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February 2015, Volume 7, Number 2

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

    eTIP 1: Re-enable Full Text Control in Microsoft® Word.

    eTIP 2: Hyphenated Command Names Trigger Command Recognition.

    eTIP 3: Diagnostic Data Collection Tools for Capturing Crash Conditions.

    eTIP 4: Why Internal Microphones are not Supported Input Devices for Dragon Medical.


Click Webinar for information to keep you up-to-date with Nuance's Driven By Dragon Webinar series. Also, please re-register for any previously registered webinars if you registered prior to December 17, 2014, as new meeting coordinates have been issued.


Nina
Click Nina for the latest information about Nina the Intelligent Virtual Assistant.

 


 

Conversations 2014

We are excited to announce the launch of "Conversations Healthcare 2015," a conference you don't want to miss! This year it is being held in Miami, Florida, at the Trump National Doral - June 15th to the 18th.

Success requires healthcare organizations to constantly evaluate how to do business, and evolve and innovate so that we stay aligned and remain leaders in our industry. To better strategically support you, we are transforming how we do business, creating a more client-centric approach that focuses on your challenges and how we can best help you achieve your goals. For Conversations 2015, it’s the year of you, the client. This means that even more than before we are focused on creating educational, networking, and forum sessions that are tailored specifically to you and provide the essential tools to be successful. We’ll address head-on the challenges you face, highlight opportunities to shape the future, and give you a voice in connecting and innovating with us.

  • Learn from Nuance staff and your peers on how get the most out of your Nuance solutions.
  • Discover more about the breadth of solutions Nuance offers, and our new technologies and services.
  • Participate in an industry-leading healthcare technology networking event with experienced professionals from our client base, as well as Nuance staff and industry experts.
  • Contribute to Nuance product development by offering feedback on their day-to-day use, and perspective on their needs and challenges into the future.

Whether you are a healthcare executive, a Physician, in clinical IT, or manage teams that focus on key areas of clinical documentation, we encourage you to take a stake in the future of our industry and register as soon as possible for Conversations 2015 in Miami, Florida.

Click to Register Now

Click here to learn more about Conversations Healthcare 2015.

 

eTIPSeTIPS

Did you know how to re-enable Full Text Control in Microsoft® Word when the Dragon Medical Compatibility Module gets disabled?

Dragon Medical installs a compatibility module (natspeak - dgnword.dll) for use with Microsoft Word products in order to support Full Text Control capability. This module is applied to Microsoft Word as an application Add-in. Circumstances such as Microsoft Word crashing, freezing, being updated, or limiting startup actions can disable this Add-in.

If Microsoft Word, as a target application for Dragon Medical, is presenting symptoms of Full Text Control being disabled, please see the video below for the procedure to re-enable Microsoft Word Add-in.

eTIPS Video

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #13906: Unable to dictate in Microsoft Word 2003/2007/2010/2013 using Dragon Medical

The above solution outlines the procedures to re-enable the Add-in for all versions of Microsoft Word. In addition, this solution discusses several other less common causes that may need to be investigated.

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Did you know how to avoid hyphenated command names from triggering command recognition?

Custom commands created with hyphenated names in Dragon Medical can be intermittently triggered by saying the second word of that hyphenated command name.

For example, a command named "happy-holidays" may be recognized by saying a separate utterance of the word "holidays".

Generally, hyphens have not been forbidden when naming custom commands. However, a better choice would be to omit hyphens when naming custom commands.

Using the previous example and our recommendation to avoid hyphens in custom command names, naming the command "Happy holidays" without a hyphen should prevent Dragon Medical from recognizing the custom command when saying "holidays" as a separate utterance.

The Dragon Medical Software Development team is investigating this issue and will provide a resolution as it becomes available.

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #16609: Hyphenated command names can trigger command recognition.

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Did you know about Microsoft diagnostic data collection tools for capturing crash conditions?

Dragon Medical has qualified the use of two (2) Microsoft tools (ADPlus and PSR) to assist in capturing computer crash conditions and generating log files. These two tools can be used together, in conjunction with the Dragon.log file, to capture a complete record of what transpired before and during a crash condition.

Microsoft ADPlus

ADPlus (ADPlus.vbs) is a Microsoft tool that can troubleshoot any process or application that stops responding (hangs) or fails (crashes). ADPlus can capture dumps for workstation crashes that are not being generated by Dragon Medical. While typically evidence is logged to Windows Event Viewer for these "quiet crashes", Dragon Medical is caught off-guard and does not log preceding events to a dump file.

