Dragon Medical Practice Edition 2 Holiday Sale

If you have been sitting on the fence about purchasing DMPE2 now may be the time to act. Nuance Medical has extended the offer to us to offer our customers a Dictaphone Powermic II (MSRP $424.00) http://www.knowbrainer.com/NewStore/pc/viewPrd.asp?idproduct=466&idcategory;=71 free of charge with every full box copy of Dragon Medical Practice Edition 2 between now and December 31st, 2013. This Holiday sale also applies to 5 packs and 10 packs of DMPE2.

Speech Recognition Microphone Reviews

The KnowBrainer.com YouTube channel http://www.youtube.com/user/KnwBrainer and TheMicrophoneStore YouTube channel http://www.youtube.com/user/TheMicrophoneStore are both great resources for video overviews on speech recognition microphones as well as digital recorders, USB soundcards and software including Dragon Medical Practice Edition.

You’ll find video overviews on popular wireless, desktop, handheld and wired headset microphones as well as established companies like Samson and up and coming companies like SpeechWare.

SpeechWare FlexyMike - Physicians Review

The following is a Physicians Review of the SpeechWare FlexyMike http://www.knowbrainer.com/NewStore/pc/viewCategories.asp?idCategory=58 from the KnowBrainer Speech Recognition Forums http://www.knowbrainer.com/forums/forum/messageview.cfm?catid=6&threadid=17573&enterthread=y


Today was my first full day of using a SpeechWare FlexyMike SE (single ear) microphone in the office and in exam rooms. I used it with a Buddy 7G. I was very impressed with its design and build quality. Even with glasses, it was very comfortable to wear for extended periods of time and did well staying in the position set. It was quick to place on and remove. The travel case was very nice. Subjectively I perceived accuracy as excellent. I felt it was even more accurate than my audio-technica PRO8HEmW. In my opinion this microphone is a bargain for what you get. I highly recommend the SpeechWare FlexyMike.
Kudos to SpeechWare!


-------------------------
DMPE2 [BestMatch V, Large Vocabulary], KnowBrainer 2012 D, VoiceComputer 64-bit v12, Windows 7 Professional 64-bit. Lenovo T520 [i7-2620M, 8GB DDR3-1333, SSD]. Work & Home Office: Sound Devices USBPre 2; DPA d:fine omnidirectional, Audio-Technica BP892, Shure WH30XLR, Earthworks SR40V, Sennheiser MD431 II & ME65/K6P, Samson AirLine 77/QV10e. Exam rooms: SpeechWare TravelMike or Buddy 7G/Audio-Technica PRO8HEmW or FlexyMike SE

_________________________
Tom Hamilton
Nuance Gold Certified & BBB Accredited
KnowBrainer Speech Recognition Forums http://www.knowbrainer.com/forums/forum
KnowBrainer.com http://www.knowbrainer.com
TheMicrophoneStore.com http://www.themicrophonestore.com
support@knowbrainer.com

SpeechWare TravelMike - Physicians Review

The following is a Physicians Review of the SpeechWare TravelMike http://www.knowbrainer.com/NewStore/pc/viewPrd.asp?idproduct=459&idcategory=58 from the KnowBrainer Speech Recognition Forums http://www.knowbrainer.com/forums/forum/messageview.cfm?catid=6&threadid=17494&enterthread=y


After an initial rough start (defective TravelMike mini gooseneck microphone - a rare occurence; and Dragon User Profile set up issues - my fault), I am pleased to have the SpeechWare TravelMike doing extraordinarily well on its own User Profile in green mode. I am amazed at how well DMPE2/TravelMike does at learning pronounciation and new vocabulary; it usually needs only one correction to learn my pronounciation or new vocabulary. It seems to me to do better at many of the common troublesome words I have struggled with on several other sound systems such as "fibrillation, voltages, spironolactone, hypertrophy, cardiomyopathy, electrocardiographically, electocardiogram, echocardiogram, wander, etc.. In other words, it has been the fastest to train sound system I have ever used. Perhaps some of this is due to more experience on my part at training new words and phrases (or maybe Dragon training me).
I never thought it would be possible for a small speech recognition sound pod to rival or equal the accuracy of a much more expensive pro-audio system, but subjectively it is my experiece that the SpeechWare TravelMike has done it.
The smaller form factor makes it even easier to carry around than the Buddy 7G/audio-technica PRO 8HEmW when going from exam room to exam room. More comfortable and faster than a headset too. The TravelMike has become my new favorate for use in exam rooms. The addition of a pivoting 90 degree USB elbow connector would make it perfect.
I just recently placed an order for a SpeechWare FlexyMike single ear from Lunis. The design and specifications suggest this microphone will be fantastic for those times I will be beyond the useable distance of the TravelMike.
Happy dictating,

David


-------------------------
DMPE2 [BestMatch V, Large Vocabulary], KnowBrainer 2012 D, VoiceComputer 64-bit v12, Windows 7 Professional 64-bit. Lenovo T520 [i7-2620M, 8GB DDR3-1333, SSD]. Work & Home Office: Sound Devices USBPre 2; DPA d:fine omnidirectional, Audio-Technica BP892, Shure WH30XLR, Earthworks SR40V, Sennheiser MD431 II & ME65/K6P, Samson AirLine 77/QV10e. Exam rooms: SpeechWare TravelMike or Buddy 7G/Audio-Technica PRO8HEmW or FlexyMike SE

