input Device Installation: USB Device Cleanup (reissued 2/11/11)
  • 12244 Remote Diagnostics (reissued 2/7/11)
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