Nuance Healthcare Solutions
eTips  

Dragon Medical One
Dragon Medical Advisor
Dragon Medical Embedded
PowerMic Mobile
Dragon Medical Network Edition
Dragon Medical Practice Edition
Nuance Healthcare Community

 
February 2019, Volume 11, Number 2  
 

Greetings EmailDisplayName!

Nuance is pleased to present you with this edition of eTips, highlighting the following new content:

eTip 1: Computer boot disrupted when PowerMic connected.

eTip 2: Incoming calls may interrupt PowerMic Mobile App.

eTip 3: PowerMic cleaning & disinfecting guidelines.

eTip 4: Dragon Medical One switching between target applications.


eTips Publishing Change

Note: The eTips Newsletter will be published on a quarterly basis. This changes from previously being published on a monthly basis.


Also:

Nuance Healthcare Community  |   NHNS registration
New releases  |   Product information
Contacting support  |   Implementation training
Helpful links  |   Connect with us

 
 

 

Nuance 2019
User Conference & Leadership Summit

JUST ANNOUNCED:

Top-40 Nashville rising stars Runaway June will headline our private event at the Nuance Healthcare User Conference & Leadership Summit.
Nuance Healthcare customers, don't miss out!

Register at nuance.com/go/nashville19


 

Amplify Human Intelligence with Nuance Healthcare Solutions

Helping care teams focus on what matters most: the patient.

Nuance Healthcare solutions and services support the patient and care team from admission through discharge and beyond. Nuance offers simple ways to share medical images and data through PowerShare Image Sharing. Physicians can then capture patient stories with Dragon Medical One and PowerMic Mobile, and gain actionable and accurate patient information through Dragon Medical Advisor. PowerScribe 360 Reporting then enables quality improvement through streamlined report creation using unparalleled voice recognition technology.

Nuance's comprehensive solutions are easing the burden of clinical documentation to transform patient care and outcomes.

Watch this VIDEO to learn more.

For more information, visit www.nuance.com/healthcare or call
1-877-805-5902.


Knowledge
Article
Focus

Support Article:
Dragon Medical Hosted ERROR Matrix

Find fast solutions to common errors using our Nuance Healthcare Community (NHC) resource called the Dragon Medical Hosted ERROR Matrix, which is available through knowledge article:

6925 - Dragon Medical Hosted ERROR Matrix

The Hosted ERROR Matrix is designed to provide a single source of searchable information to speed up error identification and resolution.


Craig
Wessels

  Dragon Medical
  Senior Remote Support Engineer

Meet Your:
Dragon Medical Support Team

Craig Wessels is a Senior Support Engineer with Dragon Medical operating remotely out of Watertown, WI. He has been with Nuance Communications for 13 years. When asked what he likes about working here at Nuance, Craig states "Great teamwork and I enjoy helping customers" This 20-year, US Marine Corps veteran is married and has six children, one of which is still at home.

Craig holds a Bachelor's Degree in Computer Maintenance. This Senior Support Engineer's goal is to continue learning in software environments related to his current career.

Craig was recently voted the Nuance Global Technical Operations MVP for his ability to solve complex technical problems, for mentoring support team members, and for earning commendations from our customers.

When Craig is not assisting customers, he likes to go fishing and camping, and enjoys traveling and watching movies. One of Craig's favorite meals is a Friday night fish fry.

 

This Month's eTips

Top

eTip 1

Computer Boot Disrupted When PowerMic Connected

Dragon Medical Support has had multiple customers report PowerMic-related issues on computers (predominantly Hewlett Packard (HP)) where booting, roaming, or sleeping work flows are interrupted when the Nuance PowerMic is plugged in. For example, one reported symptom presented where with the PowerMic connected to a USB port, the computer boot process stalls even before access to the BIOS can be obtained. This has been reported with PowerMic II and III, scanner and non-scanner, hand microphones on specific computer vendor platforms, including:

  • HP ProDesk 400 Desktop Mini
  • HP G2
  • HP G3
  • HP E8100 Desktop
  • HP Z200 Desktop
  • Dell Latitude E6410 laptop

Depending upon the computer model, these issues were resolved by updating the computer BIOS and drivers where applicable, or by removing the Conexant HD Audio drivers (Flow.exe), or by changing the BIOS settings.

