Nuance Healthcare Solutions
eTips  

PowerScribe 360 Reporting

 
Nuance July 2018, Volume 8, Number 7  
 



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

 

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In this edition of eTips, you will find information about:

eTip 1: Approving/signing reports as Preliminary in Mobile Radiologist v2018.1.

eTip 2: Assigning RVUs to procedure codes in your Procedure Master Translator (PMT).

eTip 3: Adding custom words to language models to improve speech recognition.

Also:

What's new | Healthcare events | What's fixed | Webinar | Tina
Nuance healthcare support platform | Contacting support
More | Additional Diagnostics information | Connect with us

 

Analytics and AI in Radiology -

mPower™ Webinar

Analytics and AI in Radiology

Join us on August 15 to see how analytics can help improve your clinical, operational, and business performance; identify improvement opportunities; and demonstrate value and success.

Woojin Kim, MD, CMIO, will help show why analytics are important in today's radiology environment. He'll use real-life examples about how extracting quality measures and other data from radiology reports can help identify insights that can lead to delivering more value and better care.

We call this doing it right: Thoroughly seeing it through.

We hope you can join us on August 15.

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Webinar library

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This month's eTips

eTip 1

Did you know that in PowerScribe 360 Mobile Radiologist, version 2018.1 you can approve/sign reports as Preliminary?

Mobile Radiologist v2018.1 now support the Preliminary workflow for both attending residents and providers.

Residents can now choose whether or not to send preliminary results when approving a report in Mobile Radiologist

To choose whether or not to send preliminary results when approving a report in Mobile Radiologist as a Resident:

  1. From Mobile Radiologist, open the report and select Approve (or Prelim & Approve) drop-down arrow to view the approval selection choices. 

    Report Text

  2. Select either Approve or Prelim & Approve.  

    Approve or Prelim & Approve

  3. If you select Prelim & Approve, both approval methods appear on your final screen. For example:

    Prelim & Approve

  4. Select either Prelim & Approve or Approve to sign the report.

TIP: Admin Portal Requirement: An administrator can access this from the
System > Preferences > Permissions
tab, who must set the Resident control of approved reports preference to On demand.

Attending Providers can now sign reports as Preliminary in Mobile Radiologist.

To sign reports as Preliminary in Mobile Radiologist as an Attending Provider:

  1. From Mobile Radiologist, view your Draft queue, and open a report submitted by a resident. 

    Draft Queue

  2. The Prelim button appears, allowing you to sign the report as preliminary.

    Prelim

  3. Select Prelim to sign the report as preliminary.

TIP: Admin Portal Requirement: An administrator can access this from the
System > Preferences > Explorer Screen tab, and must set the Show old resident drafts in My Reports preference to Show all.  

NOTE: For this feature to work in Mobile Radiologist version 2018.1, your PowerScribe 360 Reporting system must be at version 4.0 or higher. 


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eTip 2

Did you know that you can assign RVUs to procedure codes in your Procedure Master Translator (PMT)?

Your PowerScribe 360 Reporting system uses imported procedure codes, along with modality and anatomy (also referred to as body region) mapping information in many areas.

TIP: If you attended a PowerScribe 360 Reporting administrator training class, you received an Excel worksheet template that you should use as a starting point.

Your Procedure Master Translator must include the following columns (the first two columns typically come from the billing system or RIS/HIS):

  • Procedure Code: This is a unique identifier of the exam (procedure codes cannot be duplicated in PowerScribe 360 Reporting). You may also know the codes referred to as catalog codes, exam codes, charge codes, or mnemonics. The procedure code information is obtained by analyzing your HL7 message when an order is generated. Determine what the code is and find the source of these codes. Any actively dictated code must be included in this file.
  • Procedure Description: This is the description that is listed on the order for the procedure code. This field is limited to 100 characters.
  • Category Modality: This is the type of equipment used to conduct the study.
  • Category Anatomy: This is the name of the body region involved in the study. Use the most specific appropriate term here. If more than one body region is involved, enter each region separated by a comma.
  • Section Name: This is the name your facility uses to describe a modality. Often refers to how your facility’s dictation responsibilities are divided. For example, CT, MR, Neuro, MSK, Peds. In many cases this name could be a department name in your facility. For example, the PowerScribe 360 Reporting system uses Radiography for x-rays; your system might use CR.
  • Mammo: If the procedure is a mammography exam that will use BI-RADS codes, enter Yes. Otherwise, leave this field blank.
  • Clinical/CPT Code: These are the clinical codes that might already be used in your billing system. If possible, retrieve an export list of those codes.

