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Click the play button on the following eTIPS video to see a demonstration about removing the Hot Key default settings. Did you know that there are multiple authentication methods available in RadWhere builds 3. Previously, when using LDAP to handle username and password access into the RadWhere clients, the only authentication method available was the basic encryption.

With the release of build 3. Perform the following to access and select the proper authentication method for your network:. Here, you can select the appropriate authentication method for encryption. If you are not an iSupport subscriber, click iSupport Timesaver to learn more about iSupport. If you are not an iSupport subscriber, click iSupport Timesaver for information on how to get started with iSupport.

If you are experiencing one or more of the issues described in the What's Fixed listing, please submit a service request to Nuance Healthcare Solutions Global Support Services through iSupport or by calling Conversations Healthcare We will continue to update you as information becomes available at www. 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.

Click Getting Started with iSupport - RadWhere to see step-by-step instructions on how to register to become an iSupport member. You will also learn how to access and log into iSupport, configure your iSupport profile, search our knowledge base for solution, manuals and quick reference materials, and how to use iSupport to submit a request for service.

Optimize Your iSupport Profile If you're already an iSupport subscriber, you may want to consider accessing the Getting Started with iSupport - RadWhere link above and view the instructions. There is valuable information which will help you optimize your iSupport User Profile, thereby enabling you to submit a service request in minimal time. You will also learn how to enable additional time-saving features, requested by our customers, on the iSupport home page.

Contacting Support. RadWhere customers who have an active maintenance contract with Nuance are serviced by a dedicated Healthcare Support team available 24x7x Nuance Healthcare Technical Support This organization can offer assistance via remote on-line connectivity to your systems. It's available toll-free at via our " Say Anything " menu.

So Say, " RadWhere Support " at the prompt. If you are not an iSupport subscriber click here to learn more about iSupport and how you may get started. Click here to navigate to the Nuance Technical Support website for additional details on contacting Veriphy customer support. Nuance Welcomes Your Feedback. We are very much interested in your feedback regarding this e TIPS newsletter.

Click here to reply to this email with your comments or suggestions. If you have any questions regarding the e TIPS content above, please reach out to your account manager for assistance. We would love to hear your ideas for future e TIPS newsletters. 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.

Select Options , and then click the Hot Keys tab. Sometimes, the exam has been completed but the status has not been updated in the RIS. In this case, reports can be dictated, but are not delivered to the RIS until they are marked complete.

Some sites may choose not to allow dictation for scheduled orders. In this case, reports can be dictated, but are not delivered to the RIS until the actual order is received. Report Status Preliminary : Pertains to any report whose status is not final. Draft : Report has been dictated but is still being worked on by the radiologist. Pending Correction : Report has been dictated and queued for correction.

Corrected : Report has been edited by a Transcriptionist and is ready for review. Pending Transcription : Report has been digitally dictated and queued for transcription. Transcribed : Report has been transcribed and is ready for review. Pending Signature : Report has been dictated and signed by a Resident and is awaiting final signature by an Attending.

This status is also reached when Attendings sign reports as preliminary. Final : Report has been completed and signed by an attending.

Addended : One or more addenda have been created for a final report. Addenda are reports themselves and the aforementioned statuses apply to them too. Status Changes Apart from generating temporary orders for non-existing accessions, order status cannot be changed within RadWhere for Radiology; it is controlled by the RIS. New : Opens a Complete unreported order for further editing. Status is unchanged, but the order is locked so other users cannot dictate a report for the same order.

Open : Opens a previously created report. Status is unchanged, but the order is locked so other users cannot overwrite changes. Opening a Final report creates an addendum for that report, since Final reports are not allowed to be changed. The exception to this rule is for reports opened just after being finalized within the grace period specified by the administrator , before they are sent to the RIS.

When a radiologist attempts to open a report belonging to a different radiologist, a prompt for acquiring ownership is shown. If ownership changes, the previous radiologist is listed as contributor if the corresponding site preference is set. Ownership change has some restrictions: A Resident cannot take ownership of a report created by an Attending. Transcriptionists and Technologists can only open their own Draft reports.

When report ownership changes, certain fields are re-merged to reflect the change, such as the Signer Name. Correct : Sets the report status to Pending Correction. When enabled, Residents and Attendings can send for correction the reports they have dictated whose status is Draft or Pending Signature.

