eTIPS

Did you know there are specific procedures for correcting misrecognized words that will allow the system to better learn how you speak?

The PowerScribe 360 | Reporting system has a feature to continuously learn how a user speaks; thereby, automatically improving recognition accuracy for this user over time. This feature takes the voice recording for each word dictated, aligns it with the associated text of the word, and makes adjustments to the word's properties to improve recognition accuracy. For this feature to work efficiently, the user needs to adhere to a few rules when correcting misrecognized words to ensure the system is getting accurate voice dictation that is aligned with the correct text. There are two methods for correcting misrecognized text that will allow the system to learn from corrections, including:

1. Using the "Correct <word>" command followed by choosing an alternate word from the list that appears.
2. Using the keyboard to correct the misrecognized text.

Both of the above methods will allow the original voice recording of the word to remain intact while the changed text is now accurate. This is ideal for the system to learn exactly how you speak the word under normal circumstances, allowing the system to more accurately change the word's properties to match your natural dictation.

Refrain from using the following correction methods as these will not allow the system to learn from corrections:

1. Highlighting a word with the mouse and dictating the same word again.
2. Using the "Select" command to highlight the misrecognized word and then dictating the same word again.
3. Using the "Select <word> followed by choosing an alternate word from the list," or "using the keyboard to correct the word," when the wrong word was dictated to begin with. Using this method will align the voice recording of an incorrectly dictated word to the text of the correct word which is different.

In both number one and two above, although the voice recording will be aligned with the text properly, the newly dictated word may have been more clearly articulated than what was recorded initially, which results into the correct word replacing the misrecognized word. Unfortunately, the newly recorded word is more than likely not the same recorded version that caused the misrecognition to occur in the first place. The system needs the voice recording of the word when dictated under normal circumstances to more accurately identify the best matching properties for the word.

_______________back to top_______________

Did you know you could use the "Resume With" voice command to quickly dictate over undesirable content?

PowerScribe 360 | Reporting has a voice command that allows a provider to quickly re-dictate content. For example; if an undesirable portion of a sentence was dictated, you could quickly go back to a point within the sentence and re-dictate the content from that point forward. This is accomplished by using the "Resume With" voice command followed by the last word or phrase you would like to resume dictation after.

Click the play button on the following eTIPS video image for a brief demonstration on how to use the "Resume With" voice command.

Here's an example of how to use the "Resume With" voice command:

Dictate: The patient is a 35-year-old male who presented to ER complaining about abdominal pain.

Problem with sentence: the patient is actually a 45-year-old male who was complaining about chest pain.

Solution: Dictate, "Resume with patient" followed by, "is a 45-year-old male who presented to the ER complaining about chest pain."

Result: The patient is a 45-year-old male who presented to the ER complaining about chest pain.

_______________back to top_______________

Did you know you could use hot-keys to toggle record on/off and to electronically sign a report?

In PowerScribe 360 | Reporting version 2.5 the F4 hot-key (a.k.a. function key) can be used to toggle record on and off. In addition, you can use the F12 hot-key to sign a completed dictation. These hot-keys are ideal if you are using a microphone connected to a headset and have your microphone configured for push on / push off to toggle in and out of record.

back to top

What's New

Nuance is pleased to inform you that Montage version 2.4. is released. Montage 2.4 features powerful enhancements, especially to Montage QC and Montage Analytics. Additionally, this release features a number of requested additions and improvements.

Montage QC

Montage QC features a new suite for Physician Quality and Reporting System (PQRS), which will allow practices to track the relevant radiology metrics, including Bone Scintigraphy, Fluoro Time, Probably Benign Mammo, and Stenosis Measurement.

The release also includes improvements to the existing Montage QC system:

• Improved precision of algorithms after customer feedback and improved negation checking.
• New Critical Result algorithms (Montage QC Algorithms).
• Left & Right issues have been combined into the Laterality category. Likewise, Male and Female have been combined into the Sex category.
• Increased performance when scrolling through large lists of QC events.
• Added the ability to export raw reports as Excel when drilling down into lists of QC events.
• Improved the user interface for older Internet Explorer users

Please note, that all the PQRS require a CPT mapping, while many other QC algorithms now have improved performance if provided with a CPT mapping in algorithm precision and usability.

Montage Analytics

Montage Analytics features a number of improvements based upon customer feedback.

My Dashboard

Users now have the capability to only see their own Analytics dashboard, without the ability to see other users' dashboards.

To configure, an administrator must link Provider accounts to User accounts (e.g. so Montage knows user "jsmith" can see the dashboard for "Jane Smith"). This configuration is done under Admin > Providers > Edit. Additionally, if a user does not have the permission "Can use Analytics", the special "Can view own analytics" permission must be granted to the user (or group of users). The user will then see a "My Dashboard" link appear in the Montage Analytics.

Simple Geoanalytics

Montage 2.4 features the first part of a new geoanalytics feature, which currently allows analysis of patient zip code. To use, go to Montage Analytics, build a Custom Graph using "Patient Zip" as the Concept.

