Fluency for Transcription Editor 7.6 Issues, Workarounds and Tips. Newly Added Items

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1 Fluency for Transcription Editor 7.6 Issues, Workarounds and Tips Newly Added Items FFT Editor Function Explanation Workaround / Tip ADT: Custom Search with Date of Birth Document Checks: CC List Document Checks: Trailing Zero Rule For difficult ADT searches, data can be entered in the Custom Search area of the Search window to perform a search with multiple criteria. Please note that this type of search is more complex and may time out before results display. When the document checks scan identifies a CC List error, the CC List window opens to the right of the Document Checks Panel. To add a CC List entry, follow the usual FFT Editor procedure. However, if a CC List entry needs to be removed, the focus may not be on the correct name in the CC List area. The Document Checks scan identifies trailing zero rule errors and includes them in the Error List. When the text associated with the error is enclosed in parentheses; i.e., (81.0 mg), the text corresponding to the error does not highlight in the report. When entering data in the Date of Birth field in the Custom Search area, use the following format: yyyymmdd. Take note that no slashes should be used; the information should be entered as one string of numbers. To remove a CC List entry when working with Document Checks, follow the steps below: 1. Press Alt + I to move cursor focus to the CC List area. 2. Press the Up/Down arrow keys to highlight the name to be deleted. 3. Press Alt + M or click Remove to delete the name from the CC List area. To resolve a trailing zero error enclosed in parentheses, follow the steps below: 1. Press Ctrl + F to open the Find field. 2. Type the errant text in the Find field, and press Enter. 3. The text highlights in the report. Type the correct text over the highlighted area. 4. Press Shift + Alt + T or click Corrected which removes the error from the Document Checks list. Page 1 of 22 November 14

2 Job Search Word Lookups and Wiki Articles In previous versions of FFT Editor, after performing a Job Search for past reports on the same patient, the date of service displayed. For additional PHI security, the date of service no longer displays in the search results. Word lookups can be performed in FFT Editor by pressing Ctrl + P, Ctrl + Shift + P or Ctrl + W. If the lookup is performed on a word located at either the bottom or far right of the page, the Word List or Wiki article may be cut off. No workaround is available. This change was required for HIPAA compliance. If the Word List or Wiki article is cut off, press Ctrl + 1 to open the Google web browser. The term will display in the Search field; press Enter to search. Wiki articles, when available, display at the bottom of the Google search window. Use this area to review Wiki articles illegible in the Text Editor. Page 2 of 22 November 14

3 Comprehensive List For ease of use, the comprehensive list below is sorted by topic and alphabetized. New entries as noted above are designated within the list by tan highlight. Document Symbols: Notes are identified with a notepad icon ( ) Tips are identified with a bell icon ( ) FFT Editor Function Explanation Workaround / Tip ADT: Custom Search with Date of Birth ADT: Date Fields For difficult ADT searches, data can be entered in the Custom Search area of the Search window to perform a search with multiple criteria. Please note that this type of search is more complex and may time out before results display. In FFT Editor 7.3, when entering the first number in a date field Fluency defaulted to day of the current month and displayed a popup to match that current month/day/year. Pressing Enter inserted that date into the field. In FFT Editor version 7.4 and above, on entering the first number in a date field Fluency defaults to the month rather than the day. When entering data in the Date of Birth field in the Custom Search area, use the following format: yyyymmdd. Take note that no slashes should be used; the information should be entered as one string of numbers. When entering a date in a Fluency ADT field, do one of the following: Begin typing the date starting with the month. Press Enter to access the calendar, select the date, then press Enter to insert the selected date in the field. o Today s date automatically displays as you begin typing; press Enter to insert today s date in the field. Press Ctrl + T to insert today s date. Press Ctrl + Y to insert yesterday s date. Once the date is entered, press the plus/minus keys on the calculator keypad to increase/decrease the date. Page 3 of 22 November 14

