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Dictaphone® Enterprise
Speech System

eTIPS Logo

September 2011, Volume 3, Number 9

Greetings!

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

    eTIP 1: How to enable the new PlayRight feature, which allows the playback speed of dictated reports to be automatically adjusted for transcriptionists.

    eTIP 2: How to place an addendum separator on both the top and bottom of an addendum.

    eTIP 3: How to configure DJT scripts with a new Target Site Override setting, which will override the Remote ID (DJT) setting in the site configuration.

    eTIP 4: How to configure the DESS system for Providers who would like to use the Dragon Mobile Medical Recorder (DMMR) application to dictate patient reports.

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

eTIPSeTIPS

Did you know Enterprise Editor has a new feature that auto-adjusts Dictation Playback Speed to an optimal speed for Transcriptionists?

PlayRight is a feature available beginning with Dictaphone Enterprise Speech System (DESS) v8.3. PlayRight automatically sets the playback speed to an optimal speed for an MT/provider/mode combination, thereby reducing or even eliminating the need for the MT to continuously adjust playback speed for jobs.

The system determines the optimal playback speed by gathering playback speed data from jobs the MT receives from each provider and in each mode (traditional transcription or editing). Once it collects enough data, it gradually increases the speed over the next 10 jobs, but stops when it finds that the MT is consistently slowing down the playback speed, or when it reaches the maximum of one and one-half times the normal rate. It then saves the optimal speed setting and applies this setting to subsequent jobs for that MT, provider and mode.

The DESS system calculates and stores a separate optimal dictation playback speed setting for each transcriptionist/provider/mode combination. The MT can still adjust the speed manually if necessary.

Click the play button on the following eTIPS Video to learn how to enable the PlayRight feature.

eTIPS Video

The PlayRight feature is disabled by default. A DESS System Administrator can enable it in the user type for a group of users, or at the individual MT user level.

The following describes how to enable the PlayRight feature for a group or individual transcriptionist:

  1. Launch the DESS TextSystem Explorer application and login with your administrative User ID and Password.
  2. Navigate to a User Type to enable for a group of users, or navigate to an individual Transcriptionist.
  3. Right click on the User Type or Transcriptionist user and select Word Client Settings.
  4. When the Word Client Settings dialog box appears, navigate to the Options tab.
  5. In the Options tab, select Automatic play speed-up enabled.
  6. Click Ok to save your changes.

Note: At any time, you can restart the PlayRight adaptation process for one MT or for all MT’s belonging to a particular user type. Restarting adaptation for a user type begins the collection process again with a new set of files, starting from the current calculated rates. For individual MT’s you also have the option of discarding all adaptation history and calculating a new rate for each provider/mode combination beginning from a 100% playback rate.

For more information about how to configure and use the PlayRight feature, login to iSupport and search for solution: 140540 What’s new or changed in the Dictaphone Enterprise Speech System. Locate v8.3 Document Update and click the L-3311-002 link to open the What’s new in DESS version 8.3 document. If you are not an iSupport subscriber, click iSupport Timesaver for more information on how to get started with iSupport.

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Did you know that an Addendum Separator can be placed on both the top and bottom of an Addendum?

Beginning with Dictaphone Enterprise Speech System version 8.3, there is optional bottom addendum separator text that can be placed beneath a reports addendum. This is in addition to the top addendum separator found in earlier versions of the software.

Perform the following steps to create a bottom addendum separator:

  1. Launch the DESS TextSystem Explorer application and login with an administrative User ID and Password.
  2. Right click the EXText folder and select EXText Options.
  3. When the EXText Options dialog box opens, navigate to the Insertion Text tab.

    Bottom Addendum Separator

  4. In the Bottom addendum separator text field, enter the text that is to appear below the addendum.
  5. Click OK to save your changes and exit.

For more information about how to configure and use the Addendum Separator feature, login to iSupport and search for solution: 140540 What’s new or changed in the Dictaphone Enterprise Speech System. Locate v8.3 Document Update and click the L-3311-002 link to open the What’s new in DESS version 8.3 document. If you are not an iSupport subscriber, click iSupport Timesaver for more information on how to get started with iSupport.

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Did you know DJT scripts have a Target Site Override setting that will override the Remote ID (DJT) setting in the Site Configuration?

A feature has been added to the Dictaphone Enterprise Speech System (DESS) version 8.3, allowing a Digital Job Transfer (DJT) script’s target site setting to override the Remote Id (DJT) setting in the site configuration. This allows you to configure the target site within the DJT script, rather than at the site level.

If you need to transfer jobs from the same site to more than one target system, you can create two scripts with two different target sites. In previous versions, if you wanted to send jobs to two different target sites, you had to modify the site’s Remote Id (DJT) setting before running each script.

The following image shows a new Target Site ID Override setting found on the Digital tab of the a DJT script.

Target Site Override

If you leave the Target site ID value blank, the script uses the value in the site’s Remote Id (DJT) setting as the target site ID, as in previous versions.

