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Dictaphone® Enterprise
Speech System

eTIPS Logo

November 2011, Volume 3, Number 11

Greetings!

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

    eTIP 1: How Enterprise Editor has an Integrated Web Search Utility, which enables Transcriptionists to look up unfamiliar words or phrases without switching to a Web Browser Window. (Includes eTIPS Video)

    eTIP 2: How to work with the Site/Worktype Access setting to control which documents users can electronically sign in Enterprise Workstation.

    eTIP 3: How to enable the "Reject all Jobs on Disconnect" option to automatically keep jobs moving through the transcription workflow resulting into faster turnaround?

    eTIP 4: Changes to Microsoft® Word 2007 and 2010 default paragraph styles that may affect DESS TextSystem Worktype Templates created in prior versions?

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

eTIPSeTIPS

Did you know Enterprise Editor has an Integrated Web Search, which enables Transcriptionists to look up unfamiliar words or phrases without switching to a Web Browser Window?

When you encounter an unfamiliar term in dictation, such as a new drug or procedure name, you might want to look it up on the Internet to confirm its spelling or definition. If your workstation has internet access and you are using the Dictaphone Enterprise Speech System (DESS) version 8.3 Enterprise Editor application, there is a quick and easy way to look up words without the time-consuming process of opening a Web browser session and typing the words into a search engine. At any time during the course of transcribing a job, simply highlight a word or phrase and press the key combination Ctrl+Shift+?. The Enterprise Editor application will automatically search the internet with the search criteria equal to the highlighted text and present the results in a separate window.

Press the play button on the following eTIPS Video icon to view a brief demonstration on how to search the web while transcribing a report in Enterprise Editor (EXEditor).

eTIPS Video

Perform the following to look up a word or phrase:

  1. Highlight a word or phrase and press the keyboard shortcut command Ctrl+Shift+?. The Enterprise Editor software searches the Internet and presents a list of search results.

    Browser Search

  2. Hover the mouse cursor over any link to see more information.

  3. Double click or select any item, and then press Enter to open the related web page.

  4. If the search retrieves more than one page of results, you can use the Next and Prev buttons, located on the lower right, to navigate between pages.

  5. When you have finished, click Close to return to the document.

For more information about how to use the integrated web search feature, login to iSupport and search for solution: 140540 “What’s new of 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 Site/Worktype Access settings control which documents Providers can Electronically Sign in Enterprise Workstation?

The DESS TextSystem leverages privileges and access settings is User Types to control activities a user may perform on the system, and which types of documents the user can gain access to. Site/Worktype access settings are enabled in the User Types by the system administrator who is responsible for granting Site/Worktype access to users (including providers) based on what is relevant for the user to see.

Providers can dictate on a Worktype, but the transcribed document may not be accessible to the provider for editing or electronic signature, unless he/she is granted the appropriate access to the Worktype of the transcribed report.

If the Site/WT Access is not setup correctly, the provider will receive the following error when attempting to access the report in Enterprise Workstation (EWS) to authenticate it:

Error Message

In addition, if the Worktype ID is configured for display in Enterprise Workstation (EWS), the Worktype ID will appear as -1 in the reports list.

To edit the Site/WT access for the provider(s):

  1. Locate the User Type the provider belongs to in the DESS TextSystem Explorer application, and then right-click and choose Edit User Type.
  2. Navigate to the Site/WT Access tab.
  3. Add access to all sites and worktypes the provider will need to be able to access. You may Grant All to allow access to any document on the system, or restrict based on specific worktypes and/or sites.

Site/Worktype Access

Once the correct Site/WT access has been configured, the provider will need to log out of EWS or ESig and log back in for the changes to take effect.

For additional information about Site/WT Access, 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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Did you know the "Reject all Jobs on Disconnect" option will automatically keep jobs moving through the transcription workflow, resulting into faster turnaround times?

The system administrator of the DESS VoiceSystem configures the flow of jobs to transcriptionists based on the turnaround time goals set by the organization. When a transcriptionist logs into the DESS VoiceSystem, a pre-defined number of jobs will automatically flow to the transcriptionist based on the criteria configured by the system administrator. The set number of jobs will download to the TransNet Queue on the Transcriptionist's workstation. While the transcriptionist transcribes the first job in this TransNet queue, the other jobs remain in the TransNet queue in a waiting state. The jobs will remain waiting until the transcriptionist either completes the current job or the jobs will eventually expire and return to the VoiceSystem where they automatically flow to another user for transcription.

If a transcriptionist logs out of the system, the jobs waiting in the TransNet queue will remain there until they expire. Eventually, the jobs will expire and return to the VoiceSystem, but the jobs are getting older as they wait to expire. There is a feature which prevents these jobs from waiting to expire before they are returned to the VoiceSystem. By enabling the "Reject all Jobs on disconnect" option in the transcriptionist user profile, jobs in the TransNet queue will immediately return to the VoiceSystem when the transcriptionist logs out. This prevents these jobs from aging while waiting to expire before returning to the VoiceSystem to get re-distributed.

