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eTips  

Dragon Medical One
Dragon Medical Network Edition
Dragon Medical Practice Edition

 
January 2017, Volume 9, Number 1  
 

Greetings EmailDisplayName!

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

In this new edition of eTips you will find:

eTip 1: Full Text Control Issues resolved for DMO 3.3 Dictation into Windows 10, Web-based EHRs.

eTip 2: Migrating the DMNE Product to the Nuance Cloud.

eTip 3: NMC Speech Usage Report can Display a Date Anomaly for Weekly Reports in 2017.

eTip 4: Navigating Variable Fields with DMO.

Also:

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

 

VIDEO library - Dragon Medical

Log in to iSupport and search for solution 16932: VIDEO Library - Dragon Medical. A library of current video topics is available to our customers for supporting their Dragon Medical products.


Driven By Dragon - Webinar series

Click here for information to keep you up-to-date with Dragon Medical's Driven By Dragon Webinar series.


Tina
Tina introduction

Click here for the latest improvements and information.


New software releases

Click here for new Dragon Medical software releases.


Windows 10 support

Log in to iSupport and search for solution 16782: Dragon Medical Support for Microsoft Windows 10.


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This month's eTips

eTip 1

Did you know how to resolve Full Text Control issues for DMO 3.3 in Windows 10, web-based EHRs?

Customers using Dragon Medical One (DMO), version 3.3, with Windows 10 and dictating directly into web-based applications like Athena EHR, using the Google Chrome web browser, have reported the following issues:

  • Full Text Control is disabled
  • EHR fields close as soon as dictation begins
  • After DMO Dictation Box is launched, no text is captured

Note, Chrome extensions for DMO were properly installed.

Solution

A Windows 10 registry modification is required to dictate directly into DMO web-based EHRs using the Chrome web browser. This registry modification has been applied successfully to fix issues with the Athena EHR running on Chrome. However, this fix may also prove useful for any web-based EHR running on other web browsers, including Internet Explorer.

ImportantIMPORTANT: Caution should be exercised when modifying a computer's registry. A backup of the registry should be made prior to modification in the event that a restoration is required. Only qualified personnel should modify the registry settings.

Follow the steps below to backup the registry:

  1. Open the Registry Editor by clicking Start > Run.
  2. Type in "regedit" without the quotes and click OK.
  3. Export a backup copy of your Registry in case problems occur during the following procedures by clicking: File > Export Registry File.
  4. Save this file to the Windows Desktop and name the file "backup".
  5. Retain this backup for several days until the integrity of the modified registry is assured.

Procedure

Add or modify (if already existing) the following registry settings, changing their key value from "1" to "0".

    [HKEY_LOCAL_MACHINE\SOFTWARE\Microsoft\Windows\
    CurrentVersion\Policies\System]

    "EnableLUA"=dword:00000000
    "EnableSecureUIAPaths"=dword:00000000

To learn more and to keep current with any changes to this topic, log in to iSupport and search for solution 20143: Full Text Control issues for DMO 3.3 dictation into Windows 10 web-based EHRs on Chrome.

To save any solution as a Quick Link on the iSupport home page, click the Add To Quick Links button found on the upper-right of this, or any, iSupport solution.


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eTip 2

Did you know what to consider when migrating your DMNE product to the Nuance Cloud?

This iSupport solution provides assistance with the topic of migrating the Dragon Medical Network Edition (DMNE) product to the Nuance Cloud.

ImportantIMPORTANT: Customers requesting Nuance personnel to audit or assist them while they perform system upgrades for DMNE should contact the Nuance Professional Services team to inquire about available options.

Otherwise, the Dragon Medical Technical Support Team can provide the following for customers considering migration to the Nuance Cloud:

  • A preliminary evaluation of your specific environment and a recommended upgrade path
  • Appropriate documentation where available (Release Notes, Install Guides, etc.)
  • Break-fix assistance if an issue is encountered during a product upgrade.

Customers are encouraged to use the 800.833.7776 helpdesk or isupport.nuance.com portal to request break-fix assistance if an issue is encountered during a product upgrade.

