KnowBrainer Speech Recognition - EMR Medical

EPIC thin - where to begin

jcjhu — Sun, 12 May 2013 11:03:23 EST

I am a doc for a large academic practice soon to switch to EPIC EMR. The deployment is using a thin client via Citrix. Having already spent a **breathtaking** amount of money on this EMR, the institution is not providing any speech recognition support. So, I'm on my own...but I'm okay with that because they'd probably just give me something even more klugey than EPIC...grrr - don't get me started.

I'm planning to invest $2-3k of discretionary money to do this right and buy myself some more sleep time. So what hardware and software would work best to start from scratch?

Experience: I have used DNS 9.5 for years. Hey, stop laughing...it works just fine given the time I invested in training, but only at my desk in a quiet office with headset. I've been looking to upgrade hardware and software anyway.

Environment: I have to move around to different rooms, different sites, and do the note completion in the exam room. So most practical is a laptop/ultrabook, preferably with touchscreen, or ideally tablet. Ambient noise is not too bad, but I assume I'll need a microphone too, maybe needing a usb dongle. Mostly I want to be able to face a patient without looking like a borg and be able to convey that I care more about listening to them than making my computer work.

Workaround-ability: Browsing the forum, it looks like dictating to Notepad with scripted transfer to the active EPIC field is probably the best option, but correct me if I'm wrong.

Dragon Medical Update Timeline

mppcarey — Thu, 09 May 2013 09:49:26 EST

I'm using Dragon Medical Enterprise version 10.1. Since our IT department took over maintenence and updates etc. of Dragon the system has been performing very poorly. I'm am using Dragon Professional 12.5 with Knowbrainer Medical we great success with excellent accuracy on a 1st generation i7 acer laptop with 8MB of RAM. I know that specific release dates are not made public. I'm trying to plan for a change in EMR systems that will happen in Feb., 2014. Anyone venture to quest when the Medical version will be upgraded with similar features (e.g., best Match IV)?

Thanks,

Mike

compare performance of current SpeechMagic and PowerScribe360

mdjr — Tue, 09 Apr 2013 10:45:30 EST

I have read elsewhere on this board that SpeechMagic is an "SDK for speech enabling and integration of Medical applications. It uses the Dragon engine, but by itself it is not a speech recognition app."

Are there comparisons for performance of Dragon in PowerScribe360 versus current version of SpeechMagic contained in other speech recognition products.

BTW, what is an SDK?

thanks.

emr practice fusion experiences

VN_DNS — Tue, 02 Apr 2013 11:17:43 EST

does anybody have experience with practice fusion regarding NaturalSpeaking?

Commands in Medical Practice Edition that I did not create

photorob — Sat, 30 Mar 2013 17:59:05 EST

I have noticed that when I'm trying to dictate and use certain phrases such as PO it is converted into by mouth automatically. I would prefer to have PO the cannot seem to find the automatic commands that seems to be changing this. Is there any setting that I need to change to get rid of this behavior. I would appreciate any help.

Optimum configuration for Dragon Medical Professional Edition on a Mac?

Kyle Stevens — Fri, 22 Mar 2013 01:34:04 EST

What would be the optimal hardware configuration for the latest line of the MacBook Pro, if running DMPE in virtual Windows 8 environment?

In what order should I load software?

Marblemouth — Sat, 02 Mar 2013 15:07:42 EST

I have found some references to similar topics but not one that answers my question. I use a cloud based EHR, and dragon small medical practice addition. I dictate mostly into DragonPad, and use a script ("send text"), that I think I found in this forum to transfer the content from DragonPad into the currently open window of the EHR. The question, should I loaded dragon first, or should I have a EHR open, and then load dragon. By the way, I have dragon set so that it is somewhat loaded (if not open), because the dragon logo is already present in the bar at the bottom of the screen. When I click to open Dragon it still asks which profile to activate.

Dragon recognizes OU as each eye/both eyes

BG817 — Thu, 14 Feb 2013 09:31:43 EST

I have an Ophthalmologist that is trying to dictate "OU" (owe you) and have it come out as "OU," NOT each eye or both eyes. Sometimes it comes out as OU, sometimes it it comes out as each eye or both eyes. Things I tried: With OU, OD, and OS, I made sure they were in the vocab. I also took out of the vocab the phrase "left eye" and "right eye," but "both eyes" and "each eye" were not in there to delete. I also checked the formatting options and didn't see anything in there. He is using DMPE.

