Nuance Healthcare Solutions
eTips  

PowerScribe 360 Reporting

 
March 2017, Volume 7, Number 3  
 

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

In this new edition of eTips you will find:

eTip 1: Signing a report with the new custom attestation feature.

eTip 2: Mapping procedure codes to diagnostic codes.

eTip 3: Migrating a workstation from Windows® 7 to Windows® 10 OS.

Also:

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

 

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Webinar Library

You can now stream or download recorded Webinars.

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Conversations Connect 2017

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

Ready to save your facility millions, take your PowerScribe knowledge to the next level and have a ton of fun all at the same time? Then you can’t miss Conversations Connect. In addition to amazing networking opportunities, you’ll learn best practices and gain hands-on experience that will immediately pay dividends in productivity, including:

Getting more out of PS360 with Business Intelligence and the user community
Scott Adair, Applications Supervisor for North State Radiology, explores the wealth of information in the PS360 database and how to put that information to use. Through Business Intelligence and leveraging the community, you can answer
the questions that matter to your organization and save time doing it.

Learning objectives:

  • How to get all the answers — Business Intelligence and Nuance Report Builder
  • Automation — targeted alerts and scripts
  • Leveraging the user community

Sound interesting? There’s so much more!

Register now


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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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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
  • 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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This month's eTips

eTip 1

Did you know in PowerScribe 360 Reporting V4.0 you can set up custom attestation statements that can be assigned to certain procedures, as well as certain user accounts?

The custom attestations feature helps when signing off on a report generated by another clinician - most often a resident, technologist, or PA; and your compliance department requires that an attestation statement clearly notate the signers’ involvement.

For example, when signing a biopsy report, this statement may need to articulate that the signer was present and observing during the procedure.

In previous builds of PowerScribe 360 Reporting, you might comply with this by inserting an AutoText as an attestation statement. If the step to insert the AutoText to add the attestation statement was not taken, there might be a need to create an addendum to the report.

PowerScribe 360 Reporting V4 allows for the creation of custom attestations in the Administrator Portal that can be assigned to certain procedures, as well as certain user accounts, such as resident accounts, that will automatically populate in the report when you sign. This streamlines workflow and maintains compliance.

In most cases, custom attestations automatically append to the resident/fellow reports being signed. However, in some cases, it might be necessary to select a specific custom attestation statement to append to the bottom of the report being signed. In these cases, a dialog box named Select Attestation Statement opens allowing selection from a list of statements. The content of this list is determined by how the system administrator has configured the attestation statements (allowing the statements to be triggered by a particular resident\fellow, procedure, or both).

The illustration below shows an example of an attestation list from which a custom statement can be selected.

To use the custom attestation feature:

  1. Select a statement.

    The Select Attestation Statement dialog displays with the available options.

  2. Select a Sign Report option, and click Attest to finish signing and attesting to the report.

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eTip 2

Did you know that Procedure codes can be mapped to Diagnostic Codes so that they can specify valid diagnoses for those procedures?

PowerScribe 360 Reporting is installed with a master set of both the ICD-9 and ICD-10 diagnostic codes. Each of the procedure codes in your system can be mapped to diagnostic codes to specify valid diagnoses for those procedures.

To map procedure codes to diagnostic codes:

  1. Add the columns ICDCode and ICDDesc to your Procedure Master Translator spreadsheet.
  2. Add the diagnostic code information for the procedure codes as needed.

    If you have multiple diagnostic codes for one line item, place them in the same cell, using a comma to separate them.
  3. Save your spreadsheet.
  4. Log in to the PowerScribe 360 Reporting Administrator Portal.
  5. Click Setup > Procedures > Import.
  6. Select the appropriate site.
  7. Browse to the spreadsheet file you saved in step 3.
  8. Click Next.

  9. From the Mapping drop-down lists, select the item that matches your column heading name. See the illustration below for an example.

  10. Click Next.

    The Procedure Code Import dialog displays.

  11. Click Import.
  12. At the results screen, review the summary and click Close.


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eTip 3

Did you know it is important to uninstall the PowerScribe 360 Reporting client application before upgrading or migrating a workstation from Windows® 7 to a Windows® 10 Operating System (OS)?

When migrating a workstation to Windows® 10 without uninstalling PowerScribe 360 Reporting client, you may find that the client will no longer work.

To avoid this situation, make sure to first uninstall the client, migrate the OS system, and then perform a full install of the client application and other components.

Windows 10 is supported with PowerScribe 360 Reporting versions 3.5.2 and 4.0.

