eTIPS

Did you know the hotkey to turn the microphone on and off?

To turn the microphone on and off, you can press the plus (+) key on the numeric keypad (this hotkey can be changed in the Options dialog), or click the microphone icon on the DragonBar or system tray (bottom right corner).

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Did you know Dragon Medical has an auto-punctuation feature?

Click the play button on the following eTIPS video image to learn how to enable and use the auto-punctuation feature in Dragon Medical 360 | Network Edition and Dragon Medical Practice Edition.

Perform the following to toggle the auto-punctuation feature on or off:

1. Click Tools on the Dragon Bar and then select Formatting.
2. Go to the bottom of the Formatting dialog box to enable or disable automatically add commas and periods.

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Did you know Dragon Medical Profile Access fails with McAfee® DLP scans?

Antivirus applications are a mandatory part of securing any software environment. However, Dragon Medical is particularly sensitive to file locking conditions by other applications and can fail when malware software scans the Dragon Medical User Profile folders.

As part of its normal operation, the McAfee Host Data Loss Prevention (DLP) software scans files used by applications to determine rule eligibility for safe, trusted activity. Dragon Medical can fail when the McAfee Host DLP scans its User Profile folders.

Dragon Medical can display an error message stating the User Profile cannot access User Profile data on systems running the McAfee Host DLP. This would include the Dragon Medical Master or Roaming Profile location.

Solution

If McAfee Host DLP is used, create an Application Definition entry in the McAfee Host DLP for Dragon Medical (natspeak.exe) and set its strategy to trusted:

1. Log on to the ePO 4.x console.
2. Click Menu > Data Protection > DLP Policy.
3. Click Application Definition under Definitions box.
4. Create a new Application Definition and type a preferred name.
5. Select Executable File Name, type natspeak.exe, and click OK.
6. Right click on the new Dragon Medical Application Definition, select Process Strategy and set it to Trusted.
7. Click Apply.
8. Perform an Agent wakeup call, or manually update the policy using the McAfee Agent.

Click here to refer to McAfee® knowledge base article KB71597: Dragon Naturally Speaking conflict with Host Data Loss Prevention for more information.

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Did you know how to implement Citrix Smooth Roaming in a DM360|NE (vSync) Environment?

The DM360|NE (Dragon Medical 360 | Network Edition) product provides the vSync feature that promotes Full Text Control within Citrix-published applications across a Citrix environment. The vSync feature is comprised of a DM360|NE Client component as well as a Citrix server component, and is enabled in the NMC (Nuance Management Console).

The Citrix Smooth Roaming feature allows a provider to suspend his or her current Citrix session at one workstation and then redirect and resume that same Citrix session at another workstation.

When a provider uses the Citrix Smooth Roaming feature across multiple workstations where the DM360|NE (vSync) client is not installed on all workstations, a vSync session may not be established. The workflow steps follow:

• A published application (an EHR for example) is launched from one workstation where the DM360|NE (vSync) client is not installed.

• The Minidragon component (vSync plug-in) at the Citrix server, serving the published content, is unable to establish a vSync session (open a Citrix virtual channel) since vSync at the client is not installed.

  Note: vSync does not create the Citrix virtual channel; it simply opens an existing Citrix channel and then queries this channel for information. MiniTracker is the Dragon vSync installer for the Citrix server that includes the installation of the Minidragon processes.

• Minidragon shuts down after the third attempt (as designed).

• That same provider uses Citrix Smooth Roaming to suspend, redirect, and resume the same Citrix session at another workstation where the DM360|NE Client (vSync) is installed.

• vSync is unable to detect the redirected Citrix session and establish vSync function.

To temporarily establish vSync function with the re-directed Citrix session, both the DM360|NE Client and Citrix Client must be restarted.

Successfully Implementing Citrix Smooth Roaming

There are two (2) methods discussed below in which to implement DM360|NE (vSync) successfully in a Citrix Smooth Roaming environment.

