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Dragon Functionality

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ntaylor

(@ntaylor)

Posts: 79

Estimable Member

Topic starter

Hello,

Some of our providers are using Dragon, and it has always been setup so that they click in the textbox they want the text to go in, and then they start dictating.
We recently had a new provider join our group, and in his old EMR system, when they use Dragon in the Physical Exam area for example, they tell Dragon which exam they are addressing, and then start dictating, and it puts the text in appropriate exam area/box, and they don't have to click into each exam area before dictating.

Do you know if Centricity can be setup to function this way?

Thanks.

Posted : September 26, 2016 4:03 am

Michelle

(@michelle)

Posts: 38

Eminent Member

Hello:

We also use Dragon with Centricity, v12.0.10, and are extremely unhappy with the product we were sold vs. the product that was demonstrated to us for purchase. We have also seen where you can tell Dragon which exam you are referencing and it will automatically direct the cursor and/or populate information for you within Centricity. When asking of our vendor, Virtual Officeware AND GE, to teach us how to do this the response we received was "we do not know how to work Dragon in Centricity, none of our staff are trained on it, call a Dragon reseller and maybe they can help you". Needless to say we were a little shocked by the response since our Centricity/Dragon demonstration was represented by both a GE person AND Virtual Officeware. We struggle every day with the lack of advanced utilization of the Centricity/Dragon products.

I am attending the conference in Austin in the hopes that I can connect with other users of Centricity and Dragon to see how they are dealing with the lack of support from the vendor and GE.

It has been a very disappointing experience, switching to Centricity EMR, because of the lack of experience in the training offered.

We still have not been able to figure it out, even when we did bring in a Dragon re-seller.

I will keep my eye on this issue in the hope that there is someone out there who knows how to work Centricity and Dragon together.

Michelle S. Carabin

Professional Orthopaedic Associates

Posted : September 26, 2016 4:46 am

virtualHITman

(@virtualhitman)

Posts: 319

Reputable Member

Nick,

this is certainly doable but it requires you to set up voice commands in the Dragon interface. Voice commands allow you to automate a lot of things but it takes an investment in time to make it work for your providers. I have set up voice commands for several of our providers so that when they dictate the command "sign and route to nurse"; the document will get signed and then routed to their nurse. You can also set up commands to drop in quick text items so the provider doesn't have to remember the specific quick text. They simply state "insert prior HPI" and the previous HPI appears automagically. Setting up voice commands to navigate around a form shouldn't be too difficult.

Michelle, I am sorry for your experience, but I'm not surprised. Salespeople are notorious for showing you all of these cool things you can do in their EMR, but fail to tell you the level of work involved in getting it to work like it does in the sales presentation. I just think it's pathetic that a reseller of Dragon couldn't assist you. I won't be at CHUG this fall but I would be happy to connect some time and show you how to integrate Dragon with Centricity. Just shoot me an email.

Posted : September 26, 2016 5:13 am

Michelle

(@michelle)

Posts: 38

Eminent Member

Hello virtualHITman:

Thanks for the response. Yes I would love to see how to set these commands up.

I would be more than happy to arrange a date and time for us to speak and learn!!

Feel free to email me at: [email protected].

Thanks again. Looking forward to working together.

Posted : September 26, 2016 5:59 am

Lee

(@lee-cooper)

Posts: 348

Reputable Member

You may wish to contact Clinically Speaking ( http://clinicallyspeaking.net/ ). They can do the work for you freeing your time up to do other things. Since this is what they do, they can do it faster and offer support for when things go wrong.

Posted : September 27, 2016 1:41 am

ntaylor

(@ntaylor)

Posts: 79

Estimable Member

Topic starter

Thanks for the Reply.

I did try using the "Record Macro" feature in Dragon. I tried this with the GE Update window Maximized, and when I played the Macro it clicked the box that I wanted it to. But, it seems like it is using the position on the screen, and not necessarily the actual window/box I clicked in, when it recorded the macro, because when I resize the window and rerun the macro, it "clicked" inside of a different textbox that was now in the location that the other text box was, when the window was maximized. This method seems like it might not be the best method, with different monitor sizes, resolution, window position, etc.

Is there a different method of doing this that will work better? Thanks for the assistance.

Posted : September 27, 2016 5:21 am

virtualHITman

(@virtualhitman)

Posts: 319

Reputable Member

Nick,

I have not used the "Record Macro" feature in Dragon because of the issues you pointed out with screen size, resolution, etc. I have set up an AnyMeeting session with Michelle at Professional Orthopaedic Associates (the other poster) to discuss my experiences in setting up Dragon Voice commands. I just sent you an invite to your email and I'm happy for you to join us. I'll cover the basics of setting up voice commands and some other pointers I've learned "from the trenches."

Posted : September 27, 2016 10:09 am

Marketing Committee

(@marketing_committee)

Posts: 358

Reputable Member

Second for Clinically Speaking. My company has used them for about 10 years.

Posted : September 30, 2016 9:30 am

Scott Forest

(@sforest)

Posts: 527

Honorable Member

after reading this thread I actually contacted Mike from CS and he dumped a ton of generic command templates into my user account so I can modify them into our everyday workflow. Mike is always easy to work with and more than willing to help out when needed.

Posted : October 3, 2016 1:54 am

candersen

(@candersen)

Posts: 2

New Member

I've been able to get around some of the Dragon limitations by creating quick text shortcuts that open different forms on our Encounter form. It also is dependent on whether GE is running locally with your copy of Dragon, or remotely (as ours is) and dragon loaded locally. For these to work it is safer to use Advanced Scripting in dragon to do something like the following command to open my History form:

Open command browser, select Advances Scripting as command type, give it a name (2 or 3 words), and type something like the following.

Sub Main

SendDragonKeys ".formopenhx "
Wait .25
SendDragonKeys "{Tab 14}"

End Sub

SendDragonkeys is the dragon-specific word, can also use SendSystemKeys (much slower), or SendKeys (unreliable). Also note the space after .formopenhx, which triggers the quick text command to run. My example has the following code in Quicktext to open the Hx form, and tab to the entry text box for the cursor to be in the correct position for me to start dictating:

Here is the MEL code behind it (your directories and form names of course will vary)

{OPEN_FORM_COMP('Enterprise\Health One Technologies\Testing\HPI')}

The MEL code runs after Quicktext initiated, waits for the form to appear, and then tabs to text box. This same approach can be used for a myriad of Centricity functions that can have MEL attached to them. Quick text isn't always useful. Shortcut keys for a variety of tasks are available in Centricity, and can also be input using Advanced Scripting. Here's an example for closing and signing a note:

Sub Main

SendDragonKeys "{Esc}"
SendDragonKeys "{Ctrl+e}"
SendDragonKeys "{Alt+s}"

End Sub

I strongly urge you to get a copy of Larry Allen's excellent book "Scripting for Dragon Naturally Speaking." It walks you through many of these similar examples, although not specific to GE. Lastly, I also can't recommend CSpeak guys highly enough. They created a great tool to automate many of these rather tedious command creations.

Good luck!

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