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Dictaphone®
Enterprise Speech System

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March 2012, Volume 4, Number 3

Greetings!

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

    eTIP 1: How to control the checkout limit and expiration of voice jobs that are in use by a transcriptionist. (includes eTIPS video.)

    eTIP 2: How to make newly added "normals" immediately available to the transcriptionists.

    eTIP 3: How to create and manage signature scripts to define which providers will be responsible for electronically authenticating documents.

    eTIP 4: How to keep up-to-date with Nuance and Nuance Products by visiting Nuance's social media sites including: Facebook, Twitter, You-Tube, etc.

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eTIPSeTIPS

Did you know the Dictaphone Enterprise Speech System (DESS) allows administrators to control the checkout limit and expiration of voice jobs that are in use by a transcriptionist?

The Dictaphone Enterprise Speech System (DESS) allows system administrators to control how many voice jobs or minutes of dictation a transcriptionist is able to download to his or her computer and store in the transcription queue. DESS also allows administrators control over how long these jobs will stay in the transcription queue before they expire and are sent back for re-distribution. These settings apply to transcriptionist accounts using standalone Trans/Net, Word Client, or EXEditor.

The Job Checkout Limit is the number of jobs or minutes of dictation that will download to a transcriptionist at one time. Ideally, this setting should be configured to ensure the transcriptionist will have a constant flow of work. The checkout limit should be set to at least two to ensure there will always be a job waiting for the transcriptionist when he or she finishes the current job; thereby, allowing the transcriptionist to immediately begin working on the new job as opposed to waiting for the new job to download first. Nuance recommends that the maximum number of jobs be less than 5 to ensure the transcriptionist have as few jobs as possible tied up at any given moment. Transcriptionists with slower connections may need this configured to a higher number if he or she is able to transcribe the current job faster than it takes to download the next job.

The Jobs Expire After setting is the amount of time jobs will remain in the transcription queue before they expire and become available for other transcriptionists to transcribe. Consider configuring this setting to allow the transcriptionist enough time to transcribe the jobs in his or her queue, but not so much time that the jobs may become at risk of meeting their target turnaround time goal.

Please Note: If the job expiration time is set to zero, jobs in the transcription queue will not expire. This could be a problem if the transcriptionist's computer inadvertently loses connection with the server or the user does not log out of the application at the end of his or her shift. A manager or supervisor will need to release these jobs manually to allow other transcriptionists to access the jobs. This is accomplished in the Job Lister application by changing the Job Status of each job back to RDY.

Click the play button on the following eTIPS video for a brief demonstration about how to set the Job Checkout limit and Expiration for your transcriptionists.

eTIPS Video

The following describes how to configure the job checkout limit and expiration settings in the VoiceSystem Explorer application.

  1. Launch the VoiceSystem Explorer application and login.
  2. Expand the appropriate Site and list of Master Profiles.
  3. Right click the Master Profile related to the transcriptionist accounts and select Modify.
  4. Select the Transcription tab and then click TransNet details... button.

    TransNet Details 1

  5. Modify the number of jobs or total minutes of dictation you would like for the checkout limit, and the amount of time you would like the transcriptionists to have the jobs before expiring.

    TransNet Details 2

For more information about job checkout and expiration, and other transcription and Trans/Net settings, logon to iSupport and search for solution, 10136 "EXVoice Operator Manuals." Locate the "System Administrator Courseware and Reference Guide" under the appropriate version of your system, and locate the "Managing Applications with Master Profiles" section. If you are not an iSupport subscriber, click iSupport Timesaver for information on how you can get started.

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Did you know newly added normals by a transcriptionist will appear in the normals list once the transcription application is restarted?

Depending on how the system administrator has configured the system, transcriptionists may have the ability to create personal normals or shared normals within the transcription application. When a transcriptionist creates a new normal in the transcription application, it will not appear in the list of available normals during the current session: however, the transcriptionist may insert the newly added normal by simply typing the abbreviation and pressing the shortcut keystroke to insert the normal.

When a transcriptionist creates a normal, it is stored on the TextSystem server. The entire list of normals is cached on the local client machine when the transcriptionist launches the transcription application. In order for the new normal to appear in the list of available normals, the transcriptionist must log out of the transcription application and back in to populate the cache with the new entry.

For more information and step-by-step instructions on how to create and manage normals, login to iSupport and search for solutions:

  • L-3233-005 - Enterprise Editor Transcription/Editor Courseware and Reference Guide.
  • L-2956-003 - Word Client Courseware and Reference Guide.
  • L-2957-008 - System Administrator Courseware and Reference Guide

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

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Did you know signature scripts define which providers will be responsible for electronically authenticating documents?