Median Turnaround Time

Previously, outliers could drastically skew the mean turnaround time. As of Montage 2.4 the Median Turnaround Time is now computed. The mean is still available, but median is selected as default in the user interface.

Analyzing & Filtering CPTs

Users are now able to filter by CPT codes in the custom graphs, similar to how Exam Types are filtered. Additionally, CPT Code is a new Concept available to in the Custom Graph.

Selecting Date Event for Filtering

Previously, using the Start Date and End Date filters in Montage Analytics, the event being filtered was set to a meaningful time-point for the graph, but was not transparent to the user. As of this release, the user can now see and edit the "Date Event", a separate box below the Start Date and End Date filters.

For instance, if you wish to have the date filters correspond to the Ordered event instead of Exam Completed event, you can now do so.

One benefit now is that Residents can now be analyzed in the Reporting Provider Custom Graphs by using the "Preliminary Report" Date Event.

Day of Week and Hour of Day Filtering

Montage Analytics now supports the ability to filter by specific days of the week and hours of the day, allowing for example, comparison of Weekday vs Weekend Volume by Radiologist or comparison of business hours to Weekend analysis.

Export Summary to Excel

Users can now export to Excel the summary information displayed in the Custom Graphs via "Export Graph Summary" button next to the existing "Export Report Data" button at top. "Export Graph Summary" will provide the same information that you see in the Table graph type, but in Excel format

Additional UI Improvements

Montage Analytics in the 2.4 release brings the Custom Graph to the Analytics landing page and pre-populates with a common choice, to avoid extra clicks.

The Practice Overview, Reporting Provider Dashboard, & Ordering Provider Dashboard now feature additional graphs.

Chargemaster Import

Montage now includes the ability for a site administrator to manage the Exam mapping to CPTs and Modality. Under Admin > Chargemaster > Import, you have the ability to download the current mapping as XLS, edit the mapping, and re-upload it.

User - Provider Linking

As described in the new My Dashboard feature, the site administrator, under Admin > Providers > Edit, can map User accounts to Provider instances (e.g. so the user "jsmith" can see "Jane Smith's" dashboard).

Provider instances (e.g. so the user "jsmith" can see "Jane Smith's" dashboard).

Additional Improvements

Montage 2.4 includes a number of additional usability improvements and backend bug fixes, including:

• CPT & RVUs are now included in the Excel export
• Improved Addendum support for PowerScribe 360 | Reporting
• Patient age is visible in the search results
• An improved layout for multiple select boxes in the Advanced Search page
• Additional UI improvements for older Internet Explorer versions
• Export to Excel buttons are now hidden if a user lacks the "Can export to Excel" permission
• Avoid odd file extensions for search export when no query phrase is present
• Improved page rendering performance, especially on Windows-based servers
• Easier navigation back when encountering a permission denied error

For a complete listing of all updates for version 2.4, log in to iSupport and search for Solution #16413: PowerScribe 360 | Reporting What's New Documentation. In the Montage section under PowerScribe 360 | Reporting Optional Features, click the link titled Montage Release Notes, Version 2.4.

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

back to top

What's Fixed

To view an expanded What's Fixed listing, please login to iSupport and search for solution #13387: What's Been Fixed. Click the link related to the product and version of software in question.

If you are experiencing one or more of the issues described in the What's Fixed listing and would like to be updated to the corrected release. please submit a service request to Nuance Healthcare Solutions Global Support Services through iSupport or by calling (800) 833-7776.

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

back to top

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:

