Nuance Healthcare Solutions
eTips  

PowerScribe 360 Reporting

 
Nuance October 2018, Volume 8, Number 10  
 



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: Creating a site administrator account in PowerScribe 360 Reporting.

eTip 2: Editing reports in Ready transfer status when the Report Transmit Grace Period option is configured.

eTip 3: Signing reports as an attending provider from a resident's workstation.

Also:

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

 

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RSNA

Last year at RSNA, we spoke about Nuance innovations in AI and machine learning that support your goal of providing better patient care and an enhanced role for radiology within the healthcare organization.

If you're going to RSNA in November, Schedule a demo or meeting today and discover how the Nuance portfolio of AI-powered imaging solutions empowers radiologists. Our RSNA sessions fill up quickly, so click here or call us at 800-255-4641 to schedule a demo today. Nuance professionals will be on hand to guide you through demos, answer your questions, and ensure you are fully immersed in our newest technology.


Upcoming healthcare events

Check out the upcoming healthcare events.


Nuance Healthcare User Conference & Leadership Summit

Nuance Healthcare User Conference & Leadership Summit

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Go to nuance.com/go/nashville19 to register now!


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 you can create a site administrator account in PowerScribe 360 Reporting?

You can configure a user as either a system administrator or a site administrator.

A system administrator has access to all sites in the system. Create a site administrator if you want to limit the user's administrative rights to specific sites. Both administrator types contain the same set of privileges from which you can select.

Administrators cannot edit their own administrative rights. If there is a need for an administrator's rights to be modified, another administrator must edit the account.

To create a site administrator account:

  1. In the Setup group, click the Accounts tab.

    The left side of the window lists all the users in the system, and the right side displays a form you can use to create a new user.

    Note: If a user's information already appears on the right, click Clear. Clear simply removes the data from the window; it does not delete the user from the system.

  2. Enter a Username (not case sensitive) and Password (case sensitive) for the user.

    Tip: If your system is configured to require users to change their passwords at their first login (that is, if the Setup > System > Preferences > Security tab > Forced password change interval preference is set to anything other than
    Never), consider creating a basic password for all users to use at first, allowing each user change to a more secure one at first login.

  3. Enter a First name and a Last name for the user.

    Note: The field names labeled in bold text (Username, Password, First, and Last) are required fields. All other fields are optional.

  4. Check the Administrator box.

    Administrator

  5. Optional: Fill in the ID, Contact, and Address information for the user.
  6. Click the Create New link to save the user account. (The Create New link changes to Save Changes.) You can now edit the administrator's rights.
  7. Click the Edit Rights link, to the right of the Administrator box. The Administrative Rights dialog opens by default, the System Administrator user type is selected.

To create a site administrator:

  1. Click the Site Administrator button, and open the site you want to configure by clicking the open icon at the far-right side of the site name.

    In the illustration below, the Imaging Center site is open for editing. Lakeside Clinic, Riverview Hospital, and University are available for configuration as well.

    Initially, No access is selected for all sites to prevent unintended access.

    Site Administrator

    Note: For View Exams, View Peer Reviews, and View System, you must first select the View right before the Edit rights become available.

    For example, when you select View System, the Edit Accounts, Edit AutoTexts, Edit System, and Edit Worklists selections become available. In other words, you must have View rights before you can have Edit rights. This applies to both System and Site administrator accounts.

    Administrative Rights Dialog

  2. To limit an administrator's rights, select the Limited access with the following rights option.

    Note: The Admin Rights fall into two categories, View Rights, and Edit Right.

  3. Select the user's rights, referring to the following tables:

  4. Admin Right  
    View Rights Function
    View Database Reports Allows access to Reporting Services.
    View Exams Allows read-only access to Explorer, Dashboard, Patients, and Physician pages.
    View Logs Allows read-only access to Communications, Exceptions, Statistics, Bridge, and ACO/LMO pages.
    View Peer Reviews Allows read-only access to Peer Reviews page.
    View Peer Reviews Anonymous Allows read-only access to Peer Reviews page, prevents display of radiologist names (reviewers and reviewees) and disables report preview, unless the user has the View Exams right. In the latter case, the report data are available, but not the reviewer.
    View System Allows read-only access to System, Sites, Bridge, Accounts, Speech, and AutoText pages.

    Admin Right  
    Edit Rights Function
    Edit Accounts Allows managing user accounts.
    (You must first select the View System right.)