Refer to Article 3263 - Nuance PowerMic disrupts computer boot process which contains more specific information on certain computer models.

Note, that previously a number of troubleshooting steps have been tried, including:

  • Flashing the BIOS to a later revision.
  • Disabling any BIOS settings having to do with USB
  • Updating the PowerMic firmware
  • Connecting directly to the laptop USB port instead of to a docking station USB port
  • Connecting the PowerMic to an active (powered) USB hub
  • Connecting the PowerMic to different USB ports
  • Completely uninstalling all present and non-present USB devices from Device Manager and then rebooting to let the OS rebuild the USB subsystem.

To learn more and to keep current with any changes to this topic, please review this information within Article 3263 - Nuance PowerMic disrupts computer boot process.

 


Top

eTip 2

Incoming Calls May Interrupt PowerMic Mobile App

If using PowerMic Mobile (PMM) on your smart device, certain behaviors may have been noted when receiving incoming phone calls. These behaviors can differ depending upon whether the device is iOS or Android.

iOS - iPhone

In the case of an iOS (iPhone) device, when dictating in PMM and an incoming call is received, the iOS shifts to its phone screen (image below) prompting to Accept or Decline the incoming call. This forces PMM to the background, turning PPM's microphone "OFF" until the call status is determined.

This occurs immediately upon detecting the incoming call and may result in some part of the dictation being omitted as the PMM input is stopped.

Currently this is working as expected and this behavior is ultimately governed by Apple and iOS. There is no setting in iOS to modify this behavior at this time; incoming calls will result in the above screen. The alternative is to turn on the "Do Not Disturb" mode which will block the incoming call-related process completely.

Android - Various

Depending on your Android version, and in some cases the make and model of your device, this behavior may vary. In a typical scenario you will receive a banner on top of the PMM app indicating there is an incoming call (image below). However, in this case unless you Accept the call, PMM will continue to function as expected. This allows some flexibility in how an incoming call is handled. The call can be immediately accepted or declined, or it may provide a window to complete your current dictation prior to accepting the call.

To learn more and to keep current with any changes to this topic, review this information within Article 7957 - Incoming call may interrupt PowerMic Mobile app.

 


Top

eTip 3

PowerMic Cleaning & Disinfecting Guidelines

The Nuance PowerMic (PM) III shown here is the recommended USB hand microphone for speech recognition with Dragon Medical products and is a popular input device with our customers.

Our Depot Repair Department has provided the following guidelines on cleaning the PowerMic devices.

New Note: Make sure the PowerMic is unplugged before cleaning. Be extremely careful not to get any liquid inside of the PowerMic.


General Cleaning

Use a disinfectant cleaner (recommended below) on the PowerMic to wipe down the device making sure that there is no debris in any of the crevices.

Sticky Buttons

Disassemble the PowerMic and remove the cover and pad. Clean it with a disinfectant cleaner (recommended below). To clean without disassembly, you can use a Q-tip with a disinfectant cleaner and clean around the edges of the button while it is depressed.

Cleaner Recommendations

The device manufacturer has provided the following guidelines regarding the types of cleaners that are safe to use on the PowerMic devices.

    Safe for Use:

    • Lysol
    • Clorox
    • Bleach
    • Saline
    • Hydrogen Peroxide
    • Isopropyl alcohol

    Do NOT Use:

    • T-Spray
    • Acetone
    • Methyl Ethyl Ketone (MEK)

To learn more and to keep current with any changes to this topic, review this information within Article 7271 - PowerMic Cleaning & Disinfecting Guidelines.

 


Top

eTip 4

Dragon Medical One Switching Between Target Applications

When working with several applications running at the same time and you want to switch the speech focus for Dragon Medica One to dictate from one target application to another, say “switch to <application>” and continue dictating.