• #13387 What's Fixed
• #14686 PowerScribe 360 | Reporting User Documentation
• #15010 PowerScribe 360 Service Manuals
• #16413 PowerScribe 360 | Reporting What's New Documentation
• #14231 Interface and Integration Test Plan
• #14415 eTIPS Newsletter Archives - PowerScribe 360 | Reporting
• #14421 eTIPS Video Library for PowerScribe 360 | Reporting
• #14455 Did you know ACO and LMO processes run periodically to improve recognition accuracy for PowerScribe 360 users?
• #14534 Merge Fields in Copied AutoText in PowerScribe 360
• #14632 Video - How you can add words to your voice file profile vocabulary in PS360 by using existing documents?
• #14644 Video - How to use the Report Dictation Problem feature in PowerScribe 360 | Reporting
• #14686 PowerScribe 360 | Reporting User Documentation
• #14689 Using PS360 Critical Results with PS360 Reporting
• #14691 PowerScribe360 installWeb.bat Indicates a Pending Reboot After Rebooting
• #14766 Video - How to create and use AutoText to insert standard text into the body of a report
• #14767 How to remove unwanted dictation by using a voice command instead of using the mouse to highlight and delete
• #14834 HL7 RadBridge service supports inbound ADT messages
• #14835 Monitoring your users activity from the Admin Portal
• #14854 Video - Improving recognition accuracy by training words and adding words to your vocabulary list
• #14855 Toning down the screen glare by changing the dictation window font size and screen colors
• #14856 Configuring the Dictaphone PowerMic, Philips SpeechMike, and Foot Pedal to perform other tasks besides the default tasks included in the initial configuration of PowerScribe 360 | Reporting
• #14920 The colored bullets, bold faced print, and green text enclosed with brackets, seen in the Admin Portal, have a specific function
• #14921 A user is able to save a backup (checkpoint) of his or her own speech profile
• #14922 An administrator can restore a user's speech profile backup (checkpoint) from within the PowerScribe 360 | Reporting Portal
• #14976 Finding Orders Without Entries in the ORDERCUSTOMFIELD Table
• #14984 Reset a user's acoustic model and leave their vocabulary and trained words intact
• #14985 How to delete a user's speech profile
• #15036 PACS software locks-up or freezes when integrated with PowerScribe 360
• #15075 How to dissociate an order from a report where the final includes an addendum
• #15076 Improve system performance by configuring worklists to search a Snapshot table instead of the entire database
• #15084 PS360 | Reporting Provider Tutorials
• #15122 Preventing users from viewing worklists specifically created for administrative level users
• #15123 Decreasing the time needed by the system to complete the sign-off process by disabling the "Save Audio with Report" option
• #15124 Video - Deleting a user's speech profile from within the PS360|R Admin Portal
• #15162 How to train a phrase in PS360
• #15165 Patient Age
• #15204 Video - Correcting issues with screen appearance
• #15205 Pre-requisites needed to add an ordering clinician
• #15206 Importing a user's "shortcuts" from Agfa Talk as "Autotext"
• #15893 Method used to apply "ALL CAPs" to a word or phrase can affect how the document appears in the RIS system
• #15894 Video - Using the "Assisted Diagnosis" feature to search diagnostic related websites from within the PS360 Reporting application
• #15896 WAV file settings can affect your performance
• #15945 Resolving a Windows restart issue when installing the PowerScribe 360 | Reporting client
• #15946 Making a backup copy of a provider's speech files
• #15947 Monitoring a PowerScribe 360 | Reporting User's activity by using the "Audit" feature in the Admin Portal
• #15952 Error "No audio recording devices available."
• #15953 Video - What to do if you see "Statistics" instead of "Reports" in the Admin Portal
• #15970 PS360 Temporary orders are not being updated with the Patient MRN merge field
• #15986 Video - How to dictate header names so that they will appear in the document automatically formatted in ALL CAPS
• #15987 Scenarios for using the "Correct That" voice command
• #16041 Determining what version of PowerScribe 360 | Reporting you are using
• #16042 Import or export AutoText from within the PowerScribe 360 | Reporting Administrator Portal
• #16060 Backing up Custom Management Reports
• #16067 Account-Level Preferences Providers/Editors Can Modify
• #16100 Sharing auto-text amongst radiologists
• #16101 Using Boolean searches in Montage
• #16136 Creating custom fields that are exportable through an HL7 message to the RIS
• #16137 Using the Vocabulary Editor to access and make changes to words
• #16182 Video - How to turn "Wet Read" on and off by using a menu item, keystroke or toolbar button
• #16183 Customizing the PowerMic II button from within the PowerScribe 360 | Reporting Dictation Client
• #16184 Options and voice commands for custom fields
• #16220 Speech formatting setting that helps improve recognition accuracy of dictated dates
• #16245 Video - What is the difference between using the voice commands "Scratch That" and "Delete That."
• #16246 Version 2.0 upgrade training and project management offering from Nuance Healthcare's Professional Services Diagnostic team
• #16247 How a recorded message is not required when the "Include Audio Impression" option is checked in the "Critical Findings Message" dialog box
• #16261 Customer has installed Microsoft .Net Framework 4.5.1 on PS360 | Reporting
• #16297 Nuance iSupport Knowledge Base Solutions that are merged into the PowerScribe 360 | Reporting Help files.
• #16360 Introduction to ChargeMasters
• #16337 Video - Navigating to different fields within a self-edit report by using voice commands.

To see the details of any item on the above listing, simply login 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.

back to top

Meet Ravi Shankar Pamidimukkala

Ravi is a support Engineer for the Diagnostic Technical Support team at Nuance. Ravi works with internal and external customers providing technical and operational support as well as on site field support as needed. Ravi is continuously focused on ensuring our customers are achieving the highest level of satisfaction with their Nuance products and support.

Outside of Nuance, Ravi enjoys spending as much time as possible with his family going to the movies, fishing, and hanging out with their friends.

back to top

Contacting Support

A dedicated Nuance Healthcare Technical Support team, available 24x7x365, services our PowerScribe 360 | Reporting 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 360 Reporting 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.

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 PowerScribe 360 | Reporting customer support team is available at the following Nuance Technical Support website:

http://www.nuance.com/support/powerscribe360-reporting/index.htm

back to top

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.

We would love to hear your ideas for future eTIPS newsletters. If you have an idea, suggestion or an article you would like included in our eTIPS newsletter,
click here to email your idea to our eTIPS editor.

back to top