The latter is available to Residents only. Sign : Signing a report does different things in different workflows. If an Attending physician signs a report, the status becomes Final and optional, site configurable statements are appended to the report: attestation statement and final electronic signature. If a Resident signs a report, the status becomes Pending Signature and an optional, site-configurable preliminary electronic signature is appended to the report.

If a Transcriptionist signs a report, the status becomes either Corrected if it was Pending Correction or Transcribed it was Pending Transcription. Technologists are not allowed to sign reports. A signing action validates that there are no fill-in fields, or missing impression, and prompts for confirmation and password. It automatically runs the spell checker, ICD9 coding and custom fields dialog, if the corresponding preferences are set.

Sign As Preliminary : Available to Attending physicians only; marks report as Pending Signature and appends an optional, site-configurable preliminary electronic signature. This button is only available for those reports that have a unique associated normal AutoText defined for the appropriate procedure code.

Discard : Discarding a report permanently deletes it from the system. This action cannot be undone. Save As Draft : Saves changes to current report and closes it without prompt; it is available only to reports whose status is Draft.

Reports whose status has progressed can only be reset to Draft by an administrator. Confirm that the directory shown in Last Used Directory is the location that contains the roaming user files on your speech server, and click OK. Otherwise, click Browse and locate the correct directory.

Typically the name of the subfolder that contains the user files is Location 1. NOTE: When you see a list of users in the left frame of the window, you have selected the correct directory. When the Windows user name and password screen opens, enter your user name and password and click OK.

When the Select Frequency dialog box opens, be sure that the following check boxes are selected in the Optimization section: Perform Acoustic Optimization Perform Language Model Optimization In the User Information section, choose from one of the following: To choose a single user, select the user from the drop-down list next to User Name.

If a user has more than one dictation source or vocabulary, select the one you want to optimize from the drop-down lists. To select more than one user , click the Multiple Users button. Highlight a user and click Add to select only specific users, or click the Add All button to add all the users listed. When finished, click OK.

Note: Depending on the user s you are scheduling, ensure that you set a realistic time to run this task. The user cannot be on the system while the job is running. Initially, Acoustic Optimizer should be set to run weekly. After an appropriate amount of time, depending upon the site, set the task to run monthly.

The administrator should meet with the Application Consultant to set the schedule appropriately. When finished, click Apply , then click OK. The new schedule item appears in the scheduler window. Optimization Notes Optimizing speech files can take a long time.

Be sure to allow sufficient time for each user file to complete the scheduled task. It takes approximately one minute to optimize one megabyte MB of user data. Depending upon how much the user actually dictates into the system, the ACO might need to be run more frequently.

Consult with your ATS on this. Last result notification column. Note that when the Last Result column displays the word Complete , the ACO job is not truly complete until the Last Result column contains one of the result statuses shown in the help file. Conversations Healthcare Hold the date for Conversations Healthcare ! Contacting Support PowerScribe customers who have an active maintenance contract with Nuance are serviced by a dedicated Healthcare Support team available 24x7x In This Issue.

Contact Us. Technical Support.

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We will continue to update you as information becomes available at www. Contacting Support. PowerScribe customers who have an active maintenance contract with Nuance are serviced by a dedicated Healthcare Support team available 24x7x Nuance Healthcare Technical Support This organization can offer assistance via remote on-line connectivity to your systems.

It's available toll-free at via our " Say Anything " menu. So Say, " RadWhere Support " at the prompt. If you are not an iSupport subscriber click here to learn more about iSupport and how you may get started. Click here to navigate to the Nuance Technical Support website for additional details on contacting Dictaphone Enterprise Speech Systems customer support.

We are very much interested in your feedback regarding this e TIPS newsletter. Click here to reply to this email with your comments or suggestions. We would love to hear your ideas for future e TIPS newsletters. 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. Nuance is pleased to present you with this edition of e TIPS where you will find tips about: e TIP 1 : How a radiologist can dictate the findings separately and have the findings automatically merge into the AutoText of a report.

If sentences could not be matched to fields in the report, there are two options: The unmatched sentences can be added to new fields in the report. This allows the fields to be selected and dragged to new locations within the report, or deleted entirely.

The unmatched sentences can be left behind in the Findings Only pane. This the text to be corrected, or manually copied into the report as desired. This behavior is configurable through a user preference. Perform the following to access the Clone function. Login to the Dictation Client. Use the Browse task box in the AutoText Manager group to locate the AutoText to clone, and then select it in the grid. Choose Clone from the File menu to clone the AutoText.

