Home Forums INTRODUCING Dragon Medical Practice Edition

INTRODUCING Dragon Medical Practice Edition (w/DNS 11.5 Speech Engine)

The next version of Dragon Medical will be called ?Dragon Medical Practice Edition? and will feature the DNS 11.5 Speech Engine. Although Dragon Medical Practice Edition won't be shipping until September 15, many Nuance certified resellers are accepting pre-orders and offering significant discounts of up to $100 off. For additional information on the new features and pricing, click on this Dragon Medical Practice Edition Announcement
link which will take you to the KnowBrainer Speech Recognition Forum where you will find additional discussions on this topic.

I have tried mightily to use Dragon versions up through 9.0 and the best table mics but always end up with time consuming exasperating results. My droid Incredible phone, on the other hand, has speech recognition that is so accurate(I swear it's 99.9%) that it's downright scary. Go figure.

Thanks Tom. I'm looking forward to an increase in speed and accuracy, since the product details say ver 11 utilizes new hardware features such as multithreading and multicore CPUs.

Bob,


The fact that you're doing well with the generic Android application is very good news because it's a generic sampler that feeds up to 20 seconds of your voice through a high-speed speech recognition server at Nuance. However, a tremendous amount of changes have occurred between Ver. 9 and Ver. 11. Our NaturallySpeaking 10 Review covers the changes between Ver. 10 and Ver. 9 and our NaturallySpeaking 11.5 Review covers the changes between Ver. 11 and Ver. 10 but the short version is?

1. 80% of the code was rewritten from the ground up and Ver. 11 contains more changes than versions 1 through 10. Combined.
2. The sampling rate has been doubled from 11 kHz to 22 kHz.
3. NaturallySpeaking 11 is multithreaded, meaning that he uses 2 cores simultaneously.

However, NaturallySpeaking has been relatively accurate since Ver. 4 but there are other mitigating factors, such as the microphone and sound card. Your previous Ver. 9 software may have been much better than you think. Unfortunately, the manufacturer, OEM microphone barely qualifies as a backup microphone and if you combined that microphone with your computer?s integrated soundcard, it's equivalent to putting bicycle tires on a race car. Speech recognition can only be as strong as its weakest link.

If you still have your Dragon Medical 9, you're eligible for upgrade pricing but note that Dragon now includes a 30 day customer satisfaction no restock fee guarantee so if it fails, you could at least get your money back and it only takes about 4 min. to test our theory

Tom,

Will the new upgrade to Dragon Medical allow the use of the "next field" command?

How come Nuance will practically give me Paperport for "Free" included with my Brother Printer but starving small solos like us have to spend as much for Dragon alone as folks are now paying to purchase the entire AC EMR package??? Especially when prior to "Black Listing" most EMR's good old fashioned Dragon worked just fine for most primary cares who took the time to train the thing????

It just seems so wrong to charge so much just because it has "Medical" in the title when most of us didn't need the extra dictionary. This was just a Power Play for playing on the concept of doctors can be milked because charting is such a bitch and now we have tons of user doctors on the hook who like and use our product. And they never even bothered to contact our vendors like Jon to even let them know this storm and shutdown was pending and heading right towards all of them and their users...

This is a low blow and a very sleezy thing to do. Nuance should but clearly is NOT nearly enough Ashamed of themselves... Much like Cheaney now probably bosts on national TV that he commited actual war crimes and nobody has the nuts to call him on it, and Obama has Holder on a short leash not allowing him (Our Nation's Attorney General No Less) to go after any of the worst offenders from the Bush administration... There just seems to be no sense of Public Shame anymore, even the worst of conduct like this bait and switch and commiting and authorizing war crimes does not make these people blush no less turn in shame or try to at least hid from their own actions...

I'm gonna stand here proudly proclaiming my SOB'ness and behavior as though it is Normal, and in doing so everyday more and more unacceptable garbage like this becomes the new normal. And so I dare you to make this stick and I will turn it around on you as you abusing me, if and when you try to turn the spin back around to more normal ethical human values.... Amazing...

Sorry Tom, you're a nice guy and all but Nuance is a bunch of @$$holes....

Paul

That's why it's so much fun to use non-medical Dragon 11.5 via a LogMeIn connection to dictate into AC. In your face, Nuance!

Or you can use cut and paste.

Nuance is interested in making as much money as possible. They really don't care about small practices. They are just trying to milk as much money from larger institutions as they can.

We are probably below their radar screen, or they cannot create a product that would not be abused by larger groups else they would probably have Dragon solo doc for $500.