The illustration below shows an example of what your PMT worksheet should look like.

RVU

NOTE: Row 2 of the Nuance worksheet template provided to you contains a description of the content expected in each column. After completing the worksheet, delete row 2 before saving.

Additional Information

You can include the following information (by creating additional columns in your Procedure Master Translator):

  • Relative Value Units (RVUs)
  • Diagnostic Codes (ICD-9 or ICD-10)

Assigning RVUs

You have the option of assigning professional, technical, and global RVUs to each of your procedure codes for display in the radiologist's dashboard.

NOTE: If you decide to use RVUs, the Global RVU is a required item. You cannot use Prof and/or Tech without using Global.

To assign RVUs:

Add the columns Prof RVU, Tech RVU, and Glob RVU to your Procedure Master Translator. Each value must be a decimal number with up to 3 places to the left, and two places to the right of the decimal point.

NOTE: Providers can see the quota values in the client application dashboard (if a quota is set in the administrator preferences).


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eTip 3

Did you know that custom words can be added to language models to improve speech recognition?

Adding custom words to your language models can improve speech recognition. Custom words might include place names, or the names of drugs, or persons. For example, if a new drug comes on the market, you can add the drug name to all the language models in your system. Adding words at the system level eliminates the need for providers to add the words themselves.

You can add individual custom words or import a list of words from a file. Importing words saves time when you have many words to import, or when you need to add the same words to more than one language model. You can also delete one or more words. Adding or deleting words from one language model does not affect the others.

To add Custom Words:

  1. In the Setup group, select the Speech tab.
  2. Select the language model to which you want to add the word(s).

    Language Model

  3. Click Add.

    Custom Words

    The Add Word dialog box opens.

    Add Word

  4. In the Word field, type the word of phrase you want to add.

    Add Word Complete

  5. If desired, spell the word phonetically in the Spoken Form field. That is, spell the word the way it sounds. This helps the speech software to recognize the word when it is dictated. You might want to provide a spoken form for a word that is frequently being mis-recognized, or for a name with an uncommon spelling.

    NOTE: The combined length of the Word and Spoken Form fields cannot exceed 127 characters.

  6. Click Save. The word or phrase is saved in the selected language model, and appears in the list along with the date and time in was added.

 

 

 

 

 

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What's new

Nuance is pleased to announce the release of PowerScribe 360 Reporting V4.0 Service Pack 1 US/UK (7.0.111.0).

This release includes the following new features:

  • Change Attending and Prelim. Client support for change attending and prelim.
  • Additional Reporting options are now available for Billing True-up within the PowerScribe 360 Reports.
  • Suppress audio download when opening report.
  • Drive Custom Field Options by Findings Codes.

Also included in this release was a service pack release to the Dragon SDK Client (12.54.150.123).  This Dragon Service Pack can be applied to previous PowerScribe 360 Reporting v4.0 systems as well.

Please see the What’s fixed section that includes a list of highlighted fixes for these releases.

To view an expanded What's New listing, by product version, please log in to the Nuance Healthcare Support Platform, and search for and select any of the following Knowledge articles, and then click on the What's New link.

PowerScribe 360 Reporting

  • Search 6389 for the What's New in v4.0
  • Search 5640 for the What's New in v3.5
  • Search 5663 for the What's New in v3.0
  • Search 5636 for the What's New in v2.5
  • Search 5632 for the What's New in v2.0

mPower

  • Search 5671 for What's New in mPower v3.2

ModLink

  • Search 6394 for ModLink User Documentation
 
 
Subscriber If you are not an Nuance Healthcare Support Platform subscriber:
go to the Nuance Healthcare Support Platform Customer page for information about how you get started.
 