Any suggestions are appreciated! Thank you in advance.

Upgrading DNS medical 10 to 10.1 so I can run it on windows 7 on a new computer.

chicomed — Sun, 27 Jan 2013 23:01:51 EST

My Hospital gave me a copy of DNS 10 to load on my home desktop, I got a newer laptop, HP with Windows 7 and I can't load the the DNS medical 10 on windows 7.

My computer guy tried and says it won't work.

I read info that says i need to get the 10.1 upgrade but that it was d/c'ed in 2011.

Can you tell me how to fix this problem so i don't have to go back to my low power Tosh 2005 laptop.

Please advise, Chicomed

Issue dictating to apps published via Citrix

DMAdmin — Mon, 14 Jan 2013 11:32:32 EST

Setup: Windows 7 64-bit, PowerMic II, Dragon Medical Practice Edition 11, Citrix Receiver v.3.0.056410.

When dictating into any applications running via Citrix, Epic for example, the phrases are not being transcribed completely into the EHR system. It stops in the middle of the sentence and it happens pretty consistently. For example:

Input: The patient has a large wound on the plantar aspect of her left forefoot area.

Output: The patient has a large wound

Dictating using the Dictation Box works like a charm, but the ideal way is to just dictate directly into any app that runs via Citrix. I'd like to know if this is a known issue and if so what others have done to resolve it. Thanks!

Dragon Pro in EHR ??

MoDoc — Mon, 10 Dec 2012 16:36:17 EST

Being new to EHR use, I would like to know if Dragon Professional would work in an EHR (specifically Meditech) instead of Dragon Medical. I do not plan to give menu commands--only to dictate in text fields where I can see a cursor. I plan to speak "English" not "medicalese" and therefore no not need the special medical word dictionaries. I've been told that only Dragon Medical will work in EHRs, but I question if this trury so. I would appreciate any help your forum members could provide.

Dragon is ripe with problems during dictation

cwest113 — Mon, 10 Dec 2012 14:04:56 EST

Help! Since upgrading to V11 from V9, several of our clinicians have had some horrible results...

1. Dor example, him saying "Right hip pain" showed up as "status.minuwS.e(espentenew..." out of nowhere

2. Another time, during dictation, it switched to "individual character mode"

3. Quite frequently, one will be dictating and Lotus Notes will open and create a new message, and the dictation text will be displayed in the "To:" field.

We are using a html based EMR developed specifically for the Phoenix Fire Department.

Originally, the profiles were all upgrades from 9, but when this specific doc (the one with the most issues) had all these problems, i had him start a brand new profile and retrain.

Even with a new user profile he is still having similar issues.

Any suggestions would be appreciated!

repeating first number

drficho — Sat, 08 Dec 2012 13:58:44 EST

This is likely posted before but i don't seem to hit the right search term

dictate 99213

get 999213

Any advice?

WTS: Dragon preferred 10.1 + knowbrainer 08 + KB medical vocabs

thecamelhq — Sat, 01 Dec 2012 05:27:46 EST

With permission from Lunis, i'm selling this package I bought that includes:

- Dragon Naturally speaking Preferred 10.1 Full version

- Knowbrainer commands 08 Full version

- Knowbrainer MEDICAL speciality vocabularies full

- Knowbrainer Hands-free headset microphone

- Original Dragon hands-free headset microphone

- Andrea USB sound card

- KB 2008 media kit

Paid USD$642

Selling for $250. I'm in australia and would ship internationally for free.

Maybe some of you might consider purchasing this and then do the upgrades. I haven't done the research yet but it might be an option?.

Please contact me at thecamelhq@gmail.com if you'd like to discuss. Thanks

Dragon is adding in a dictation in a place other than where the Dr. wanted it.

ryanvan9 — Wed, 28 Nov 2012 12:48:13 EST

We have a dr. her that dictates A LOT. He has problems frequently, but we don't know what he is doing to create these issues. We have several other drs using the product and ever call us (IT).

Here is the current issue.

On the Attached:

The first red arrow. We will ask | the curser is after the ask. He dictates "The DME to address" and it puts it at the end of the paragraph, and it ALSO changed the R in Return to an S.

