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.

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

The 1st thing we should probably point out is that Pro 11.5 is limited to 5 activations which means you are short 1 activation if you're planning on installing DNS on each computer. As far as the installation process is concerned, your KnowBrainer manual includes a pictorial step-by-step on the process.

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Click KB 2012 REV D to Download a 30 Day Evaluation of KnowBrainer 2012 

 

 

 

Well, I could get by with 1 less computer. Would you recommend the Medical Practice edition?

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

Doc,

I'm not sure whether Allscripts EMR is in the list of EMR's that are hardcoded into any version of DNS other than Dragon Medical Practice Edition. However, if it is and you try to use any version of DNS other than the medical version, whether DMPE or DNS 10.1 Medical, Dragon will shut your microphone down and you will not be able to continue to dictate. That's been around since the introduction of DNS 10-10.1 Medical. Sometimes you can get away with one of the Professional versions, or even Premium/Preferred, but don't take it to the bank. Test it first. If it's OK, then go ahead and continue. If you get blocked (i.e., your microphone gets turned off when you try to dictate into that particular EMR), then unfortunately your SOL and you would have to go with the Dragon Medical Practice Edition.

Also, for everyone's benefit and just to reiterate, Dragon Medical Practice Edition is 11.0 not 11.5. So, if you gotten used to some of the features like "quote that", "undo all", "bracket that" etc., they are not there in Dragon Medical Practice Edition, at least not yet. There are couple of other missing features that won't be available until Dragon Medical Practice Edition is updated to 11.5. God knows when that's going to happen given the length of time between DNS 11.0 and the 11.5 upgrade. Keep in mind also that Dragon Medical Practice Edition is not a part of the retail division of Nuance Re: Dragon NaturallySpeaking. It is entirely produced and distributed through the Medical division. So, complaining that there is no update to 11.5 yet would be unfairly directed if it were directed towards the Retail division (Dragon NaturallySpeaking Basics, Home, Premium, Professional, or Legal). Dragon Medical Practice Edition is off in its own little corner, with its own tech support, yada yada yada ad infinitum, ad nauseam. So, if it takes too long to get the 11.5 update for Dragon Medical Practice Edition, you'll have to complain to the Medical division. Again, Dragon Medical Practice Edition is its own little sandbox and the Retail division has absolutely nothing whatsoever to do with it.

Now, that being said maybe Nuance has heard the cry of foul in this regard and change their approach. However, I would have to see that to believe it. Nevertheless, it's possible, but you should still tested before you install it on five machines just to be sure. In the beginning with DNS 10.0, all you had to do was to think about an EMR and dragons microphone would turn off. Perhaps they've made it less sensitive or eliminated altogether. That remains to be seen and tested, as well as reported.

Chuck Runquist
Technical Project Manager
VoiceTeach LLC
Home of VoicePower®: Simply powerful, powerfully simple

Be careful what you wish for.  You may find that what you get is not what you expect, or what you want. - Aesop (620 BC - 700 BC modern interpretation)

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Thanks for the info Chuck. I did try DNS Pro 11 and it did not work in Allscripts Professional. So can I just purchase the Medical Edition and upgrade from Pro 11? I already have Knowbrainer 11 and is that compatible with Medical Edition? Do I have to get Dragon Medical 9 or 10 first and then upgrade to 11? Thanks.

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

We couldn't find AllScripts on, what we affectionately dubbed the EMR Blacklist, but we don't believe that direct dictation is possible with anything other than Dragon Medical.

KnowBrainer is fully functional in Medical 11 and can even utilize the KnowBrainer Transfer command which will cut and paste all of your dictation from NotePad, switch to AllScripts, paste the text into AllScripts, tab to the next field, place the cursor back into NotePad and turn the microphone back on (because NaturallySpeaking turns the microphone off in AllScripts) but you will probably find it more convenient to dictate directly into AllScripts which requires upgrading to the Pro to Medical 11.5 Upgrade.

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Click KB 2012 REV D to Download a 30 Day Evaluation of KnowBrainer 2012 

 

 

 

So I want to be clear, I can upgrade from Pro 11 to Medical 11.5?

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

You can upgrade from Pro 11 to the Pro to Medical 11 Upgrade. When we wrote the macro that creates that previous embedded hyperlink, a couple of months ago, we thought that Dragon Medical Practice Edition was going to include the NaturallySpeaking 11.5 speech engine rather than the Ver. 11 speech engine. Both speech engines are identical but Ver. 11.5 has a few additional amenities such as being able to resize the Spell That corrections box. Our apologies for the previous misrepresentation but yes, for $999, you can upgrade from Pro 11 to Medical 11 via the previous hyperlink.