_________________________
Tom Hamilton
Nuance Gold Certified & BBB Accredited
KnowBrainer Speech Recognition Forums http://www.knowbrainer.com/forums/forum
KnowBrainer.com http://www.knowbrainer.com
TheMicrophoneStore.com http://www.themicrophonestore.com
support@knowbrainer.com

Dragon Dictate Medical for Mac Upgrade

If you are a physician using a Mac EMR (such as MacPractice, PowerMed, Practice Solutions or EXmedic) or you’re required to use a Mac computer, Nuance has finally released Dragon Dictate Medical; not to be confused with MacSpeech Medical which has been discontinued. Dragon Dictate Medical is basically a combination of Dragon Dictate with 90 medical specialty language models (vocabularies on steroids). While Dragon Dictate Medical does not include professional amenities such as a Roaming user profile network support, the ability to export your vocabulary with pronunciations or the ability to create advanced scripting commands, it utilizes the same speech engine as Dragon Medical Practice Ed 2 and includes the ability to transcribe digital recordings.

NOTE #1: Current MacSpeech Medical users have the option of upgrading to the Dragon Dictate Medical Upgrade but this is the only upgrade path available.

NOTE #2: If you have the option to use Dragon Medical Practice Edition 2 (w/DNS 12 Speech Engine) for the PC on a Mac running a virtual Windows environment such as Parallels, Boot Camp or an actual PC, we recommend doing so because DMPE 2 is notably more developed. However, if this is not an option, you now have the opportunity to use Dragon Dictate Medical.

Dragon Dictate Medical for Mac Upgrade Product Overview - If you would like to learn more visit http://www.knowbrainer.com or call 615-884-4558

Dragon Dictate Medical for Mac Released Today

If you are a physician using a Mac EMR (such as MacPractice, PowerMed, Practice Solutions or EXmedic) or you’re required to use a Mac computer, Nuance has finally released Dragon Dictate Medical; not to be confused with MacSpeech Medical which has been discontinued. Dragon Dictate Medical is basically a combination of Dragon Dictate with 90 medical specialty language models (vocabularies on steroids). While Dragon Dictate Medical does not include professional amenities such as a Roaming user profile network support, the ability to export your vocabulary with pronunciations or the ability to create advanced scripting commands, it utilizes the same speech engine as Dragon Medical Practice Ed 2 and includes the ability to transcribe digital recordings.

NOTE #1: Current MacSpeech Medical users have the option of upgrading to the Dragon Dictate Medical Upgrade but this is the only upgrade path available.

NOTE #2: If you have the option to use Dragon Medical Practice Edition 2 (w/DNS 12 Speech Engine) for the PC on a Mac running a virtual Windows environment such as Parallels, Boot Camp or an actual PC, we recommend doing so because DMPE 2 is notably more developed. However, if this is not an option, you now have the opportunity to use Dragon Dictate Medical.

 

 

Dragon Dictate Medical for Mac Product Overview - If you would like to learn more visit http://www.knowbrainer.com or call 615-884-4558

SpeechWare SpeechMatic MultiAdapter Customer Review

Some initial impressions of the SpeechWare SpeechMatic USB pod.

As I have said on multiple occasions my office is very noisy at the best of times. Since we are building a large server room in space next to my office (as well as doing earthquake retrofit) the last week has been insanely noisy.

So I've had Roto-hammers, sledge hammers, circular saws, pneumatic nail hammers, regular hammers and the crew marching in out of our office as they cut holes in the wall with Sawzalls and yell at each other. My Pro audio system was unable to keep up with this as most of the noises are coming from behind me and therefore relatively direct the Airline77.

I posted my first impressions here:
http://www.knowbrainer.com/forums/forum/messageview.cfm?FTVAR_FORUMVIEWTMP=Threaded&catid=6&threadid=17092&discTab=true#95583

But yesterday and today I tried a new combination. I used my Airline77 direct to the DBX noise gate in front of the SpeechMatic USB pod. I use the ARTccessories Clean Box as the interface to the SpeechMatic.

I created a new profile, as my gated Pro audio profile did not work well with the SpeechMatic. However I imported my vocabulary that I created back in March with all of the pronunciations of my custom words (not a text word list). I also ran the usual "adapt to writing style" document analysis and one session of initial training.The resulting sN measurement is now at 39 (equal to my Pro audio score). Based on some preliminary documentation provided to me by Rüdiger, I have surmised that DNS use of the SAPI  has an application-specific upper limit for the sN score of 39 (of course I could be wrong).

well I was wrong, with further fiddling with the DBX noise gate I have been able to get an sN score of 43

The difference in sN scores with or without the dbx box in front of the SpeechMatic shows that I am getting my 10+ dB of noise rejection out of the DBX noise gate.

More importantly, I am getting excellent recognition despite all of the construction noise where with either the SpeechMatic USB pod or my previous Pro audio setup I was getting terrible recognition due to construction noise. In fact my speech recognition rate seems to be about as good as my 99%+ recognition rate was with my Pro audio setup in a normally noisy office. I will need to use the new profile for a couple of more days before I can tell whether or not this is actually the case

Making sure that the dbx noise gate's settings were optimal with the AGC on the SpeechMatic took a little fiddling but this is the best overall noise rejection set up I have had so far.