ADPlus is a Microsoft diagnostic, data collection tool capable of generating dumps when unhandled exceptions are detected in a running image. This tool is appropriate for troubleshooting any Dragon Medical issues wherein a crash has been noted in the Windows Event Logs, but no corresponding NatSpeak.DMP or NatSpeakExcept000.DMP file was created.

The ADPlus tool has two (2) modes of operation:

  • Hang Mode
    Hang Mode is used to troubleshoot process hangs, 100 percent CPU utilization, and other problems that do not involve a crash. When you use ADPlus in Hang Mode, you must wait until the process or processes stop responding before you run the script (unlike crash mode, hang mode is not persistent).

  • Crash Mode  (This is the mode we'll be focusing on)
    Crash Mode is used to troubleshoot crashes that result in Dr. Watson/Dump errors, or any other type of error that causes a program or service to quit unexpectedly. When you use ADPlus in crash mode, you must start ADPlus before the crash occurs. You can configure ADPlus to notify an administrator or a computer of a crash through a -notify switch.

When ADPlus is dumping memory for multiple processes, it does so asynchronously so that each process is frozen and dumped at the same time. This method can provide an effective "snapshot" of the whole application at the time that ADPlus was run. You must capture all the processes that compose an application, and all the processes that the application uses at the same time, to capture the state of the application at the time that the problem occurs. This is especially important for applications that make remote procedure calls to other processes.

Microsoft PSR

PSR (Problem Steps Recorder) is the Microsoft PSR.exe utility that enables users to record their interactions with an application and provide a detailed screen-by-screen view with accompanying information.

Normally, this tool can be invoked through the Windows Run window by typing "PSR.exe" (without the quotes).

Tool Automation for Dragon Medical

See the attachments to the iSupport solution listed below. Dragon Medical has provided an instructional document (Installing the Capture Tools.docx) that incorporates both the ADPlus and PSR tools, explaining their implementation and usage. As well, automated scripts are provided for installing and using these tools.

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16468: Microsoft Diagnostic Data Collection Tools (ADPlus and PSR) for Dragon Medical to capture crash conditions.

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Did you know why internal microphones are not supported input devices for Dragon Medical?

Dragon Medical products are not optimized for use with internal or built-in microphones, for example, array microphones integrated into laptops and tablets. Currently, internal microphones do not meet the audio quality requirements for Dragon Medical.

This is because most internal microphones have a very different audio signature and would require a unique acoustic model to compensate for two (2) general deficiencies:

  • The average distance between the speaker's mouth and an internal microphone is greater than that distance for a purposed input device used for recording high-quality speech. Dragon Medical would have to severely compensate for the ambient audio (background noise) and low signal-to-noise ratio.
  • Internal microphones are inherently of lesser design quality and materials.

Using Internal microphones with poor audio quality always result in recognition accuracy issues with Dragon Medical and an inferior experience for the healthcare provider.

This is an area that Nuance is currently researching for a future Dragon Medical release. We recommend using the headset supplied with your Dragon Medical product which is distinctly purposed to provide high-quality speech recognition.

Additionally, please see the link below where Nuance maintains a Hardware Compatibility list for certified devices to work with your Dragon Medical product.

http://support.nuance.com/compatibility/

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #16610: Dragon Medical is not compatible with internal/built-in microphones.

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Driven By Dragon - Webinar SeriesiSupport

If you have previously registered for future webinars prior to December 17, 2014, please register again to receive new meeting coordinates. This is due to Nuance upgrading its WebEx capability.

The next quarterly Webinar for our Dragon Medical customers is: Thursday, April 9th, 2015.

To register for future Webinars, please click the Register links below:

    Click to Register

    Thursday, April 9th, 2015 at 2:00 PM EST

    Click to Register

    Thursday, July 9th, 2015 at 2:00 PM EST

    Click to Register

    Thursday, October 8th, 2015 at 2:00 PM EST

Recently on January 8th, Dragon Medical Technical Support presented our latest Driven by Dragon Webinar. The content included the following topics:

  • Customer Stories
  • New and pending software releases for Dragon Medical products
  • Documentation and iSupport content improvements
  • Technical Spotlight: Profile Corruption
  • Technical Spotlight: Disabling the Audio Setup Wizard
  • Question and Answer

To review recorded Webinars from the Driven By Dragon series, please click the video links below:

