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December 2013, Volume 5, Number 12

Greetings!

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

eTIP 1: How Dragon Medical 360 | Network Edition 2.x User Profiles are now deleted and imported/exported from the Dragon Medical 360 | Network Edition Client.

eTIP 2: How Dragon Medical 360 | Network Edition 2.x User Accounts can be assigned Speech Profiles.

eTIP 3: How Dragon Medical 360 | Network Edition 1.0 User Profiles can still be used throughout the Profile Upgrade to Dragon Medical 360 | Network Edition 2.0.

eTIP 4: Assistance Nuance provides for Dragon Medical 360 | Network Edition upgrade to version 2.x.

eTIP 5: Formatting a range of text by using voice commands.
See eTIPS video.

Conversations Healthcare 2014 takes place April 6-9, 2014, at the Arizona Grand Resort and Spa, Phoenix, AZ. Discover exciting and informative ways to expand your knowledge and increase your productivity – and earn the CEUs you need while you're there. Get more for less with an Early Bird discount. Register by January 31, 2013 and save $100 on the cost of the conference.

Earn up to 20 Continuing Education Credits (CEUs) at Conversations Healthcare 2014 for selected sessions, including:

  • American Health Information Management Association (AHIMA)
  • Association for Healthcare Documentation Integrity (AHDI)
  • The American Society of Radiologic Technologists (ASRT)
  • And, new this year, Nursing CEUs from the Continuing Education Program of the Board of Registered Nursing

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eTIPSeTIPS

Did you know Dragon Medical 360 | Network Edition 2.x User Profiles are now deleted and imported / exported from the Dragon Medical 360 | Network Edition Client?

The Dragon Medical 360 | Network Edition (DM360|NE) product, beginning in version 2.0 (client version 12.5), has moved the following profile functions from the Nuance Management Console (NMC) to the individual DM360|NE client:

  • Profile Deletion: 
    In the Options window, use the Delete my profile and create new setting.
  • Delete Profile 1

  • Importing and Exporting a profile:
    In the Open User Profile window, when the Profile is opened, the Export button is shown (below). This button changes to an Import button if no Profile is opened after logging in with a User Account.
  • Delete Profiel 2

These three (3) functions should not be confused with the Delete and Import functions available on the NMC for User Accounts only. The exception with the NMC's handling of Speech Profiles is its Backup and Restore capability shown below in the NMC's User Profile Management ribbon.

Delete Profile 3

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Did you know how Dragon Medical 360 | Network Edition 2.x User Accounts can be assigned Speech Profiles?

In the Dragon Medical 360 | Network Edition (DM360|NE) product, a User Profile consists of a User Account that is assigned to a Speech Profile.

User Profile = User Account + Speech Profile

A User Account created on the Nuance Management Console (NMC) is linked to a NuanceMC database record. That User Account then needs to be assigned to a Speech Profile. The Speech Profile contains acoustic, language, and vocabulary structures. Assigning a Speech Profile to a User Account can be accomplished in DM360|NE 2.x, by any of the following methods:

  • Importing an existing DM360|NE 2.x (v12.5) Speech Profile through the Dragon Client
  • Creating a new (v12.5) Speech Profile from the Dragon Client through the New User Wizard
  • Associating a legacy DM360|NE 1.0 (v10.5) Speech Profile through the NMC Profile Association Tool
  • Associating a legacy Dragon Medical Enterprise Edition DMEE v10.5 Speech Profile through the NMC Profile Association Tool

Note, that after associating either DM360|NE 1.0 or DMEE Speech Profiles through the NMC Profile Association Tool, those profiles must be upgraded using the DM360|NE 2.0 Profile Upgrade process. Profile upgrades are required whenever transitioning between major DM360|NE client versions, for example v10.5 to v12.5. This is because the aforementioned acoustic, language, and vocabulary structures have changed.

Any upgrade to DM360|NE 2.0 requires the existing customer system be at DM360|NE 1.0 SP3 or higher.

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Did you know Dragon Medical 360 | Network Edition 1.0 User Profiles can still be used throughout the Profile Upgrade to Dragon Medical 360 | Network Edition 2.0?

Customers who are upgrading to Dragon Medical 360 | Network Edition 2.0 (DM360|NE) will need to upgrade their on-premise equipment regardless of whether they are migrating to the Nuance Cloud.

In general, if DM360|NE 1.0 Speech Profiles are being upgraded:

  • DM360|NE 1.0 Speech Profiles are upgraded in bulk, based on their NMC Site.
  • Each version (1.0 and 2.0) of DM360|NE Speech Profile is stored in its own respective Profile directory location.
  • Each version (1.0 and 2.0) of DM360|NE Client will only access its own respective Profile directory location.
  • After the DM360|NE 2.0 Speech Profile upgrade, a copy of the DM360|NE 1.0 Speech Profiles will remain in the 1.x Profile directory location.
  • If desired, these DM360|NE 1.0 Speech Profiles can continue to be accessed during login, and optimized, until their DM360|NE 1.0 client software can be upgraded to version 2.0.
  • Both DM360|NE 1.0 and DM360|NE 2.0 Speech Profiles can be accessed by their respective version of DM360|NE Client and can continue to log in and be optimized in a DM360|NE 2.0 system.
  • DM360|NE 1.0 Speech Nodes are required to continue to optimize DM360|NE 1.0 Speech Profiles, while DM360|NE 2.0 Speech Nodes are required to optimize DM360|NE 2.0 Speech Profiles.
  • DM360|NE 1.0 and 2.0 Speech Nodes can both be assigned to the same Speech Node Collection as needed. The DM360|NE 2.0 Profile Optimizer server will route each version of Speech Profile to its respective version of Speech Node.
  • For the DM360|NE 2.0 Speech Profile upgrade, allow 15 minutes of time for each Speech Profile.

