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Dictaphone® Enterprise
Speech System

eTIPS Logo

August 2011, Volume 3, Number 8

Greetings!

Nuance is pleased to present you with this edition of eTIPS where you will find tips about:

    eTIP 1: How to configure the Dictaphone Enterprise Speech System (DESS) TextSystem to suppress document routing to manually added CC recipients until the Provider has electronically signed the document. (Includes eTIPS Video)

    eTIP 2: How Dragon Medical Mobile Recorder (DMMR) can seamlessly integrate with your existing DESS SpeechSystem user profiles.

    eTIP 3: How to quickly access and view the current transcription backlog on the DESS VoiceSystem?

    eTIP 4: The DESS VoiceSystem Client login lock-out feature and how to adjust the lock-out duration.

Be sure to look at the What's New article for a list of new features included in Nuance's latest version (8.3) of the Dictaphone Enterprise Speech System.

Save the date for Conversations Healthcare 2012. Click here to navigate to an article providing more information.

eTIPSeTIPS

Did you know that it's possible to suppress routing of a document to a manually added Carbon Copy (CC) recipient until final signature?

Beginning in version 8.3 of the DESS TextSystem, there is a new feature that allows for suppressing the routing of a document to a manually added CC recipient until the document has been electronically signed by the provider.

Press the play button on the following eTIPS video icon to see a demonstration on how to configure the DESS TextSystem to suppress document routing to manually added cc recipients.

eTIPS Video

The following are step-by-step instructions on how to enable this feature for a group of providers who electronically sign documents:

  1. Launch the TextSystem Explorer application.
  2. Expand the User Types.
  3. Right click the User Type related to the providers who electronically sign documents, and select Edit User Type.
  4. Navigate to the Routing tab.
  5. In the For Providers Route When group, select the Suppress manual CCs until final signed option.
  6. Click the OK button to save changes and exit the User Type settings.

For more information about suppressing routing to manually added CC recipients, login to iSupport and search for solution 14465 "Suppress CC Routing Until After Authentication." If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started.

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Did you know that DMMR can seamlessly integrate with your existing SpeechSystem User Profiles?

Dragon Medical Mobile Recorder (DMMR) enables providers to use the Apple® iPhone® or iPad® to create and send dictation to the Dictaphone Enterprise Speech System (DESS). If the providers are already using the DESS SpeechSystem and have already completed the File Collection process; using the Telephone, Olympus, or GoMD iPaq; they can immediately start producing recognized text using DMMR. You do not need to do any additional configurations in the SpeechSystem. DMMR will automatically assign the appropriate input device type and recording format when jobs are dictated via DMMR. 

For example, if a provider has already qualified as a Draft status using a telephone as an input device and then begins using DMMR on an iPhone, the existing Acoustic Model and corresponding recording format for telephone will be applied to DMMR dictation jobs. If the Provider has qualified on multiple input devices, the most desirable input device and recording format are selected in the following order: telephone, Olympus [portable], GoMD iPaq.

If the Provider, using DMMR, has never used the SpeechSystem, this provider will need to be configured in the EXSpeech tab for File Collection using Telephone as the input device. The provider will then need to go through the standard File Collection process as would any new speech recognition provider.

You can easily identify a DMMR job with the Job Lister application. DMMR jobs will contain NMS in the D. Machine column when that output field is added to the Job Lister report. There are also multiple input devices listed, despite the fact that all of those dictations were created on iPhones or iPads. Note: in this example all of these providers were already qualified for Speech prior to using DMMR. In the example below the provider who created the first two jobs had previously qualified on Speech using the GoMD iPaq. The next several jobs in the example are from a provider who had previously qualified as draft status using the telephone input device.

Job Lister

For additional information on Dragon Mobile Medical Recorder, login to iSupport and search for Solution 14339: "Dragon Medical Mobile Applications User's Guides." If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started with iSupport

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Did you know there is a way to quickly view the current transcription backlog on the DESS VoiceSystem?

Having current, up-to-date information about the overall transcription backlog is a critical piece of information supervisors can use to ensure appropriate transcription resources are allocated, and as a tool to monitor TAT goals, etc.  There is an easy way to determine backlog on a DESS VoiceSystem by using the Job Lister application.

When adding the Len [MM:SS] output column to a Job Lister report, a report which includes all untyped jobs, the title bar of the executed report will show the total amount of dictated time, in minutes and seconds, for all jobs listed in the report. This total represents the transcription backlog.

Perform the following to add the Len [MM:SS] output column to the All Ready report and then run this report to view the overall transcription backlog.

