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March 2015, Volume 7, Number 3

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

    eTIP 1: Create Numbered and Bulleted Lists. See eTIPS Video

    eTIP 2: DMNE Message feature operation for NMC administrators.

    eTIP 3: Quicker load times for DMNE NMC and Profiles with the appropriate LAN/Proxy configuration.

    eTIP 4: Resolve playback failure of Dragon Medical client Text-to-Speech (TTS).


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
Nina...the Intelligent Virtual Assistant.
Click here for the latest improvements and information.

 


 

HIMSS 2015

Every day we hear from organizations telling us about their tremendous budget pressures, increased compliance risks and their growing frustrations around the physician and patient experience.

So let us ask you - is your organization facing similar challenges?

Do your physicians consistently capture the real patient story?

Do you have the information needed to improve quality outcomes?

Do your caregivers consistently communicate the right information at the right time?

Schedule a meeting or demonstration to learn how to capture, improve and communicate your clinical documentation in a new way - improving outcomes for better patient care, greater financial integrity and compliance.

Register online or call 877-805-5902 to schedule a meeting or demonstration at HIMSS.

Click to Register
 
 

eTIPSeTIPS

Did you know how to create numbered and bulleted lists?

Dragon Medical provides a native global command to create Bulleted lists. However, a Numbered list function is not provided for target applications outside of Microsoft Word or WordPerfect.

The following video shows how to create a simple Numbered List command as a Text and Graphics custom command within the Dragon Medical Command Browser.

eTIPS Video

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 14066: Creating numbered and bulleted lists in Dragon Medical

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Did you know how the DMNE Message feature works for NMC administrators?

The Dragon Medical 360 | Network Edition (DMNE) product generates system messages for notification of important events to customer administrators through the Message feature within the Nuance Management Console (NMC).

DMNE Messages may be sent for a variety of reasons, including the following:

  • A user has an NMC message
  • Medication updates requiring approval
  • Command updates requiring approval
  • A new DMNE client update is available for deployment
  • A new Nuance Management Server (NMS) patch is available for deployment
  • The number of available client user licenses is low
  • A reminder for client user license expiration 30 days prior to expiration date
  • Scheduled "trend" reports are available
  • Troubleshooting information is required by support personnel
  • Planned system maintenance or outages planned
  • Other news or events

How Messages Are Cleared

When a message is generated and posted in the Messages window within the NMC, that message is sent to all current, individual administrator accounts. It is important to note that messages are linked to individual administrator accounts.

The following actions are related to message retention and function as designed in DMNE version 2.x (NMS version 4.x):

  • Newly created administrators will not see any pre-existing messages as seen by current administrators
  • Deleting an administrator's account and then re-creating that administrator account will remove all previous messages
  • DMNE upgrades from version 1.x to 2.x will clear all previous messages that existed in the legacy version

Message Retention Configuration

Messages that are marked "completed" are purged from the NMC after 30 days, by default. This retention period can be configured within the NMC:

  1. On the menu bar, click Sites, then click the Organizations Overview icon.
  2. In the Organizations ribbon, click Details.
  3. On the Organizations Details screen, click Products.
  4. Expand the Nuance Management Server section.
  5. Modify the number of days for retaining message events with this setting:

    For Messages and Approval messages set Retain message events for ___ days

Copy Message Text to Clipboard Feature

New for DMNE version 2.3 (NMS version 4.3), messages in the NMC have a context menu item labeled "Copy Message Text to clipboard" that allows you to copy the contents of the message to the clipboard. Use this feature to save message information in another application. For example, saving a list of new user account login IDs after using the Cloud Migration tool.

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #16643: DMNE NMC Message feature.

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Did you know about quicker load times for DMNE NMC and Profiles with the appropriate LAN/Proxy configuration?

A customer's network configuration can directly influence load time speeds when opening Dragon Medical user profiles or the Nuance Management Console (NMC).