Speech Profile Upgrade

Upgrading the DM360|NE Client software for the entire user population at one time can be resource-intensive. In order to mitigate this, especially for single NMC Sites housing a large number of Speech Profiles, consider the current DM360|NE 2.x upgrade workflow below:

  • All Speech Profiles are upgraded at one time, on a per-NMC Site basis.
  • However, the DM360|NE client upgrades to 2.0 could take more of a phased approach since the existing DM360|NE 1.0 clients are still able to log in and be optimized.
  • The downside would be any changes that occur after the 2.0 Profile upgrade has been upgraded, will not be available for the DM360|NE 2.0 User Profile.

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Did you know Nuance provides assistance for Dragon Medical 360 | Network Edition upgrade to version 2.x?

The Dragon Medical 360 | Network Edition 2.0 (DM360|NE) upgrade is complex. Differences in customer environments require evaluating numerous factors. Any DM360|NE 2.x on-premise upgrade should be planned and carefully considered.

Nuance strongly recommends our Upgrade Training Package to empower your IT team to execute a smooth transition to DM360|NE 2.x with a minimum of disruption.

This package provides web-based training for IT personnel responsible for the system installation and encompasses a 3-day engagement that ensures that the full checklist of actions is performed correctly and in the right sequence.

Please contact your Account Executive for more information about this offering or call 866-748-9537. If you do not know your Account Executive, Nuance can put you in contact with that person.

Please click this link to view the Training Agenda.

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Did you know you could format a range of text by using voice commands?

There are many different formatting commands that allow for acting upon a range of text. You can accomplish this by adding the word "through" to the spoken command followed by a second word. For instance, let's look at the following sentence as a reference.

"The patient presents to the ER complaining of pain in her lower abdomen."

  • You could say, "Select abdomen" to highlight the word abdomen.
  • You could say, "Select pain through abdomen," to highlight all of the words from "pain" through "abdomen."

Click the play button on the following eTIPS video image for a brief demonstration on how to use voice commands that will format a range of text.

eTIPS Video Image

The following table includes many of the common voice commands used to format a range of text.

Commands Table Image

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iSupportWhat's New

For a complete listing of all updates for all released versions, login to iSupport and search for solutions:

14274: Dragon Medical 360 | Network Edition or Enterprise Edition - What's New and Can I download the Current Version?

14640: Dragon Medical Practice Edition - What's New and Can I Download Replacement Software?

If you are not an iSupport subscriber, click iSupport Timesaver for information about how you may become an iSupport member.

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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?
  • 14111 Dragon Medical 360 | Network Edition User Documentation
  • 14274 Dragon Medical 360 | Network Edition or Enterprise Edition What's New and Can I Download the Current Version?
  • 14843 DM360NE Error 1722 during installation of vSync MiniTracker component
  • 16251 How enable eClinicalWorks (eCW) to function with Dragon
  • 12231 Do you have any information about how Products and Services support the HIPAA Security Rule?
  • 14640 Dragon Medical Practice Edition - What's New and Can I Download Replacement Software?
  • 14955 Dragon Medical support for EPIC 2012
  • 14992 What to check before sending a PowerMic in for repair
  • 16253 MMRESULT #6 errors with Dragon Published/Hosted Citrix/RDC on Win Server 2008 R2
  • 16257 Dragon Medical Policy on Custom SQL Scripting
  • 14418 eTIPS Video Library for Dragon Medical 360 | Network Edition & Dragon Medical Practice Edition
  • 14120 eTIPS Newsletter Archive - Dragon Medical 360 | Network Edition & Dragon Medical Practice Edition
  • 15908 Basic voice commands to perform actions on Windows desktop
  • 12751 Troubleshooting Input Device Installation: USB Device Cleanup

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 view instructions on how to register to become an iSupport member.

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Contact SupportContacting Support

A dedicated Healthcare Support team available 24x7x365 services 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. At the prompt simply say:

"Dragon Medical 360 | Network Edition Support" or
"Dragon Medical Practice Edition"

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 iSupport Timesaver for information about how you may become an iSupport member.

Nuance Depot Repair Service

Click here for a Web Form to submit a Depot Repair Service Request for Connexions Station (C-phone), Optic Mic, PowerMic, Philips Speech Mic, tape-based recording devices, digital recorders, etc. iSupport members can save time by simply logging in to iSupport and submitting a service request choosing "Depot" as the Request Type.

NOTE: There is no need to submit a Depot Repair Service Request on a PowerMic under a current Nuance Maintenance Contract. Call Nuance's Customer Account Management team at 800-339-7683 to get the broken PowerMic replaced. At the prompt simply say, "PowerMic Replacement."

Nuance Healthcare Technical Support

Additional information about how to contact Nuance's customer support team is available at the following Nuance Technical Support websites:

Dragon Medical 360 | Network Edition:
http://www.nuance.com/support/dragon-medical-360-network-edition/index.htm

Dragon Medical Practice Edition:
http://www.nuance.com/support/dragon-medical-practice-edition/index.htm

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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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