Nuance Healthcare Solutions
eTips  

PowerScribe 360 Reporting

 
January 2017, Volume 7, Number 1  
 

Nuance is pleased to present you with this edition of eTips.

In this new edition of eTips you will find:

eTip 1: Optimizing PowerScribe 360 Reporting operation with new antivirus exclusions.

eTip 2: Performing daily backups on SQL and Application servers.

eTip 3: Providing a PowerScribe 360 Reporting product enhancement request.

Also:

What's new | What's fixed | Tina | Connect with us
iSupport | Contacting support | More

 

Join the Insiders—Nuance's exclusive user community!

  • Connect with other PowerScribe Users (The Insiders replaces the former PS360 Listserv.)
  • Share best practices
  • Exclusive events like our virtual executive Round Table 1/26
  • Rewards and discounts—including Conversations Connect!

But don’t just take our word for it! Watch Aaron Summers from Trinity Health talk about his experience with the Insiders and why you should join.

Sound good? <click here> and we’ll get your rewards underway. We can’t wait to welcome you INSIDE.


 

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Nuance is looking for a few clients to participate in our customer success story program.

Are you interested?

For participating, you'll receive free admission to Conversations Connect 2017, where you'll learn how other organizations are adapting and innovating in the constantly changing healthcare environment. We'll also be selecting a few case study participants to speak at upcoming Conversations Connect conferences.

Here's how:

  1. Sign up to be part of our customer success program, and tell us your Nuance story.
  2. We'll create a compelling case study highlighting your experience and achievements that you can use to showcase your innovations.
  3. Choose your city for Conversations Connect, and we'll see you there!

Get started today by sending an email to Renee.Stacey@Nuance.com.


 

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Our industry is moving fast, and you need to keep up to stay current. What new areas may affect you and your job?

Join us for Pre-Conference Workshops on Day 1 of Conversations Connect 2017 to get the latest updates and best practices such as:

  • ClinDoc — Optimizing Dragon Medical Network Edition: Tips, Tricks and Pathology
  • ClinDoc — Migrating to Dragon Medical One
  • Clintegrity Coding — Health Data Analytics: Vital Skills for the HIM Professional
  • Clintegrity CDI — A Three-part Tutorial on Value Based Purchasing

There will be an additional fee for pre-conference sessions; fee is $95, includes all materials. You must be a registered delegate for Conversations Connect in order to register for a pre-conference workshop.

For more information, visit Conversations Connect at: nuance.com/go/conversations.


 

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Conversations Connect 2017

Chicago: April 5-7, 2017
Atlanta:  April 24-26, 2017

Registration is Now Open — Conversations Connect 2017

Conversations Connect is a Nuance Healthcare event focused on our user community, with practical, actionable information designed for you. Learn tips and tricks, share best practices, and meet with Nuance executives.

And now, you have two choices of location: Chicago April 4-7 and Atlanta April 24-26!

Register now for this "can't miss" event with our early bird pricing–
a special $100 discount! Just use the code Early Bird at registration. Can't wait to see you there!


 

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This month's eTips

eTip 1

Did you know there are new antivirus exclusions that need to be in place to ensure PowerScribe 360 Reporting is running at an optimal level?

Most antivirus programs implement a real-time scanning feature that, unless properly configured, can interfere with the normal operation of PowerScribe 360 Reporting and the Dragon speech engine.

Setting the antivirus exclusions correctly for the PowerScribe 360 Reporting application installed with Microsoft Windows 2008 Server R2, Windows 2012 Server, or Windows 2012 Server R2 operating systems (OS), and Client Workstations with Windows 7, Windows 8, and now Windows 10 OS can help to eliminate the following conflict issues:

  • Latency at log in or log out
  • Latency when opening a report
  • Latency when signing a report
  • Workstation appears locked up / hung
  • User profiles / language models not processing properly
  • Server CPU utilization consistently high

Updates to the antivirus exclusions include information regarding added support for Windows 10 as well as the necessary exclusions of the add-on feature related servers. These include:

  • mPower (formerly Montage)
  • ModLink (Lexmark)
  • PowerShare Image Accelerator Server
  • PowerShare Registry Reporting Service Accelerator Server (PRRS)

The best practice to prevent interference of PowerScribe 360 Reporting with an antivirus program is to set the proper exclusions. For detailed information about the exact antivirus exclusions you need to configure for your system, log in to iSupport and search for Solution 17010 and review PowerScribe 360 Reporting System Administrator Guide v3.5.  Chapter 19 – System Maintenance.


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eTip 2

Did you know, that daily backups should be performed on the PowerScribe 360 Reporting SQL and Application servers?

Database, file and system Backups are the responsibility of the customer on an ongoing basis. Nuance will set up a default backup plan for the SQL server database when the system is first installed. The site should make any modifications they deem necessary to meet their internal requirements. In addition to backing up the database, the site should also set up a backup plan that also protects the file portions of the system. It is recommended that a backup copy of the database backup files and contents of the file system directories mentioned below be stored on a separate drive. This is recommended in case of a full drive failure so that backups are still available for recovery.

On a daily basis, make sure that the database and transaction log backups are being performed by checking the backup dates.

To verify the database backups:

  1. Connect to the SQL server, launch SQL Server Managements Studio, and connect to your local server.
  2. In the Object Explorer panel to the left, expand your server, expand SQL Agent, and expand Jobs.
  3. Find the jobs labeled Comm4Backup.Hourly Transaction Log Backup and Comm4Backup.Full Backup.
  4. Right-click and select View History on each.

  5. Confirm that there are no error messages listed under either.

To verify folder backups completed:

It is recommended on a daily basis, to back up the directories listed below in the Nuance directory on the Application Server. Nuance recommends that backups occur immediately after the database backups have completed.

