Nuance Healthcare Logo

Dictaphone®
Enterprise Speech System

eTIPS Logo

November 2012, Volume 4, Number 11

Greetings!

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

    eTIP 1: Removing dictation anomalies on a transcribed report before electronically signing it. (Includes eTIPS Video)

    eTIP 2: Viewing the upload status of dictations on the Dragon® Medical 360 | Mobile Recorder.

    eTIP 3: Modifying a group of providers' telephone dictation keypad controls used to record and pause dictation, rewind, fast-forward, playback, etc.

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Hold the Date: Conversations Healthcare 2013: April 21-24!

We are excited to announce that Conversations Healthcare 2013, the Annual User Conference for Nuance Healthcare customers, will be held April 21-24, 2013! The specific location will be announced in the coming weeks.

Click here to learn more about how this year's event will offer you more value than ever before.

eTIPSeTIPS

Did you know a provider must remove any dictation anomalies from a transcribed report before electronically signing it?

During the course of transcribing a report for a provider, a Medical Transcriptionist (MT) may encounter a spoken word or phrase that can't be understood. When this occurs, an MT will use a tool that places a 'Dictation Anomaly’ marker at the precise location within the report. When a provider accesses the transcribed report from within the Enterprise Workstation application, the 'Dictation Anomaly' marker will appear in the report highlighted with yellow. The provider must resolve the "Dictation Anomaly" before the system will allow the provider to electronically sign the report.

Click the play button on the following eTIPS video to see a brief demonstration about how a provider can resolve a 'Dictation Anomaly.'

eTIPS Video Image

The following provides step-by-step instruction for a provider to remove a dictation anomaly:

  1. Login to the Enterprise Workstation.
  2. Navigate to the Reports tab and search for transcribed documents by choosing the I can sign filter.

    EWS Image 1

  3. Select a report from the list and click the View/Sign Report button. The un-signed report will appear in the screen. Dictation anomalies appear in the report highlighted in yellow, shown below.

    EWS Image 2

  4. Click the Edit/Sign button to access the report for editing.

    EWS Image 3

  5. Click the Dictation Anomaly button to move the insertion point to the location of each blank segment of the report (where the transcriptionist had difficulty understanding the recorded audio).
  6. Once all the dictation anomalies are resolved, click the Sign and Close button to complete the electronic signature process.

NOTE: All Dictation Anomalies must be resolved before the system will allow a transcribed report to be electronically signed.

For more information about EWS Dictation Anomalies, login to iSupport and search for solution, L-3141-001: Dictate and ESig with Visits. If you are not an iSupport subscriber, click iSupport Timesaver for information on how you may get started.

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Did you know Dragon® Medical 360 | Mobile Recorder allows you to easily view the upload status of dictations?

From the main screen of the application click on the Dictations tab. A dictation can be in one of three states:

  • Fully uploaded
  • Currently uploading
  • Waiting to be uploaded

DMMR Upload Image

In the illustration above:

  • The dictation for Lovegood, Luna is fully uploaded. The value immediately under the patient name (M11453) is the confirmation number and can be used to track the dictation in the dictation screen.
  • The dictation for Mann, Nichole is currently uploading. The line underneath is a progress bar that shows the percentage complete.
  • The dictation for May, James is waiting to be uploaded. When this dictation begins to upload, the progress indicator will be animated to show the percentage complete.

For more information about Dragon® Medical 360 | Mobile Recorder, login to iSupport and search for solution 14339: Dragon® Medical 360 | Mobile Recorder User's Guide. If you are not an iSupport subscriber, click iSupport Timesaver for information on how you may get started with iSupport.

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Did you know you could modify a group of providers' Telephone dictation keypad controls that are used to record and pause dictation, rewind, fast-forward, playback, etc.?

When a provider dictates a report by using a standard telephone, the keypad is used to control the recording of dictation as well as playback, rewind, fast-forward, etc. The default setting to toggle in an out of record is the 2 key. However, if a provider would prefer to use the 1 key as the record toggle, this is easily accomplished by modifying the keypad for that specific provider or, more commonly, for an entire group of providers.

The telephone Dictation Keypad is configured in the Dictaphone Enterprise Speech System (DESS) VoiceSystem Explorer application. The following provides step-by-step instruction on how to modify the currently assigned Telephone Dictation Keypad for an entire group of providers.

I    Find out which keypad is currently assigned to the group of providers.

