Nuance Healthcare Solutions
eTips  

PowerScribe 360 Reporting

 
December 2017, Volume 7, Number 9  
 

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

In this new edition of eTips you will find:

eTip 1: Assigning multiple procedure codes to a default AutoText.

eTip 2: Displaying Clinical Guidance Rules options.

eTip 3: Improving speech recognition running the Audio Setup wizard on a regular basis.

Also:

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

 

New support portal will include Salesforce Community Cloud

As Nuance Healthcare transitions to a new Support platform in 2018, one of the most exciting features of the system will be Salesforce Community Cloud, allowing customers to collaborate with one another and support reps to share knowledge and best practices. Customers will also be able to find trending articles and posts and rate the best answers to questions posted by the group.

Key benefits from Salesforce Community Cloud include the ability to:

  • Network with your industry colleagues
  • Share experiences and best practices for using Nuance solutions
  • Provide feedback to Nuance about our solutions
  • Receive up-to-the-minute information from Nuance
  • Participate in roundtables and small-group events that provide access to Nuance leadership
  • Search knowledge articles
  • Log cases via the community
  • Interact with an agent through Live Chat

Bookmark THIS PAGE for more information about Salesforce Community Cloud, along with ongoing updates about the new Support platform overall.

Happy Holidays! We look forward to seeing you in our new “community” soon!

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PowerUser monthly webinar series

2017 Upcoming Webinar
Webinar Date Time Duration
AutoText for Administrators Tuesday, Dec. 19, 2017 11:00 AM Eastern Standard Time ~1 hour
Summary:

During this PowerUser webinar, how to manage AutoText in the PowerScribe 360 Reporting application, such as importing, exporting, and basic troubleshooting topics that an Administrator may encounter will be presented.

To attend the AutoText for Administrators webinar, click Register to sign up.


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Peer-to-Peer webinar

2018 Upcoming Webinar
Webinar Date Time Duration
Optimizing Radiology Workflow: A Transformation at Baptist Health South Florida Tuesday, Jan. 9, 2018 01:00 PM Eastern Standard Time ~1 hour
Summary:

During this peer-to-peer webinar, Jonathan Messinger, MD, medical director for imaging informatics for Baptist Health South Florida, will share Baptist Health's experience in transitioning to a leading-edge enterprise workflow solution with PowerScribe 360 Workflow Orchestration. Dr. Messinger will discuss challenges faced, lessons learned, best practices, and realized benefits with the implementation of this intelligent worklist and communication platform. Don't miss the opportunity to learn how this world-class healthcare organization is increasing efficiency, streamlining workflow, enhancing communication, and improving patient care.

To attend the Optimizing Radiology Workflow: A Transformation at Baptist Health South Florida webinar, click Register to sign up.


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Webinar Library

You can now stream or download previously recorded Webinars.

 


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This month's eTips

eTip 1

Did you know that when you assign multiple procedures to a default AutoText, you can now select either Any or All as the default choice for these items?

In PowerScribe 360 Reporting v4.0 as a Provider, when building AutoTexts, you can now select either the Apply to ANY above procedures or Apply to ALL above procedures preference to assign multiple procedure codes to a default AutoText.

AutoText

Selecting ANY assigns the AutoText as the default when one or more of the selected procedure codes associated with the AutoText are present in the report when initiating dictation.

Selecting ALL assigns the AutoText as the default when all of the selected procedure codes associated with the AutoText are present when initiating dictation.

Information to consider for Both ANY and ALL selections.

  • When initiating a report, if there is a relevant AutoText marked ANY and another relevant AutoText marked ALL, the AutoText marked ALL will be set as the default.

    • Example: AT1 is associated with ANY selected procedures 123 and ABCAT2 is associated with ALL selected procedures 123 and ABC

      - If the user opens an order with 123 as the procedure, the default AutoText will be AT1.

      - If the user opens an order with ABC as the procedure, the default AutoText will again be AT1.

      - If the user opens a report with both 123 and ABC attached to the order, the default AutoText will be AT2.

  • Checking the AutoText overrides the user's default option from:
    Setup > Sites > Preferences > Workflow tab,or
    Setup
    > System > Preferences > Workflow tab,takes precedence over both ANY and ALL personal AutoText matches.