Note, that alone, the SpeechWare SpeechMatic noise rejection is not as good as with the Pro audio set up.  However, together with only the dbx noise gate the combination has noise rejection superior to either.

It's going to be a week or two before I will have the time to do a statistically significant dual microphone & dual electronics recognition rate comparison under normal office conditions.
However I am favorably impressed.

Phil Schaadt


-------------------------
DNS12 Pro BM V Large Vocabulary plus KB or Voice Computer running Win7 64 bit machines with i7-2640M to i7-3960x and i7-3770K processors plus a Sony VAIO Windows 8 machine (i7-3617U processor). DBX Audio Gate with Allen&Heath mixer/USB Audio; Andrea PureAudio USB  usually with Airline 77 or Audio-Technica but also Sennheiser MD431 II, theBoom, et. al.

Philips SpeechMike 5276 / Philips SpeechMike Pro 5274

The Philips SpeechMike LFH 5276 and LFH 5274 models were discontinued about 5 or 6 years ago and what few are left are ridiculously overpriced. Philips replaced the SpeechMike II models with the SpeechMike III LFH 3200 which, in our opinion, is only marginally improved over the SpeechMike II. We believe that Philips eventually realized their mistake and went back to the drawing board. A few months ago they released the Philips SpeechMike Premium (LFH-3500) USB Handheld/TableMike which, in our opinion, is a head and shoulders above the LFH 5276. The LFH 5276 is still a good unit but if you can't get it working, you might consider checking out the newer technology. Unfortunately, even if yourLFH 5276 is actually new, it's no longer under warranty. It's time to put these old horses to pasture.

theBoom Quiet Microphone

theBoom Quiet headset combines cutting edge noise reduction for the microphone as well as the speakers. Featuring UmeVoice's patented noise canceling technology for the microphone, theBoom Quiet enables users to be heard clearly regardless of the level of background noise. Using state of the art lightweight ANR (automatic noise reduction) technology for the speakers, theBoom Quiet helps protect the user's hearing from loud noises without the bulk of many ANR headsets.

Evolution of USB Soundcards for Speech Recognition

                                             

Evolution of USB Soundcards

When we first began using DragonDictate speech recognition software in the 1980’s, it seemed to be incredibly impressive technology. Never minding the very deliberate pause after each and every word, we waited with baited breath to see another (hopefully correct) word miraculously appear on our somewhat blurry little screens. It was fun! It was frustrating! It was not very practical. Back then, the couple of wired analog headset microphone choices available to us were more than adequate.

In 1996, NaturallySpeaking continuous speech recognition was released. With the emergence of this new technology, we had a viable tool for professional as well as personal use. That being the case, we needed microphones and soundcards designed to better utilize this increasingly more sophisticated software. Microphone manufacturers responded, with USB soundcard manufacturers following close behind. The 1st USB soundcard was a large black plastic contraption, manufactured by Telex. While great in theory, in practice it was actually worse than most integrated soundcards. In 2000, Telex released the H-531 USB headset microphone. This was much smaller but included a substandard (consumer grade) microphone element which was not much bigger than the head of a pin and produced barely acceptable accuracy. While Telex stopped producing USB soundcards before the release of Windows XP, they had at least gotten the ball rolling. Companies like Andrea Electronics and VXI then picked up the slack and additional companies have since jumped on the bandwagon. They’ve come a long way since the 1st USB microphone came out in the late 90s.

Today, a USB soundcard just might be your best option if:

• Your desktop computer is one of the 99.9% of computers that includes an integrated soundcard (which we don’t recommend using)

• Your desktop computer doesn’t have a Sound Blaster PCI soundcard

• You are using a tablet or notebook computer (as they all have integrated soundcards)

• Getting the highest possible accuracy from your speech software is of the utmost importance to you

• You are using a Mac computer

• You are using one of many of the latest notebook computers, which no longer support standard microphone input

Microphone Forums

Whether you have a specific question or want to offer your own insights about microphones, speech recognition microphones, PC’s or Speech Recognition software including WSR, Dragon NaturallySpeaking or Dragon Medical come and post it on the board. Whether you are looking to purchase or you’re having difficulty with existing equipment the forum is a great source for answers.  

To visit the Speech Recognition Forums go here http://speechrecognitionmicrophone.fr... - For additional ifo visit http://www.themicrophonestore.com - or call 615-884-4558

Microphone Forums

TheMicrophonestore.com has opened Microphone Forum discussing the Best Microphones for Speech Recognition and Best Practices in Regards to Usage. These Forums also Deal with all Other Mainstream Microphone Applications as Well as Speech Recognition Software and Computers. TheMicrophoneStore.com staff will make sure all questions receive an answer. http://speechrecognitionmicrophone.freeforums.org/

SpeechWare FlexyMike Review

SpeechWare Introduces an Ultralight Titanium Headset Microphone

 

SpeechWare has just introduced the lightest, most accurate, noise rejecting headset microphone we have ever tested. If you would like to see what we have come to believe to be the next evolution in headset microphones, check out our FlexyMike SE (single ear) and FlexyMike DE (dual ear) review at http://www.knowbrainer.com/downloads/FlexyMike_Review.pdf 

SpeechWare TravelMike Review - The Tablet / Laptop solution

SpeechWare Introduces a New Portable Desktop Microphone - A perfect solution for People using Tablet and Laptop computers.