Now, he says this happens 10-20 times a day. The dictated sentance doesn't always go to the end of the paragraph, it is random.

Any ideas why this is happening?

Some initial problems with an EMR

Jhawk — Fri, 16 Nov 2012 18:50:47 EST

We are transferring to an EMR which uses Word 2010 to generate notes from templates. So when you create a note from the program Word opens with the appropriate template These are then converted to a signed PDF which is stored in the patient record. It's nice because it seems to play well with DNS 12 professional. It is a lesser known EMR at this point so no greyed out boxes. The problem is working within the templates there are grey boxes for narratives. As long as the narrative is a single utterance without a pause it is in the document. However, if I pause during the narrative anything before that pause is overwritten and the latter part of the narrative is there provided I don't pause again-if I do it is again overwritten. I have a message in to the EMR IT guys. I just wanted to make sure it wasn't a Word or DNS setting issue. I do have to enable editing to complete these templates - which I do.

Thanks,

Marc

Dragon Locks Up During Volume Check

rockwood — Wed, 14 Nov 2012 23:39:44 EST

DNS v10.1 Medical installed on a Asus laptop running Win 7 64K with 4 GB of RAM and an i5 2.27 GHz processor.

The problem is this - whenever I get to the "Adjust Your Microphone: Volume Check" screen, click the "Start Volume Check" button and speak for about 5-7 seconds the entire laptop locks up. Hard. So hard that I can't even CTRL-ALT-DELETE to try and end the task. No amount of waiting unlocks the laptop and I am forced to power down via a hard power off.

I am connecting an Andrea headset with a 3.5mm jack; the laptop itself has a microphone embebed in the bezel at the top of the display to the right of the webcam, and best I can tell when I plug the headset in via Mic In, the imbded mic turns off, and as soon as I unplug the headset the imbeded mic turns back on. The system tray displays a popup when I plug and unplug the headset.

What I've tried so far:

Uninstalling Dragon using the Dragon Removal app and reinstalling Dragon
Using a second Andrea headset
Using a Speech Mike III
Creating a new user

After all of that, I still have the same exact problem when I get to the Volume Check screen.

I have never seen this before with any of my DNS Medical installs (close to 20). I have attached the Dragon log in hopes that you guys can help.

Let me know if you need additional technical information - thanks in advance!

Dragon / Java conflicts

NESII — Fri, 12 Oct 2012 07:31:47 EST

Hello,

I'm not sure if this has been brought up before as I'm brand new to these forums, but I'll ask anyway. We are using Dragon NaturallySpeaking 10 (10.10.0) and JAVA 6.20 as well as XP and IE7. Our issue is that when Dragon is started/running and we go to open our internal program (CareX CareXpress through Siemens) it says JRE is not running. The programs all work independently, yet when Dragon is running, the others do not. Is there a known glitch with Dragon and JAVA I don't know about, or with some of the other systems I'm working with? Any help would be greatly appreciated seeing as our physicians are using both at the same time and getting very frustrated.

Thanks!

Dragon over Citrix

cmajerle — Wed, 03 Oct 2012 09:00:34 EST

Nice to finally find a forum that has pulled together some intelegent Dragon people!!

We have a citrix hosted EMR that we have been trying to get Dragon to work with and it has been a bumpy road. We finally bought new PowerMicII and have the physicians using the dictation box with hotkeys, which has been a HUGE improvement. However, I have one doctor that Dragon keeps bumping out of the dictation box. For example, he pulls up the box with the powermic hotkey and starts to dictate but the preview box isn't by the dictation box instead its down by the system tray and never inputs the text into the box. It also tries to read this input as commands. No other doctor is seeing this problem and all have the same setup, I have sat for hours looking at settings, can someone help before I go crazy!! Thank you!!

Compatibility

jnathan623 — Tue, 25 Sep 2012 19:26:51 EST

Being a good doctor means nothing when it comes to knowing anything about computers. Being a Mac guy, I am even worse on a PC. That being said, what does "Dragon appears to be running in Windows compatibilty Mode" mean? It also says I should cancel "natspeak.exe", whatever the heck that is? Can anyone help a fellow doc?

Entrada voice recognition in athena medical

chas — Mon, 17 Sep 2012 19:59:44 EST

I am using athena EMR and they are unable to work with Dragon naturally speaking very well and they will probably be switching voice recognition programs

1.supposedly it is built on HTML and therefore does not work because they say it is old.