 

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What's fixed

The following PowerScribe 360 version have been released:

  • PowerScribe 360 Reporting V4.0 Service Pack 1 US/UK (7.0.111.0)
  • Dragon v12.54.150.123
  • Speech Utility Server (SUS) V.4.0

PowerScribe 360 Reporting V4.0 Service Pack 1 US/UK (7.0.111.0)

The key defects fixed for this release are highlighted below:

  • Fixed an issue for environments containing a large amount of Custom Fields that were experiencing latency when adding and saving new Custom Fields in the RadPortal.
  • Fixed an issue for users signing reports within the PowerScribe 360 Client or RadPortal that may have incurred a delay when a site has millions of rows in the OrderCustomField table and one or more custom fields set as required for signing. The verification and query logic has been optimized to reduce the latency when verifying if a report is missing any required custom fields.
  • Fixed unwanted spaces being added before/after new lines transcribed in Fill-in fields.
  • The RadBridge can intermittently receive an "Object reference not set to an in stance 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 processing a report to upload, an AccessViolationException may occur. Currently, the report is put into a transmit failure state and requires the admin to monitor and force the report to upload. The service has been updated to retry processing the report one more time before setting the report transmit status to failure. Working continues to solve the underlining issue.
  • The JQuery files used by RadPortal have been updated to a current version.

Dragon V12.54.150.123

The key defects fixed for this release are highlighted below:

  • Fixed an issue where the mouse cursor was placed at the end of the report, and the microphone 'play' button was pressed, and the last utterance was played back even though the utterance was not selected.
  • Allowed Dragon Naturally Speaking (DNS) to be successfully installed when Office products, such as Word and Excel are running.
  • In Press To Transcribe (PTT) mode, fixed an issue where audio could not be played back until after it was transcribed.
  • Under some circumstances, usually when a report has many changes, concordance is lost. A new warning is now placed in the dragon.log file when this circumstance occurs. The solution is to modify nssystem.ini and increase the setting "Maximal amount of differences between two texts" to a value higher than the default of 500. The messages written to the dragon.log are as following:
    • <timestamp> VDCT: Warning: Document's playback timing (concordance) info was deleted due to significant text editing. Playback will begin at start of document.
    • <timestamp> VDCT: Warning: Consider increasing "Maximal amount of difference between two texts" setting in NSSYSTEM.INI (currently at <cur setting>) to avoid this in the future.
  • Fixed an issue where some users had trouble voice calling an AutoText since the trigger word was not correctly recognized.
  • Fixed an issue where PowerScribe 360 might be slow to react to a user pressing the Powermic record button.
  • Updated the security protocols supported (used by WebDAV) to remove obsolete protocols and add the latest protocols. The PCT protocol has been removed and TLS 1.1 and 1.2 have been added.
  • Fixed an issue where the audio of a report would not play back if all the text of the report was deleted.
  • Fixed an issue with the Dragon Naturally Speaking (DNS) installation that might cause it to fail if run under an account that does not have Windows SYSTEM credentials.
  • Removed the autorun.inf file from the Dragon Naturally Speaking (DNS) self-extracting executable (dsc_med.exe, dsc_rad.exe and dsc_trans.exe).

SUS V.4.0.0.43

The updates are highlighted below:

  • This version of SUS was updated to support current FIPS encryption standards.  SUS will now install and run correctly if the Windows security option System cryptography: Use FIPS compliant algorithms for encryption, hashing, and signing is enabled as a global policy.
  • Microsoft .Net 4.6.2 is now required for SUS.  This ensures SUS is capable of running in a secure environment where only TLS 1.2 is enabled.

    NOTES:

    • This updated SUS version is packaged with any new service pack release of PowerScribe 360 Reporting v4.0.x.
    • This SUS version is supported running with Dragon v12.54.150.063 or v12.54.150.123.

