Our practice is upgrading to Practice Partner v9.3 in a few weeks.  The sales rep came by the office last week and told us that v9.3 is not compatible (not certified) with DNS medical 10.1.  To have select-and-say capabilities I would need to downgrade to DNS medical 9.5.  Otherwise, the rep said that I would have to dictate in another application (word, dragonpad, etc) then copy and paste into the EMR.  I am very disappointed with McKesson's support for voice recognition for their product and their website is misleading. 

This is from McKesson's website:

Nuance’s Dragon NaturallySpeaking speech recognition system is fully integrated with Practice Partner, providing physicians with another practical and efficient choice for recording clinical data. Practice Partner is also Dragon Medical Certified.

I wanted to find if anyone other physicians on the forum are using practice partner and what their experiences have been.

Desktop: Dell Optiplex 755, Core 2 Duo @ 3.0 GHz with 3.25 GB Ram (DNS Medical 10.1, KB 2008, XP pro (SP3) and Office 2007); Samson airline 77 with ANC USB sound pod; Laptop: Dell Precision M2400, Core 2 Duo @ 2.8 GHz with 3.48 GB Ram (DNS Medical 10.1, KB 2008, XP Pro (SP3), and Office 2007); Plantronics CS70n with ANC pureAudio USB full duplex pod

twilkins,

When our 50-60 group of physicians decided to look to alternatives to our current LSS EMR (which is the only one that integrates--rather than interfaces--with Meditech) we looked at Practice Partners. The demo looked slick regarding Speech Recognition use and navigatibility by voice, until I asked some pointed questions at break of the demonstrating physician, and it turned out a significant number of tabs were not accessible by voice--somehow must have forgotten to mention that during the demo!!! The business office people were not at all happy with the non-clinical portion. However, our committee unfortunately chose Greenway (I voted against it!), which is a total disaster as far as being Speech Recognition friendly. It is not select-and-say, and not accessible for navigation via voice without mouse positioning commands. There are no hot keys, nothing can be chosen with a ControlPick command, and no radio buttons can be tabbed to and chosen. It is totally click and point. Interestingly, the physician group hated LSS because of it being so clicky! They haven't seen anything til they see Greenway. We were supposed to go live with it this coming January, but that date just got cancelled because of so many problems with the conversion. I really liked e-ClinicalWorks, but everyone we talked to said their support was awful. I voted to go with the next version of LSS, not because I love LSS, but I couldn't make myself vote for either of the other 2 finalists (Greenway and e-ClinicalWorks), did not want to lose integration, would be cheaper, and less of a learning curve.  The basic problem that I see is that physicians were unwilling to spend the time to really learn and customize the EMR functionality to "make it sing". This will not change with changing EMRs. I was able to eliminate 80% of LSS clicks using custom voice commands. Even offering these to docs on a silver platter ended up being a futile effort. I think they will be less enthralled with Greenway. Truthfully, there was no stand-out EMR.

MDH

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Lunis,

Any way of disabiling the KB2008 'next Field" command.  I've setup all our users templates to use the original DNS "next Field" command.  When I use KB2008 with my copy of DNS Medical 10.1 it asks me whether I want to close the Dication window.  I'd like to convince our dept. to adopt KB2008 because it speeds up the correction process.

Mike

DNS 10.1 Medical Network Edition, DNS Medical 10.1 Enterprise & Dragon 12.5 Professional with Knowbrainer Medical: Dell Optiplex 790 i5 CPU 3.1 6MB L3 cache 4 MB DDR3 RAM using Windows XP SP3 or Dell Latitude e4310 i3 M370 2.40Ghz, 4 MB DDR2 RAM using Windows XP SP3  or Acer laptop i7 720 1.6Ghz (2.8Ghz Turboboost) 8GB 1333 RAM with 6MB L3 cache running Windows 8.

Just open the KnowBrainer Command Browser up to the application-specific Dictation Box commands and remove the checkmark from Activate or simply click the Delete button to disable or remove the KnowBrainer Next Field command which we will remove in the next release because it's no longer needed.

