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Topic Title: DMPE 4 being discontinued without replacement March 31, 2021 ???
Topic Summary: DMPE 4 being discontinued without replacement March 31, 2021 ???
Created On: 12/15/2020 09:00 AM
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 12/15/2020 09:00 AM
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MDH
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Has anyone heard the following? Any truth to this statement?

 

Dragon Medical Practice Edition | Voice to Text Solutions

 

DMPE 4 is being discontinued.

Nuance has announced that Dragon Medical Practice Edition 4 is being discontinued as of March 31st 2021, and no replacement or version 5 will be released. 

 

MDH

 



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 12/15/2020 07:19 PM
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Lunis Orcutt
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The announcement is correct. DMPE 4 will be supported for another year (considerably longer by us) but Nuance wants to limit all Medical sales to DMO which is leased for $525 down and $99 per month. DMO has come a lot further but it should also be noted that Nuance tried this once before and took a financial beating when small practices refused to pay for DMO. Nuance had to bring DMPE 2 back 6 weeks later but this is a different ballgame.



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 12/15/2020 08:14 PM
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MDH
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Lunis,

 

Thank you for confirming this info that I found. I can't say that I am surprised. But the lack of Advanced Scripting capability in DMO makes it a non-starter for me, not to mention the cost.

 

Regarding your note from a different thread:

 

"If you are thinking about purchasing a full copy of DPI 15.61 or a DPI 15.61 Upgrade we recommend purchasing before January 1 when the price is increased from $300/$150 respectively to $500/$250. This is not a typo."

 

Will the price of DMPE 4.3 also be going up after December 31, or possibly down as it will be end-of-life and no longer available for purchase after March 31, 2021?

 

Thanks. 

 

MDH



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 12/16/2020 10:23 AM
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Lunis Orcutt
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The price of DMPE 4 will not change. We suspect that Nuance is raising the price of DPI 15 because DPG 15.61 isn't selling. Notably less than 1% of our Dragon sales are for DPG 15 and half of those sales were to existing DPI 15 users who needed Outlook 2019 support and frustrated with the DPI 15.3 freezing problem.

 

For more than 99% of Dragon users, the DPG $600 price tag simply didn't justify paying twice the price of DPI 15. Dragon Premium was discontinued for the same reason. Nuance's solution was to bring the price differences closer by increasing the price of DPI 15 rather than lowering the price of DPG 15. 

 

Another reason for raising the price of DPI 15 is to sell (lease) DPA which is $40 per month. The lease loosely translates to the price of DPI 15 for one year of use and of course doubling the price of DPI 15 in 2 years of use. Bottom line: Cloud software leasing is far more profitable.



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 12/16/2020 10:37 AM
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MDH
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Lunis,

 

Thank you for the info. In that case, time to get myself an early x-mas present. Time to place that order!

 

MDH



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 12/16/2020 01:00 PM
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Zig
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Lunis,

When you said,"the DPG $600 price tag simply didn't justify paying twice as much for DPI 15"

I think you meant to say "the DPG $600 price tag simply didn't justify paying twice as much as for DPI 15"

Zig



 12/16/2020 01:53 PM
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Lunis Orcutt
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My apologies, you are right



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 12/21/2020 10:47 AM
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MDH
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Based on above, I took the leap and upgraded from my ancient Dragon Medical version 10.1 (which I loved and had a hard time parting with), and purchased DMPE 4.3. as I had recently learned the following:

 

"DMPE 4 is being discontinued.

Nuance has announced that Dragon Medical Practice Edition 4 is being discontinued as of March 31st 2021, and no replacement or version 5 will be released. "

 

 