To view an expanded What's Fixed listing, by product version, please log in to the Nuance Healthcare Support Platform, and search for and select any of the following Knowledge articles, and then click on the Release Notes link.

PowerScribe 360 Reporting

  • Search 6389 for the v4.0 Release Notes
  • Search 5640 for the v3.5 Release Notes
  • Search 5663 for the v3.0 Release Notes
  • Search 5636 for the v2.5 Release Notes
  • Search 5632 for the v2.0 Release Notes

mPower

  • Search 5671 for the mPower Release Notes

ModLink

  • Search 6394 for ModLink Release Notes

Dragon Naturally Speaking (DNS)

  • Search 6389 for the DNS Release Notes

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Upcoming healthcare events

Healthcare    
Events Date Location
SHIEC 2018
August
19–22, 2018
Atlanta, GA
Epic User Group Meeting August
27-30, 2018
Verona, WI
HITRUST Annual Conference September
12, 2018
Grapevine, TX
Becker's Hospital Review 4th Annual Healthcare IT + Revenue Cycle Summit September
19-22, 2018
Chicago, IL
Society for Healthcare Strategy & Market Development (SHSMD) Conference October
7-10, 2018
Seattle, WA
Cerner Health Conference October
8-11, 2018
Kansas City, MO
Annual Thought Leadership on Access Symposium (ATLAS) October
15-17, 2018
Boston, MA
Connected Health Conference October 17-19, 2018 Boston, MA
RSNA 2018 November 25–30, 2018 Chicago, IL

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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
The Basics of AutoText 2/28/18
Presentation provides a demonstration of the basics of creating an AutoText from scratch, the different types of fields that can be utilized, and how a user can take advantage of this functionality. Also covered is the radiologist's workflow and report structure impacts, as well as some of the new features available in PowerScribe 360 Reporting version 4.0.
Custom Fields and the Technologist Workflow
(Update of v4.0)
1/29/18
Presentation of custom fields and the Technologist workflow that includes the creation of custom fields, associating these fields with procedures, embedding the custom fields in AutoText and allowing a technologist to insert a value into these fields prior to the radiologist opening the report.
AutoText for Administrators 12/19/17
Presentation demonstrating how to manage AutoText in the PowerScribe 360 Reporting application, such as importing, exporting, and basic troubleshooting topics you may encounter as an Administrator.
What's New in PowerScribe 360 v4.0, for Administrators 9/25/17
Presentation demonstrating what's new in PowerScribe 360 Reporting V4.0 for Administrators.
What's New in PowerScribe 360 v4.0, for Providers 6/20/17
Presentation demonstrating what's new in PowerScribe 360 Reporting V4.0 for Providers.
Unlocking the Mystery of AutoText Relevancy 4/24/17
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.
Online Speech Recognition Tools 3/27/17
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.
Audio/Visual Features to Improve Recognition 2/27/17
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.
Management Reports 1/23/17
Several Management Reports are run in PowerScribe 360 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.

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What's new with Tina?

Tina is a Web Interactive Support tool available from the Nuance Healthcare Support Platform 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 page of the Nuance Healthcare Support Platform. 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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Nuance Healthcare Support Platform

Nuance Healthcare Support Platform

The Nuance Healthcare Support Platform is an Internet-based support site with the following key benefits:

  • 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

To become a member, visit http://www.nuance.com/healthcare/support, and click Register now to begin your registration from the Nuance Healthcare Support page.

Available Resources on the Nuance Healthcare Support Platform include:

Nuance Healthcare knowledge article updates:

A number of important articles have been added or reissued with updated information as follows:

  • 6818: PowerScribe 360 Reporting Product Versions that Support SSL TLS Protocol
    6389: PowerScribe 360 Reporting V4.0 Documentation
  • 6359: eTips Newsletter Archives - PowerScribe 360 Reporting
  • 6655: Checking the Status of Support Cases (Service Request)

To see the details of any article, simply log in to the Nuance Healthcare Support Platform, and search for the knowledge article number or title.

 
 
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