The target application you have switched to is brought to the foreground and the text is recognized there. A “switch to <application>” voice command is created for each application that is opened.

For example, to switch between Notepad, Microsoft Word and Internet Explorer, say “switch to Notepad”, “switch to Microsoft Word” and “switch to Internet Explorer”.

Additional Information

  • The “switch to <application>” command is not executed if the target application you want to switch to is minimized.

  • Make sure to check the cursor position before dictating into the target application you have switched to.

  • Switching to target applications hosted in Microsoft Internet Explorer and Google Chrome is not supported. For example, you can switch to Internet Explorer, but you cannot switch to a web application hosted in Internet Explorer.

To learn more and to keep current with any changes to this topic, review this information within the Dragon Medical One Desktop Client Help (click the DragonBar Menu > Help).

 

 
Top
New

 Nuance Healthcare
 Community

Thank you for the opportunity to support you!

The Nuance Healthcare Community launched back in January, 2018, provides our customers with the following key benefits:

  • A tailored support platform to meet our Healthcare customers' specific needs
  • Timely, accurate, and responsive handling of your support cases
  • Self-service access to view, edit, and receive updates on cases
  • Dynamic, searchable knowledge base content
  • Communication with Nuance through various methods of engagement: phone, web, email, and online support with our Live Agent
  • An Insiders Community with forum discussion, current news and relevant events

Registration

Logging into the Nuance Healthcare Community requires a Nuance support account. If you don't have an existing Nuance support account, you can begin your registration from the Nuance Healthcare Support page:

http://www.nuance.com/healthcare/support, and click Register now.

Available Resources

Available resources on the Nuance Healthcare Community include:

Helpful Knowledge Articles include:
Article 6769 - Nuance Healthcare Community Registration
Article 6490 - Creating a Support Case in Nuance Healthcare Community
Article 6493 - Live Agent Chat on Nuance Healthcare Community
Article 6494 - Nuance Healthcare Community Technical Article Library
Article 6495 - Nuance Healthcare Community Navigation
Article 6656 - Requesting Updates for Support Case(s) (Service Requests)

 

____________________________________________________________ Top

New

 Register NHNS
 Notification

 

Nuance Outbound provides customers with an incident communication system called Nuance Healthcare Notification Services (NHNS) that notifies customers of events such as:

  • Product release announcements
  • Nuance Data Center scheduled maintenance notifications for Cloud-hosted products
  • Nuance Data Center outage alerts for Cloud-hosted products
  • Other special announcements specific to Dragon Medical products

New Dragon Medical customers can register to receive NHNS notifications by clicking the link below. Use this same link to submit any notification changes to your existing NHNS profile's contact methods or products. https://www.envoyprofiles.com/ni6/nhns/sign_up

Additional information is available in the knowledge article below:
Article 3197 - Nuance Healthcare Notification Services (NHNS) Introduction and Registration for Dragon Medical

 

 
Top
New

 New Releases

 

New Nuance uses an agile methodology, where urgent field issues and important, customer-triggered change requests are prioritized during the development cycle. The content for these pending releases and their projected release dates called out in this newsletter are tentative. Roadmaps may still be being finalized and therefore are subject to change. Please do not use this information for specific purchasing decisions.


Nuance Management Center/Server

New Nuance Management Center (NMC/NMS) Version 6.1
Projected release March 5, 2019.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access articles:


Dragon Medical One
 
NewDragon Medical One Version 5.0
Projected release March, 2019.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access articles:


Dragon Medical Advisor
 
New Dragon Medical Advisor Version 1.6
Projected release April, 2019.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access articles:


PowerMic Mobile

    PowerMic Mobile Version 4.0.5
    Released November 13, 2018.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access article:


Dragon Medical Network Edition

New Dragon Medical Network Edition Version 2.7.8
Projected release May, 2019.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access articles:


Dragon Medical Practice Edition - ENU (US English)

NewDragon Medical Practice Edition Version 4.2
Projected release March, 2019.

