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July 2013, Volume 5, Number 7

Greetings!

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

eTIP 1: Enabling a feature to allow Radiologists to recall a recently signed report and revise it before it is uploaded.

eTIP 2: Using the Audit Log Tool to review PowerScribe version 5 Audit Logs.

eTIP 3: Changing a parameter setting to turn off the voice recording requirement for Document Only Critical Results messages.

MARK YOUR CALENDAR: On August 13, from 1-2pm eastern, Fran Glick from Mariners Hospital/Baptist Health South Florida will be presenting a live webinar on: Improving Patient Safety with Critical Results Reporting. Register for this webinar and more here: Seven Success Stories in Healthcare IT: Improving Patient Care and the Bottom Line!

 

eTIPSeTIPS

Did you know PowerScribe 5.0 has a feature that allows a Radiologist to recall a recently signed report and revise it before it is uploaded?

When this feature is enabled, a radiologist is able to recall a report for a short period of time after the report was signed. The amount of time is based on a value entered in the "Sign output delay time (sec)" setting, which is configured by the PowerScribe System Administrator. Once configured, when a radiologist signs a report, the report will not upload for the amount of time configured in this setting, usually 5 minutes, allowing the Radiologist to recall the signed report during that period of time.

Once a report is recalled, the Radiologist is able to revise the report and then re-sign it. When a signed report has reached the "Sign output delay time (sec)" limit, the system will upload the report to the RIS/HIS and reject any attempts to recall it.

Click the play button on the following eTIPS video for a brief demonstration on how to set the Sign Output Delay in PowerScribe 5.x.

eTIPS Video Image

Perform the following to enable this feature:

  1. Login to the PowerScribe Administrator Client.
  2. In the left pane, select System.
  3. Click the General Settings icon.
  4. Click the Report Settings tab, if it's not already selected.
  5. In the Signature in PowerScribe section, set the Sign output delay time (sec) to your desired time. (A value of 300 will allow for a 5 minute delay.)
    NOTE: A value of 0 (zero) will disable this feature.
  6. Click the Apply button to save your settings.

For additional information about configuring General Settings in the PowerScribe Administrator client, click iSupport and search for solution 10129: PowerScribe Operator Manuals. Within this solution, click the link related to document L-2961-005 - System Administrator Courseware and Reference Guide. If you are not an iSupport subscriber, click iSupport Timesaver for information about how you may get started with iSupport.  

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Did you know you could use the Audit Log Tool to review PowerScribe version 5 Audit Logs?

Administrative Users of PowerScribe version 5 are able to view the audit logs to identify who, when and what workstation a particular report was interacted with. In addition, administrators will have answers to specific user activities including; who deleted, edited, changed workflow, changed report state at what workstation, and when did this incident occur.

Please Note: Do not run this tool on the Server. When creating the folders, you may use names that you choose but do not use the Nuance application folders or folder names.

Perform the following steps on your workstation.

  1. Login to iSupport and search for solution: 14692 How do we review Audit Logs for PowerScribe V5?
  2. At the end of solution 14692, download the AuditLogViewer .zip file.
  3. Create a folder on Drive C (for example, C:\PWSAuditView.) and extract the .zip file to that folder.
  4. The unzipped contents are as follows:
  5. Audit Tool Image 1

  6. Create a new subfolder under the folder you created in the step above to hold the audit logs (for example, C:\PWSAuditView\PWSAuditLogsInput).
  7. Obtain the audit logs from the PowerScribe Application Server, which are found in the Input Directory.
  8. Locate the run_PwsLogViewer_jar.bat in the main folder and click on it to run the application. The following window displays.
  9. Audit Tool Image 2