4 Audio: Accelerate Silence Playback Audio: Playing Audio with Key Commands CC List CC List: Selecting a recipient Demographics and ADT: ADT Fields Loss of speech recognized text may occur when Accelerate Silence Playback is enabled. To avoid loss of speech recognized output, the best practice is to disable the feature until Accelerate Silence Playback can be made more robust. The key command used to start and pause the audio (Ctrl + Spacebar) becomes unresponsive when using the Select Physician feature. Occasionally, when accessing the CC List window, no physician names are highlighted in the Job Physicians list. This situation causes loss of cursor focus in the CC List area and the Alt + I key command does not function. When viewing the CC List, entries in the Job Physicians list preceded by a question mark indicate incomplete data. When the job downloads or after performing a search for patient ADT, Additional ADT fields may display names preceded by a question mark. The Accelerate Silence Playback feature is enabled by default. To disable the Accelerate Silence Playback feature in Fluency for Transcription Editor, follow the steps below: 1. From the Document Editor window, select Tools > Options > Audio tab. 2. Deselect Accelerate Silence Playback. 3. Press Alt + O or click OK to save this setting change. The Ctrl + Spacebar key command will not respond if the current window does not display the audio playback icons. To stop the audio during playback when Ctrl + Spacebar does not respond, press the foot pedal. Alternatively, press Alt + C to Cancel out of the window and then press Ctrl + Spacebar to pause the audio. If no names are highlighted after accessing the CC List window, click on any entry to re-establish cursor focus. Rather than selecting a CC recipient from the Job Physicians list, always perform a search and select the recipient with the associated data from the database. As a best practice, when a physician name in the Additional ADT area is preceded by a question mark, repopulate the name by accessing the Select Physician database and performing a search. Page 4 of 22 November 14

5 Demographics and ADT: Date/Time Field Demographics and ADT: Dictator Name In DQS 6.1, when a work type had a defined Date/Time field, the default value did not display in the ADT screen. In FFT Editor, when the work type has a defined Date/Time field, the default value displays as 12:00/00:00 am and is unable to be edited. In FFT Editor, pressing Enter after pressing Alt + N to access the Select Physician window inserts the highlighted name from the Job Physicians quick pick list into the Dictator Name field. In DQS 6.1, pressing Enter after pressing Alt + N would insert the current name in the Dictator Name field. This is a visual difference only and no action is required. If the account requires the field to be edited, press Alt + T to access the Date/Time field and type the correct information. To avoid inadvertently inserting the wrong name in the Dictator Name field, follow the steps below: 1. Press Alt + N to access the Select Physician window. The name currently populating the Dictator Name field is positioned as view only at the bottom of the window. 2. To change the Dictator Name, insert search criteria, and press Alt + S to perform the search. 3. Highlight the appropriate name and press Enter. Document Checks: CC List When the document checks scan identifies a CC List error, the CC List window opens to the right of the Document Checks Panel. To add a CC List entry, follow the usual FFT Editor procedure. However, if a CC List entry needs to be removed, the focus may not be on the correct name in the CC List area. If the Dictator Name is already accurately populated, press Alt + C or Esc to Cancel out of the Select Physician window. Do NOT press the Enter key as doing so will change the Dictator Name to the name highlighted in the Job Physicians quick pick list. To remove a CC List entry when working with Document Checks, follow the steps below: 1. Press Alt + I to move cursor focus to the CC List area. 2. Press the Up/Down arrow keys to highlight the name to be deleted. 3. Press Alt + M or click Remove to delete the name from the CC List area. Page 5 of 22 November 14