Professional Services

Professional Services provides a Training Package to empower customer implementation teams to execute a smooth installation or upgrade with minimal disruptions. In general, any DMNE installation, upgrade or Cloud migration can benefit from this Training Package. However, some DMNE implementations are more complex requiring careful consideration and planning. These specific implementations include, but are limited to:

  • Multiple network domains
  • Multiple NMS servers
  • Load balancing multiple NMS servers
  • LDAP/Active Directory authentication model
  • Virtual environments (VMware, Citrix XenApp, etc.)

These implementations can involve the evaluation of numerous factors (including unique comprehension of deployment environment / infrastructure) requiring many hours of dedicated time from customer teams. The Nuance Training Package provides training for IT personnel responsible for system implementation, ensuring that the full checklist of implementation actions is performed correctly and in the right sequence.

Please contact your Nuance Account Executive for more information about this offering. For customers that currently do not have an Account Executive, please call 866-748-9537.

To learn more and to keep current with any changes to this topic, log in to  iSupport and search for solution 16291: Migrating the Dragon Medical Network Edition product to the Nuance Cloud.

To save this solution as a Quick Link on the iSupport home page, click the Add To Quick Links button found on the upper-right of this, or any, iSupport solution.


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eTip 3

Did you know the NMC Speech Usage Report can display a date anomaly for weekly reports in 2017?

Customers using the Nuance Management Console's (NMC) Speech Usage Reports for either Dragon Medical Network Edition (DMNE) or Dragon Medical One (DMO) may experience a discrepancy with displayed dates when querying weekly reports specified with the year 2017.

The date displayed is incorrect and will be seven (7) days behind the actual date specified.

For example, if a weekly Speech Usage report is queried for 1/1/2017 – 1/7/2017, the resulting data for that date range will be displayed as 12/25/2016 – 12/31/2016. See the screens below.

This issue exists in NMS versions: 4.3.116, 5.3, 5.5 and 5.6 (Hosted Cloud only). Again, this issue only affects weekly reports and only occurs if the year 2017 is specified.

Nuance is taking steps to correct this issue in a pending NMS release.

To learn more and to keep current with any changes to this topic, log in to  iSupport and search for solution 19983: NMC Speech Usage Report - Displayed Date Anomaly for Weekly Reports in 2017.

To save this solution as a Quick Link on the iSupport home page, click the Add To Quick Links button found on the upper-right of this, or any, iSupport solution.


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eTip 4

Did you know how to navigate variable fields when dictating with DMO?

For customers using Dragon Medical One (DMO), Variable Fields within an Auto-text provide the user with the ability to later type or dictate a specific value. By default, each variable field displays as "[default value]".

The following steps show how to navigate through variable fields used within a target application (EHR):

  1. Dictate over the highlighted variable field to change the content as appropriate for your patient.

  2. Press the Next field button on your PowerMic or say "Next field" to highlight the next set of variable brackets.
  3. Dictate the content change. If you do not need to change the content, continue to the next variable bracket you need to edit.
  4. Press the √ (checkmark) button on your PowerMic or say "Accept defaults" to remove remaining brackets.

To learn more about this topics and others, and to keep current with any changes to this topic, see the DMO User Reference Guide.

To save this solution as a Quick Link on the iSupport home page, click the Add To Quick Links button found on the upper-right of this, or any, iSupport solution.

 

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What's new

Dragon Medical Hosted on Nuance Cloud

Data Center customers subscribe to Dragon Medical Network Edition and Dragon Medical One, hosted on the Nuance Cloud.

New Nuance Management Server (NMS) version 5.6 (build 5.6.114)
Data Center update completed week of December 1.
Build will not be released for DMNE On-premise customers.

For information on new features and enhancements for NMS 5.x from the What's New or Release Note documents, please log in to iSupport and search for solutions:

  • #16800: NMS 5.0 releases for Hosted Dragon Medical products on Nuance Cloud
  • #19704: DMNE On-Premise Server Software Downloads

Dragon Medical One

New Dragon Medical One, Version 3.3
Released 1/17/17

For a complete listing of all software releases and associated release documentation, log in to iSupport and search for solutions:

  • #15913: Dragon Medical One - Documentation & Release Notes
  • #17066: Dragon Medical One - Introduction and Resources

Dragon Medical Network Edition
 
NewDragon Medical Network Edition Version 2.6
Released 1/20/17

For a complete listing of all software releases and associated release documentation, log in to iSupport and search for solution:

  • #14274: DMNE Client Software Downloads
  • #19704: DMNE On-Premise Server Software Downloads
  • #16657: DMNE Software Downloads for International Customers
  • #14111: DMNE Documentation

Dragon Medical Practice Edition - ENU (North American English only)

    Dragon Medical Practice Edition version 2.3
    Released 6/29/16
    Windows 10 support

For a complete listing of all software releases and associated release documentation, log in to iSupport and search for solutions:

  • #14640: Dragon Medical Practice Edition - What's New and Can I Download Replacement Software?