     

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Lunis,

Thanks!

DNS 10.1 Medical Network Edition, DNS Medical 10.1 Enterprise & Dragon 12.5 Professional with Knowbrainer Medical: Dell Optiplex 790 i5 CPU 3.1 6MB L3 cache 4 MB DDR3 RAM using Windows XP SP3 or Dell Latitude e4310 i3 M370 2.40Ghz, 4 MB DDR2 RAM using Windows XP SP3  or Acer laptop i7 720 1.6Ghz (2.8Ghz Turboboost) 8GB 1333 RAM with 6MB L3 cache running Windows 8.

http://www.nuance.com/healthcare/services/dragon-CertifiedEHRs/ehr-certified.asp   shows that v9.2.1 of Practice Partner was Dragon Certified.  Since this certification process started in April 2009 and is a cooperative venture between Nuance and the EMR company, I am 99.99% certain that the certification was done using Dragon Medical 10.

I have worked recently with two clients for short periods using Practice Partner and Dragon Medical 10.  Select and Say works in the primary fields of a report.  I don't know whether these clients were using 9.2.1 or 9.3, but both installed Practice Partner since June 2009.

I doubt that you need to downgrade to DNS Medical 9.5.  Ask more questions, ask the rep to demonstrate, ask for a formal statement from McKesson.  Given the above Nuance web site information, I might ask this McKesson rep "Why did McKesson make changes between 9.2.1 and 9.3 that make 9.3 require an older release of Dragon Medical?"

It has only been a few weeks since I got Dragon NaturallySpeaking 9.5 Medical for one of my customers.  It is still available through an obscure path. This customer had dozens of systems still on 9.5 and needed consistency.

Larry Allen
Softnet Systems, Inc.
http://www.pcspeak.com

Desktop: Dell Optiplex 755, Core 2 Duo @ 3.0 GHz with 3.25 GB Ram (DNS Medical 10.1, KB 2008, XP pro (SP3) and Office 2007); Samson airline 77 with ANC USB sound pod; Laptop: Dell Precision M2400, Core 2 Duo @ 2.8 GHz with 3.48 GB Ram (DNS Medical 10.1, KB 2008, XP Pro (SP3), and Office 2007); Plantronics CS70n with ANC pureAudio USB full duplex pod

 Are you using Practice Partner wirelessly over terminal services, or through windows networked and wired to the server ?  Is your experience using a laptop or a desktop?

 Wirelessly ,PP 9.3.1 frequently crashes for me.  Dragon 10.1 medical is more accurate using a Samson airline 77, pureaudio USB using terminal services with Win 7 pro(but it not supported). Windows XP pro Networked using PP 9.3.1(  and versions back to 8.1 have been very slow ,and so we only us it on one desk-station to scan.)

MacBook , Black

Imac 24"

DNS 9.5 

I have noticed a problem with Dragon Medical, and wondered if anyone else has also seen it. When I am dictating directly into the body of a note, and select a word in the middle of a sentence to correct it using "Select and Say" i.e., not manually correcting the work, Dragon then inserts anything else I dictate at the correction site, until I either open a new note, or close my user file and reopen it. Very frustrating, and other than using the Dictation box, I haven't found a workaround.

Practice Partner 9.3.1

Dragon Medical 10.1

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The specific problem is as follows: if a word is misspelled or misrecognized and is at the end of a sentence, it is possible to select and correct the error verbally without problem. However if the word that needs correction is in the middle of a sentence and you select and correct that error verbally, anything else that is dictated thereafter is placed at the point of correction, and it is impossible to go to the end of the sentence that was corrected and begin dictating at that point. Although I am not currently at my office, so am unable to work with you directly using Dragon medical, I would be interested in any observations or corrections, suggestions etc. that you might have.

Craig

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Is Practice Partner local?  I have seen this with PP published via Terminal Server but we upgraded to Citrix and the issue went away!