If you’ve been waiting for a (mobile, hands-free, cord free, headset free, inconspicuous and accurate) USB portable desktop microphone that you can plug into the side of your notebook or tablet computer, check out our KnowBrainer TravelMike Review at http://www.knowbrainer.com/downloads/TravelMike_Review.pdf 

SpeechWare SpeechMatic MultiAdapter USB Soundcard Full Review

New SpeechMatic MultiAdapter USB Soundcard Can Potentially Increase Your Speech Recognition Accuracy

Have you noticed how the blue bar bounces up and down as you are running the Dragon Audio Check? Our voices never maintain a steady volume level so Dragon has to make an educated guess which means that potentially, our accuracy is never quite as good as it could be.

 

From a speech recognition point of view, USB soundcards have remained virtually unchanged since their inception in the late 90s. While some of the latest models include pretty blinking LED lights, low noise floors and high fidelity output, none of these innovations are relevant to speech recognition and that’s why, until now, we have been hesitant to publish a USB soundcard review. Fortunately, that’s all changed.

We have always endorsed the use of external USB soundcards or USB microphones but as of today, the only USB soundcard we will be recommending is the SpeechMatic MultiAdapter (due August 22, 2013) because it not only includes auto gain control but additionally includes auto EQ to compensate for vocal tonal changes that occur when speaking at lower or higher volume levels or extending or shortening the microphone distance. Besides being the only USB soundcard to include auto volume/EQ, it will also features global broadband noise filtering, a de-clicking algorithm (to block non-words such as clearing your throat) and NaturallySpeaking 11/12 algorithms impregnated onto an integrated circuit board. This new USB soundcard, which we have been testing for the last 6 months, is introducing 6 new technologies which you’ll find covered in our KnowBrainer Soundcard Face-Off ~ http://www.knowbrainer.com/downloads/Battle_of_the_USB_Soundcards.pdf but the bottom line is we found the new SpeechMatic MultiAdapter increased our speech recognition accuracy by approximately 1% over other soundcards. 1% may not sound like much until you realize that raising your accuracy from 96% to 97% translates to more than 25% fewer misrecognitions. To demonstrate this new technology, we were able to place our headset, approximately 12 inches away on our desktop, and continue dictating. Although our accuracy dropped a bit, we know of few other headset microphones that could be used from 12 inches away.

Tom Hamilton
Nuance Gold Certified & BBB Accredited
KnowBrainer Speech Recognition Forums http://www.knowbrainer.com/forums/forum
KnowBrainer.com http://www.knowbrainer.com
TheMicrophoneStore.com http://www.themicrophonestore.com

VXi TalkPro USB2 Headset Microphone Product Overview

VXi TalkPro USB2 Headset Product Summary - If you would like more information on these products visit http://www.themicrophonestore.com/ or call 615-884-4558

VXi TalkPro USB1 Headset Microphone

VXi TalkPro USB1 Headset Product Summary - If you would like more information on these products visit http://www.themicrophonestore.com/ or call 615-884-4558

DRAGON MEDICAL VOCABULARIES

Vocabularies
Dragon® Medical Practice Edition contains medical vocabularies covering more than 90 medical specialties and subspecialties.


It is important that you select the correct vocabulary. Using a specialized medical vocabulary that covers the cases you see in your medical practice will offer you the highest recognition and productivity gains. Selecting a non-medical vocabulary or the medical vocabulary of a different specialty can have a significant impact on your recognition accuracy.
OVERVIEW OF THE COVERED SPECIALTIES AND SUBSPECIALTIES
General English: Non-medical vocabulary for dictating emails, letters, etc.

General Medical: A broad, non-specific medical vocabulary covering a wide range of medical specialties. Select this model if no other choice is applicable to you.


• Allergy and Immunology

• Anesthesiology
Anesthesiology Subspecialties:
– Pain Medicine
• Cardiology
– Cardiovascular Disease
– Clinical Cardiac Electrophysiology
– Interventional Cardiology

• Colon and Rectal Surgery

• Dermatology Dermatology Subspecialties:
– Dermatopathology

• Emergency Medicine

• ENT ENT Subspecialties:
– Otolaryngology

• Family Medicine

• Internal Medicine Internal Medicine Subspecialties:
– EEG
– EMG Examination
– Endocrinology, Diabetes, and Metabolism
– Gastroenterology
– Geriatric Medicine
– Hematology
– Infectious Disease
– Medical Microbiology
– Medical Toxicology
– Nephrology
– Oncology
– Proctology
– Pulmonary Disease
– Rheumatology

• Neurology
  Neurology Subspecialties:
– Neurodevelopmental Disabilities
– Neuromuscular Medicine
– Neuropathology
– Neurotology

• Neurosurgery

• Nuclear Medicine

• Obstetrics and Gynecology Obstetrics and Gynecology Subspecialties:
– Fetal Medicine

• Ophthalmology

• Orthopedic Surgery
Orthopedic Surgery Subspecialties:
– Hand Surgery
• Pathology

• Pediatrics Pediatrics Subspecialties:
– Developmental Behavioral Pediatrics
– Pediatric Otolaryngology
– Pediatric Pathology
– Pediatric Pulmonology
– Pediatric Rheumatology
– Pediatric Transplant Hepatology