Yes per user fee and licenses ala AC per provider who is an actual billing, revenue generating provider of services so does not matter the degree of the person using it, it is their ability to be a revenue stream for the office, practice themselves.

Or they simply could have left small programs like Practice Fushion and AC, and Soapware off of the blocked black list inside the top of the line $200 regular version.... But make sure GE, NextGen and all of the Big Boys were on that Hit List...

John,

Yes,it is included. Nuance refers to this feature as variable delimiters which, when you say ?<next/previous> variable? or ?<next/previous> field?, will highlight the next or previous pair of [ ]s along with any text included in the brackets.

I got the update for Dragon Medical Practice (version 11) today. A definite noticeable improvement in speed and accuracy. This is not the first time I have been pleasantly surprised by Dragon updates actually being substantially better than the old versions. I guess that's why I was willing to fork out the dough.

What is the difference between Dragon Medical and Dragon Premium?
Can you really not use the non medical for AC?

We have 2 copies of Dragon Medical 10, but they did not work that good i guess.

What Microphones is everyone using?

Thanks!

Dragon Medical Practice 11.5 has the medical vocabularies and is the only version that will work with an EMR. When you start up any non-medical version of Dragon with an EMR running, it will shut down with an error message. Some clever people on this board have found that the non-medical versions of Dragon will dictate into EMRs if used on a guest machine through a VPN connection such as LogMeIn.


This is my microphone reccomendation .

How did you get an update? I've gone online looking to upgrade and keep getting shunted around to different voicemails or to online forms to put me in contact with EHR resellers.

John,

Do you find that dragon frees up more of your time? One of our Dr. can not type very fast at all so dragon might help her alot.

Is there a large learning curve?

Thanks!

Ben

Ben,

I am not a typist either, and I could not have used an EMR without Dragon. I have been using the Medical version since 2007. It is increasingly faster and more accurate with each new version. Dragon & I can "type" 80 wpm on average.

I consider it the most essential piece of software in my office. (I am a fan of the software, less so of Nuance, who I think overcharges MDs for their version, and without justification limits EMR use to the most costly version).


No, it can be trained to an individual voice within 20 minutes. The technique of dictating is simply speaking clearly, and the punctuation and corrections can be learned during the practice session.

Having good hardware is important. I used the headset mike that comes in the Dragon package for a few months, but I found that a better mike makes a good deal of difference in accuracy. Always use USB mikes. The faster computer, the more satisfied you will be. I was using an Intel Core2 Duo with Win 7 Pro and 4 GB RAM for years with good speed. But the improvement now with an Intel i5, 10 GB RAM, SSD is remarkable.

I bought mine from Knowbrainer , the company that Tom Hamilton (who posts on the Vendor part of the board) works for.

I am extremely pleased with the upgrade also. It is a bit faster and more accurate, possibly because it can use the new dual core processors like the Intel i3, i5, i7. Also a few of the annoyances of using with AC are improved, such as the inadvertent field changes .

What a rip off that they single us out to up charge us by $1000 for a "medical version". Bought the $150 version 11 at Fry's and it works just fine as all I have to do is cut and paste from Word into AC. Not that hard and takes a few seconds. I decided to try the $150 version to see how well it would work within my specialty, metabolic and mitochondrial disorders, and it works very well considering the complexity. Just out of principle, I see zero reason to pay them an extra $1000 to eliminate the cut and paste. I wonder why they do not up charge attorneys or accountants by $1000? Frankly I could see maybe a $100 up charge for a medical version, but $1000 is ridiculous. And people wonder why we have to charge what do to keep a practice open.

I use Dragon 11.5 Premium --I think it is called-- instead of medical. I use Microsoft's Remote Desktop to get to my office computer and do most of my dictation at home early in the morning.

There are some real quirks in using Dragon in the remote desktop windows, but it works pretty well for the most part. For example, you can't use the correction features unless you use a Dragon dictation box and then transfer to the EMR window. It is inconsistent about capitalizing the first letter of a line when you dictate directly into the EMR window, and often it puts an extra space in front of the line.

On the other hand is very accurate and works reasonably well. It doesn't seem to work very well in noisy environments even with a Philips Speech Mike which I have found to be the most effective microphone, which is one reason why I like the quiet early morning hours for dictation--besides the fact that my brain is more ready for that task early in the morning.

I suspect that the expensive medical version would not work any better than the premium version the way I use it, because I'm not using AC on the same machine with Dragon when I dictate remotely.