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Click KB 2012 REV D to Download a 30 Day Evaluation of KnowBrainer 2012 

 

 

 

Thank you very much!

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

I was only able to activate Dragon Medical on 4 computers so is there a way to purchase a license for 1 more computer?

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

Doc,

Are you going to be using this fifth computer for yourself? If you are, then you can contact customer service for the purchase of an additional license. However, purchasing another license is the same as purchasing basically another copy. It will come with its own serial number and four activations. Be advised that you're not going to get away cheap simply because you're buying another license.

Also, make sure that you are the only user creating profiles and using any machine that you have installed it on. The End-User License Agreement (EULA) says up front that Dragon is licensed to you, the user, not per machine. If you purchased DMPE for your own use and you are allowing others to use it, then you are in serious violation of the End-User License Agreement (EULA). If you contact Nuance for another license and you tell them what you're doing, if you are allowing others to create profiles and use DMPE, they will not sell you a license and in fact they will tell you to cease-and-desist. The licensing agreement for Dragon NaturallySpeaking, regardless of version, is not a per machine or per seat license. It is a user license agreement, and you are the user, no one else is permitted to use that copy of DMPE no matter how many machines you install it on.

I'm not assuming that you are doing anything in violation of the End-User License Agreement. I'm just throwing you a caution so that you don't get yourself into trouble.

Chuck Runquist
Technical Project Manager
VoiceTeach LLC
Home of VoicePower®: We don't make Dragon NaturallySpeaking, We make it better!

"Life's Rule #1: Once you pull the pin, Mr. Grenade is no longer your friend."  (Variant of Murphy's Law  -  Edward A. Murphy, Jr)

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I am not in violation of the EULA, I am the only one using it. So should I contact Nuance or can I get this from Knowbrainer? Thanks!

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

Doc,

Just wanted to make sure that what you were doing was legit. Now that I know it is, I don't think that you can purchase a license from KnowBrainer. I'll let Lunis answer that directly, but I'm pretty sure that you have to contact Nuance with regard to purchasing additional licenses for DMPE. It should be less expensive, but it will not be cheap.

Chuck Runquist
Technical Project Manager
VoiceTeach LLC
Home of VoicePower®: We don't make Dragon NaturallySpeaking, We make it better!

"Aiming for the moon and missing it is better than aiming for the ditch and hitting it."   - Author Unknown

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You can purchase your license from Nuance or any certified reseller and make it a standard Dragon Medical Practice Edition Upgrade so that you can at least limit your expense to $599. Our preference would be to extend your right to another computer, since you are the only end-user but unfortunately we are limited by the Nuance EULA.

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Click KB 2012 REV D to Download a 30 Day Evaluation of KnowBrainer 2012 

 

 

 

Thanks Chucker and Lunis, that is what I need to know.

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo

Doc,

I would try contacting Nuance customer service and/or sales and asked them what the cost of an additional license is. The reason is that you already have DMPE (i.e., the DVD). You should get licensing policy, procedures, and pricing from them first. You might be able to save yourself a few bucks. Then again, it might be cheaper to go through Lunis. Nevertheless, you should check with Nuance first anyway so that you understand what they're licensing involves.

Chuck Runquist
Technical Project Manager
VoiceTeach LLC
Home of VoicePower®: We don't make Dragon NaturallySpeaking, We make it better!

If you hear the sound of hoofbeats, think horses not zebras.
variation on Occam's Razor (Law of Parsimony)

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I was forced to upgrade from MisysEMR to Allscripts EMR. If you can get out of your contract I would avoid Allscripts for a Solo practice. The training is way too complicated. There is nothing intuitive about the program, and it forces you to change your workflow. You will discover that you will be seeing fewer patients as a result of their product because of a long learning curve. If you are a solo practitioner then immediately check out MedTemps EMR. It is super cheap, it is designed to work with DNS and uses MS Office, download their video, watch the video, and then give them a call. The one weak point is their Rx component, they are aware of this, and they are actively in the process of getting this improvement ASAP.

 We doctors are so darn smart but the EHR market knows that we do not have the time and resources to make good choices concerning EMR's so we end up making stupid and economically poor choices in choosing programs. The sales people from Allscripts are slick and in my opinion they misrepresent the reality of their product. EHR consultants are also problematic as they tend to push the products that are most profitable to them and not the ones that can actually help us as physicians.

MrH, Technically, I am part of a group as a limited partner but my office is 40 miles from the main office so in essence I am solo. I can see that Allscripts will have a big learning curve but all the docs that are on it now really are happy with it. Thanks for your input.

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Doc

Dragon Naturally Speaking Preferred, Knowbrainer, Dell Inspiron 1720 with Intel Centrino Duo