  1. Launch the VoiceSystem Job Lister application.
  2. In the Report List, right click the All Ready report and select Properties.
  3. When the Modify Reports dialog box appears, select the Output tab.
  4. In the Available list, double click the Len [MM:SS] field so it moves to the Display list on the right.
  5. Click OK to save this change and exit.
  6. In the Report List, double click the All Ready report to run it.
  7. When the All Ready report output appears, view the top bar and you will see the total transcription backlog displayed in brackets (HH:MM:SS). The following illustration shows an All Ready report which includes 94 jobs with a total backlog of two hours, one minute and forty three seconds of dictation.

    JL Backlog

While the total quantity of jobs along with the backlog referenced by the report is useful, you can also add Len [Sec] or Len [Lines] to the report columns. These columns show the backlog on the title bar in different formats including:

  • Len [Sec]: Displays the backlog by showing the total amount of seconds
  • Len [Lines]: Displays the backlog by showing the total amount of estimated lines of text. The lines are estimated at 10 lines per one minute of dictation by default.

TIP: This feature can be used to leverage backlog information about specific departments, or even specific pool definitions. The selection criteria for the All Ready report can be modified, so that a specific department’s backlog can be displayed by; for example, by only displaying the ready work for a specific Site, Department, or Worktype, etc. The same strategy can be used to find out the backlog for a specific pool, by setting the selection criteria in the Job Lister report to match the criteria that is configured in the pool definition.

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Did you know the lock-out duration for DESS VoiceSystem client logins can be adjusted?

By default, after three unsuccessful login attempts to any one of the DESS VoiceSystem client applications (for example; Job Lister) the user will be locked out of the system for a set period of time. The following dialog box will display when a user gets locked out:

Client Lockout

When this occurs, the user has a few options including:

  • Wait for the lock-out period to reset. The default reset period is 30 minutes.  This means that the user will have to wait 30 minutes before attempting to log on to any DESS VoiceSystem client applications.

  • Contact the VoiceSystem administrator, who can clear the lock-out by:
    1. Launching the VoiceSystem Explorer application.
    2. Expand the Site > Users.
    3. Right click on the individual locked-out user and select Modify User.
    4. On the Personal tab in the Client Settings group, uncheck the Locked out for exceeding the number of allowed login attempts box.
    5. Click OK to save the setting and exit.

      Lockout Reset

In a production environment, a 30-minute lock-out may be excessive and counterproductive. Also, the system administrator might not be immediately available to reset the user lock-out.

Suppose you set the lock-out duration to 1 minute, instead of the default 30 minutes. In a typical lock-out situation, by the time a user, who got locked-out, contacts the system administrator, the lock-out duration (1 min) will have already expired. This eliminates the need for the administrator to access the user profile and clear the lock-out. At this point, the system administrator simply informs the user to try logging in again, and the user should be able to log into the client application.

To change the lock-out duration to 1 min as opposed to the default 30 minutes, perform the following steps:

  1. Launch the VoiceSystem Explorer application.
  2. Expand the Site > Administration Groups.
  3. Right click an Administrative group and select Modify Group.
  4. Navigate to the Security tab.
  5. Change the lock-out Duration (minutes) setting to 1.
  6. Click OK to save changes and exit.

    Lockout Duration Setting

For more information about administering and configuring various features in teh DESS VoiceSystem, login to iSupport and search for “System Administrator Courseware and Reference Guide, Enterprise Express VoiceSystem, L2957-008.”  If you are not an iSupport subscriber, click iSupport Timesaver to learn more about iSupport.

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eTIPS Webinar

iSupportThis month Nuance will host its eighth webinar in the "Improving DESS System Performance to Maximize ROI" webinar series. This session, titled "Using hosted reports to monitor an incentive pay program," focuses on explaining an incentive pay program, how to setup an incentive pay program, and how to use the incentive pay report to monitor incentive pay over a given period of time.  

Webinar Information:

Webinar Information

If you have already registered to attend a prior session in this webinar program, you do not need to register for this session. An email invitation will automatically be sent to you a few days before the event. If you have not registered, please RSVP before Friday, August 26th at etipsfeedback@nuance.com. Please be sure to include: your organization's name, your full name, job title, email address and phone number. A confirmation of your reservation and the Webinar meeting information will be provided to you via email no later than Monday, August 29th.

Please note: It is 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, you will be awarded 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 any session and completing the related survey.

A message from AHIMA: 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 DESS System Performance to Improve ROI

eTIPS Webinar Archives

Session 1: Introduction to the DESS Components
Session 2: Improving Provider Real-Time Recognition Accuracy in EWS - Part 1
Session 3: Improving Provider Real-Time Recognition Accuracy in EWS - Part 2
Session 4: Improving Provider Real-Time Recognition Accuracy in EWS - Part 3
Session 5: Working with Dictation Habits to Improve Back-End Speech Recognition
Session 6: Working with Auto-Normals to Improve Productivity
Session 7: Using Hosted Reports to Evaluate Your Return on Investment

 

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What's New

iSupportNuance is pleased to announce a new release for the Dictaphone Enterprise Speech System. The newly released version, 8.3, is filled with many new enhancements which are outlined below.

