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July 2015, Volume 5, Number 7

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

    eTIP 1: The two most important items that will allow a radiologist to successfully improve speech recognition accuracy.

    eTIP 2: Dictating Fluoroscopy time in hundredths of a minute.

    eTIP 3: Navigating to different fields within a self-edit report by using voice commands. See eTIPS video.

Click What's Fixed to learn about the release of two patches and what they fix.

Click Scheduled Maintenance to see lists of upcoming planned maintenance for PowerScribe 360 systems.

Tina
Tina...the Web Interactive Support tool in iSupport.
Click here for the latest analytics and for more information.

 

 

eTIPSeTIPS

Did you know the two most important items that will allow a Radiologist to Improve Recognition accuracy?

Ensuring the Dragon Software version is at a level where the Microphone Recording can be increased and setting the Max Speed vs. Accuracy system setting to allow for 70 percent favoring accuracy are the two most important items to allow for a Radiologist to improve his or her speech recognition accuracy.

There is a new website, designed for Local System Administrators, that focuses on providing instructions to pre-configure the PowerScribe 360 | Reporting system to support a successful outcome when troubleshooting speech recognition issues including; step-by-step instructions on how to ensure the Dragon software version is correct and that he Max Speed vs. Accuracy is set to 70 percent favoring accuracy. Also included are instructions on how to prepare for and meet with a radiologist who is in need of help with speech recognition issues, link to this website follows.

Configuring PowerScribe 360 | Reporting to Better Enable Radiologists to Improve Recognition Accuracy

https://isupportcontent.nuance.com/healthcare/16500/16518/PS360R-Admin-Procedures-to-Improve-Recognition.html

Once completed, introduce the "How to Improve Recognition Accuracy and Fix Misrecognized Words and Phrases in PowerScribe 360 | Reporting" website to the radiologist to assist him or her with making improvements to recognition accuracy and to fix misrecognized words. Link to this website follows.

How to Improve Recognition Accuracy and Fix Misrecognized Words and Phrases in PowerScribe 360 | Reporting

https://isupportcontent.nuance.com/healthcare/16500/16518/PS360R-Fixing-Misrecognized-Words.html

Please note: The Fixing Misrecognized Words website has had over 700 visitors during the past month and we would like to hear about your experience with this website. Click here to send an email directly to Michael.Geraghty@Nuance.com to let us know about your experience with this website. Thank you!

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Did you know how to dictate fluoroscopy time down to the hundredth of a minute with success?

When dictating the word “minutes” in PowerScribe 360 | Reporting, the word ‘minutes” is triggered by an internal algorithm that determines how the surrounding numbers/text are to be interpreted and then formatted accordingly. Here are some examples on how the speech recognition engine reacts based on how numbers are dictated before the word “minutes”.

  • When a person states, “I’ll see you in fifteen minutes.” This is a very common statement and the system will respond with “15 minutes”.
  • When a person states, “I’ll see you in one five minutes.” This is an uncommon statement and the system will respond with “1 -- 5 minutes.” The system is assuming the person is stating “I’ll see you in one to five minutes”, which is a very common statement.
  • When a person states, “Fluoroscopy time one point six seven minutes.” The system uses the algorithm and responds with “1. 6 -- 7 minutes.” The system is interpreting this statement as numbered list item number one (1.), followed by “six to seven minutes” (6 -- 7 minutes), the end result being “1. 6 -- 7 minutes.”

We have engaged our development team to enhance the application to allow for the dictation of minutes down to the hundredths. In the meantime, the following provides a few simple rules to follow, which will allow for dictating a Fluoroscopy time down to the hundredth of a minute with success:

  1. Dictate the whole number (1-5) followed by “point” or “dot.” I.e. Dictate “one point” or “one dot” (result “1.”)
  2. Dictate the hundredth of the minute based on the following:
    • 01-09: Dictate “zero one” or “oh one”, “zero two” or “oh two”, etc.
    • 10-99: Dictate the unique name for the two digit number, I.e. Dictate, “eleven” not “one one”, “sixty seven” not “six seven”, etc.