Specifically, the LAN Settings under the Internet Options' Connections tab should be reviewed and confirmed for proper configuration based on each customer's individual network architecture. Meaning, it is imperative to understand a specific customer's network environment and how it functions before considering configuration changes.

The customer's IT personnel or network administrator should implement the proper configuration based on their knowledge of their environment. If current configuration values are suspected of causing network delays, confirm this configuration with the customer's IT personnel or network administrator.

The Internet Options' LAN Settings (pictured below) should be configured appropriately for every Dragon Medical 360 | Network Edition (DMNE) customer so that the most direct path for network communications is being used. These LAN Settings can be configured at both the DMNE server and client machines.

Within Internet Options, click Tools > Internet Options > Connections tab > Lan Settings button:

    Lan Settings

    Automatically Detect Settings

    Automatic detection of browser settings, which is based on Web Proxy AutoDiscovery (WPAD), is supported by both Dynamic Host Configuration Protocol (DHCP) and Domain Name System (DNS). With the appropriate settings, DHCP and DNS servers can automatically detect and configure a browser's settings. This feature builds on existing automatic configuration technologies, in which a browser can be configured from a central location with an automatic configuration URL (.ins file) or a Javascript proxy configuration (.js, .jvs, or .pac) file.

    Use Automatic Configuration Script

    Internet Explorer can make system administration easier by enabling the configuration of proxy settings such as server addresses and bypass lists automatically. To use automatic configuration, create an IEAK Profile by using the IEAK Profile Manager. The profile consists of an .ins file and any cabinet (.cab) files generated by the Profile Manager. The profile contains information that is used to configure users' browsers. After creating the profile, place it on a server.

    The IEAK can be used to configure proxy settings, or an HTML file can be created that specifies the settings in script files. The script files are executed whenever a network request is made.

    Use a Proxy Server for Your LAN

    The proxy bypass feature may eliminate the need for using scripts to operate within a proxy environment.

    ImportantIMPORTANT: Nuance has seen specific customers increase their load time speeds by correcting the above configuration settings. For example, the Use a Proxy Server for Your LAN was finally unchecked at a customer site where a proxy was not actually needed. As well, the Bypass proxy server for local addresses setting can be checked (enabled) for proxy environments where the DMNE internal servers do not require processing network communication through a proxy.

NoteNOTE: Note that network group and/or security policies may also apply.
 

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16646: DMNE NMC/Profile quicker load times with appropriate LAN/Proxy configuration.

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Did you know what to do if playback fails for Dragon Medical client Text-to-Speech (TTS)?

If playback fails using the Dragon Medical client's Text-to-Speech (TTS) feature, the cause may be that the computer-generated voice American English Tom is no longer being used by Dragon Medical and has been replaced by American English Samantha. The change occurred in 2.x.

The client dragon.log file presents the error below:

    15:55:28 Initializing TTS...
    15:55:28 Couldn't find expected TTS mode 'American English Tom'...
    15:55:28 Exception thrown (E:\work\1250relnwe\voicebar\ttssapi.cpp, 239).
    15:55:29 The TTS Engine could not be initialized.

This issue can be caused when the nsdefaults.ini file does not reflect this change. The nsdefaults.ini file is used when installing the Dragon Medical client, and in this case, was generated by the SDK software using the /SetDefaultOptions command line, causing this issue.

Resolution

Update the last TTS line in the nsdefaults.ini file to "enx TTS Mode Name=American English Samantha" to resolve this issue.

    [local.ini Options]
    enx TTS Speed=124
    TTS Volume=255
    enx TTS Mode Name=American English Tom

The nsdefaults.ini file is located:

    Win 7/8   C:\ProgramData\Nuance\NaturallySpeakingXX\
    Win XP   C:\Documents and Settings\All Users\Application Data\Nuance\NaturallySpeakingXX\

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution #16655: Dragon Medical client Text-to-Speech (TTS) Fails Playback.