Dragon Medical Practice Edition - International

    Dragon Medical Practice Edition, International version 3.2
    Service Pack - (French, German, UK English, Dutch)
    Released 4/2016

For a complete listing of all software releases and associated release documentation, log in to iSupport and search for solutions:

  • #16678: DMPE International Software Downloads

PowerPack For Cloud™
PowerPack Plus™
PowerPack for EHR™

    Version 2.3
    Released 4/8/16

PowerPack productivity offerings, for Dragon Medical One and Dragon Medical Network Edition products hosted on the Nuance Healthcare Cloud, contain different combinations of the following components:

  • PowerPack Content v2.3
    22 medical specialties that collectively contain over 650 templates.
  • PowerPack Search My Commands™ (SMC) v2.3
    Quick access to, and preview of, all command content in the user's profile, including user-specific favorites list for commands most often utilized.
  • PowerPack Clinical Calculators™ (CC) v2.3
    Clinical decision support tools that assist with both calculation and consistent documentation using various risk scores, formulas, rules, and calculators based on algorithms well-established in the healthcare industry.

For more information on this Dragon Medical product offering, log in to iSupport and search for solution:

  • #16430: Dragon Medical: PowerPack Productivity Products (Cloud/Plus/EHR) PowerPack Content/Search My Commands™/Clinical Calculators™ - Software Download and Documentation

Dragon Medical NuanceLink medical updates

New Medication Update
Released 1/19/17

  • A recent medical update have been made available for Dragon Medical Network Edition (DMNE) customers. The customer's Nuance Management Server (NMS) will automatically "pull" (download) these updates as they become available. Once these updates are downloaded, each update will need customer approval through the Nuance Management Console (NMC) Messages page before the update is made available through the Profile Optimizer Server for distribution to the DMNE end-users. Once approved, the task status can be checked through the NMC Utilities under the Profile Optimizer Task List.

For more information on this Dragon Medical product offering, log in to iSupport and search for solution:

  • #14281: Dragon Medical NuanceLink Medical Updates

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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Driven by Dragon - Webinar series

New We Hear You!
 Surveyed customers have made the following requests:

Dragon Medical Support is now offering separate quarterly webinars for the following two (2) Dragon Medical product groups:

  • Dragon Medical Cloud-based products (DMO, DMA, DMe, Cloud NMS, and PMM)
  • Dragon Medical On-premise products (DMNE and DMPE)

Also, going forward, each webinar will include more technical content with segments from our respective Support engineers.

Webinar registration

Please click to register your attendance for the future scheduled webinars below. You will then receive information for each registered event.

Dragon Medical Cloud-based products (DMO, DMA, DMe, Cloud NMS, and PMM)

Click to Register

 Thursday, February 9, 2017 at 2:00 pm EST

Click to Register

 Thursday, May 11, 2017 at 2:00 pm EST

Click to Register

 Thursday, August 10, 2017 at 2:00 pm EST

Click to Register

 Thursday, November 9, 2017 at 2:00 pm EST

Dragon Medical On-premise products (DMNE and DMPE)

Click to Register

 Thursday, March 9, 2017 at 2:00 pm EST

Click to Register

 Thursday, June 8, 2017 at 2:00 pm EST

Click to Register

 Thursday, September 14, 2017 at 2:00 pm EST

Click to Register

 Thursday, December 7, 2017 at 2:00 pm EST

Most Recent Webinar

Recently on November 10, Dragon Medical Technical Support presented our latest Driven by Dragon Webinar with Bradd Weidenbenner hosting. The content included the following topics:

  • Dragon Medical Advisor (DMA) demonstration
  • Troubleshooting Dragon through network OSI model
  • Network performance tools and specifications
  • Antivirus tools and their importance in resolution
  • Testimonial "in the wild" experience shared
  • Documentation and iSupport content upgrades/improvements
  • Question and Answer

This webinar hosted 33 customer attendees with 24% survey participation.