For a complete listing of all updates for all released versions, login to iSupport and search for Solution 14054 "What's New or Changed in the Dictaphone Enterprise Speech System?" If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started with iSupport.

Dictaphone Enterprise Speech System version 8.3 Features

  • DMMR: Dragon Medical Mobile Recorder (DMMR) Version 1.1 is now available to Dictaphone Enterprise Speech system (DESS) customers using Version 8.0 SP1 or higher with both DESS TextSystem and VoiceSystem implementation. The DMMR application runs on the iPhone 3GS and iPhone 4, and iPad devices running IOS 4.2.
  • PlayRight Feature: Automatic playback speed control for transcriptionist/Editors using Enterprise Editor.
  • Enterprise Editor Job Information dialog box allows addition of Carbon Copies.
  • Improved Transcription Statistics: Transcriptionists now see separate statistics for traditionally-transcribed documents and for edited speech-recognized documents.
  • Added a new optional bottom addendum separator text that can be placed beneath a report's addendum.
  • Ability to process partial dictation. A partial dictation is not a full report, but is intended to produce text for insertion in a field in the Electronic Medical Record (EMR).
  • Digital Job Transfer scripts now permit override of site's DJT target setting.
  • Two new report types have been added to Job Lister for on-premise, VoiceSystem only customers including; Transcription Summary and Hourly Dictation Trend.
  • Job Lister now includes a new flag, DMK, and a new column, Dictation Marker, allowing you to track partial dictation.
  • Enterprise editor has a new keyboard shortcut allowing you to save time by using Ctrl + T to copy the CC Recipient name to the Copy Text Field.
  • Enterprise Editor now includes an integrated web search allowing transcriptionists to quickly look up unfamiliar words or phrases without having to switch to a Web Browser window.

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What's Fixed

iSupportNuance is pleased to announce a new release for the Dictaphone Enterprise Speech System, The newly released version, 8.3, includes fixes to known issues which are highlighted below. 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." If you are not an iSupport subscriber, click iSupport Timesaver for more information.

Known Issues Addressed with DESS Version 8.3

  • Enterprise Editor works correctly when the workstation returns from 'hibernation' mode.
  • In Enterprise Editor the Default Word properties now determine whether indentation is retained or lost in inserted normal text.
  • In Enterprise Editor a colon now appears to the right of section headings only when required by DESS TextSystem configuration.
  • The DESS system now displays more specific error codes in the event of an authentication error.

If you are experiencing one or more of the issues described in the What's Fixed listing, please submit a service request to Nuance Healthcare Solutions Global Support Services through iSupport or by calling (800) 833-7776.

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Meet Jean GajewskiJean Gajewski

Jean Gajewski is a customer support team member for Nuance Healthcare's Professional Services team, concentrating on Nuance's Speech Recognition products. Jean began her career with Nuance eight years ago as an Application Training Specialist, later advancing to the role of support for the Dictaphone Enterprise Speech System (DESS) Turbo Speech customers. She also provides training/support for the Hosted Reports application which is available at https://admin.ichart.com. Providing excellent customer service, both internal and external, is extremely important to Jean.

Jean is originally from Milwaukee, Wisconsin, but currently resides in the Houston area. Outside of Nuance, Jean enjoys spending time golfing with her husband, Noel, and visiting her daughter, Kimberly, in Austin. Jean also enjoys traveling, bowling, attending concerts and watching her favorite sports teams from Wisconsin.

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iSupportiSupport 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 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:

  • 14416 eTIPS Video & Webinar Library for Dictaphone Enterprise Speech System (reissued 7/22/11)

  • 14118 eTIPS Newsletter Archive - Dictaphone Enterprise Speech System (reissued 7/21/11)

  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe 360, PowerScribe, and RadWhere Software? (reissued 7/19/11)

  • 14416 eTIPS Video & Webinar Library for Dictaphone Enterprise Speech System

  • 14118 eTIPS Newsletter Archive - Dictaphone Enterprise Speech System (reissued 7/15/11)

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 member. Click Getting Started with iSupport - ESS to see step-by-step instructions on how to register to become an iSupport member. You will also learn how to access and log into iSupport, configure your iSupport profile, search our knowledge base for solution, manuals and quick reference materials, and how to 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, thereby enabling you to submit a service request in minimal time. You will also learn how to enable additional time-saving features, requested by our customers, on the iSupport home page.

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Conversations 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 www.conversations2012.com

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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 Technical Support website for additional details on contacting Dictaphone Enterprise Speech Systems customer support.

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Nuance 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.

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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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