Sample dictation with desired result:

  • Dictate: “Fluoroscopy time one point sixty seven minutes.”
  • Result: “Fluoroscopy time 1.67 minutes.”

Sample dictation with undesired result:

  • Dictate: “Fluoroscopy time one point six seven minutes.”
  • Result: “Fluoroscopy time 1. 6 -- 7 minutes.”

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Did you know you could navigate to different fields within a self-edit report by using voice commands?

During the course of dictating a report, you may find yourself in an area where you will need to use the mouse or keyboard to move to the next desired location to continue dictating the report. In addition to using the mouse or keyboard, you can use voice commands to move to different fields located within the report. For example; suppose you are dictating content into the Impression section of the report and noticed that you have not dictated the comparison date. Simply say, "Field Comparison" to go directly to the comparison section of the report.

Fields are typically defined in a report template to simplify dictation and to provide continuity of reports. You can navigate to the different fields by using the following voice commands.

  • Next field will move the cursor down to the next field in the report
  • Previous field will move the cursor up to the prior field in the report.
  • Field followed by the Field Name will move the cursor to that specific named field.

Click the play button on the following eTIPS video image for a brief demonstration on how to navigate to different fields by using voice commands.

eTIPS Video

For additional information about using voice commands to navigate to different fields, log in to iSupport and search for solution #16337: Video - Navigating to different fields within a self-edit report by using voice commands.

If you are not an iSupport subscriber, click iSupport Timesaver for information about how you may become a member.

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Complimentary Webinar SeriesComplimentary Webinar Series

These sessions are designed to give you a deeper insight into the use, benefit, and Best Practices of your Nuance PowerScribe 360 | Reporting products. Each session is led by a member of our Healthcare Professional Services team in a simple and easy to follow presentation. To register, simply click the Register  button next to the session information.

PS Services

Click to Register

Speech Recognition Tools
Monday, July 27th - 12:00 PM EST

During this session, we will be covering Speech Recognition Tools used within the client application. These are the tools within PowerScribe 360 | Reporting that can be used to improve a user's recognition of specific words, change the way certain words are interpreted and see an almost immediate improvement while "online."

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iSupportWhat's New

For a complete listing of all updates for all released versions, log in to iSupport and search for Solution #14686: PowerScribe 360 | Reporting User Documentation. Refer to the following documents:

  • L-3751-001: What's New in PowerScribe® 360 | Reporting, Version 2.5
  • L-3625-003: What's New in PowerScribe® 360 | Reporting, Version 2.0
  • L-3398-003: What's New in PowerScribe® 360 | Reporting, Version 1.5
  • L-3491-001: What's New in PowerScribe® 360 | Reporting, Version 1.1

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

the following includes a highlighted list of fixes that are included in the latest released patches including; 2.0.1 Patch 1 and 2.5.1 Patch 1.

2.0.1 Patch 1 Highlighted Fixes

    When an admin user reviews a report in the RadPortal, sometimes the report end up being taken over by the admin. Changes have been made to prevent this from occurring.

    When sending a Peer View Report to ACR where the location name is greater than 5 characters, the upload will fail.

    Portal Worklist editor Field dropdown list shows the wrong custom field choice if there are custom fields with the same name for different sites.

    AutoText Import allows for two AutoText’s with the same name to be imported if the names have different casing.  Change made to prevent this from occurring.

    When attempting to search by categories by modality in RadPortal> Setup> Sites> Procedures> Categorize, an exception dialog box would appear.

    Selected Rows in Gridview moving on Worklist Refresh in RadPortal. When a row of the Worklist order search is selected, the worklist refresh will move the selected row to the end of the search result.

2.5.1 Patch 1 Highlighted Fixes

PS 360 Client

    "These columns don't currently have unique values" dialog box occurs in the PS360 Client when a user has two AutoTexts having the same name with different word casing.  Caused by Radportal allowing the import of AutoTexts having the same name with different casing.

    'Report Sign Workstation’ merge field is not expanded in Final report.

RadPortal

    In the Radiologist Portal, the doctor is not prompted to fill in required custom fields.  This behaves differently than the PS360 client.