  10. In the Input directory box, enter the path to the Input subfolder that you created above to hold the Audit Logs (for example, C:\PWSAuditView\PWSAuditLogsInput).
  11. Complete the Site Information section by entering the Site name and any notes you choose to include about this audit.
  12. Select the logging period for the logs.
  13. Click Convert.
  14. When the conversion is finished, click Close. You will be taken to the main screen and then the Database info box displays.
  15. On the Database info box, click Do not show if you prefer not to see this box again for this conversion.
  16. Click OK and the Main screen displays:
  17. Audit Tool Image 3

  18. Enter data in the appropriate field to search for the required information.
  19. Click Apply on the main screen. The information will display:
  20. Audit Tool Image 4

  21. At this point, you can export your data by clicking the Notepad icon on the tool bar.
  22. If you wish to create a new Audit Log Database, click the yellow diamond icon.

For additional information about using the Audit Log Tool, login to iSupport and search for solution: 14692 How do we review Audit Logs for PowerScribe V5? If you are not an iSupport subscriber, click iSupport Timesaver for information about how you may get started with iSupport.

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Did you know you could turn off the voice recording requirement for Critical Results messages?

PowerScribe administrators are able to suppress the recording requirement for a Document Only message created by using the Critical Results integration.

This is accomplished by changing a parameter setting in the PowerScribe Admin Portal. Setting the "Require Recording for Document Only Messages" parameter to a value of "No" will suppress this requirement. Once suppressed, the radiologist will no longer be forced to record a message; however, the option to record a message remains available to the radiologist if he or she chooses to use this feature on selected reports.

Parameter Settings Image

Please Note: The Critical Results feature is built into PowerScribe version 5.0.1.7 and up, if your facility has version 5.0.1.6.1, please contact Nuance Technical Support for the patch. For additional information on how to contact Nuance Technical Support click Contact Support.

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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 10365: What is the current version of PowerScribe Workstation software and what is new / changed in the version?

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

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Fixed ImageWhat'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 information about how you may get started with iSupport.

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:

  • 14639 Did you know that in order for Radiologist to view the status of an alert in Veriphy, integrated with PowerScribe V5.x, an executable file has to be installed? (reissued 7/18/13)
  • 12300 What Microsoft Security Bulletins Impact Dictaphone Enterprise Speech System (DESS), PowerScribe 360, PowerScribe, and RadWhere Software? (reissued 7/16/13)
  • 14692 How do we review Audit Logs for PowerScribe V5 (reissued 7/12/13)
  • 15997 Changing Accession Number in PowerScribe
  • 14119 eTIPS Newsletter Archive - PowerScribe (reissued 7/11/13)
  • 15985 Three-step plan to resolve when a user is experiencing degradation of speech recognition accuracy
  • 15984 Dictation Tips and Techniques to consider when dictating reports that are processed through Nuance's speech recognition engine
  • 15983 Optional settings for the two programmable buttons on the PowerMic II
  • 15974 Considerations for Successful Implementations of VMware Environments for PowerScribe
  • 15959 Uploading client logs to the PowerScribe 5.0 server
  • 15958 Removing words from your vocabulary to help improve speech recognition accuracy
  • 15957 Using the scale and zoom settings to adjust the PowerScribe window to accommodate large or high definition monitors
  • 15948 Failed to launch 64-bit server when launching Dragon
  • 15942 Using a system shortcut to make a personal shortcut
  • 15941 Preventing audio clipping by disabling a few user preference settings for a provider
  • 15940 Settings that affect how dictation is formatted
  • 15926 Put Error 404 Not Found When Running LM Setup

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. 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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Contact SupportContacting Support

A dedicated Nuance Healthcare Technical Support team, available 24x7x365, services our PowerScribe for Radiology customers who have an active maintenance contract with Nuance.

Nuance Healthcare Technical Support
This team can offer assistance via remote on-line connectivity to your systems, and it is available toll-free 800 833-7776 via our "Say Anything" menu. So, at the prompt, simply say: PowerScribe for Radiology Support.

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 get started.

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

http://www.nuance.com/support/powerscribe/index.htm/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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