For instructions on how to properly configure a workstation and to perform a full installation of the client, log in to iSupport and refer to the following solutions and documents:

  • Solution 18883 V4.0 User Documentation, Client Installation and Configuration
  • Solution 17010 V3.5 User Documentation, Client Installation and Configuration and Installing the Client Software, 3.5 Admin Guide, Appendix A
 

 

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What's new

PowerScribe 360 Reporting V4.0

PowerScribe 360 Reporting V4.0 offers:

DNS 12.5: An improved update to DNS 12.5, specific for Radiology and PowerScribe 360, that provides client-driven formatting improvements, improved content awareness, and learning through keyboard edits.

Enhanced radiology optimization: PowerScribe 360 Reporting 4.0 is now upgraded with Dragon for Radiology (v12.5), customized for radiology to improve the overall speech experience while limiting upgrade disruption.

Overread workflow: The new overread workflow option allows greater flexibility to physicians when requesting additional input on a specific report by routing it to the appropriate specialist or section.

Smart AutoText: A new generation in AutoText technologies enable referenced fields to drive intra-report content creation, accelerating time to report completion while ensuring thorough, compliant, and accurate report content.

Advanced resident-attending workflow: The new advanced resident-attending workflow supports report delivery to unassigned attendings or sections as well as customized attestation statements.

Usability and administrative feature enhancements: The new usability and administrative feature enhancements facilitate workflow and governance, especially in multi-location and multi-site systems.

To see the new features and documents available for PowerScribe 360 Repotrting V4.0, please log in to iSupport, and search for Solution 18883 PowerScribe 360 Reporting User Documentation, Version Feature Comparison document.

To see what's new for your PowerScribe 360 Reporting product version, please log in to iSupport, and search for one of the following solutions, and click the What's New document link:

  • See Solution #18883 for What's New in V4.0
  • 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

mPower V3.2

The mPower V3.2 features a number of backend improvements, most notably Delta Indexing and conversion to 64-bit on Windows and Python 3.

Delta Indexing is a powerful new backend feature in 3.2 that removes the need for the time-consuming nightly full indexes and allows clients who frequently send data (either via HL7 or higher frequency crawls) to see near-time updates to reports in mPower Search.

Delta Indexing:

  • An initial Full index occurs on all the reports in the database. Prior to 3.2, each nightly index was a Full index.
  • At a periodic schedule (every 6 hours by default), a Delta index occurs, capturing any new or modified reports since the last Full index. When a user conducts a query, the query will run against the Full plus Delta indexes, returning the combined set of matches. The Delta index will grow in size, always re-indexing since the last Full index. Since the number of reports since the last Full index is relatively small, re-indexing takes only seconds or minutes, not hours.
  • Eventually the Delta index will grow large, so mPower will merge the Delta index files into the Full index file. By default, the Merge occurs weekly on Saturday at 5AM UTC. Delta indexes from then on, only need to capture any new or modified reports since the Merge.

The Delta Indexing is fully automated. It will automatically conduct a Full index upon upgrade to 3.2, and from then on, only building Delta indexes and Merging those Delta indexes into the growing Full index.

To see the latest information about the mPower solution, please log in to iSupport, and search for Solution 16914 mPower User Documentation.

 
 
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 versions have been released:

  • PowerScribe 360 3.5.2 Patch 1 (6.5.51.1)
  • PowerScribe 360 3.5.2 Patch 1 UK (6.5.51.1)
  • PowerScribe 360 3.0.1 Client Update (6.0.27.31)
  • PowerScribe 360 3.0.1 RAS Update (6.0.27.31)
  • Philips iSite (4.1.0.29)
  • Philips iSite (V5.0.6)

Among the defects listed in the release notes for each, the key defects are highlighted for these releases below:

PowerScribe 360 3.5.2 Patch 1 (6.5.51.1)

  • When playing back a large dictated report, the scrolling of the report does not follow the playback/highlighting of words that goes beyond the report screen size.
  • When report is saved via IRadWhere automation, order data should be updated and re-merged.  We now refresh order data (meta data and any merge fields in the RTBT) whenever a report is saved via IRadWhere automation.
  • In a dual/multi monitor setup, the PS360 Client application will not show on the screen after the monitor position has changed where the client was last displayed.  If the last displayed location has changed, then the PS360 Client application will be displayed back on the primary screen.
  • Fixed issue in the PS360 Client application where preview control was inadvertently saving the "Priors" tab as the last known tab prior to the report being opened.
  • Intermittently when launching the PS360 Client application through PACS integration the User Spell Check Dictionary was not available.