Signature scripts define which providers will be responsible for electronically authenticating documents. They are customizable, and you may assign them at different locations within the DESS TextSystem Explorer application, so that each document, or type of document, follows a desired authentication process. Here are a few authentication process examples:

  • The dictating physician will be responsible for electronically authenticating his or her own dictated reports.
  • The attending physician will be the final signer of documents dictated by a resident physician.
  • Any physician within this particular group may electronically sign for a specific physician or group of physicians.
  • A physician or group of physicians may proxy sign documents for dictating physicians who are out on vacation or not expected to return for a long period.

A DESS System administrator can create Signature Scripts at the site level in the TextSystem Explorer application. Once created, the administrator assigns the signature scripts to one of three locations including Provider (Dictator), Worktype, or Site level.

Signature scripts are not used in conjunction with each other and the system evaluates signature scripts in the following order: Provider, Worktype, and Site. For instance, if a signature script is assigned to a Provider, the system will use that script and will not continue looking for another signature script at any other level. However, if a signature script is not assigned to a provider, the system will continue to look for a signature script assigned to the Worktype, and finally the site level.

By default, all documents are presented for authentication to the provider who dictated the report, as long as the provider is configured for electronic signature. To change this default behavior, create a new signature script and assign it to the proper location.

Note: For those providers who are not configured for electronic signature, the documents will not be presented for authentication.

Perform the following to create a new signature script and assign it to a Provider, Worktype, or Site:

  1. Launch the DESS TextSystem Explorer application and login with your User ID and Password.
  2. At the Enterprise level or Site level, right click the Signature Script folder and select New Signature Script. The Edit Signature Script dialog box will appear.

    eSIG Script 1

  3. In the Name field, type a descriptive name for the script. Use a meaningful name that will help you identify the script later, when you assign it to a Provider, Worktype, or Site.
  4. To add an item to the script, click the Add button. The Signature Script Requirement dialog box opens.

    eSIG Script 2

  5. In the Primary Signature (required) list, select a provider, provider role, or group.
    Note: To hide provider names and only show provider roles and groups, clear the Show Providers checkbox.
  6. If you are assigning a proxy signer to this primary signature, select a provider, provider role, or group in the Proxy Signature list.
  7. If you want the primary signer (and optional proxy signer) you selected to have master status, meaning once they sign the document, the document is considered fully authenticated, select the check box next to On signature, document is completely authenticated.
  8. Click OK to return to the Edit Signature Script dialog box. The signers you selected are now listed in the row for the script item you just created.
  9. To specify another script item to add an additional level of signatures, i.e. resident signs first followed by the attending that provides the final signature, click the Add button and create a second script item to include the attending provider role.
  10. After all script items are added, decide whether you would like the signatures to be Ordered, and check or uncheck this checkbox in the Edit Signature Script dialog box accordingly Ordered signatures place the document in the first listed signer's electronic signature queue, followed by the next listed signer's queue, and so on. If this checkbox is unchecked, the document will be presented to all signers at the same time. Once the "master signer" authenticates the document, the document will be considered final signed, regardless of how many signatures have been obtained.
  11. Click the OK button to save the signature script and close the Edit Signature Script dialog box.
  12. To assign a signature script, right click the Provider, Worktype, or Site, and select Edit....

    eSIG Script 3

  13. On the Signatures tab, select the desired signature script that you created, and then click the OK button to save and exit.

To learn more about signature scripts, login to iSupport and search for Solution 10115: "EXText Operator Manuals." Locate the "System Administrator Courseware and Reference Guide" under the appropriate version of your system. 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 Nuance Healthcare solutions allow you to capture the patient story in YOUR clinical workflow, systems, and processes in the manner you prefer – dictation, point and click, or speech recognition - on the device you choose – anytime, anywhere.

Click here to learn more about this revolutionary transformation.

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iSupportWhat'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.

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iSupportWhat's Fixed

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.

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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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:

  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe 360, PowerScribe, and RadWhere Software? (reissued 2/21/12)
  • 14682 How do I collect the device and application crash log files from iPhones.
  • 14688 What's New or Changed in the Dragon Medical 360 | Mobile Recorder?
  • 14339 Dragon Medical 360 | Mobile Recorder User's Guides (reissued 2/22/12).

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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Contacting Support

A dedicated Healthcare Support team, available 24x7x365, services Dictaphone Enterprise Speech System customers who have an active maintenance contract with Nuance.

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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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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