Perform the following to enable the "Reject all jobs on disconnect" option in the transcriptionist user profile:

  1. Launch the DESS VoiceSystem Explorer application and login.
  2. Locate the Master Profile for the transcriptionist users.
  3. Right-click the Master Profile and choose Modify Master Profile.
  4. Click on the Transcription tab.
  5. On the Transcription tab, click the TransNet Details... button.
  6. In the Options group of the Trans/Net Distribution Details box, check the box labeled Reject all jobs on disconnect.
  7. Click the OK button to return to the Transcription tab.
  8. Click the OK button to save changes to the Master Profile and exit.

    Reject Job Setting

For additional information about pooling jobs and managing workflow of dictations, 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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Did you know that Microsoft® Word 2007 and 2010 default paragraph styles have changed and may affect DESS Worktype Templates created in prior versions?

Microsoft® changed the default line and paragraph spacing for Microsoft Word 2007 and Microsoft Word 2010. These new defaults can cause formatting problems when creating templates in the Dictaphone Enterprise Speech System (DESS) TextSystem. This happens because the DESS TextSystem is based on conventional paragraph styles used for documents within the healthcare industry, which typically use single line spacing without extra padding.

The default MS Word line and paragraph spacing are shown here:

Default Spacing Options

When using Microsoft Word 2007 or Microsoft Word 2010 to create templates in the Enterprise TextSystem, the default paragraph settings should be changed to Word 2003 default values. This is accomplished by performing the following steps:

  1. Ensure that the DESS EXEditor and DESS TextSystem Explorer applications are NOT running on the machine where you are making these changes.
  2. Launch the Microsoft Word 2007 or Microsoft Word 2010 application.
  3. Navigate to the Home tab and click Change Styles.
  4. Select Style Set and click Word 2003.
  5. Click Change Styles once again.
  6. Click Set as Default.
  7. Close the Microsoft Word application.

Change Styles

For additional information about transcription application features, login into iSupport and search for solutions:

  • L-3233-005 - Enterprise Editor Transcription/Editor Courseware and Reference Guide.
  • L-2957-008 - System Administrator Courseware and Reference Guide.
  • Solution 13864: Word 2007 and 2010 Configuration in an Enterprise Text Environment

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 session eleven of its twelve session eTIPS Webinar program, "Improving DESS System Performance to Improve ROI." This session, "Transcription Features Designed to Improve Productivity – Part 2 of 2" focuses on a more advanced feature specifically designed to improve transcription productivity, and how it helps streamline those extraordinary transcription workflows. During this session you will learn how to describe voice-driven Quality Assurance (QA); identify requirements necessary to use voice-driven QA; configure, demonstrate and test voice-driven QA; and track voice-driven QA jobs in Job Lister.

Webinar Information:

eTIPS Webinar Info

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, December 2nd 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, December 5th.

Please note: Attending this twelve session webinar program allows you to earn up to 12 AHIMA CEUs. It is not mandatory to attend all sessions to earn AHIMA CEUs. Sessions are independent of each other, and for each 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 a live session, which we strongly encourage, you can still earn CEUs by viewing the video recording of any session and completing the related survey. Refer to the eTIPS Webinar Archive section for more information on how to view recorded sessions and earn AHIMA CEUs.

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 that outlines the entire eTIPS 12 session Webinar program including; session name, learning objectives, dates and times, etc. Also, links are provided for each session's video recording. The link to the related survey is provided at the end of each video. To begin, click the document title to open a document explaining each session, then click on a session title to open and begin playback of a video recording.

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
Session 9: Overview of New Features Included in DESS Version 8.3
Session 10: Transcription Features Designed to Improve Productivity - 1

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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 Josh Richmond

Joshua RichmondJosh Richmond is a support engineer for Nuance's Dictaphone Enterprise Speech System (DESS) product line. Josh spends much of his time working with the DESS SpeechSystem and is well versed on all aspects of voice recognition from the point of audio file creation through user evaluation and recognized text. Josh also assists our customers with operational and technical issues, and is continuously focused on ensuring our customers are achieving the highest level of satisfaction with their Dictaphone Enterprise Speech System.

Outside of Nuance, Josh mostly enjoys spending time working with computers. He is constantly looking to learn new material related to the computer science industry so he may become more versatile and better able to conquer the many challenges he faces in his career.

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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:

  • 14116 Remote Diagnostics - Nuance upgrading SSL to 2048-bit Root Certificate Authority (reissued 10/27/11)
  • 13864 Word 2007 and 2010 Configuration in an Enterprise Text Environment (reissued 10/26/11)
  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe 360, PowerScribe, and RadWhere Software? (reissued 10/18/11)
  • 14416 eTIPS Video & Webinar Library for Dictaphone Enterprise Speech System (reissued 10/19/11)
  • 14118 eTIPS Newsletter Archive - Dictaphone Enterprise Speech System (reissued 10/7/11)

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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