  • X:\Nuance\BridgeLogs (HL7 History)
  • X:\Nuance\DragonUsers (Voice Profiles)
  • X:\Nuance\Wave (Audit History)

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eTip 3

Did you know you can create a PowerScribe 360 Reporting product enhancement request in iSupport?

Nuance is always open to suggestions on how to improve their products. Now, submitting a Product Enhancement Request is not only easier, you also have the ability to track the progress of your request in the same manner as tracking any service request you have entered into iSupport.

The cycle of Product Enhancements includes the following:

  • Nuance's Product Management reviews each Product Enhancement request and a client story statement about the request is defined. If necessary, clients are contacted for additional information.
  • All requests are then reviewed by the PowerScribe Administrators Council (external client-based committee) and prioritizes each client story.
  • After the client stories are prioritized, the Feature Review Board (comprised of a Nuance cross-functional team) reviews each story to confirm the value and determines the development scope and impact to all PowerScribe 360 Reporting clients.
  • Once the priority is confirmed, the original enhancement request submitted by the client will be updated with this information and closed in iSupport.
  • When an enhancement request is in active development and design, the client is contacted directly for further feedback.

The following describes how to submit a product enhancement request by using Nuance's iSupport website.

  1. To launch iSupport in your browser, click the link below:
    https://isupport.nuance.com.

  2. On the Welcome page, log in with your User ID and Password.
  3. From the How can we Help you section, click Create Service Request.

    Create SR Image

    The Create Service Request page displays.

  4. Select Radiology Enhancement Request.

    The Create Enhancement Request Details page displays.

  5. Complete the following:
    1. From the Select Product list, select your product.
    2. In the Enter Current Version box, enter your product version.
    3. Select the Enhancement Importance Level from the list.
    4. In the Enhancement Details box, enter the enhancement details.
    5. In the Request Summary box, enter your request summary (80 characters max).
    6. Add an Attachment (optional).

  6. Click Next.

    The Enhancement Request - Review page displays.

  7. Verify that the information you provided is accurate, and
    click Submit.

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

 

 

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What's new

To see the new features by product version, please log in to iSupport, search for and open one of the following solutions, and click on the What's New link:

PowerScribe 360 Reporting

  • See Solution #17010 for What's New in v3.5
  • See Solution #17005 for What's New in v3.0
  • See Solution #17007 for What's New in v2.5
  • See Solution #17008 for What's New in v2.0
  • See Solution #17009 for What's New in v1.x

mPower

  • See Solution #16914 for mPower Documentation

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

 

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

 

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What's fixed

The following PowerScribe | 360 Reporting versions have been released:

  • V3.0.2 RadBridge Update (6.0.45.4)
  • V3.0.1 RadBridge Update (6.0.27.29)
  • V3.0.0 RadBridge Updage (6.0.6.14)
  • V2.5.2 RadBridge Update (5.5.56.23)
  • V2.x (v2.5.1.3) SUS Update
  • V3.x (v3.0.0.14) SUS Update

Among the defects listed in the release notes, we want to highlight the fixes below:

RadBridge:

  • When an attending changes the signer to himself and opens the report to sign, RadBridge does not upload the Final report HL7 message. There was a timing issue between the two RadBridge threads (Queuing thread and Outbound thread) operation asynchronously.
  • While processing a report to upload, in certain circumstances, the Text Template instance used to process the report RTF becomes corrupted. When this occurs, the RadBridge sends out the report result message OBX segment in raw PS 360 RTF format instead of ASCII text.
  • The RadBridge DICOM process keeps the listening port open/blocked after RadBridge crashes due to an Access Violation Exception. This only occurs if the RadBridge DICOM interface is setup. Code has been added to handle the exception gracefully and during the startup of the RadBridge, it will check to see if there is any stray DICOM process running and it will remove them.
  • RadBridge unable to handle HL7 inbound order message with escape sequence (\T\) for an ampersand character. The RadBridge code has been updated to handle escaped sequences for inbound customer fields, Reason for Study, Clinical Information, History and comments. When these merge fields are added to the report, the user will see the escaped sequence equivalent and the outbound result message would format correctly.

SUS:

  • Profiles being left in DragonUsersTemp folder.

Philips iSite Plug-in:

  • VA - When multiple accession numbers are used, only first one drops off iSite worklist.
  • Philips discovered issue that right mouse click on iSite PACS of an exam image issue to dictate report in PS360 give script error on line 686 shelfID is undefined.
  • iSite plugin not getting the correct setting from the old preference for Auto-load studies choice. "Automatically open studies in PowerScribe 360 when opened in iSite" preference does not auto load the study in PS360 client.
  • The iSite plug-in preference setting "Automatically open studies in PowerScribe 360 when opened in iSite" always show the "Always" option is being chosen.
  • iSite plugin show script error when opening the first report with preference "Launch Powerscribe360 when dictating first study".

 

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What'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.

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.

Play VideoFor a brief demonstration on the operation of Tina, click the video icon.


 

 

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iSupport

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:

  • #16671 "The Insider" (aka "Listserv") User Community
  • #17010 PowerScribe 360 Reporting V3.5 Documentation
  • #17005 PowerScribe 360 Reporting V3.0 Documentation
  • #17007 PowerScribe 360 Reporting V2.5 Documentation
  • #17008 PowerScribe 360 Reporting V2.0 Documentation
  • #17009 PowerScribe 360 Reporting V1.x Documentation
  • #16914 mPower 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 is available 24x7x365 for our "PowerScribe 360 Reporting Support" 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.

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

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

 

 
 

It's available toll-free at (800) 833-7776 via our "Say Anything" menu. So say, "PowerScribe 360 Reporting Support" at the prompt.

 

 

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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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