For a complete listing of all software releases and associated release documentation, log into Nuance Healthcare Community and access article:


Dragon Medical NuanceLink medical updates

    Medication Update
    Released May 4, 2018.
  • A recent medical update has 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 into Nuance Healthcare Community and access article:

 

 
Top
New

 More Product Info

 

Click the resource links provided below for additional product information.
Nuance Product Basics
Nuance Healthcare Fact Sheet Fact Sheet
Dragon Medical One Data Sheet
Dragon Medical Advisor Data Sheet
PowerMic Mobile Data Sheet
Data security and service continuity: Nuance Healthcare Solutions White Paper
Dragon Medical Network Edition training services for the VA Data Sheet
Dragon Medical eScription RH Datasheet
Epic Clinical Service Desk Data Sheet
Vincari Surgical CAPD Workflow Infographic Infographic
Virtual Scribing Services, iScribes Datasheet
FAQ
Nuance Transcription Services offering Data Sheet
Artificial Intelligence 
Healthcare Virtual Assistants: The future of clinical documentation Infographic
Modern Healthcare: How AI is transforming clinical documentation and driving unmatched outcomes Article
How artificial intelligence engages surgeons for better documentation Data Sheet
(Becker's Hospital Review)
Dragon Medical Virtual Assistant embedded in Epic Haiku and Canto Data Sheet
Nuance AI-powered solutions optimized for Epic Partnership Data Sheet
AI in Action at Vanderbilt University Medical Center Blog Post
EHR Related
Nuance EHR Services Infographic Infographic
Improve EHR usability and care team productivity Datasheet
Nuance EHR Services - Epic Clinical Service Desk Data Sheet
CDI and CAPD for Epic DS Data Sheet
Dragon Medical embedded in Epic Rover Data Sheet
Dragon Medical One and NextGen EHR Core Physicians LLC Case Study
Dragon Medical One and NextGen EHR Datasheet
Dragon Medical One embedded in NextGen (5 Steps) Infographic
Dragon Medical One embedded in athenaClinicals FAQ
Dragon Medical embedded in DocBuddy Case Study
Additional Topics
Dragon Medical One DQR UHS Case Study
Catalysts for Change: CHIME CIO Market Research Brief White Paper
Avoid Rework with Nuance Computer-Assisted Solutions Infographic
Ambulatory Documentation Solutions for Independent Clinics Overview Datasheet
Physician Alignment Risk Adjustment
(Nuance HCC Guidance for Dragon Medical Advisor)
White Paper
How to combat regulatory overload Blog Post

 

 
 
Top
New

 Contact Support

 

Support is available for our customers with active maintenance contracts by logging into our Nuance Healthcare Community and creating a service request.

Or, call toll-free: (800) 833-7776. When prompted, say "Products" or "Other". Say your product or other subject from the list below:

    Products
  • Dragon Medical
  • PowerShare
  • Diagnostic Solutions
  • Coding or CDI Solutions
  • eScription LH
  • Enterprise Speech Systems
  • Depot Repair

    Other
  • Sales
  • Support Platform Registration and Assistance
  • Order Status
  • Maintenance Contracts and Renewals
  • PowerMic Replacement
  • Accounts Receivable
  • Training
  • Company Directory

 


Top

New

 Implementation Training

 

Customers requesting Nuance personnel to audit or assist them with performing system implementation or upgrades for Dragon Medical Network Edition (DMNE) or other Dragon Medical products should contact the Nuance Professional Services team to inquire about available options.

Nuance Professional Services provides Training Packages to empower customer implementation teams to execute a smooth installation or upgrade with minimal disruptions for the DMNE product. In general, any DMNE installation or upgrade 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:

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

These implementations 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

 

 
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New

 Helpful Links

 

 

 
 
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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.

Sincerely,

Nuance Healthcare Solutions Global Support Services
Nuance Communications, Inc.

 
 

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