• Physical Medicine and Rehabilitation

• Plastic Surgery

• Psychiatry Psychiatry Subspecialties:
– Addiction Psychiatry

• Radiation Therapy

• Radiology Radiology Subspecialties:
– Diagnostic Radiology
– Vascular and Interventional Radiology

• Surgery
  Surgery Subspecialties:
– Bariatric Surgery
– Breast Surgery
– Cardiac Surgery
– Cardiothoracic Surgery
– Oral and Facial Surgery
– Thoracic Surgery
– Transplant Hepatology
– Urology 
– Vascular Surgery
• Other Specializations:
– Behavioral Health
– Blood Bank and Transfusion Medicine
– Case Management
– Chiropractice
– Dentistry
– Pediatric Dentistry
– Epidemiology
– Medical Education and Writing
– Midwifery
– Nursing
– Osteopathy
– Podiatry
– Psychology
– Radiation Oncology
– Social Worker
– Speech and Language Pathology
– Spinal Cord Injury Medicine
– Undersea and Hyperbaric Medicine– Sleep Lab

If your specialty is not listed, please use the following guide to determine the vocabulary you should select.
 

If your specialty is:	We recommend choosing this vocabulary:
Behavioral Health	Psychiatry
Blood Banking/ Transfusion Medicine	Pathology
Clinical Cardiac Electrophysiology	Cardiology
Dermatopathology	Pathology
EMG Examinations	Neurology
EEG	Psychiatry
Interventional Cardiology	Internal Medicine
Medical Microbiology	Pathology
Medical Oncology	Internal Medicine
Medical Toxicology	Emergency Medicine
Neurodevelopmental Disabilities	Pediatrics
Neuromuscular Medicine	Physical Medicine and Rehabilitation
Neurotology	ENT
Otolaryngology	ENT
Undersea and Hyperbaric Medicine	Emergency Medicine
Transplant Hepatology	Internal Medicine
Spinal Cord Injury Medicine	Physical Medicine and Rehabilitation

For More Information Visit www.KnowBrainer.com , www.TheMicrophoneStore.com or call 615-884-4558

Dragon Medical FAQS

What Healthcare Challenges Does Dragon Medical Practice Edition Solve?

EHRs offer the potential to dramatically improve the cost and quality of healthcare. Despite this potential, EHR software is used by only 57% of clinicians in the U.S. today. In order to understand the potential benefits of Dragon

® Medical Practice Edition, it is important to articulate the factors that are driving U.S. healthcare toward EHR adoption, as well as the factors that are inhibiting EHR adoption.
Incentive payments to physicians have dramatically accelerated EHR software purchasing and implementation. Passed in 2009, the Health IT for Economic and Clinical Health Act (HITECH) provides physicians up to $64,000 each ‘for showing that they are meaningfully using health information technology’, by purchasing and using CCHIT-certified (www.cchit.org) EHRs. According to the 2010 CapSite Ambulatory EHR and PM Study, 42% of all physician practices indicated they had purchased an EHR in the previous two years— up from 37% a year earlier.
Physicians must also purchase EHRs in order to report to the Center for Medicare and Medicaid Services (CMS) a number of Clinical Quality Measures (CQMs), as well as maintain Problem Lists and Medication Lists. Clearly, EHR templates are required to capture these elements of the patient encounter to meet CMS guidelines.

Dragon Medical Practice Edition is the speech recognition solution from Nuance
® Healthcare designed for use not only by doctors but also nurses, nurse practitioners, physician assistants, therapists, and other care providers. For practices with less than 25 physicians, Dragon Medical Practice Edition is the only real-time speech recognition solution which fits busy clinicians’ needs.

Dragon Medical Practice Edition introduces a faster, more efficient way for medical professionals to create medical records, medical correspondence, or email messages. Dragon Medical Practice Edition introduces a new, faster speech recognition engine that is over 20% more accurate than previous versions.

This solution turns voice into text three times faster than most people can type, with up to 99% accuracy, using any Windows ®-based EHR system. Dragon Medical Practice Edition includes vocabularies covering more than 90 medical specialties.

WHY USE DRAGON MEDICAL PRACTICE EDITION?

Here are just a few reasons why Dragon Medical Practice Edition is for you:

• Improves the quality, efficiency, and profitability of the care you provide
• Raises clinician satisfaction

Physicians who use Dragon Medical Practice Edition report that it makes the practice of medicine more enjoyable and that they can get home in time for dinner—no more late nights and weekends catching up on dictating/typing and signing patient charts.

• Accelerates EHR adoption
Clinicians can dictate the ‘medical decision-making’—History of Present Illness, Review of Symptoms, Assessment and Plan—while within the EHR.

• Helps you dictate notes in your own words
Create robust, meaningful notes that truly capture the patient encounter—rather than the ‘cookie-cutter’ notes that are often provided by many EHR templates.
 
HOW DOES DRAGON MEDICAL PRACTICE EDITION COMPARE WITH OTHER DRAGON NON-MEDICAL PRODUCTS?