6 Document Checks: Trailing Zero Rule Foot Pedal Job Flow: Splitting a Job Job Flow: Splitting a Speech Recognized Job The Document Checks scan identifies trailing zero rule errors and includes them in the Error List. When the text associated with the error is enclosed in parentheses; i.e., (81.0 mg), the text corresponding to the error does not highlight in the report. On rare occasions, the foot pedal is non-functional and results in no audio playback. With FFTE 7.5, the Document Checks process is all-inclusive and displays all document errors in the Document Checks Panel, including spelling, grammar, heading, and quality rules. Use the options provided to resolve the errors. The cursor defaults to the last resolved error, and must be repositioned prior to splitting the job. When editing in DocQscribe 6.1 prior jobs were hidden under <skip> tags making them accessible in subsequent reports. In FFT Editor prior reports are no longer accessible; however, the entire audio file is always available. To resolve a trailing zero error enclosed in parentheses, follow the steps below: 1. Press Ctrl + F to open the Find field. 2. Type the errant text in the Find field, and press Enter. 3. The text highlights in the report. Type the correct text over the highlighted area. 4. Press Shift + Alt + T or click Corrected which removes the error from the Document Checks list. Check the underside of the foot pedal for the model: 1. If the model is IN-USB-1 or IN-USB-2, confirm that the setting under Tools > Options > Audio is VEC USB Footpedal. If inaccurate, adjust it. 2. If the setting is accurate, contact Support and request an IN-DVI-USB foot pedal. 3. When the DVI foot pedal is attached, access Tools > Options > Audio and select the Digital Voice USB Footpedal option. After resolving the last Document Checks entry, the cursor defaults to the Text Editor. Reposition the cursor at the end of the current job, and then press Ctrl + Shift + U to Split. If an error message occurs, verify that the audio and cursor are positioned at the end of the current report and then press Ctrl + Shift + U. While editing the report, if it becomes apparent that a portion of the report will be needed for inclusion in the child job, highlight that text and then copy (Ctrl + C) and paste (Ctrl + V) the text to the remainder of the unedited text prior to performing the split. Remember to delete this additional text if it is not part of the next report. Page 6 of 22 November 14

7 Physician Search: Selecting Physicians QA Note Quality Staff: CC List Quality Staff: QA Feedback Markers When an entry in a physician field is preceded by a question mark (?), it is a visual cue that a complete match was not found in the database upon ADT transmission. The Job Physicians section of the Select Physician search window and CC List displays a list of entries associated with the job. Selecting an entry preceded by a question mark may misdirect routing of the document. When the > < = characters are entered in the QA Note, they convert to odd characters resembling "nonsense" in the customer view. Occasionally, when accessing the CC List window, no physician names are highlighted in the Job Physicians list. This situation causes loss of cursor focus in the CC List area and the Alt + I key command does not function. In DQS 6.1, after inserting a QA Feedback tag, the SHDA pressed Alt + M to access the Comments box to provide an explanation for the edit. In FFT Editor, when the SHDA presses Alt + M, the cursor moves to the Comments tab rather than the Comments box. Perform a search to populate any physician field including CC recipients. Do not select an entry from the Job Physicians list. Entries created under the New tab accurately display a question mark indicating the entry is not found in the database. Press Alt + Q from the Upload or Split window to access the QA Note and delete any > < = characters from the Note prior to uploading the job. If no names are highlighted after accessing the CC List window, click on any entry to re-establish cursor focus. To facilitate leaving notes for the HDS in the Comments area when providing QA Feedback, do the following: Press Alt + M to move the cursor focus to the Comments tab Next, press Tab to move the cursor to the Comments box and enter notes as appropriate Then, press Alt + O or click OK to save the information Page 7 of 22 November 14