PowerScribe 360 3.0.1 Client Update (6.0.27.31)

  • When a dictated study is re-opened that contains an AutoText with a numbered list fill-in field and close it, the formatting of the numbered list items in the fill-in field will have numbers add to any spaced lines in between the numbered line text.
  • When the "DICOM Merge Multiple Values" option is enabled, the incorrect DICOM merge field value can be returned. This is caused by multiple DICOM SR entries where the same instanceID was used multiple times.
  • On a desktop system that contains a two or more monitor setup and the monitor used by PS360 is offset from it default settings, report text inserted into the report becomes improperly formatted, resulting in an appearance of a blank report with no scroll bars.
  • When playing back a large dictated report, the scrolling of the report does not follow the playback/highlighting of words that goes beyond the report screen size.
  • If an ampersand exists in the "Reason for Study", "Clinical Info", "Comments", and "History" fields, the Label controls and the tooltips was displaying the ampersand value twice.
  • PowerScribe will auto populate the field with the first item in the pick-list. No warning is presented to the radiologist that they forgot to fill in the field or that it has been filled in automatically. The Expected behavior is to not allow the user to sign the report. The radiologist must be required to manually select the choice for the enforced pick-list field.
  • In a dual/multi monitor setup, the PS360 Client application will not show on the screen after the monitor position has changed where the client was last displayed. If the last displayed location has changed, then the PS360 Client application will be displayed back on the primary screen.
  • Fixed issue in the PS360 Client application where preview control was inadvertently saving the "Priors" tab as the last known tab prior to the report being opened.
  • Intermittently when launching the PS360 Client application through PACS integration the User Spell Check Dictionary was not available.

PowerScribe 360 3.0.1 RAS Update (6.0.27.31)

  • Audit Log contains password information related configuration settings: (Application Server- SMTP password, PowerScribe 360 Client-Dragon share password and Other Services- Reporting Services password). Changes have been made to show "(Updated)".

Philips iSite Plug-in (4.1.0.29) - PowerScribe 360 V2.0.x
Philips iSite Plug-in (V5.0.6) - PowerScribe 360 V3.x and higher

  • When a user opened a study from iSite, and a PS360 report was opened, if user discarded/closed the report, the study in iSite changed to "in-progress" status even when nothing was touched.

For the latest what's fixed information for your PowerScribe 360 Reporting version, access the following iSupport solutions, and click the Release Notes document link:

  • #18883 PowerScribe 360 Reporting V4.0 Documentation
  • #17010 PowerScribe 360 Reporting V3.5 Documentation
  • #17005 PowerScribe 360 Reporting V3.0 Documentation
  • #17008 PowerScribe 360 Reporting V2.0 Documentation
  • #17007 PowerScribe 360 Reporting V2.5 Documentation

 

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Webinar series

There is no scheduled webinar at this time.

Webinar library
Webinar Date Streaming Download
Management Reports

Several Management Reports are run in the PS360 Admin Portal, including insites into the available information within the reports, why you may want to view and use them, and how you can benefit from them.

1/23/17
Audio/Visual Features to Improve Recognition

Presentation of audio and visual features that can be used to ensure a user is making the most out of PowerScribe 360's voice recognition.

2/27/17
Online Speech Recognition Tools

Presentation of the tools within PowerScribe that can be used to improve a user's recognition of specific words, changing the way certain words are interpreted and see an almost immediate improvement while "online" using the PowerScribe 360 application.

3/27/17

 

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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:

  • #18883 PowerScribe 360 Reporting V4.0 Documentation
  • #17010 PowerScribe 360 Reporting V3.5 Documentation
  • #17005 PowerScribe 360 Reporting V3.0 Documentation
  • #17008 PowerScribe 360 Reporting V2.0 Documentation
  • #17007 PowerScribe 360 Reporting V2.5 Documentation
  • #17004 Professional Services Documents
  • #14415 eTips Newsletter Archives - PowerScribe 360 Reporting
  • #17903 Troubleshooting Documentation
  • #17087 Setting up a Site to Site VPN Tunnel with Nuance Support
  • #16599 Dictating Hands-Free with a Headset
  • #16997 Client Integrations
  • #16345 PowerScribe 360 Reporting Third Party Updates
  • #16995 Mobile Radiology
  • #17102 Lexmark ModLink User Documentation
  • #17004 Professional Services Documents
  • #16779 Uninstalling Dragon Versions Installed with PowerScribe 360 Reporting
  • #20527 Assigning BIRADS Codes to Reports
  • #20467 PowerScribe 360 Security FAQs
  • #16996 Quick Reference Cards
  • #17725 PowerMic Microphones / Headsets

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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