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April 2015, Volume 7, Number 4 |
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Nuance is pleased to present you with this edition of eTIPS, where you will find tips about:
 eTIP 1: Providers can save time by using Direct Editing commands with Dragon Medical clients
eTIP 2: DMNE Server Services: Uptime, Monitoring, and Startup Sequence
eTIP 3: Technical White Paper: Migrating Data Objects to DMNE NMS
eTIP 4: A list of expandable Dosage Abbreviations in Dragon Medical
Click Webinar for the most recent information on the Dragon Medical 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.
 
Tina...the new Web Interactive Support tool.
Click here for the latest improvements and information.
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Conversations Healthcare 2015 is 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.
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.
- Keynote speakers:
Governor Michael Leavitt, former Governor of Utah and Secretary of HHS
Trace Devanny, President, Healthcare Division
Nuance Communications, Inc.
Jeff Goldsmith, healthcare futurist
- Networking with your peers and the Nuance executive team
- Education tailored to help you succeed
- Client appreciation activities at an amazing venue
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 here to learn more about Conversations Healthcare 2015. |
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 eTIPS
Did you know how Providers can save time by using Direct Editing commands with Dragon Medical clients?
Direct Editing commands allow healthcare providers to perform faster routine editing of recognized text by voice. In previous versions of Dragon Medical, routine commands used for editing text required a (2) two-step operation where the provider had to first select the text before editing it. With Direct Editing, providers can now perform these same routine actions in (1) one single step.
The following short video shows how to save time by simplifying the editing of recognized text using Direct Editing commands.
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16694: "Direct Editing commands for Dragon Medical Clients."
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Did you know about the monitoring of, and the startup sequence for, DMNE server services?
Customers using the Dragon Medical 360 | Network Edition (DMNE) on-premise product have the responsibility of maintaining uptime for their implementation. Dragon Medical Support will assist wherever possible to help our customers achieve their uptime goals.
Dragon Medical Support has noticed a trend affecting customers where one or more DMNE services are not running due to the reboot of their DMNE servers. This scenario typically occurs after DMNE servers are rebooted for various maintenance tasks, including the application of software patches. In this case, the servers are then re-started without:
- Adherence to the recommended sequence for stopping and starting the DMNE services
- Verification of DMNE services having started successfully after the reboot
 IMPORTANT: Nuance strongly recommends following the recommended sequences below for gracefully stopping and starting the DMNE services. Proper adherence can avoid services from failing to start, but also minimize data corruption within the SQL databases for DMNE.
DMNE Service Startup Sequence
Start the following services in this order to launch the DMNE functions:
- SQL Server Service
- DMNE Profile Optimization (PO) server
- DMNE Speech Node server(s)
- DMNE Nuance Management Server(s) (NMS)
DMNE Service Shutdown Sequence
Stop the following services in this order to shut down the DMNE functions:
- DMNE Nuance Management Server(s) (NMS)
- DMNE Speech Node server(s)
- DMNE Profile Optimization (PO) server
- SQL Server Service
Monitoring of Windows and DMNE Services
IMPORTANT: Nuance strongly recommends that our DMNE customers monitor the following services and their associated network ports:
- Nuance Management Service Nuance.NAS.Server.exe 8731 8051
- Profile Optimizer Server POService.exe 8001
- Profile Optimizer Speech Node POSpeechNode.exe 8000
- Microsoft SQL 1433 (unless named instances are assigned a dynamic port range)
- Microsoft IIS 80
While there are no formal dependencies listed for the above DMNE services, these services are dependent on the SQL Server Service having completed starting prior to these services starting themselves. Depending on the customer implementation, it may become necessary to configure the DMNE Nuance Management Server service's Startup Type to Automatic (Delayed Start) located under the service's Properties window and General tab.
Monitoring alerts should be configured to notify administrators and IT personnel of any disruption of service.
Nuance does not endorse any specific monitoring application.
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16691: "DMNE Server Services: Uptime, Monitoring, and Startup Sequence."
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Did you know a technical white paper is now available about migrating data objects to DMNE NMS?