    • Example: A site selects this preference. 

      The site has an AutoText named SAT1 that is associated to ANY of the selected procedure codes (in this example ABC and 123). 

      A user on the site has personal AutoTexts: AT1 that is associated to ANY ABC and 123, and AT2 that is associated to ALL ABC and 123.

      - If the user opens an order with ABC and 123, SAT1 is used, and not the user’s personal AutoTexts.

  • You cannot save an ANY (or an ALL) AutoText with procedure codes that are associated previously with another ANY (or ALL) AutoText. 

    If you attempt do to so, you will receive a warning with a message that includes both the name of the conflicting AutoText and the matching procedure codes.

  • If the checkbox for Site AutoText overrides user default is not selected (false), there is no scenario where a site-level AutoText should appear when there is a relevant personal AutoText.

  • The default option for procedure code categorization is ANY.

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eTip 2

Did you know that you can filter which Clinical Guidance rules are visible when invoking the Clinical Guidance add-on feature in the PowerScribe 360 Reporting client?

By setting the Relevant Guidance Filter, you can control which Clinical Guidance Rules are displayed when Clinical Guidance is invoked.

Use the Show relevant guidance only checkbox to automatically filter which guidelines are displayed when you open a report based on modality, anatomy, age, and gender.  If your current report does not have any relevant guidelines, none are shown on the Clinical Guidance tab.

  • Unchecking Show relevant guidance only displays all available guidelines in the system.

     Clinical Guidance

    Checking Show relevant guidance only displays only the relevant guidelines for the report. 

  • You can use the voice command “Show relevant guidance only” to show only relevant guidelines. Issue the voice command a second time to see all guidelines regardless of whether they are relevant to your report. You can also use the Show relevant guidance only checkbox to perform the same function.
  • The setting for this checkbox/voice command is sticky, meaning that it retains its current status from login to login until you change it.

 

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eTip 3

Did you know that running the audio setup wizard on a regular basis can greatly improve your speech recognition?

Audio Setup automatically adjusts the volume level of your microphone to its optimal setting, providing the PowerScribe 360 Reporting system with the best possible audio input, which in turn improves your speech recognition results.

Running Audio Setup is a very important first step in ensuring the best possible speech recognition by the system. 

You will be prompted to run the Audio Setup the first time you log in to a PowerScribe 360 Reporting workstation.  In addition, you will be prompted to run Audio Setup when:

  • You log in to a workstation from which you have not previously dictated.
  • You (or someone) has unplugged the PowerMic and plugged it into a different USB port on a workstation from which you have previously dictated.

Audio Setup is your first line of defense when misrecognition occurs.

If you share a workstation with other providers, if you work in a room with multiple workstations, or if you use a different workstation every day, run Audio Setup daily

If you work in your own office (in which you use the same workstation and the noise environment is relatively quiet), run Audio Setup only if you detect a decline in your speech recognition, or if your voice has changed due to cold, cough, or laryngitis.

To manually run the Audio Setup:

  1. Log in to the PowerScribe 360 Reporting client. 
  2. From Speech, select Audio Setup.

    Audio Setup

    NOTE: The position of the microphone, the volume setting, and head positioning are important for speech accuracy.

    You should place the microphone at the furthest position you will encounter during a typical day of dictation. Doing this will increase the microphone recording level to a point that will allow you some flexibility in moving the microphone while dictating reports, for example, leaning forward to take a closer look at an image, or perhaps you decide to place your elbow on the arm of the chair, which moves the microphone further away.

    Speak at your normal dictation volume with your head focused on the monitor(s) as you would typically be while dictating.

  3. Follow the instructions in the dialog boxes.  The entire process should take only a minute or two.
  4. Log out of the application, then log back in again. 
 

 

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What's new

PowerScribe 360 Reporting V3.5.3

PowerScribe 360 3.5.3 (6.5.73.0) now supports running the Application and SQL Server on Microsoft Windows 2016, Microsoft SQL 2016, and the Client on Microsoft Windows 10 Pro and Enterprise versions.