NOTE: This function may also be invoked using the right-click context menu in the grid, or by double clicking the AutoText if it belongs to another user. If the AutoText is marked as Normal or Default , a prompt asks if this property should be retained in the clone. The AutoText will open for editing, however, it is not yet saved. Make any desired changes to the AutoText. The name is automatically selected after invoking the Clone command.

Once the editing is complete, click the Save icon to save the cloned AutoText. Click the Close icon to exit the AutoText Editor. Order Status Unreported : No report has been dictated for the order. Complete : Exam has been performed and is ready for dictation. Scheduled : Exam has been scheduled but not yet completed. Sometimes, the exam has been completed but the status has not been updated in the RIS. In this case, reports can be dictated, but are not delivered to the RIS until they are marked complete.

Some sites may choose not to allow dictation for scheduled orders. In this case, reports can be dictated, but are not delivered to the RIS until the actual order is received. Report Status Preliminary : Pertains to any report whose status is not final. Draft : Report has been dictated but is still being worked on by the radiologist.

Pending Correction : Report has been dictated and queued for correction. Corrected : Report has been edited by a Transcriptionist and is ready for review. Pending Transcription : Report has been digitally dictated and queued for transcription. Transcribed : Report has been transcribed and is ready for review. Pending Signature : Report has been dictated and signed by a Resident and is awaiting final signature by an Attending. This status is also reached when Attendings sign reports as preliminary.

Final : Report has been completed and signed by an attending. Addended : One or more addenda have been created for a final report. Addenda are reports themselves and the aforementioned statuses apply to them too.

Status Changes Apart from generating temporary orders for non-existing accessions, order status cannot be changed within RadWhere for Radiology; it is controlled by the RIS. New : Opens a Complete unreported order for further editing. Status is unchanged, but the order is locked so other users cannot dictate a report for the same order. Open : Opens a previously created report. Status is unchanged, but the order is locked so other users cannot overwrite changes.

Opening a Final report creates an addendum for that report, since Final reports are not allowed to be changed. The exception to this rule is for reports opened just after being finalized within the grace period specified by the administrator , before they are sent to the RIS.

When a radiologist attempts to open a report belonging to a different radiologist, a prompt for acquiring ownership is shown. If ownership changes, the previous radiologist is listed as contributor if the corresponding site preference is set. Ownership change has some restrictions: A Resident cannot take ownership of a report created by an Attending.

Transcriptionists and Technologists can only open their own Draft reports. When report ownership changes, certain fields are re-merged to reflect the change, such as the Signer Name. Correct : Sets the report status to Pending Correction.

When enabled, Residents and Attendings can send for correction the reports they have dictated whose status is Draft or Pending Signature. The latter is available to Residents only. Sign : Signing a report does different things in different workflows. If an Attending physician signs a report, the status becomes Final and optional, site configurable statements are appended to the report: attestation statement and final electronic signature.

If a Resident signs a report, the status becomes Pending Signature and an optional, site-configurable preliminary electronic signature is appended to the report. If a Transcriptionist signs a report, the status becomes either Corrected if it was Pending Correction or Transcribed it was Pending Transcription.

Technologists are not allowed to sign reports. A signing action validates that there are no fill-in fields, or missing impression, and prompts for confirmation and password. It automatically runs the spell checker, ICD9 coding and custom fields dialog, if the corresponding preferences are set. Sign As Preliminary : Available to Attending physicians only; marks report as Pending Signature and appends an optional, site-configurable preliminary electronic signature.

This button is only available for those reports that have a unique associated normal AutoText defined for the appropriate procedure code. Discard : Discarding a report permanently deletes it from the system. The streamlined workflow not only enhanced satisfaction, it drove overall uplift in quality of care. Ambient clinical intelligence solutions. Patient engagement solutions.

Documentation capture solutions. Clinical and revenue integrity and quality management solutions. Diagnostic solutions. Care settings and specialties. Provider solutions. Learn more. Omni-channel patient engagement solutions. From burnout to balance Nebraska Medicine needed to address burnout from burdensome documentation processes. Happier physicians—better outcomes UHS sought to engage independent physicians in documentation improvement efforts, using Nuance solutions.

The Nuance difference. Healthcare expertise.