8 Quality Staff: QA Feedback Markers In DQS 6.1, after pressing Ctrl + / to insert a QA Feedback tag, the Add Text Feedback window automatically displayed. The Repeat Text Feedback window only displayed when pressing Ctrl + Shift + /, the command required to insert feedback for a repeat error. In FFT Editor, if the system identifies that similar text is highlighted (such as a QA Marker), then it automatically selects the item from the Existing Feedback area. To avoid inappropriate QA Feedback identification numbers and misinterpretation of the QA Feedback, when the feedback is not Repeat Text Feedback, do the following: 1. Press Ctrl + / to insert a QA Feedback tag. 2. From the Add Text Feedback window, select <New> in the Existing Feedback area. 3. Press Alt + F or Tab to move to the QA Feedback Type and press the Down arrow key to select the default feedback type. 4. Press Enter or Alt + O to close the Add Text Feedback window. Quality Staff: QA Feedback Markers When leaving QA Feedback, the first word within the Feedback tag will always be capitalized since the word follows a colon. Alternatively, highlight additional text around the QA Marker so it appears different to the system and therefore defaults to the New selection. To eliminate the auto-cap, do one of the following: Press F2 to turn off auto-capitalization. Type immediately next to the colon following the feedback tag number. Backspace or Delete to manually correct the case of the character. Press Alt + Q > M to turn off QA Markers and verify spacing. Remember to use the same key combination to Show QA Markers before Upload or Split. Page 8 of 22 November 14

9 Quality Staff: QA Markers When reviewing a document, pressing Ctrl + J occasionally returns the audio to the beginning of the audio file rather than to the audio position aligned with the QA Marker. To edit a QA Marker that is no longer synchronized with the audio, do the following: Speech Recognized Report: Insert the cursor in nearby text positioned outside of marker. Press Ctrl + M to move the audio to the cursor position. Begin playing the audio. When the audio moves over the QA Marker, highlight the marker (do not jump to it), and then press Ctrl + / to insert the QA Feedback tag. Quality Staff: QA Note Quality Staff: Splitting a Job Blank lines in the QA Note cause the report to route to the customer s hold queue. Yes option grayed out on Split Job window when QA Feedback is enabled. Transcription Report: Manually move the slider on the Adjust Audio Position bar to the correct area. Highlight the QA marker (do not jump to it), and then press Ctrl + / to insert the QA Feedback tag. To avoid misrouting jobs to the customer s hold queue, remove any additional spaces or blank lines prior to Upload. Press Ctrl + Shift + Q to move cursor focus to the QA Note. If no text is present in the note, press Ctrl + A to select all, and then press Delete. QA Feedback must be selected prior to splitting a job. Do the following when splitting a job as an SHDA: 1. After pressing Ctrl + Shift + U to split the job, the QA Feedback types display in the Split Job window. 2. Press Alt + F to move focus to the QA Feedback and select the default type. The yes option to split the job activates. 3. Press Enter to continue the split job process. Page 9 of 22 November 14

10 Technical: Adjust keyboard settings to decrease Adjust the keyboard settings by doing the following: Changing the Keyboard and Cursor Speed effects of slow PC speed. Select Start > Control Panel > Keyboard Settings. To adjust the settings under the Speed tab, left click and drag the slider bar to the right. Click Apply, and then OK to save changes. Audio Highlight Audio Highlight Shading With the Show Audio Highlight option enabled, the text highlights as the audio plays. The Show Audio Highlight option only functions during playback in FFT Editor; whereas, in DocQscribe 6.1 it also functioned when rewinding and fast-forwarding. Show Audio Highlight displays in a gray shade when the Windows Theme is set to Windows 7 Basic. The keyboard adjustment settings are located in the same area for both Windows XP and Windows 7. To display the Show Audio Highlight after rewinding, do one of the following: After rewinding, begin playback by pressing the foot pedal or by pressing Ctrl + Spacebar. The Show Audio Highlight again displays. To move the cursor to the audio during rewind, press Ctrl + Shift + M. The audio continues to rewind until you initiate playback, at which point the Show Audio Highlight again displays. If the Show Audio Highlight shading is too dark, adjust it by doing the following: Windows XP: Right click on Desktop > select Properties > then the Appearance tab. Then adjust the color scheme until you find a suitable highlight. Windows 7: Go to Start > Control Panel > click Personalization. Under Basic and High Contrast Color Schemes, select Windows 7 Basic. Page 10 of 22 November 14