Nuance provides other Dragon products, such as Dragon NaturallySpeaking
® Professional 12 and Dragon NaturallySpeaking Premium 12, which are excellent speech recognition products for ‘general-purpose’ home or business use. However, the size and scope of Dragon Medical Practice Edition’s medical vocabularies provides a far superior dictation experience for physicians compared with Dragon Professional or Dragon Premium.
Tests comparing products used in a clinical setting show that Dragon Medical Practice Edition is over 30% more accurate than Dragon Professional 12 for dictating patient records.
Dragon Medical Practice Edition covers more than 90 medical specialties, which means that you won’t encounter missing terms or phrases—they’re all there ‘out of the box’.
Physicians using Dragon Professional would lose thousands of dollars in practice revenue, or more than a year in time spent correcting errors, or adding medical terms that are already in Dragon Medical Practice Edition. As a result, Dragon Medical Practice Edition is the most cost-effective Dragon speech recognition for clinicians in physician practice settings—by far.
Further, Dragon Medical Practice Edition protects sensitive and confidential patient information by supporting encrypted network file storage of speech files, helping your organization satisfy HIPAA privacy and confidentiality guidelines. Dragon Medical Practice Edition features secure encryption methods, which provide even greater levels of information security.

HOW MANY PHYSICIANS ARE USING DRAGON MEDICAL SPEECH RECOGNITION SOLUTIONS TODAY?

Today, more than 180,000 physicians worldwide have chosen Dragon Medical. Physicians are adopting Dragon Medical speech recognition solutions as rapidly as they are adopting EHR systems.
Physicians are also using ‘front-end’ (dictate, edit, and sign without transcription) speech recognition in other specialties. In radiology, for example, nearly 50% of all radiologists are using Nuance’s PowerScribe® 360 solution.
Nuance Healthcare also offers Dragon Medical 360 | eScription™ which applies ‘background’ or back-end speech recognition. Using Dragon Medical 360 | eScription, a physician dictates into a standard telephone, and his or her speech is processed offline by speech recognition and edited by a Medical Transcriptionist while listening to the physician’s original dictation file. More than 150,000 physicians are believed to use a background speech recognition system.

ARE THERE DIFFERENT PRODUCTS IN THE DRAGON MEDICAL FAMILY? WHICH PRODUCT IS RIGHT FOR MY ORGANIZATION?

Dragon Medical is available in two distinct pricing and packaging versions designed to meet the needs of these distinct customer groups:

• For independent practices with less than 25 physicians, Dragon Medical Practice Edition is the only real-time speech recognition solution which fits busy clinicians’ needs.

Dragon Medical Practice Edition introduces a faster, more efficient way for medical professionals to create medical records, medical correspondence, or email messages.
Dragon Medical Practice Edition introduces a new, faster speech recognition engine that is over 20% more accurate than previous versions. This solution turns voice into text three times faster than most people can type, with up to 99% accuracy, using any Windows-based EHR system.

• Large (25+ physicians) practices, hospitals, and health systems and practices owned by hospitals, should deploy Dragon Medical 360 | Network Edition.

Dragon Medical 360 | Network Edition is the most effective solution for healthcare organizations to deploy mission-critical, industrial-strength speech recognition across the enterprise.
Dragon Medical 360 | Network Edition is designed for large practices or hospitals that have deployed enterprise-wide EHR solutions and now can add speech recognition as an enabling technology for all physicians in the organization. This version provides:

– vSync for EHRs
vSync is advanced Nuance Healthcare technology, which creates a virtual channel between the client PC and virtualization servers, passing pertinent EHR text box information to Dragon Medical 360 | Network Edition.
vSync keeps Dragon Medical 360 | Network Edition and the EHR system continuously in sync.

– The Nuance Management Console
This powerful tool allows Dragon Medical 360 | Network Edition customers to centrally manage users across an entire provider organization. Management capabilities of the Nuance Management Console include the ability to assign batch settings and properties to groups of users (or individuals), as well as schedule batch updates of new releases, and track Dragon Medical 360 | Network Edition performance and usage.
The Nuance Management Console will
substantially reduce the total cost of ownership and ongoing management of Dragon Medical 360 | Network Edition.

– Dragon Medical 360 | Network Edition Client
A ‘real-time’ speech recognition program that works with virtually any Microsoft® Windows-based or EHR in a virtualized environment for efficient report completion and easy navigation. It includes optional user login and passwords. As part of the installation in a virtualized environment, there is a component that connects with vSync over a virtual channel that receives pertinent text box information, ensuring that Dragon Medical 360 | Network Edition and the EHR are continuously in sync.

WITH WHICH EHRS DOES DRAGON MEDICAL PRACTICE EDITION WORK?

Making EHRs easy to use by significantly reducing the number of mouse clicks and typing, Dragon Medical Practice Edition enables clinicians to document care much more efficiently. This solution seamlessly drives all major EHR systems.

The Dragon Medical EHR Certification program is designed to ensure seamless Dragon Medical workflow with EHRs. Testing within each EHR system focuses on how a provider would ultimately use Dragon Medical Practice Edition within the physician documentation portion of a given application. For more information on the program, please search the web for ‘Dragon Medical Certification’ or visit http://www.nuance.com/ for-partners/by-solution/healthcare-solutions/ dragon-medical-certified-ehrs/index.htm

WHERE CAN I BUY DRAGON MEDICAL PRACTICE EDITION?

Dragon Medical Practice Edition is designed for physician practices with up to 24 physicians.
Dragon Medical Practice Edition is sold through a nationwide network of more than 300 resellers. To find a local reseller from whom you would like to purchase and get support, please visit www.KnowBrainer.com, or call a sales representative at 615-884-4558.