    Import file format error displayed while importing words from a text file if it contains words already existing in the system.

    Unable to delete a DICOM SR from an order or order with report in the Portal Order/Report Property dialog.

    When importing AutoText through the RadPortal, the import process allows for two AutoTexts with the same name to be imported if the names have different casing.

    When the user attempts to review categorization in RadPortal>Setup>Sites>Procedures>Categorize by selecting a modality and clicking search,a dialog box will appear that contains the following wording: "An exception was caught during the .... The Maximum is 2100...”

    Dashboard Timestamps in RadPortal is alternating between Eastern and Central Time Zones when Web server is in Central time and the user running the admin client in East coast time.

    In the AutoText Wizard, after you import a large number of AutoTexts which shows what AutoText was processed, if you click on Page 2 (if there is more than one page), an unhandled exception will show up on the Import AutoText Dialog box.

To view an expanded What's Fixed listing, by product version, please log in to iSupport and search for Solution #13387: What's Fixed. Refer to the following documents:

  • P36A058: PowerScribe 360 | Reporting Release Notes Version 2.0.2 UK
  • P36A047: PowerScribe® 360 | Reporting Release Notes Version 2.5
  • P36A045: PowerScribe® 360 | Reporting Release Notes Version 2.0
  • L-3398-003: PowerScribe® 360 | Reporting Release Notes Version 1.5

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

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MaintenanceScheduled Maintenance

The following includes lists of planned maintenance scheduled for the remainder of the calendar year for PowerScribe 360 | Mobile Radiologist and PowerScribe 360 | Reporting (Assure).

A reminder communication will be sent approximately 15 days prior to each respective maintenance window that will detail the specific impact to all applicable system components.

PowerScribe 360 | Mobile Radiologist

Date

Day

Start Time

End Time

16-Aug-15

Sunday

3:01amEST

7:01amEST

20-Sep-15

Sunday

3:01amEST

7:01amEST

18-Oct-15

Sunday

3:01amEST

7:01amEST

20-Dec-15

Sunday

3:01amEST

7:01amEST

PowerScribe 360 | Reporting (Assure)

Date

Day

Start Time

End Time

16-Aug-15

Sunday

3:01amEST

7:01amEST

20-Sep-15

Sunday

3:01amEST

7:01amEST

18-Oct-15

Sunday

3:01amEST

7:01amEST

20-Dec-15

Sunday

3:01amEST

7:01amEST

If you have any questions about these upcoming maintenance windows, please contact your Project Manager directly or call 1 (800) 833-7776.

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TinaWhat's New With Tina?
 

Tina is a Web Interactive Support tool available in iSupport to assist our PowerScribe 360 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.

Past Month Analytics

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

  • 213 Conversations
  • 65.7% First Contact Answer where the percentage of user inquiries are resolved with the first answer.

In order to further improve our customers' experience, the PowerScribe 360 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.

Tina Video

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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:

  • #14686 PowerScribe 360 | Reporting User Documentation
  • #14984 Check Pointing a User's Profile and Restoring from Checkpoint
  • #15190 Question Mark (?) Seen in Reports Posted to the RIS
  • #16698 Troubleshooting PowerScribe 360 Client Issues
  • #16714 Troubleshooting Microphone Issues
  • #16746 Configuring the Client Admin for Multiple Servers
  • #14421 eTIPS Video Library for PowerScribe 360 | Reporting
  • #15974 Implementing VMware Environment
  • #16136 Creating custom merge fields that can be imported or exported through HL7
  • #16560 How a Site Administrator Can Change the IP, Port or Translation Tables in PowerXpress
  • #16052 Troubleshooting Critical Results Integrated with PS360 | Reporting
  • #16608 Troubleshooting Recognition Issues
  • #16591 Troubleshooting Dragon Profiles
  • #16599 Dictating Hands-Free with a Headset
  • #16525 Configuring Backups and Restoring Databases

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.

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Contact SupportContacting 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

Click here for additional information about how to contact Nuance's PowerScribe 360 | Reporting customer support team from Nuance's Technical Support website:

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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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