Turns out, that this has become a "DUH" moment for me. DMPE 4.3 is insanely accurate! I just dictated a 594 word document with 2 mistakes = 99.7 % accuracy, without it being a trained profile. It doesn't get any better than that.  What are you waiting for? If you don't want to fork over $525 for DMO, then $99 per month until Nuance increases the monthly subscription, then the time is ripe to get an excellent last desktop version. Even if you don't create and use Advanced Scripting custom commands, which are not an option in DMO, it is worth upgrading to DMPE 4.3 just because of exceptional accuracy and cost. You will pay more for DMO in one year than the one-time purchase of DMPE 4.3, then have a significant ongoing monthly expense forever. Even if your hospital pays the monthly expense, why settle for an inferior product (i.e. DMO) ? Although dictation accuracy is exceedingly important for time efficiency, it doesn't come close to the efficiency one gets from creating custom commands for use in beating an EMR to a pulp.Surveys show that 50-60% of physicians in the U.S. are suffering burn-out, and the primary reason being EMR usage. An EMR typically adds 1.5 hours to a physician's workload per day. No wonder physicians are grumbling.  Instead of being a victim, take control, and make life more enjoyable. You will be able to spend more time with family and doing other things you enjoy. (Although MMODAL has the ability to create and use custom commands via their cloud version, the truth is that calling a command works about 20% of the time. That is nothing but an excercise in frustration). Time to take the leap unless you want to be a real April Fool on April 1. Just my 2 cents!

 

MDH



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 12/21/2020 04:12 PM
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FootDoc
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OK....MDH need your perspective here. So I am on DMPE 2.3(or whatever that upgrade was). This is the very first time that I have not jumped on an upgrade. Even though since version 4 I wanted to ido Advanced Scripting (played around with it) and wanted to make great commands I bascially do free speech dictation and I am very good and can be very fast at it......when I am not tired. I get all my charts done daily. I use Nexgen (used to be Healthfusion). 

I have a speech mike 3/1 and when it first came out. I have used the same user for years but just made a new user like 4 months ago. That did the trick and I feel my accuracy is great. I rarely have to fix a mistake but yes, there are those days...LOL.......I only dictate at the office and don't use Dragon at home much but again, always wanted to be a superuser and never touch a keyboard. As I get older (59) and somedays feel it in my hands I know if I every had to I could switch and do more with control.....so..what to do. 

I have tried a sample of 4.3 (thank you Lunis) and it seems I can't get the dictation box to work but it does wirth  2.3 DMPE ....that is why I didn't change. I tried everything that I know to do. When I dictate the dictatation box opens and I dictate and then I press transfer and it goes into the emr. I don't say transfer since I like a combination of mouse and voice. I like to save my voice this way. 

If used to test every version with medical vs non medical with and without add on vocabs. I don't think my emr is registered so not worrried about the mic not turning on if I went with a non medical version and I know how to add words, scan and wonder if I can just grab the current dmpe vocab to dump. It's more about the medication vocab then medical vocab.........but more accurate the better and why I wanted to go to 4.3.....funny thing is I thought version 8/10 were the most accurate versions for a long while.....

 

So what to do...suggestions anyone? No way I am paying a monthly fee for anything.

 12/21/2020 07:30 PM
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MDH
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Never used DMPE 2 so can't intelligently comment. Use what works best for you. This is why I stayed with DNS Medical v. 10.1 so long (my experience with a 6 month trial of DMPE 1 was abysmal). However, keep in mind that you and others only have until March 31, 2021 to make a final decision.

 

MDH



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 12/22/2020 11:48 AM
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FootDoc
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Lunis....any suggestions?
 12/22/2020 12:06 PM
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R. Wilke
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"Never used DMPE 2 so can't intelligently comment."

 

That is probably true, but anyone else having used and gone through all the speech engine versions between around 2008 and today, all of which went into the various medical versions, probably could.

 

To that end, version 10 was okay. Sometimes I go back to a copy of 10 in a VM, for testing purposes, but I haven't missed it in years in my daily work. Version 11 was a lemon. In version 12, they were back on track. 13 was almost perfect already, very stable and usable. 14 was basically 13 in disguise. And finally, with version 15, the ballpark has changed. And altough a lot of things still remain to be done, no one should look back really.

 

Mark, it is not surprising that you do notice a major difference, now that you have made such a giant leap, and it is good to see you back from the past.

 

 



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 12/22/2020 01:53 PM
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Lunis Orcutt
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Originally posted by: FootDoc Lunis....any suggestions?


We highly recommend upgrading to DMPE 4.3 Upgrade until the end of March. You will still have full support and more capabilities then DMO; not to mention paying a final price of $600 rather than $1600 the 1st year and $1200 every following year for DMO. Now you know why DMO is being aggressively pushed and why DMPE is being discontinued. Software manufacturers make considerably more profit when converting their customer base to the cloud.