2. . They say it does not work with large webpages and the medical E MR was not originally designed for speech recognition.

They are trying to tell us that they would be working with other voice recognition systems it appears Entrada probably is what they will use.

From what I can find about Entrada voice recognition is recently been available in 2010. It does voice dictation. Does anybody have any experience.

Should athena EMR be able to work with Dragon if that's what they wanted.

DMPE Update - Decreased Accuracy

BG817 — Fri, 14 Sep 2012 12:15:42 EST

Hello,

First post here on Knowbrainer, long time reader. Thank you for this forum, it is extremely helpful.

I have 4 providers that were using DMPE along with their EMR with no problems.

Then, their EMR trainer went in and updated their Dragon to the 11.00.300.530 and had them read some training paragraph, and now they are experiencing latency, decreased accuracy, non-functioning commands, and the like.

Any information/input would be greatly appreciated!

Thank you

accuracy and the acoustic / language optimizer in DNS Medical V 11.1

cutedrdave — Sun, 09 Sep 2012 14:26:36 EST

been using DNS for years. now on my 4th or 5th version. upgraded, scratch that, i uninstalled the old, and went with the DNS Medical in June 2012, creating a brand new profile as I have seen recommended on here previously.

overall, been quite happy with it, but one major problem. my recognition accuracy drops significantly right after scheduled acoustic optimization occurs. Typically, AO is scheduled to run once a month over the weekend when the office is closed, and then I get a rude awakening come Monday morning when trying to use the system. Finally, I have disabled the acoustic optimizer, and plan to leave it off until this problem is rectified. I have to make corrections in practically every sentence, and it takes almost a couple of weeks for things to get back near normal.

I do an acoustic and microphone check regularly.

Any thoughts on what might be causing this?

David

DNS 10.1 medical enterprise and KB medical 11D

MTreloar — Fri, 31 Aug 2012 13:17:06 EST

My hospital has just implemented DNS 10.1 medical. I have been using KB 11D I on my own computer. I do not have any custom commands.

1. Does KB 11D work with DNS 10.1 medical?

2. If so, can I just ask IT at the hospital to load it onto my profile workspace? (I have an extra license not in use for KB).

3. What about KB 12 - would an upgrade be useful for use with DNS 10.1?

Imorting vocabulary and commands

auerdoc — Mon, 20 Aug 2012 22:11:32 EST

Hospital just implemented DNS 10.1 enterprise. IT told me they could import my existing vocabulary and commands (DNS Small Practice 11). I sent them the DAT and txt files. They then told me I needed to give them a complete copy of my user file. I did. They did the import. After that I could not log in to DNS. IT told me they had been mistaken and it is not possible to import vocabulary or commands from DNS 11 to DNS 10.1 enterprise.

Is this correct?

what does citrix need to run Dragon well?

danielschechter — Mon, 18 Jun 2012 22:08:53 EST

Hi,

What is a good configuration of hardware/software/bandwidth to run Dragon over Citrix. Say there are thirty-forty users, server is offsite, internet connection is landline from Verizon.

All the best,

Dan

Micrograms....

Atticus — Tue, 12 Jun 2012 14:04:50 EST

My electronic medical record does not like µg...I want to say "microgram" and have it write "mcg"....Any suggestions... Should be an easy one. I could not find it in the options in Medical Small Practice Ed. V11.

Thanks all.

~ Phillip

Dragon Medical Practice Edition v11 initial lag

frankford27 — Wed, 30 May 2012 15:28:09 EST

When using Dragon Medical Practice Edition v11 with eClinical Works 9

Each time a new field is selected and dictation begins, the first sentence (or first word, it doesn't matter how much you say) takes at least 15 seconds to actually type out what was said. After that initial dictation, it becomes instant and works like normal. It will continue to work like normal until a new field is selected. When a new field is selected (just by clicking the mouse into the new field), again the initial statement isn't registered for at least 15 seconds.

-When dictating into MS Word or any other application there is no initial lag.
-When I select "DragonPad" from the Dragon toolbar, there is no lag when dictating into that.
-When I select "Dictation Box" from the Dragon toolbar, there is a 10 second lag when dictating into that.

I spoke with Dragon Support (Know Brainer) and they did not feel the issue was with the Dragon software or eClinical Works since it works in Word and they have not seen this issue before working between Dragon and eCW. They feel this is an issue with the network.