11 In DocQscribe 6.1, the cursor width could To adjust the cursor width: Cursor Width be adjusted in the DocQscribe Tools Options area. This is not currently available in FFT Editor; however, the cursor width can be adjusted in your PC Windows settings. Windows XP: Go to Start > Control Panel. From there, double-click on the Accessibility Options. Click on the Display tab at the top of the Accessibility Options window. Under Cursor Options > Width, click and drag the slider bar to the right to increase the cursor width. This setting change will increase the cursor width across all applications on your computer, including FFT Editor. Cycle Capitalization Cycle Capitalization The cycle capitalization feature (Ctrl + Shift + A) does not work on words enclosed in quotes or parentheses. In DQS 6.1, highlighted letters within a word could be changed using the cycle capitalization feature without remaining letters being affected; e.g., MiraLax. In FFT Editor, this function does not behave as expected. Windows 7: Go to Start > Control Panel > click Ease of Access Center. Click Make the computer easier to see. Go to Make things on the screen easier to see. Change the cursor width by selecting an option under Set the thickness of the blinking cursor. Click Apply, and then OK. If you need to change the case of a word enclosed by quotes or parentheses, do one of the following: Highlight the text in question and retype using the correct case format. For a larger block of text, remove the quotes or the parentheses, highlight the text and then press Ctrl + Shift + A to change the case. Next, reapply the appropriate punctuation marks. Until this issue is resolved, type the text using the correct case. Page 11 of 22 November 14

12 Cycle Punctuation Expansions Expansions Expansions The cycle punctuation feature (Ctrl + K) does not behave as expected when used on a word immediately after pressing the backspace key. Word expanders with 4 or more words set up in the Replace column do not expand. DETAILS: In a speech recognized report, subheading text may be correctly recognized but display in lower case. When creating an expansion, if you enter a short form in the Replace column for the recognized subheading text and then type the same text in all caps in the With column, if the text in the Replace column is four or more words, the expansion will not activate. When an expansion created with a single letter short form is typed immediately following a period and then activated with the spacebar, the entire long form is capitalized. First letter/word of multi-word expansions does not capitalize. Pressing Ctrl + K to insert punctuation after using the backspace key correctly inserts the period after the word as intended. However, holding down the Ctrl key and repeatedly tapping the K to insert other forms of punctuation causes the cursor to jump to the next word which, in turn, causes the punctuation to be applied to the wrong word. After using the Backspace key, manually insert the appropriate punctuation. Suggest using the normal protocol to create the expansion. To replace the misrecognized and/or incorrectly formatted text, highlight it, type the short form in all capital letters, followed by a colon. This will ensure that the text displays in all caps. Alternatively, highlight the text and press Ctrl + Shift + A to change the case. To avoid this issue, do one of the following: Activate the single letter short form with punctuation rather than the spacebar. Ensure short forms have more than one letter. When the first letter/word of a long form expansion requires capitalization, type the first letter of the short form as a capital letter and then activate the expansion. Page 12 of 22 November 14

13 Headings : Copy Previous Heading Text Headings: Deleting Headings Headings: Unknown Inserting Addressee Information In DocQscribe 6.1, pressing Ctrl + Shift + X copied the text from the previous heading to below the next heading including QA Markers in the text. In FFT Editor, the functionality has been corrected to exclude QA Markers when pressing Ctrl+ Shift + X to copy text. Delete Key: If the cursor is at the end of the heading text and the Delete key is pressed, the heading does not delete and the next paragraph of recognized text converts to heading format. Backspace Key: With the cursor below the heading if the Backspace key is used to move up to the heading, the next paragraph of text behind the cursor converts to heading format. In a Headings list enabled report, if a space is inserted beside the text in a formatted heading, the heading will display as an Unknown heading type with a wavy underline. When transcribing a letter and the addressee also requires a CC entry, create the New Contact CC entry first. Then, insert the already populated information into the Text Editor using the Physician Search feature. After pressing Ctrl + Shift + X to copy previous heading text, immediately press Ctrl + Z to return the QA Marker. If more than one marker is present in the copied text, press Ctrl + Z until all QA Markers are returned. To delete a heading, do one of the following: Press Delete at the end of the line immediately above the heading. Highlight the heading text as well as the borders and press Delete. Press Ctrl + Shift + H with the cursor in the heading to convert the heading to regular text. When creating a heading, be careful not to enter any additional spaces. As a reminder, Unknown headings can only be replaced with Preferred headings. To insert the addressee s name and address into the 1. Press Ctrl + N to access the Physician Search. 2. Select the entry from the Job Physicians list. 3. Press Alt + I to Insert the Name and Address into the report. Page 13 of 22 November 14