Dragon Medical Driven By Dragon
Quarterly Webinar Recordings

Description Length
(Min:Sec)
File
Size
Posted
Revised

1Q' 2015 - January 8

48:08

190 MB

1/8/15

4Q' 2014 - October 9

32:12

51 MB

10/13/14

3Q' 2014 - July 10

21:25

20 MB

7/18/14

To learn more about the Driven by Dragon Webinar Series and to keep current with any changes to this topic, including external links to recorded video for customers without iSupport access, log in to iSupport and search for solution:
#16449: Dragon Medical "Driven by Dragon" - Quarterly Customer Webinar Series

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

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NinaWhat's New with Nina?

The Nina Intelligent Virtual Assistant is a text-based, chat-window hosted on your iSupport Home tab that delivers self-service support. Nina offers a human-like, conversational approach when communicating with our customers. The focus for Nina is to quickly and accurately answer common customer questions about the Dragon Medical product.


Nina has earned a 79% First Contact Answer where the percentage of user inquiries are resolved with the first question.

In order to further improve our customer's experience, the Dragon Medical Support Team continues to add additional content and optimize Nina's capabilities.

This past month's improvements include:

  • 400+ user variations added based on analysis of customer conversations with Nina
  • 29 updates made to Nina's content question structure

So, please continue to ask Nina your questions!

Press the play button on the following eTIPS video image for a brief demonstration on the operation of Nina.

Nina Video

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What's New with Software Releases?

iSupportDragon Medical 360 | Network Edition

[Released 2/6/15]
Dragon Medical 360 | Network Edition Nuance Management Server version 2.3, Service Pack 2
(build 4.3.100)

Version 2.3 Service Pack 2 (build 4.3.100) Nuance Management Server and Console Installation executable for DM360 | NE includes the following changes:

  • Task scheduler changes will better regulate scheduled events on Speech Nodes related to importing large lists of user words
  • No longer adds user-level words if same words exist at a higher level (NMC group or site)
  • Performance improvement when deleting users with large numbers of words
  • Corrected issues with missing provider data from NMC Speech Usage reports caused by those user accounts being removed at the NMC group level
  • New product and licensing GUIDS applied for the PowerMic Mobile product
  • Added NMC audit events that show how Nuance partners are creating Partner Organizations
  • Corrected a login issue where non-administrator users failed to log into the NMC using Internet Explorer 11
  • ImportantIMPORTANT: Nuance highly recommends that this build of NMS (4.3.100) be installed for all new DMNE 2.3 customers, and upgraded for all existing DMNE customers experiencing issues with large numbers of speech words/users.

For a complete listing of all software releases and associated release documentation, login to iSupport and search for solution:

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


Dragon Medical 360 | Practice Edition

[Released 12/1/14]
Dragon Medical Practice Edition, version 2.2, with Windows 8.1 support

For a complete listing of all software releases and associated release documentation, login to iSupport and search for solution:

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


Dragon Medical 360 | Direct


[Released 2/17/15]

Dragon Medical 360 | Direct, version 2.0 Software Release

For a complete listing of all software releases and associated release documentation, login to iSupport and search for solution:

    #15913: Dragon Medical 360 | Direct - Documentation & Release Notes


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:

  • #14274 Dragon Medical 360 | Network Edition or Enterprise Edition What's New and Can I Download the Current Version?
  • #16449 Dragon Medical "Driven by Dragon" - Quarterly Customer Webinar Series
  • #16468 Microsoft Diagnostic Data Collection Tools (ADPlus and PSR) for Dragon Medical to capture crash conditions
  • #12676 Error: Cannot load compatibility module support
  • #14391 Microphone or Foot Pedal Not Recognized/Disconnected
  • #16597 User License Transfer Request for DM360NE Customers
  • #16611 DMNE client login error "Invalid Entry"
  • #16614 Termination of dependent processes halts Dragon Medical client shutdown
  • #16616 DMNE Error: "Site has no NASUNC location"
  • #16615 vSync session unable to restart after third-party terminates CitrixWindowManager process
  • #13029 Unable to complete the Audio Setup Wizard
  • #14760 How to completely uninstall and reinstall Dragon Medical Client - Remover Tool
  • #16598 Upgrade Procedure for DMNE 1.0 Service Pack 6 (Final Release)

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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Nuance Welcomes Your Feedback

We are very much interested in your feedback regarding this eTIPS newsletter.
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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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