WHAT’S NEW IN DRAGON MEDICAL PRACTICE EDITION?
Major Features and Enhancements:

• Recognition accuracy
Turns voice into text with up to 99% accuracy. Dragon Medical Practice Edition is over 20% more accurate ‘out of the box’ than previous versions.

• Recognition analytics
A percentage of misrecognitions can be caused by simple audio quality issues, such as incorrect microphone connection or placement, background noise, and microphone out of range or low on battery.
Dragon Medical Practice Edition automatically detects poor audio input; it then alerts the user (in various ways depending on the issue), offering advice to remedy the situation.

• Recognition speed
Dragon Medical Practice Edition significantly improves recognition response time. The software is also faster than previous editions when selecting application menu items by voice, or executing voice commands that perform actions within applications (e.g., “insert page break”, “make that red”, etc.).

• New Dragon Box
A major enhancement over the previous version’s Sample Commands window, this new desktop assistant allows users to discover and remember many commands and tips; at any time, it lets you glance at or explore global commands (including mouse commands), application-specific commands and custom-created commands, as well as tips. Its contents change depending on what window is currently active. In addition, the Dragon Box lets users print its content. (Note: This feature can be viewed by selecting from the Help menu).
Nuance has developed the Dragon Medical EHR Certification Program to facilitate collaboration
In addition to these major new features and enhancements, Dragon Medical Practice Edition includes dozens of other new features and enhancements, some of which are described below and categorized for ease of review.

Accuracy Features:

• Regional accent support
Dragon Medical Practice Edition supports many regional accents of non-native speakers (Asian-Pacific, Asian-Indian, Australian, British, Hispanic, Pakistani), and U.S. accents (Deep South, Northern Inland).

System Management Features:
• Upgradeable
Uses voice profiles and language models from Dragon Medical Versions 9, 10 and Dragon Medical Practice Edition 1, so your voice profile and all commands, added words, phrases and macros are available.

PRODUCT BENEFITS
Clinicians receive the following advantages from Dragon Medical Practice Edition over previous versions or non-medical Dragon products:

More Efficient Care:

• Dictate faster and more accurately than ever
Dragon Medical Practice Edition is over 20% more accurate than previous versions— saving valuable minutes. Additionally, Dragon Medical Practice Edition has virtually instant response time, saving clinicians valuable minutes in their day.

• Dictate anywhere in your EHR system
Dragon Medical Practice Edition allows clinicians to dictate anywhere in an EHR system, while reviewing Lab Tests, Patient History, or Current Medications. Clinicians no longer have to click back and forth between information they’re reviewing and the dictation window. They dictate while reviewing information, and the improved Hidden Mode feature allows the clinician to paste the dictation directly where he or she wants it.

• Accelerate clinician adoption and acceptance of EHR systems
Dragon Medical Practice Edition reduces time spent documenting care in an EHR:
– Voice commands specific to each EHR reduce the amount of searching and mouse-clicks needed to move to the right screens.
– ‘Free text’ open dictation of medical decision making (History of Present Illness, Assessment, Plan, and other elements of a medical note) directly into the EHR eliminates the need for clinicians to type.

More Effective Care:

• Spend more time with patients
Increased accuracy and fewer errors to correct means clinicians can spend more time with patients, improving patient satisfaction.

• Dictate in your own words
Dragon Medical Practice Edition free-text dictation capability supports more detailed History of Present Illness, more flexible Review of Symptoms, and more descriptive Assessment and Plan—the ‘medical decision-making’ aspects of the note—which give referring clinicians and ancillary providers a clearer and more detailed patient assessment and prognosis.

• Secure patient information
Dragon Medical Practice Edition supports HIPAA compliance guidelines to protect patient confidentiality.

• Improve Clinician Satisfaction
Clinicians who use Dragon Medical Practice Edition report that it significantly improves their enjoyment of practicing medicine. By allowing them to use their time more effectively, clinicians’ quality of life is improved.

More Profitable Care:

• Dramatically Reduce the Cost of Documentation
Eliminate transcription by speech-enabling the EHR, freeing up resources to focus more on patients and invest in methods to help practice efficiency. Practices that are using Dragon Medical Practice Edition today are dramatically reducing transcription costs, which range from $500 to $1,000 a month per physician.

• Support Higher Levels of Reimbursement
Independent studies have shown that clinicians create more detailed notes with Dragon Medical Practice Edition than with notes built with ‘point-and-click’, template-only EHR menus.

• Increase Practice Volume
Faster, more accurate response reduces time spent on dictation, allowing clinicians to see more patients and increase practice revenue and profitability.

HOW IS DRAGON MEDICAL PRACTICE EDITION LICENSED?

Dragon Medical Practice Edition is purchased for use on a per-user basis. A user is defined as one (1) individual who dictates in Dragon Medical Practice Edition.
A licensed user may install Dragon Medical Practice Edition up to four times for use by that same user only.
A Dragon Medical Practice Edition license may not be used by more than one clinician, even if other users use the same PC.

WHAT BENEFITS SHOULD PHYSICIAN PRACTICES EXPECT FROM USING DRAGON MEDICAL PRACTICE EDITION?