Does anyone have a list of useful tips for New Dragon Medical users with AC?

For example is there a command to go from the HPI to ROS box without having to click.

Any other useful commands?

Thank you so so much!

Ben

I just discovered that windows has a built in voice recognition system. In fact I'm using it now to post this message. It's not perfect, but it beats paying over $1000 for dragon medical. And it's compatible with amazing charts unlike regular dragon, so I don't have to dictate into word or notepad and then cut and paste. I can even tell the microphone to select the level of care and to sign the note. I just thought everyone should know this because it's free and works well.

It is always possible to make custom commands, including ones that involve mouse clicks and moving the cursor, but perhaps making a simple command like "Command Tab" would work if tab is not already built in (I forget). It takes a little fiddling to make custom commands, but it becomes clear after some trial and error. Still, it allows ultimate flexibility ( like "cntr-A, cntrl V, move pointer, select window, select field, cntrl-V" for cutting and pasting from some other document). In making a new command, also it is good to name it something that won't confuse the system. I used the command name "command transfer" for the above example, and "command [whatever]" for my other commands. Be aware, the problem with the "record" custom command is that the items in the window have to stay in the the same position, as the cursor is just moving by memory of where it was when you recorded.

BTW, we ordered the version 11 upgrade today, although we have been happy with version 10. One of the things our dealer mentioned is that there are some settings that allow it to work better in HTML, like UpDox. One of the things I like about getting Dragon through a dealer is that they are more than happy to assist with setup. Dragon has so many fairly obscure preferences that I just don't want to take the time to learn what they all do. Setting them properly made a big difference. I think Tom Hamilton will attest to this also.

And, GatorDoc, my experience was this. We started with Dragon version 9, and it was only fair. I had to spend a lot of time proofreading, and after a time it really got annoying. For progress notes it was not a huge deal... I can tolerate a fair number of errors there and still know what I meant... but letters were another matter entirely. Version 10 vastly improved our efficiency. If you have any significant number of letters that you really want to be perfect, I think you may well find that the difference in accuracy will soon pay for itself, at least if you are fairly busy.

I purchased Dragon 10.1 with an upgrade assurance and have yet to receive the upgrade.

I have called Nuance and they defer me to the reseller, Speech4Me, which is the recommended reseller on the AC website. The reseller is unable to help me with this.

Is anyone else experiencing this same frustration??

Has anyone bought the Dragon Medical 10 through the AC website with "Speech for Me" products? Not sure what the advantage is doing it this way. We have never used Dragon before and want to know if it is worth the extra money to get Dragon 11 medical version rather then the 10. Have a provider who is new to AC and Dragon so it will be a challenge either way but would love to hear everyone's advice.
Thanks,

Using ten with success. Scared of eleven until patch released. Have used dragon since version three.

Dragon Medical is the only version that will allow dictation directly into Amazing Charts, or any other EMR for that matter.

I found that 11 is marginally better than 10 if you have a new computer. It is a bit faster and more accurate, possibly because it can use the new dual core processors like the Intel i3, i5, i7. Also a few of the annoyances of using with AC are improved, such as the inadvertent field changes .

We do have a new computer so I am thinking 11 is the way to go. Thanks for the advice. Any recommended distributors? Looks like the going price everywhere is $1599.

We just changed from version 10 to 11, and I have a couple of minor quirks.

We are using a Jabra GN9350 wireless mike to a Dell laptop on a docking station. We only dictate in our office, so the mike is plugged into the docking station. When we take the laptop into the room, it of course disconnects the microphone. In version 10, we just had to push the "computer" button on the mike stand to reconnect when we re-dock the laptop. In version 11, we have to reopen the user profile, but no longer have to push the button. Still that one extra added step, but a slightly different one. Otherwise the difference is subtle. It still loves to type "and" when I say "period" unless I am real careful. Can't ever seem to train that one out of it.

But the inadvertent field changes are fixed!

I have had dragon medical since ver 1.0. I currently have 2 licenses for 10.1, one for myself and one for a part-time doc in the practice. Since I put the work stations in the exam rooms, I hardly use dragon. This is for two reasons; 1. my voice files are on my personal office computer and 2. my patients kept on trying to ask me questions while I was dictating with them in the room. (when I use to use my personal laptop with dragon on it). I am becoming more proficient in my typing and in the use of templates. I am not wanting to buy a "Network" version of Dragon to replace what I have.

Why not turn on remote desktop on the computer that has Dragon and see if it will work that way. Easy to connect, not sure if the voice will carry over.