  • The following Windows 10 are supported versions with the latest KB updates.
    • Version 1607 (OS build 14393) (Released 8/2/2016)
    • Version 1511 (OS build 10586) (Released 11/10/2015)
  • The following version is not supported.
    • Version 1507 (RTM) (OS build 10240) (Released 7/29/2015)

To see the latest documentation for V3.5.x, please log in to iSupport, and search for Solution #17010.

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

ModLink V2.3.0

ModLink V2.3.0 release now provides the following enhancements:

  • Added format conversions for CM3 (or cm3) to ML, and ML to CM3.
  • Added a select-all option in the Failed Jobs dialog box.
  • You can now delete or retry all selected jobs at once.
  • ModLink can now send information to up to three HL7 destinations at once.
  • When exporting custom fields, you can now select to only export ones that are in use.
  • ModLink now supports pass-thru processing of modality calls to PS360 servers using Nuance API.

To see the latest documentation for ModLink, please log in to iSupport, and search for Solution #17102.

 

 
 
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 3.5.3 (6.5.73.0)
  • Philips iSite Plug-in (V5.0.6) - PowerScribe 360 V3.5.3

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

PowerScribe 360 3.5.3 (6.5.73.0)

  • A SQL Timeout can occur when running a search for user(s) or site(s) AutoTexts with no name criteria from the Portal.  The SQL function BuildCategoryList was turned into table-valued to improve performance.
  • When Cerner RadNet calls the method "Show(True)" in the CernerCOM integration, internally the method sets the AlwaysOnTop property to True and then False.  Because of a timing issue, sometimes PS 360 will not always set the AlwaysOnTop value to false leaving the user to manually uncheck AlwaysOnTop from the Menu.
  • The RadBridge can intermittently receive an “Object reference not set to an instance of an object” message while processing a report, which causes it to not be uploaded.  Within RadPortal there will be an exclamation point on the report not uploaded.
  • When attempting to run the "Report - Anatomy Modality Summary" report from RadPortal for any date range, the report times out and you receive no data.

Philips iSite Plug-in (V5.0.6) - PowerScribe 360 V3.5.3

  • When multiple accession numbers are used, only first one drops off iSite worklist.

To view an expanded What's Fixed listing, by product version, please log in to iSupport, search for and open one of the following solutions, and then click the Release Notes link, which is found in the Version Specific Documents group:

PowerScribe 360 Reporting

  • See Solution #18883 for v4.0 Release Notes
  • See Solution #17010 for v3.5 Release Notes
  • See Solution #17005 for v3.0 Release Notes
  • See Solution #17007 for v2.5 Release Notes
  • See Solution #17008 for v2.0 Release Notes

ModLink

  • See Solution #17102 for ModLink Release Notes

mPower

  • See Solution #16914 for mPower Release Notes

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


 

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Webinar series

To review a complete list of past PowerUser Webinars, visit the Diagnostics Professional Services Team: MEC - Customer Free Webinars site.

Webinar library
Webinar Date Streaming Download
Management Reports

Several Management Reports are run in PS360 Admin Portal, including insights 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
Unlocking the Mystery of AutoText Relevancy

Presentation of AutoText use of categorization or "relevancy". Presents the process of associating procedure codes to AutoText and what the impact is of their functionality.

4/24/17
What's New in PowerScribe 360 v4.0, for Providers

Presentation demonstrating what's new in PowerScribe 360 Reporting V4.0 for Providers.

6/20/17
What's New in PowerScribe 360 v4.0, for Administrators

Presentation demonstrating what's new in PowerScribe 360 Reporting V4.0 for Administrators.

9/25/17

 

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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:

  • #17102 Lexmark ModLink User Documentation
  • #16345 PowerScribe 360 Reporting Third Party Updates
  • #14421 eTips Video Library for PowerScribe 360 Reporting
  • #17010 PowerScribe 360 Reporting V3.5 Documentation
  • #18883 PowerScribe 360 Reporting V4.0 Documentation
  • #20967 Clinical Guidance Documentation
  • #16884 RadWhere Documentation
  • #16996 Quick Reference Cards
  • #14395 PowerScribe 360 Critical Results User Documentation
  • #23207 Why are Doctors Required to Record Audio Before Sending Live Finding Messages?
  • #14415 eTips Newsletter Archives - PowerScribe 360 Reporting

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.

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Nuance Healthcare Solutions Global Support Services
Nuance Communications, Inc.

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