Below are the survey results for the overall webinar value across 2016 with an averaged overall value of 90%, and 87% of Q4 attendees stating they would attend next time.

Webinar Survey Overall Value

Webinar Video Archive

To review recorded Webinars from the Driven By Dragon series, please click the video links below:

Dragon Medical Driven By Dragon
Quarterly Webinar Recordings

                         Description

Length
(Min:Sec)

File
Size

Posted
Revised

Click to Play

4Q' 2016 - November 10
Requires iSupport login

63:00

38 MB

11/11/16

Click to Play

3Q' 2016 - August 11
Requires iSupport login and several minutes to begin playback

57:22

304 MB

8/12/16

Click to Play

2Q' 2016 - May 12
Requires several minutes to begin playback

56:28

465 MB

5/13/16

Click to Play

1Q' 2016 - February 18
Requires several minutes to begin playback

54:17

174 MB

2/19/16

Click to Play

4Q' 2015 - October 8
Requires several minutes to begin playback

63:08

413 MB

10/8/15

Click to Play

3Q' 2015 - July 10
Requires several minutes to begin playback

53:25

488 MB

7/10/15

Click to Play

2Q' 2015 - April 9

42:44

117 MB

4/10/15

Click to Play

1Q' 2015 - January 8

48:08

190 MB

1/8/15

Click to Play

4Q' 2014 - October 9

32:12

51 MB

10/13/14

Click to Play

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:

#16449: Dragon Medical "Driven by Dragon" - Quarterly Customer Webinar Series

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

 


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Tina
What's new with Tina?

Tina is a Web Interactive Support tool available in iSupport to assist our Dragon Medical product 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 dialoguing with users.

Recent Improvements
The Dragon Medical Support Team is working to improve customer satisfaction by analyzing customer conversations with Tina and making appropriate changes. Tina was updated on 1/12/17 with the following changes:

  • Conversations reviewed from November through mid-January.
  • 10 answers added or enhanced.
  • iSupport solutions updated to support improvements.
  • 75 key search phrases added to improve responses across a myriad of topics (some listed below):

      Production documentation
      Recognition accuracy
      PM driver install
      Citrix support
      NMC topics
      DMO migration
      Cloud migration
      Templates and custom commands
      DMNE server downloads

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

  • 224 Conversations
  • 17% of customers logging into iSupport took advantage of Tina's
    self-service benefits.
  • 80% First Contact Answer (FCA)
    ..where the percentage of user inquiries are resolved with the
    first answer (see chart below).

Survey results below for Tina represent "Excellent" and "Good" responses.

In order to further improve our customers' 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.

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:

  • #20143 Full Text Control issues for DMO 3.3 dictation into Windows 10 web-based EHRs on Chrome
  • #15913 Dragon Medical One - Documentation & Release Notes
  • #14111 Dragon Medical Network Edition Documentation
  • #16657 DMNE Software Downloads for International Customers - ENG (United Kingdom English)
  • #14274 DMNE Client Software Downloads
  • #19704 DMNE On-Premise Server Software Downloads
  • #14281 Dragon Medical NuanceLink Medical Updates
  • #13102 Downloads and Resources - Nuance PowerMic™ Microphones
  • #16305 Assistance Nuance provides for Dragon Medical Network Edition upgrades and Cloud migrations
  • #16291 Migrating the Dragon Medical Network Edition product to the Nuance Cloud
  • #19983 NMC Speech Usage Report - Displayed Date Anomaly for Weekly Reports in 2017

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 see 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 the following Dragon Medical products for customers who have an active maintenance contract with Nuance:

    Dragon Medical One (DMO)
    Dragon Medical Network Edition (DMNE)
    Dragon Medical Practice Edition (DMPE)
    PowerMic Mobile (PMM)
    Dragon Medical Advisor (DMA)
    Dragon Medical Embedded (DMe Athena / Epic / Meditech)

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.

Click here for additional information about how to contact Nuance's customer support team is available at Nuance's Technical Support website:

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."

 

 
 

Support is available for our customers with an active maintenance contract by calling toll-free (800) 833-7776 via our "Say Anything" menu. So say, "support for Dragon Medical (product)" at the prompt.

 
 

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Nuance Healthcare Solutions Global Support Services
Nuance Communications, Inc.

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