  1. Login to the DESS VoiceSystem Explorer application.
  2. In the left pane, expand the Site where the providers reside.
  3. Expand Master Profiles.

    Master Profile Image 1

  4. Right click on the Master Profile assigned to the group of providers and select Modify Master Profile. A Modify master profile dialog box will appear.

    Master Profile 2

  5. Select the Dictation tab of the Master Profile.
  6. Take note of the section labeled Keypad:. This setting identifies the dictation keypad currently assigned to this group of providers.
  7. Click the OK or Cancel button to exit the Master Profile settings.

II   Modify the Dictation Keypad assigned to the group of providers.

  1. In the left pane of the DESS VoiceSystem Explorer application, expand Keypads.
  2. Click Dictation to see the list of Dictation Kaypads displayed in the right pane.

    Keypad Image 1

  3. Locate the keypad you wish to modify.
  4. Right click on the keypad and select Modify Keypad.

    Keypad Image 2

  5. Here you will see three tabs that can be configured for the Telephone Dictation Keypad including: Normal, Shift, and Alternate. Configure all three tabs to your desired configuration, and then click OK to save your changes.

For more information about Keypad settings, login 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. If you are not an iSupport subscriber, click iSupport Timesaver for information on how you may get started.

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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 more information and learn how you may get started.

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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 and learn how you may get started.

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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Conversations Image

Hold the Date: April 21-24!

This year's event will offer you more value than ever before with:

  • A 1 1/2 day Executive track offering roundtable discussions on key industry challenges and solutions to deliver patient-centric care, clinically-oriented documentation, CDI and coding.
  • A dedicated track for HIM Directors to discuss the changing role of HIM and examine specific solutions that help prepare health systems and hospitals for Phase ll of Meaningful Use.
  • A dedicated track for the Radiology Management team, Radiology Directors and Radiology Administrators, to explore what healthcare reform means for Radiology and how Nuance solutions can help improve service to patients and referring physicians, while enhancing productivity for Radiologists.
  • A 2 1/2 day learning event for users to hear and share best practices to maximize the investment in Nuance technology, and utilize the latest offerings for cost savings, efficiencies and quality!
  • More content presented by peers and users!
  • Increased opportunity for networking with colleagues in similar provider organizations!

Stay tuned for more information on the specific location, pricing and registration in the coming weeks.

Until then, mark your calendars for April 21-24, 2013 so you make sure to participate in this exceptional once-a-year event. For your convenience, you can reference our justification document to help you set aside budget today.

Please check our website for more information.

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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:

  • 13102 Downloads - PowerMic Microphones (reissued 11/7/12)
  • 14416 eTIPS Video & Webinar Library for Dictaphone Enterprise Speech System (reissued 11/5/12)
  • 15071 Configuring patient information columns on the EWS Visit List and Reports List
  • 15070 Change a user's assigned Master Profile and/or Administrative Group
  • 15069 Reverse the rewind and fast forward foot pedal
  • 14118 eTIPS Newsletter Archive - Dictaphone Enterprise Speech System (reissued 10/29/12)
  • 12207 Anti-virus recommendations for Enterprise Express products (reissued 10/24/12)
  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe 360, PowerScribe, and RadWhere Software? (reissued 10/16/12)
  • 15034 Dragon Medical 360 | QualityAnalytics User Guides
  • 14900 Dragon Medical 360 | M.D. Assist User's Guides (reissued 10/15/12)
  • 14992 What to check before sending a PowerMic in for repair
  • 14979 Can providers remove reports from their ESig queue without electronically signing them?
  • 14978 Configuring search results content and column names
  • 14962 Recognition Server Functions (reissued 10/2/12)
  • 14974 User Rights Needed for Text Client Applications
  • 14339 Dragon Medical 360 | Mobile Recorder User's Guides (reissued 10/1/12)
  • 14973 Transcription Compensation Guidance

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
Registered iSupport members are able to use the full features of iSupport and submit online service requests. Click Getting Started with iSupport to see 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 solutions, manuals and quick reference materials, and how to use iSupport to submit a request for service.

Optimize Your iSupport Profile
If you are already an iSupport subscriber, you may want to consider accessing the Getting Started with iSupport link above and view the instructions. There is valuable information that 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 timesaving 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.

On the other hand, 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 for more information and learn how you may get started.

Additional information about how to contact Nuance's Dictaphone Enterprise Speech System customer support team is available at Nuance's Technical Support website at http://www.nuance.com/support/dictaphone-enterprise-speech-solution/.

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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.

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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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