A new technical white paper was recently released for the Dragon Medical 360 | Network Edition (DMNE) product that addresses migrating data objects to the Nuance Management Server (NMS):
As of DMNE version 2.1 and newer, a number of data objects are administered and distributed via the NMS, rather than via the Data Distribution Tool (DDT). The data objects are:
- Command Sets - which replace custom commands distributed via DDT
- Word Sharing - which replaces custom words distributed via DDT
- Auto-texts
When upgrading your on-premise NMS installation to a newer version, or migrating from an on-premise installation of DMNE to NMS in the Nuance Cloud, these data objects must be migrated before any Dragon Medical client connect to the NMS.
To access and download the above technical white paper, please log in to iSupport and search for solution 14111: Dragon Medical 360 | Network Edition User Documentation. Look for the Technical White Papers table under the Version 2.3 section.
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Did you know about the list of Dosage Abbreviations expanded in Dragon Medical?
The Dragon Medical products contain an Expand dosage abbreviations setting within their Formatting Options. The table below provides detail on which abbreviations are covered under this setting and what the expansions are.
 NOTE: The dosage abbreviations within this table cannot be changed individually. The entire list is affected as a group by the above formatting setting. So, enabling this setting inserts the full word or phrase when the user dictates any of the dosage abbreviations. For example, "qd" is written "every day."
Dosage
Abbreviation |
Expansion |
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Dosage
Abbreviation |
Expansion |
| p.o. |
by mouth |
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q.24 |
every 24 |
| n.p.o. |
nothing by mouth |
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q.30 |
every 30 |
| o.s. |
left eye |
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q.48 |
every 48 |
| o.d. |
right eye |
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q.72 |
every 72 |
| o.u. |
both eyes |
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q.h., q.1 h., q. 1 hour, q. 1 hours |
every hour |
| q.d., q. day, q. daily |
every day |
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q.2 h., q. 2 hours |
every 2 hours |
| h.s. |
at bedtime |
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q.3 h., q. 3 hours |
every 3 hours |
| q.h.s. |
daily at bedtime |
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q.4 h., q. 4 hours |
every 4 hours |
| q.o.d. |
every other day |
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q.5 h., q. 5 hours |
every 5 hours |
| b.i.d. |
twice a day |
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q.6 h., q. 6 hours |
every 6 hours |
| b.i.w. |
twice a week |
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q.8 h., q. 8 hours |
every 8 hours |
| t.i.d. |
3 times a day |
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q.12 h., q. 12 hours |
every 12 hours |
| q.i.d. |
4 times a day |
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q.24 h., q. 24 hours |
every 24 hours |
| t.i.w. |
3 times a week |
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q.1-2 |
every 1 to 2 |
| p.r.n. |
when necessary |
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q.2-3 |
every 2 to 3 |
| q.s. |
as much as suffices |
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q.2-4 |
every 2 to 4 |
| q.v. |
as much as you wish |
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q.2-6 |
every 2 to 6 |
| q.p.m. |
every afternoon |
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q.3-4 |
every 3 to 4 |
| q.n. |
nightly |
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q.3-5 |
every 3 to 5 |
| a.c. |
before meals |
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q.3-6 |
every 3 to 6 |
| p.c. |
after meals |
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q.4-5 |
every 4 to 5 |
| q.a.c. |
before every meal |
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q.4-6 |
every 4 to 6 |
| q. week |
every week |
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q.6-8 |
every 6 to 8 |
| q. month |
every month |
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q.8-12 |
every 8 to 12 |
| q. shift |
every shift |
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q. 1-2 h., q. 1-2 hours |
every 1 to 2 hours |
| q., q.1 |
every |
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q. 2-3 h., q. 2-3 hours |
every 2 to 3 hours |
| q.2 |
every 2 |
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q. 2-4 h., q. 2-4 hours |
every 2 to 4 hours |
| q.3 |
every 3 |
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q. 3-4 h., q. 3-4 hours |
every 3 to 4 hours |
| q.4 |
every 4 |
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q. 3-5 h., q. 3-5 hours |
every 3 to 5 hours |
| q.5 |
every 5 |
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q. 3-6 h., q. 3-6 hours |
every 3 to 6 hours |
| q.6 |
every 6 |
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q. 4-5 h., q. 4-5 hours |
every 4 to 5 hours |
| q.8 |
every 8 |
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q. 4-6 h., q. 4-6 hours |
every 4 to 6 hours |
| q.10 |
every 10 |
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q. 6-8 h., q. 6-8 hours |
every 6 to 8 hours |
| q.12 |
every 12 |
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q. 8-12 h., q. 8-12 hours |
every 8 to 12 hours |
| q.15 |
every 15 |
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To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16683: List of Dosage Abbreviations and their expansions for Dragon Medical.