Nuance Communications designed Dragon Medical Practice Edition for use by not only doctors but also nurses, nurse practitioners, physician assistants, therapists, and other care providers.
For independently owned practices with less than 25 physicians, Dragon Medical Practice Edition is the only real-time speech recognition solution which fits busy clinicians’ needs.
Dragon Medical Practice Edition introduces a faster, more efficient way for medical professionals to create medical records, medical correspondence, or email messages. Dragon Medical Practice Edition introduces a new, faster speech recognition engine that is over 20% more accurate than previous versions.
This solution turns voice into text three times faster than most people can type, with up to 99% accuracy, using any Windows-based EHR system. Dragon Medical Practice Edition includes vocabularies covering more than 90 medical specialties and subspecialties.

DO CLINICIANS STILL NEED TO USE A KEYBOARD AND MOUSE?

Although clinicians can use Dragon Medical Practice Edition to do almost everything on their computer by voice, some tasks are still easier to do by mouse or keyboard.
Dragon Medical Practice Edition allows clinicians to develop powerful speech commands and macros, which automate navigation and other repetitive tasks, saving countless clicks and keystrokes.
If using a mouse and keyboard are an option for clinicians, they should try experimenting with using their voice and hands for different tasks to see what works best.

WHAT ARE THE SYSTEM REQUIREMENTS?
Recommended System Requirements:

• CPU: 2.4 GHz Intel Dual Core or equivalent AMD processor. (IMPORTANT: SSE2 instruction set required)
• Processor Cache: 2 MB
• Free hard disk space: 5 GB
• RAM: 2 GB RAM for XP and Vista, and 4 GB for Windows 7, 8 and 2008 64-bit/2012
• Microsoft Internet Explorer 8, 9, 10 (free download at http://www.microsoft.com) Creative

1. ® Labs Sound Blaster® 16 or equivalent sound card supporting 16-bit recording

• USB or DVD-ROM drive required for installation 

Supported Operating Systems:

• Microsoft Windows 8, 32-bit and 64-bit
• Microsoft Windows 7, 32-bit and 64-bit
• Microsoft Windows Vista SP2, 32-bit and 64-bit
• Microsoft Windows XP SP3, 32-bit only
• Windows Server 2008, SP1, SP2, and R2, 32-bit and 64-bit (Windows 2008 R2 64 bit SP2 ONLY) 

Applications:

• DragonPad
• WordPad
• NotePad
• Microsoft

1. ® Word 2007, 2010 (32 & 64 bit), 2013 (32 & 64 bit)

• Microsoft

1. ® Outlook® 2007, 2010, 2013

• Microsoft

1. ® Excel® 2007, 2010, 2013

• WordPerfect

1. ® x5, x6

• Apache OpenOffice Writer 3.4
• Internet Explorer 8, 9, 10
• RIA IE9
• Mozilla

1. ® Firefox® 8+

• RIA FF 12+
• RIA Google Chrome 16+
• Windows Live Mail
• Mozilla

1. ® Thunderbird™ x3 and up

• Lotus Notes 8.5
• FTC in Gmail and Hotmail thanks to RIA plug-in

WHAT DO I NEED TO KNOW ABOUT VOCABULARIES?
Dragon Medical Practice Edition contains vocabularies covering more than 90 medical specialties and subspecialties, so it is likely that your specialty will appear on the list. If your specialty is not covered, you should choose either the general medicine or the specialty vocabulary that is closest to the specialty you perform.

ABOUT NUANCE COMMUNICATIONS
Nuance Communications is the market leader in creating clinical understanding solutions that drive smart, efficient decisions across healthcare. As the largest clinical documentation provider in the U.S., Nuance provides intelligent systems and services that improve the entire clinical documentation process—from the capture of the complete patient record to clinical documentation improvement, coding, compliance and appropriate reimbursement. More than 450,000 physicians and 10,000 healthcare facilities worldwide leverage Nuance’s award-winning, voice-enabled clinical documentation and analytics solutions to support the physician in any clinical workflow and on any device.
To learn more about how Nuance Communications can help you improve financial performance, raise the quality of care, and increase clinician satisfaction, please contact KnowBrainer, Inc. at http://www.knowbrainer.com/ or 615-884-4558

COEXISTENCE WITH PREVIOUS VERSIONS OF DRAGON MEDICAL?
Only one version of Dragon Medical Practice Edition can be installed on the system.
NOTE: Running previous versions of Dragon Medical speech recognition solutions concurrently with Dragon Medical Practice Edition is not supported.
NOTE: Coexistence with Dragon Medical SDK Client Edition versions is not supported.

UPGRADING FROM PREVIOUS VERSIONS OF DRAGON MEDICAL SPEECH RECOGNITION SOLUTIONS
Clinicians can upgrade from Small Practice Box or the Enterprise Edition of Dragon Medical version 9, 10 or Dragon Medical Practice Edition 1 to Dragon Medical Practice Edition 2. When upgrading from these previous versions, clinicians can choose to migrate their user files and vocabularies to Dragon Medical Practice Edition. Once Dragon Medical Practice Edition is installed, previous versions will no longer be functional. If clinicians choose not to upgrade their user files and vocabularies during the upgrade, they can do so at a later time by running the Dragon Medical Practice Edition Upgrade Tool.
In addition, clinicians can upgrade from previous versions of Dragon Naturally Speaking Professional to Dragon Medical Practice Edition.

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