14 Insert Name Insert Name and Address List Format List Format When highlighting an inaccurate name in the report and then using the Insert Name feature to replace the name, the newly inserted name remains highlighted, and the next keystroke inadvertently deletes the name. In DQS 6.1, after using the Insert Name feature to insert a name and address at the bottom of the report, the application would auto-scroll to reveal the text that was inserted, and the cursor would display at the end of the inserted text. In FFT Editor, this does not behave as expected. Highlighting a list and then pressing Ctrl + Shift + A to cycle the case causes the list to reformat into a paragraph. In DocQscribe 6.1, pressing Enter x2 turned off list format. To avoid deleting a name just inserted in the text, follow the steps below: 1. Highlight the inaccurate name and press Ctrl + N to access the Insert Name feature. 2. Search for the appropriate name and then press Enter to insert the full name in the report. 3. Immediately press the Right arrow key to deselect the text prior to continuing transcription. When inserting the name and address at the bottom of the report, do the following to display all the information: Press Ctrl + N to access the Insert Name feature, search for the appropriate name, and then press Alt + I to insert the name and address in the report. Press the Down arrow to move the cursor immediately below the inserted text. To prevent loss of list format, highlight the text associated with the first list item, then press Ctrl + Shift + A to cycle the case. Repeat this task until all the list items have been processed. Press Ctrl + Shift + L to toggle automated list formatting on and off. List Format In FFT Editor, the behavior for the Ctrl + Shift + L function has changed. Speech recognized text for a list may already display in numbered format or in bulleted format. Depending on the customer specifications, the format may not need to be edited. With the cursor at the end of the line for a list item, press Enter twice to end auto-list format. When editing a list, do the following: 1. If the text is already recognized in bulleted format, do not edit the text to numbered format unless the Client Profile states otherwise. Backend formatting handles the conversion of bullets to numbers automatically. 2. If the text is already recognized in numbered format, it is not necessary to edit to bulleted format. Ensure that the numbers are in accurate succession. Page 14 of 22 November 14

15 List Format: Sub-list Sub-list formatting has changed in FFT Editor. To create lists and sub-lists, follow the steps below: 1. Press Ctrl + Shift + L to activate auto-list numbering. The visual cue is a solid bullet. 2. To create sub-list format, while in the list, press Ctrl + minus sign (also referred to as the hyphen; do not use the minus sign on the calculator keypad). The visual cue for the initial sub-list is a hollow bullet which changes with subsequent sub-lists. 3. To return the list to the previous level, press Ctrl + Alt + minus sign (also referred to as the hyphen; do not use the minus sign on the calculator keypad). 4. Press Enter to move to the next line, and then press Ctrl + Shift + L to end auto-list numbering. Navigation Pressing the Up or Down arrow key does not consistently move the cursor to the expected position; i.e., to the line immediately above or below the current cursor position. When creating sub-lists, press Enter twice to return to the previous list level. There is currently no workaround; these comments are included to explain what you may experience. When the Up or Down arrow key is pressed at the end of a line, the cursor behaves as follows: Up Arrow: The cursor moves to the beginning of the line rather than to the line above. Down Arrow: The cursor moves 2 lines below the current line. Pressing another key command can assist in unlocking a nonresponsive arrow key. For example, press Ctrl + [ or Ctrl + ] to move the cursor to a previous or subsequent heading. Then, press Ctrl + Shift + M to move the cursor back to the current audio position. Page 15 of 22 November 14