This issue is present on all 3 PCs with Dragon installed. I have tried disabling antivirus, but that didn't help.

Anyone else seen this issue? Any help would be greatly appreciated!

DNS 11 and Amazing Charts.

Dr. Mel — Sun, 13 May 2012 00:39:33 EST

I am wondering if anyone else is using DNS Medical and Amazing Charts and if you have any tips or insights.

Looking for recent experience using Dragon Network Edition with Epic EMR

mppcarey — Sat, 12 May 2012 15:02:07 EST

We will be switching to Epic in the next 6-12 months for 1200 + integrated care netowrk providers. How has it worked? What pitfalls have you run into? Any trouble using it remotely via citrix?

Thanks,

Mike

Dragon Medical Network Edition and Office 2010

JimW — Wed, 09 May 2012 13:42:22 EST

The network edition of Dragon Medical is not compatable with Office 2010 64 bit on Windows 7 64 bit. The MSWORD edit control has been changed, and the method for getting drgword.dll into Word as an add-on does not work either.

This applies just to the network edition of Dragon Medical (DMENE) and Office 2010 64 bit. There is as yet no work-around.

Dictating in "Fat" and "Thin" Clients -Allscripts

Dr. L — Fri, 04 May 2012 22:32:08 EST

Bought Dragon 11.0 and understood that it could only be used on the "fat side" ( without signing in to the server). There are issues, probably related to our ISP and our server not being in our current building, that cause slowed navigation on Fat, so it takes some of the joy out of the VERY fast, VERY accurate dictation I have been able to do. So one day, I was on the thin client, and my Dragon Tool Bar, open on fat, popped up where I could see it on thin. I went ahead and tried to dictate. It did about as well as Version 7.0. Recognition not as good. Periods in the wrong places. Sometimes stopped before the end of the sentence. But: 1) I don't understand how this could happen; and 2) I would love to make it work better on thin.... ideas?

Dragon freezes during startup at "Initializing" - LOG (Perf): Loading of compatibility modules took more than 60000 msec

Atson — Fri, 04 May 2012 09:40:25 EST

Bought Dragon Medical 11.0 French.

I have identified this problem where Dragon sporadically locks up at “Initializing…” when launched.
In dragon log, the last entries when Dragon freezes is written below:

08:15:28 LOG (Perf): Loading compatibility modules...
08:15:28 Info: SpeechThreshold 20
08:15:28 Info: SpeechThreshold 20
08:15:28 Info: SpeechThreshold 20
08:15:28 Info: SpeechThreshold 20
08:15:28 Info: SpeechThreshold 20
08:16:28 LOG (CMThread): Timeout waiting for compat modules to stabilize
08:16:28 LOG (Perf): Loading of compatibility modules took more than 60000 msec

Attached is also the process list active at the moment before starting Dragon.

Please keep me posted if you have any information about that “Loading compatibility modules…” step. What does it mean?
Can we deactivate something to make that step load properly?

When starting from scratch (ie: delete the Dragon user profile and create a new one), I can use the new profile the moment it was created.

After closing Dragon and launching it again… I start experiencing Dragon hanging at “initializing”…

I basically just need to use Dragon to dictate reports in MSWord.

Thanks for your help!

Computer infos:
- Windows XP SP3 32 bit
- Intel(R) Core(TM) i5 CPU M 520 @ 2.40GHz
- 3GB RAM

A script for routing in EMR

Dragonlady25 — Mon, 23 Apr 2012 08:01:36 EST

Newbie,

I'm a PA for several cardiologists and have a lot of problems with the physicians routing, they don't particularly like how many steps it takes.

I tried a macro but that lasted all of 1 day and then did not produce the next.

I keep reading on the forum about scripting. I have never script before or know the first thing about it but have read a lot on the subject, it sounds like it might be the answer to my problem. We work in EPIC 2009 and have Dragon NaturallySpeaking 10.1.

Several of the physicians will not touch Dragon until we get this resolved. If you guys could help me with this problem it would make my year.

I no this is the Knowbrainer forum but this is beyond me.