• Update the Citrix server's EHRForceLogOff registry setting to 0 (zero).
• Install the DM360|NE (vSync) client on all workstations affected by Citrix Smooth Roaming.

Method #1 - Updating the EHRForceLogOff Setting

Once a published application (an EHR for example) is launched from one workstation where the DM360|NE Client (vSync) is not installed, the Minidragon component (vSync plug-in) at the Citrix server, serving the published content, attempts to start “x” number of times based on the Dragon registry value “EHRForceLogOff=   ” (default value is 3). Since vSync at the client is not installed, Minidragon is unable to establish a vSync session and shuts down (as designed).

This method configures the Minidragon and MinidragonWatcher processes to continually alternate and attempt to start for workstations where DM360|NE (vSync) is not installed, until either a vSync connection is made or the Citrix session is closed.

Instead, setting “EHRForceLogOff=0” will result in every Citrix session connecting to that Citrix server, regardless of whether the client workstation has DM360|NE installed, starting the Minidragon processes for the entire session.

One consideration for this method involves consumed resources and performance on the Citrix servers. These processes on the Citrix server can include the aforementioned alternating Minidragonand MinidragonWatcher processes, as well as the dgnuiasvr_x64.exe process for 64-bit published applications. Memory consumption from these processes can be 20MB per user per session. Therefore, consider segregating all Dragon users to specific Citrix server(s) within the Citrix farm. This will eliminate consumed resources at Citrix servers for non-Dragon users.

Use Regedit or a similar tool to edit the following registry key on the Citrix server:

• HKEY_LOCAL_MACHINE\Software\Nuance EHRForceLogOff (REG_DWORD)

Set this registry key to:

• HKEY_LOCAL_MACHINE\Software\Nuance\EHRForceLogOff = 0

Method #2 - Installing the Dragon Client

Another method used to successfully implement Citrix Smooth Roaming involves the installation of the DM360|NE (vSync) client at each workstation that accesses a Citrix server where the Minidragon processes start. This would include non-Dragon workstations as well. It is understood that Dragon users accessing Citrix-published applications may represent only a small percentage of total Citrix users at a customer site. In this case, consider segregating all Dragon users to specific Citrix server(s) within the Citrix farm. This will limit the scope of client installation activity.

Note: Each time a Citrix Client is upgraded or re-installed; the vSync Restoration Patch must be applied.

For more information about how to successfully implement Citrix Smooth Roaming in a DM360|NE (vSync) Environment, login to iSupport and search for solution: 14111 Dragon Medical 360 | Network Edition User's Guides. Within solution 14111, locate the following documents and click the related link to open.

• L-3431 - Administrator Guide, Dragon in a Citrix Environment
• L-3422 - vSync Best Practices Guide
• L-3421 - DMENE Technical Note: Support for Dragon and vSync with Citrix clients and servers

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

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What's New

For a complete listing of all updates for all released versions, login to iSupport and search for solution: 14274 "What's New in Dragon Medical 360 | Network Edition Software and can I Download the Current 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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iSupport 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:

• 14341 Identify if vSync is working from Dragon log (reissued 9/28/12)
• 14526 Dragon Medical Practice Edition User's Guides (reissued 9/28/12)
• 14966 DMNE License Usage
• 14207 "Error 1606: Unable to locate network location" when installing Dragon NaturallySpeaking (reissued 9/21/12)
• 14798 What's New in Dragon Medical 360 | M.D. Assist Software and Can I Download the Current Version?
• 14936 MEDITECH EHR compatibility with DM360|NE vSync feature
• 14402 Acoustic and Language Model Optimizer Scheduler not displaying some User Profiles (reissued 9/6/12)

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
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 DM360 | Network Edition & DMPE 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. So say, "Dragon Medical 360 | Network Edition Support" at the prompt.

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 Dragon Medical 360 | Network Edition customer support team is available at Nuance's Technical Support website at http://www.nuance.com/support/dragon-medical/.

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