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Driven By Dragon - Webinar Series
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, July 9th, 2015.
To register for future Webinars, please click the Register links below:
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Thursday, July 9th, 2015 at 2:00 PM EST |
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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:
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| Description |
Length
(Min:Sec) |
File
Size |
Posted
Revised |
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2Q' 2015 - April 9 |
42:44 |
117 MB |
4/10/15 |
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1Q' 2015 - January 8 |
48:08 |
190 MB |
1/8/15 |
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4Q' 2014 - October 9 |
32:12 |
51 MB |
10/13/14 |
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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:
If you are not an iSupport subscriber, click iSupport Timesaver for information about how you may get started with iSupport.
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Introducing Tina!
The Tina Web Interactive Support tool is the new replacement for "Nina", who has been promoted to another virtual role within Nuance. Tina is now available in iSupport to assist our Dragon Medical customers with finding fast solutions to their common support questions.
Tina presents a web-centered, text-based user interface (UI) hosted on the Home tab of the customer iSupport portal. Tina offers a human-like, conversational approach when communicating with our customers, providing personalized, effortless, self-service support. Tina's intelligence increases to enhance the customer experience by constantly learning from dialoging with users.
March Analytics
This past month's reporting analytics for Tina show the following metrics:
- 245 Conversations
- 80% First Contact Answer where the percentage of user inquiries are resolved with the first answer.
- Top 6 Answer Categories:
- Product Documentation
- Error Lookup
- Profile Corruption
- Software Release Notes
- Missing PowerMic II dictation source
- Software downloads
In order to further improve our customer's experience, the Dragon Medical Support Team continues to add additional content and optimize Tina's capabilities.
So, please continue to ask Tina your questions!
Press the play button on the following eTIPS video image for a brief demonstration on the operation of Tina.
To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 16474: "Tina" Web Interactive Support Tool for Dragon Medical - Introduction
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 What's New with Software Releases?
Dragon Medical 360 | Network Edition
[Available for download from iSupport 4/22/15]
Nuance Management Server, version 2.3, Service Pack 3 (build 4.3.108)
[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
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?"
#16657: DMNE Software Downloads for International Customers - ENG (United Kingdom English)
Dragon Medical 360 | Practice Edition
[Available for download from iSupport 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:
Dragon Medical 360 | Direct
[Released 3/20/15]
Dragon Medical 360 | Direct, version 2.0 Service Release 1
For a complete listing of all software releases and associated release documentation, login to iSupport and search for solution:
PowerPack™ Search My Commands™ Clinical Calculators™
[Available for download from iSupport 3/16/15]
Version14.10.0109 SMC PP CC for Dragon Medical Clients
For more information on this Dragon Medical product offering, login to iSupport and search for solution:
#16430: DM360 PowerPack™/Search My Commands™/Clinical Calculators™ - Software Download and Documentation
If you are not an iSupport subscriber, click iSupport Timesaver for information about how you may become an iSupport member.
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 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:
- #16686 CR1
- #14274 Dragon Medical 360 | Network Edition or Enterprise Edition What's New and Can I Download the Current Version?
- #14281 Dragon Medical NuanceLink Medical Updates
- #16449 Dragon Medical "Driven by Dragon" - Quarterly Customer Webinar Series
- #16474 "Tina" Web Interactive Support Tool for Dragon Medical - Introduction
- #16484 Technical Support for Dragon Medical - Contact and Self-Service Support Information
- #16683 List of Dosage Abbreviations and their expansions for Dragon Medical
- #14111 Dragon Medical 360 | Network Edition User Documentation
- #15913 Dragon Medical 360 | Direct - Documentation & Release Notes
- #16657 DMNE Software Downloads for International Customers - ENG (United Kingdom English)
- #16678 DMPE International "ENG" (UK English) Software Downloads
- #14066 Creating numbered and bulleted lists in Dragon Medical
- #16406 DMNE Single Sign-on (SSO) Configuration Summary
- #16430 DM360: PowerPack™/Search My Commands™/Clinical Calculators™ - Software Download and Documentation
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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 Contacting 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:
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 Nuance's Technical Support websites:
Click here for Dragon Medical 360 | Network Edition
Click here for Dragon Medical Practice Edition:
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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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