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 12/22/2020 04:35 PM
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MDH
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I should thank Nuance for announcing the end of sales of DMPE 4.3 on March 31, 2021, prompting me to purchase it. I just dictated an 888 word note with just 1 error = 99.9% accuracy. That is truly phenomenal! It would be a hard sell saying that one advantage that DMO supposedly has over DMPE 4.3 is greater accuracy.

 

MDH



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 12/23/2020 02:04 PM
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ax
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I bought DMPE 2.x back in 2014 for private office use, and just wasn't getting the accuracy that would make speech recognition worthwhile.  After a while and bantering with the regulars here I quietly gave up on Nuance.  After all, at that time we were still paper chart and "backend-dictation"-based at the hospital.

Then MModal became a solution for me in the office, offered as a monthly subscription bundle by my office EMR.

But for over a year now, hospital has plunged into "front-end" ... although haven't entirely gotten rid of "back-end", to which many colleagues are grateful, as nothing beats the good ol' transcriptionist still.  Anyway, I have gone "front-end" entirely because the WYSIWYG sells itself.

Indeed the current Dragon Speech Engine is incredibly accurate.  Even for my husky voice, speaking across a mask with visor, with a reasonable amount of ambient noise, it is working well enough.  Without the mask and in my office/home, recognition is very satisfying. 

With the help of AutoHotKey, I have managed to shoehorn "Dragon Medical Embedded" into a "dictation window" for my own Citrix-based EMR.  Chrome-based DME allows for that even when not in focus.  Anyhow, I am reasonably geting along with Dragon Medical "Embedded" - with some crucial improvisation.

Minus the "Active Scripting" and rich voice commands of course.

The real downside is that I don't have Dragon for daily non-medical use.  Typing out on this board makes me wish otherwise.



 12/24/2020 02:35 PM
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smeyer
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I may be adding physicians next summer.  If I buy DMPE 4.3 now, will I be able to activate it after March 2021?  after March 2022?  Can upgrades be activated after March 2021, and after March 2022?

I have occasionally had to reinstall Dragon.  Will that be possible after these above dates?

Thanks.  Steve M.

 

 12/24/2020 03:20 PM
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Lunis Orcutt
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DMPE 4 full copy and upgrades can be activated anytime. This is a non-expiring feature. Even NaturallySpeaking 4 can still be activated.



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 01/07/2021 09:22 AM
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jgold55
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I have used Dragon for a number of years but felt that the medical version was overkill for me.

However, it would make my life easier to be able to dictate into my EHR directly rather than my current workaround.

2 questions:

1. Is DMPE 4.3's accuracy and functionality worth the extra $$$$ versus DPI 15.61?

 

2. Will it allow dictation directly into any EHR?  Is there a list of compatible/incompatible programs?

 



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HP Pavillion dv7;Windows 10 Home; i7 2670-QM @2.2 GHz; 16GB RAM; DPI 15.61; Knowbrainer 2017; Dragon Capture; SpeechStart +; Sennheiser MB Pro 1 UC/ML;  Addasound SR2701



 01/07/2021 09:26 AM
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jgold55
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Another question:

Is there an upgrade from DPI to DMPE or is it considered a new purchase, i.e., full price?



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HP Pavillion dv7;Windows 10 Home; i7 2670-QM @2.2 GHz; 16GB RAM; DPI 15.61; Knowbrainer 2017; Dragon Capture; SpeechStart +; Sennheiser MB Pro 1 UC/ML;  Addasound SR2701

 01/07/2021 11:03 AM
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jgold55
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I saw that there was some concern about Dragon not getting along with Citrix-based software? I don't really know what that means but I'd like to know how I find out if the software I use is a Citrix-based software?



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HP Pavillion dv7;Windows 10 Home; i7 2670-QM @2.2 GHz; 16GB RAM; DPI 15.61; Knowbrainer 2017; Dragon Capture; SpeechStart +; Sennheiser MB Pro 1 UC/ML;  Addasound SR2701

KnowBrainer Speech Recognition » DMPE, DMO and EMRs » DMPE 4 being discontinued without replacement March 31, 2021 ???

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