For more information about how the Target Site Override feature, login to iSupport and search for solution: 140540 What’s new or changed in the Dictaphone Enterprise Speech System. Locate v8.3 Document Update and click the L-3311-002 link to open the What’s new in DESS version 8.3 document. If you are not an iSupport subscriber, click iSupport Timesaver for more information on how to get started with iSupport.

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Did you know how to configure the DESS system for Providers who would like to use the iPhone Dragon Mobile Medical Recorder application to dictate patient reports?

With Dragon® Medical Mobile Recorder (DMMR), providers can conveniently and efficiently dictate at the point-of-care with their iPhone. High-quality dictations are wirelessly and securely uploaded to Nuance’s background speech recognition platform, Dictaphone Enterprise Speech System (DESS), for rapid document turnaround time.

The DMMR application is currently available for providers to download from the iPhone App store; however, to upload the DMMR dictated reports to the DESS system requires purchasing the iPhone Mobile Dictation option for the DESS system.

Once the DESS iPhone Mobile Dictation option is purchased and installed on the DESS system, there are two basic areas of configuration required to prepare the DESS System to accept dictation from the DMMR application. Typically these configurations are performed by the administrator responsible for the DESS system configuration settings.

To begin uploading DMMR dictation to the DESS system, you will need to ensure the DESS user settings are configured as follows:

  1. Modify existing providers or create new provider profiles in both the VoiceSystem and TextSystem.

    • Modify the TextSystem (EXText) user types to which your DMMR providers are assigned to. Assign the privileges required by the DMMR users to at least one user type. Instead of modifying an existing user type, you can also create one or more new user types just for DMMR users. If desired, you can also configure the user type’s site and worktype access.

    • Users must have Document:View and eSig: Authenticate Documents privileges in the TextSystem to work with DMMR. You will need to add these privileges to the user type(s) associated with DMMR users.

  2. DMMR users must have a client login and password configured on both the TextSystem and the VoiceSystem. These logins must match exactly.

    • Assign an eSig password on the TextSystem for each provider; simply by copying/pasting the EXVoice Client Login field from the VoiceSystem.

    • Create a login ID and password for each provider in the VoiceSystem. To do this; login to the EXVoice Explorer application, locate the user(s), in the Client settings group box: Ensure that the Account Disabled check box is not selected, and, ensure (or create) Login and Password.

For additional information about Dragon Mobile Medical Recorder, login to iSupport and search for Solution 14339: Dragon Medical Mobile Applications User's Guides. For additional information about DESS system administration for the Voice and Text systems, 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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eTIPS Webinar

iSupportThis month Nuance will host its ninth webinar in the "Improving DESS System Performance to Maximize ROI" webinar series. This session, "Overview of new features included in DESS version 8.3," focuses on new features specifically designed to improve productivity for transcriptionists, providers, supervisors and system administrators.

Webinar Information:

eTIPS 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, September 23rd 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, September 26th.

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 - 1
Session 3: Improving Provider Real-Time Recognition Accuracy in EWS - 2
Session 4: Improving Provider Real-Time Recognition Accuracy in EWS - 3
Session 5: Working with Dictation Habits to Improve Speech Recognition
Session 6: Working with Auto-Normals to Improve Productivity
Session 7: Using Hosted Reports to Evaluate Your Return on Investment
Session 8: Using Hosted Reports to Monitor an Incentive Pay Program

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What's New

iSupportFor 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

iSupportTo 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.

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 Judy Ferguson

Judy FergusonJudy Ferguson is a Senior Project Manager for Nuance's Professional Services Team (Enterprise Speech division), responsible for implementing Dictaphone Enterprise Speech Systems (DESS) for Nuance customers. Judy works closely with customers, sales, planning, technical and field services to ensure successful implementations. Judy has been with Nuance 20+ years, moving through various roles and departments, all related to customer implementations.

Outside of Nuance, Judy lives in Toronto, ON with her husband, Ken and dog, Chloe. Judy enjoys walking, reading, cooking and baking, but most of all spending weekends with family and friends. Judy also enjoys planning holiday and birthday dinners.

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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:

  • 14500 Not all batches have a fax cover sheet
  • 14499 Services stuck Starting or Stopping on RightFax Server
  • 14497 [Microsoft] [SQL Native Client] Encryption not supported on the client.
  • 14339 Dragon Medical Mobile Applications User's Guides (reissued 9/2/11)
  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe 360, PowerScribe, and RadWhere Software? (reissued 8/25/11)
  • 13656 Enterprise Speech System, Version 8.3, Client Hardware/Software Requirements (reissued 8/22/11)
  • 14416 eTIPS Video & Webinar Library for Dictaphone Enterprise Speech System (reissued 8/8/11)
  • 14465 Suppress CC Routing Until After Authentication (reissued 8/8/11)
  • 14118 eTIPS Newsletter Archive - Dictaphone Enterprise Speech System (reissued 8/8/11)

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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