    Note: Only system administrators can edit Accounts; site administrators have view-only rights.

    Edit AutoTexts Allows managing site and account AutoText.
    (You must first select the View System right.)

    Note: Only system administrators can edit AutoText; site administrators have only view and export rights.

    Edit Order Entry Allows managing order entry requests, including authorization.
    (You must first select the View Exams right.)
    Edit Orders Allows editing order properties (for example, priority) and metadata that are order-related, like custom fields. It also allows deleting unreported orders and unlocking orders.
    (You must first select the View Exams right.)
    Edit Patients Allows editing patient data.
    (You must first select the View Exams right.)
    Edit Peer Reviews Allows managing peer reviews, including verifications and transmissions to the ACR.
    (You must first select the View Peer Reviews right.)
    Edit Physicians Allows editing physician data.
    (You must first select the View Exams right.)
    Edit Reports Allows editing report properties (for example, resetting the status to Draft or associating/dissociating orders to or from a report) and metadata that are report-related, like diagnosis (ICD-9) codes. It also allows changing or resetting the radiologist and transcriber of a report, assigning orders to radiologists, deleting a report, and holding/resending a report.
    (You must first select the View Exams right.)
    Edit System Allows editing global system, site and Bridge properties, preferences, and general configuration. Allows access to the Speech tab in the Setup group. (You must first select the View System right for the administrator to use this right.)

    Note: Only system administrators can edit system-level items; site administrators do not see the System tab at all. However, site administrators can add and manage items on the Bridge tab.

    Edit Worklists Allows creating and editing worklists.
    (You must first select the View System right.)

    Note: Only system administrators can edit worklists; since worklists appear on the System tab, they are not available to site administrators.

  5. To give the administrator full rights, select the Unlimited access to all system functions option. This option gives the user all the rights shown in the Admin Rights group box below, as well as any other administrative rights. Select this option if you want no limits to this user's rights.

    Caution: It is recommended that you NOT select this option, but rather assign administrators only the specific rights they need.

  6. When finished, click Save and Close.

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eTip 2

Did you know you can edit a report in a 'Ready' transfer status when the Report Transmit Grace Period option is configured?

Many customers configure their PowerScribe 360 Reporting system to allow providers a specific amount of time during which they can recall a report for further dictation or editing before it is uploaded to their RIS.

With this feature enabled, a provider can retrieve a report from their Signed today queue if it has a Report Transfer Status (the column with the Ready Icon icon) of Ready, indicated by a single green arrow Single Arrow Icon.

To open and edit a Ready report:

  1. From the Explorer window, click the Signed today link under My Reports.
  2. In the results grid, find the report you want to revise, making sure it is in the Ready Single Arrow Iconstate.
  3. Double-click the report to open it in the Report Editor.
  4. Make the necessary revisions and sign the report once again.

    If a provider double-clicks a report that has any other transfer status (Queued Queued Icon, Sent Sent Icon, and so on), they see the following message box:

    Finalized Message

    In these cases, the provider must create an addendum to the report in order to make changes or add to it.


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eTip 3

Did you know you can sign a report as an attending provider from a resident's workstation?

If your PowerScribe 360 Reporting system administrator has selected a specific permission for your site (Allow attending signoff on resident login), an attending provider can sign a report from your workstation while you are logged into the workstation.


To have an attending provider sign a report from your workstation:

  1. In the Explorer window, select the report you want the provider to sign. (Or you can open the report in Report Editor if you choose.)
  2. If you need to do so, click Tools > Change Attending and select the attending provider who is about to sign your report.
  3. Select the Shift key and click the Approve button (or press Shift+F12). The Confirm Password dialog box displays with the attending provider's name shown next to the words Confirm for, for example:

    Confirm Password Dialog

  4. Have the attending provider enter the password, and click OK.
 

 

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What's new

To view an expanded What's New listing, by product version, please log in to the Nuance Healthcare Community, 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 Community subscriber:
go to the Nuance Healthcare Community Customer page for information about how you get started.
 