Thanks ~ Gwen

Meditech

kernman — Thu, 19 Apr 2012 11:24:34 EST

Hello...is anyone using 11.5 with the Meditech EMR and how is it working....thanks

What is the quality of built-in Dragon medical vocabularies?

bk82 — Wed, 11 Apr 2012 11:58:40 EST

Dear medical community

I am a speech recognition vendor Switzerland. So far I've been dealing mostly with German-speaking clients. Now I am dealing with a medical company where English is also widely spoken.

Due to the lack of experience of speech recognition vendors in Switzerland with English-speaking clients I find myself in the position of having to seek help here: what are your experiences with the American or British Dragon Medical editions?

Are the built-in vocabularies actually accurate? Do you have to do a lot of training or is the accuracy with the medical editions acceptable from the get go? Note that the Dragon Medical editions for German are pretty much unusable for the common physician without extensive customization.

Or do you go the same route as in Europe and buy the vocabularies from specialists in vocabulary building?

(Lunis, I have seen that you offer a KnowBrainer medical version. Why did you create it and how does it compare to the medical versions of Dragon?)

I appreciate your feedback! I'm trying to avoid the situation where I sell them a product that I know nothing about and that may be oversold by Nuance.

Thanks and regards,

Boris

MacSpeech Dictate Medical

Dr. S. — Wed, 04 Apr 2012 13:06:30 EST

Not sure if this forum is only for Support issues regarding DNS for windows. I use both Dragon NaturallySpeaking version 10 medical for Windows as well as MacSpeech Dictate medical for iMac. I find that there are several issues with the latter and I am unsure how to correct words as “correct that” is not an option.

Is anyone dictating into Practice Fusion as their EHR? Would like to talk to you if so.

Thanks,

Dr. S.

Problems with Dragon Medical 11 in my EMR

danno73 — Tue, 28 Feb 2012 18:06:51 EST

I am currently using dragon medical 11 to dictate into practice partner from Mckesson. My practice partner is over a Citrix server. I notice a problem only when dictating into the EMR. My dictations become garbled at times. If I look at the dictation box, there is supposedly is no problem. I do not notice this when I dictate into dragon pad or other programs.

Here is an example:

Instead of, "significant valvular heart lesions"

I get, "significant vlurt lesions"

As you can see, I do not think this is a problem with misrecognition . Of the word, it seems to garble the words together

I noticed this more commonly when I dictate longer passages. This is unfortunate, because this is when dragon makes my life easier. I always thought this was a problem with my connection to Citrix, but I wanted to make sure it is not something else. Any help will be appreciated.

Optimum Hardware

Mike422 — Sun, 19 Feb 2012 16:46:18 EST

What is the optimum hardware for Dragon Medical 11? Does it take advantage of quad core processors?

Thanks!

"Full text control" in sight?

kate — Sat, 28 Jan 2012 00:43:41 EST

I am a disabled physician using Dragon for navigation in our EHR as well as for dictation. I open results queues, sign, print, etc all with Dragon. As you know, one can navigate in Yahoo!, Sermo and numerous other sites and programs, including my EHR, iKnowMed, via Dragon Medical 8, 9, 10.. However, DMP 11.5 represents an unpleasant set back-I can navigate in Microsoft office apps and that's about it. Now, several months after the release, I have not found any more applications with "full text control". It looks like I'll be rolling back to 10.1 -- for now? forever? Are there any rumors out there? Has Nuance any plans?

Kate Kolibaba

Dragon Medical 10.1, Puget Systems Intel i7 2760QM 2.4 GHz, 8GB RAM, Windows 7 Pro 64-bit, Sennheiser mic

WordPerfect problems

Tony C — Fri, 13 Jan 2012 13:43:00 EST

I have been having problems when dictating into WordPerfect with the .dra files. I am using WordPerfect X5. Many times while I am dictating in WordPerfect, I will close the file and save it and come back to it at a later time for further dictation. I may do this several times during the day since I am using it for medical notes. If I do not correct the dictation at the time that I dictate I have noticed that if I do several dictations and close and save the file that many times I cannot go back and play back the sound file at all. Many times the only thing that will be saved is the last sound file. In the options setting I have the "save recorded dictation with document "set to always". I do not have anything set in the options file on that data tab under the advanced settings. Is this the mistake that I am making? I notice under the advanced button under the data tab that one of the options is "always preserve wave data". Should I be setting that with a check mark? Any input would be welcomed. I am using Windows 7 ultimate edition with all service packs installed.