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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.

New
 February Analytics

This past month's reporting analytics for Nina show the following metrics:

  • 336 Conversations (31% increase over January)
  • 79% First Contact Answer where the percentage of user inquiries are resolved with the first answer.
  • Top 5 Answer Categories:
    • Error Lookup
    • Software Release Notes
    • iSupport Account Administration
    • Profile Corruption
    • Recognition Accuracy
  • Survey Results
    • Survey asked for 65% of conversations
    • 6% of asked survey questions were answered
    • Overall Customer Experience:

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

NewThis past month's improvements included 3 upgrades with 59 updates to Nina's content question structure, as well as several defects were fixed.

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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iSupportWhat's New with Software Releases?

Dragon Medical 360 | Network Edition

New[Available for download from iSupport 3/11/15]
Dragon Medical 360 | Network Edition, version 2.3, ENG (United Kingdom English) build 12.51.202.093

This international version for United Kingdom English (ENG) was originally released on 9/30/14. However, it is now available for download from iSupport solution:

    #16657: DMNE Software Downloads for International Customers - ENG (United Kingdom English)

[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, log in 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?"

    #16657: DMNE Software Downloads for International Customers - ENG (United Kingdom English)


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:

  • #13102 Downloads - PowerMic Microphones
  • #14274 Dragon Medical 360 | Network Edition or Enterprise Edition What's New and Can I Download the Current Version?
  • #16402 Retired software downloads for Dragon Medical
  • #16655 Dragon Medical client Text-to-Speech (TTS) Fails Playback
  • #16657 DMNE Software Downloads for International Customers - ENG (United Kingdom English)
  • #16379 DM360NE Customer Implementation Discovery Form
  • #16522 DM360NE Licensing Issues
  • #16597 User License Transfer Request for DM360NE Customers
  • #16643 DMNE NMC Message feature
  • #16645 PowerMic II Delays caused by third-party "Sophos SafeGuard" antivirus software
  • #16646 DMNE NMC/Profile quicker load times with appropriate LAN/Proxy configuration
  • #16647 DM360 | Direct error "SSD not available" when running sod.exe in Citrix
  • #16649 DM360 Direct error "HRESULT: 0x80070005 (E_ACCESSDENIED))" with OneClick install
  • #12676 Error: Cannot load compatibility module support
  • #13734 Dragon Medical Client - Windows Support, Minimum Requirements, and Compatibility Issues
  • #13906 Unable to dictate in Microsoft Word 2003/2007/2010/2013 using Dragon Medical
  • #14107 DMNE Disconnected Mode vs. Offline Mode
  • #14120 eTIPS Newsletter Archive - Dragon Medical 360 | Network Edition & Dragon Medical Practice Edition
  • #14377 Next steps for Mic stopped responding
  • #14391 Microphone or Foot Pedal Not Recognized/Disconnected
  • #14646 Dragon Medical User Profile Errors: "cannot be accessed" and "break the lock"
  • #16449 Dragon Medical "Driven by Dragon" - Quarterly Customer Webinar Series
  • #16461 DM360 Direct: Blocked Network Ports cause "...not possible to use the application" Error
  • #16468 Microsoft Diagnostic Data Collection Tools (ADPlus and PSR) for Dragon Medical to capture crash conditions
  • #16484 Technical Support for Dragon Medical - Contact and Self-Service Support Information
  • #16597 User License Transfer Request for DM360NE Customers
  • #16609 Hyphenated command names can trigger command recognition
  • #16610 Dragon Medical is not compatible with internal/built-in microphones
  • #16611 DMNE client login error "Invalid Entry"
  • #16614 Termination of dependent processes halts Dragon Medical client shutdown
  • #16615 vSync session unable to restart after third-party terminates CitrixWindowManager process
  • #16616 DMNE Error: "Site has no NASUNC location"

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.
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.

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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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