 

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What's fixed

The following PowerScribe 360 software has been released:

PowerScribe 360 Reporting V3.5.3 Patch 2 US/UK (6.5.73.21)

The key defects fixed for this release are highlighted below:

  • ed unwanted spaces being added before/after newlines transcribed in Fill-in fields.
  • When Dragon tries to download a user’s profile with a Windows 7/Server 2016 configuration via HTTPS, the SSL handshake protocol fails when SSL 2.0 is used.  This was caused by Dragon default SSL communication protocol settings.  Windows Server 2016 removed support for SSL Protocol type SSL2.  Refer to DRGRAD-632 under Updated Dragon (Fixed Defects).  Added configuration setting within the PowerScribe Client to hard code SSL protocol, if required.  Only works with Dragon Service Pack 1 (v12.54.150.123).
  • Extra Spaces Added When Dictating Hyphens in Fill-In Fields.
  • When dictating in a blank fill-in field and the user speaks “Scratch That”, not all the text is deleted.  The last 3 characters of the dictation remains in the fill-in field.
  • While dictating into a fill-in field, using the “Scratch That” command randomly completes as an “Undo That” command.
  • If the previous line is bold, the next line below dictated can Intermittently become bold in Report.
  • Inserting a Clinical Guidance causes the last character of the Impression section to be moved to the bottom of the inserted Guidance.
  • When using the “Start Number list” feature to dictate a numbered list and you say paragraph instead of newline, the paragraph break can become part of the number list.
  • After inserting either Clinical Guidance, "Liver Lesion 2017" or "Renal Lesion 2017", the close action of the report causes an "Index was outside the bounds of the array" error to occur.
  • The "Delete last utterance" function was not working correctly regardless of the PowerMic button to which it was mapped.
  • When a dictated report contains an "Impression" section, the Communicate Critical Results dialogue does not have the option "Include Audio Impression" available to select.
  • In an AutoText with multiple fill-in fields, where one field contains the name of an AutoText dictated as a value, text dictated into a subsequent field may be inserted into the prior field incorrectly.
  • While a report is being actively dictated by a user, the entire text within the current field being dictated into can be highlighted and dictated over when order data changes during reporting.  This can occur when the System and/or User preference “Monitor order data changes during reporting” is set to “Notify and apply changes” (Default value) or “Apply changes without notification”.  This issue will not occur if the value is set to “Disabled”.
  • Editors report ‘choppy’ or ‘patchy’ audio during playback of the Impression fill-in field of dictated report that is set to All-Caps.
  • If an AutoText is voice called into a report as part of a longer utterance, and the AutoText contains a fill-in field marked as all-caps as the first item within the AutoText, the initial part of the utterance may be placed into the report as all-caps.
  • 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 upload.  The service has been updated to retry processing the report one more time before setting the report transmit status to failure. 
  • When Epic receives an RTF result message from PS360 that contains a number list, sometimes the report in Epic shows a numbered list started and then immediately restarts again.
  • When selecting to download the CDA version of a report from RadPortal, the download fails with a popup message "Unable to cast object type error".

iSite Plugin Update (v5.0.12)

The key defects fixed for this release are highlighted below:

  • PACS iSite Crash when Exams are linked in PS360.
  • A single study is not being closed in Philips IntelliSpace 4.4.552.12 after signing report in the PS360 client.
  • iSite Crashing when sending studies to PowerScribe, or receiving sign from PowerScribe.
  • Discarding reports within PS360 still shows a status of "in-progress" in iSite, when integrated with PS360 and Epic.
  • An order's MRN and Accession numbers are not sent from the Phillips iSite Plugin.
  • Open report in PS360 may cause iSite Plugin to open the Images on the Wrong Patient in iSite PACS.

To view an expanded What's Fixed listing, by product version, please log in to the Nuance Healthcare Community, 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
CHIME CIO Fall Forum Oct. 30-Nov. 2, 2018 San Diego, CA
HMA CMIO Fall Forum November 5 – 7, 2018 Washington, DC
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 Community 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 Community. 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 Community

Nuance Healthcare Community

The Nuance Healthcare Community 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 Community include:

Nuance Healthcare knowledge article updates:

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

  • 5640: PowerScribe 360 Reporting V3.5 Documentation
  • 6988: PowerScribe 360 Reporting V4.0 Documentation
  • 5663: PowerScribe 360 Reporting V3.0 Documentation
  • 6870: Files and Folders Acted Upon by the PS360 Client and Servers
  • 6359: eTips Newsletter Archives - PowerScribe 360 Reporting
  • 6384: PowerScribe 360 Reporting Third Party Updates
  • 5741: Peer Review (Purchasable Option)

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

 
 
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