Centricity Fasttrak work with Dragon Medical?

petgo — Fri, 02 Dec 2011 13:02:31 EST

Which of these three EHR's is favored?

danielschechter — Mon, 28 Nov 2011 11:32:21 EST

Hi,

I work for a 25 office practice that does almost exclusively Work Comp and Personal Injury cases. We organize files by case, not patient. The IT dept has narrowed the search to the following:

MedicDocAssistant (on nuance list)

PrognoCIS (on nuance list)

SmartMD (not on nuance list. they have their own dictation service option)

We have an "attorney portal".

I think a patient portal would be good, especially if patients can use smartphones to fill out patient "paperwork" in the waiting area. For unknown reasons, IT hates the idea of kiosks.

We do mostly orthopedics, occupational medicine, and chiropractic/PT.

We have a frustratingly slow 2003 Server with Citrix.

All the best,

Dan

Choice of DNS for non-blacklisted EMR

aschecht — Sun, 13 Nov 2011 00:59:58 EST

Our medical group is beginning implementation of a non-blacklisted EMR. We have 3 or so docs who would like to use voice recognition.
Thanks to all of the forum contributors - I've perused the archives for hours and had most of my questions answered. Still have a few Q's though.

Q1: My reading of the forum has led me to believe that DNS Pro + Knowbrainer provides more advanced speech recognition (because it's on the 11.5 version) than the current Dragon Medical Practice Edition and at a lower cost. Are their any downsides to the DNS Pro + Knowbrainer approach when compared to DMPE for use with a non-blacklisted EMR?

Q2: I've read that DNS Pro can be used on up to 5 machines. Is this one user on up to 5 machines (ie. does each user need a separate license) or for multiple users (even if more than 5) as long as its limited to use on 5 machines?

Q2: Does the Medical Practice Edition also allow use on up to 5 machines or does it require per-user licensing?

Thanks in advance for your help.

Andrew

Not currently using speech recognition software

Speech Recognition Accuracy Dragon Medical 11 vs 10.1

Mike422 — Fri, 11 Nov 2011 13:31:30 EST

I'm thinking of upgrading from Dragon Medical 10.1 to 11 but I would like to know people's opnions on the speech recognition accuracy of 10.1 vs 11.

Dragon Medical 11

Tony C — Wed, 05 Oct 2011 23:31:13 EST

After installation of new medical edition upgrade from 10.1 medical help function doesn't seem to work properly. When scrolling down the help menu and going to help topics, the topics appear to be correctly displayed however when I click on a particular topic nothing occurs in the right-hand side of the display which should list the subject matter. Any suggestions? I am using the program on Windows 7 Ultimate Edition with all service packs installed.

Entering EMR arena

Doc — Wed, 05 Oct 2011 12:49:39 EST

I will be starting Allscripts EMR soon and would like to add DNS and Knowbrainer. I have a solo practice and will have 5 PC's in rooms and 1 laptop. I currently have DNS professional 11.0 and Knowbrainer 2011. What is my next step? Thanks ahead of time.

Using Dragon in EMR

BethyZ — Wed, 28 Sep 2011 17:27:44 EST

I guess I know my answer, but now that we are not "typing" into word, I guess Dragon will not work. Is this correct?

Is there a workaround?

I'm pretty much out of a job at this point as there is no way after using dragon to do my files for the last 2 years that I could possibly type them at this point.

I'm devistated....

Lost function of certain Dictaphone PowerMicII button commands

Greg — Thu, 22 Sep 2011 12:30:37 EST

I have the left custom button set to 'Previous field' and the right button to 'Next field'. For no apparent reason these buttons no longer work. I have 3 PowerMics so I tried another one but still no joy.

It may not have any bearing on this issue but I searched all commands and cannot find the Previous field or Next field commands in KB or DNS.

I have all of the other buttons set to different commands and they all work as usual. I tried to switch the Previous/Next field commands to a different button but they still did not work.

I am using the same forms with the same format for fields (bracketed numbers) and this has worked for years.

Solution?

EDIT TO ADD: I am using DNS Medical 10.1/KB 2008

repeating first letter of text

Tmoore — Sat, 17 Sep 2011 20:54:31 EST

DNS 10.1; KB2011; Windows 7 64 bit

If I dictate "Recent blood work..." I get rrecent blood work...

Thoughts to avoid appreciated.

Tom Moore