16 QA Markers QA Markers QA Note Scrolling in a Speech Recognized Report In DocQscribe 6.1 the audio position displayed in the marker text. This information was often referenced when leaving a note for the questioned area. In FFT Editor, QA Markers do not display the audio position but the markers continue to be synchronized with the audio position at that point in the report. When inserting a period immediately following a QA Marker, the cursor moves to the front of the period instead of after the period. Blank lines in the QA Note are causing the report to route to the customer s hold queue. When editing, text does not scroll automatically during playback. If the audio position is required, refer to the audio playback bar to note the appropriate audio position. Pressing Ctrl + J continues to Jump To the marker, which automatically jumps the cursor to the synchronized position in the audio and text. For a speech recognized report, if the audio position is inaccurate, press Ctrl + M to move the audio to the QA Marker position. If the audio position is inaccurate in a transcription report, move the audio slider bar to the correct audio position prior to inserting the QA Marker. After pressing Ctrl + Q to insert a QA Marker and then pressing Esc to exit the QA Note, insert the period (as necessary), immediately followed by a right arrow press to move the cursor to the right of the period. To avoid delays in routing the report to the customer, remove any additional spaces or blank lines prior to Upload. Press Ctrl + Shift + Q to move cursor focus to the QA Note. If no text is present in the note, press Ctrl + A to select all, and then press Delete. To enable scrolling, do one of the following: After starting the audio, press Ctrl + G to attach the cursor to the audio which activates automatic scrolling. Press Ctrl + Shift + M to move the cursor to the current audio position. The text then displays. Press the Down arrow key to manually move the cursor to the next section of text. Page 16 of 22 November 14

17 Scrolling in a Transcription During transcription, the screen does not scroll when the cursor reaches the bottom To display the cursor throughout transcription, do one of the following: Job of the screen. Go to Tools > Options > View and select Auto-hide bottom panel group. Press the Down arrow or Enter key to display additional area in the Text Editor. Standards In DocQscribe 6.1, a unique naming convention was provided for Standards and there were no duplicate names. This is not When the list of available Standards contains duplicate names, refer to the icon next to the name of the Standard to help make your selection: the case in FFT Editor, although a visual Person Icon = Dictator Standard cue is provided in the list of available Note Icon = Work Type Standard Standards. Building Icon = Facility Standard Standards Web Browsers In a speech recognized job, double-clicking a heading within a work type standard resets the audio back to the beginning of the audio file. Previously after pressing Ctrl + 1 to access the Google web browser in Fluency, pressing the Tab key moved cursor focus to the results page. Next, pressing the Up/Down arrow keys moved through the displayed results. Then, pressing Enter opened the focused Web site. With the advent of Internet Explorer (IE) 9 and IE10, the search behavior when using Google with IE8 changed. Since the behavior in FFT Editor must match that of Google, Fluency is unable to be modified. In a speech recognized job, if the audio jumps to the wrong position, reposition the audio by doing the following: Navigate the cursor a word or a line away from the desynchronized area. Then press Ctrl + M to jump the audio to the cursor position. When using IE8, press Ctrl + 1 to open the Google Web browser from FFT Editor. Then, press the Up/Down arrow keys to scroll through the results and click the appropriate link. Although an upgrade to IE9 or IE10 will rectify this issue, these versions of Internet Explorer may not be compatible with other applications on your PC. Contact your HDSM or Support for verification prior to changing the version of IE. Page 17 of 22 November 14

18 Word Lookups and Wiki Articles Word Wrap Word lookups can be performed in FFT Editor by pressing Ctrl + P, Ctrl + Shift + P or Ctrl + W. If the lookup is performed on a word located at either the bottom or far right of the page, the Word List or Wiki article may be cut off. When expansions are inserted, premature word-wrapping may occur. If the Word List or Wiki article is cut off, press Ctrl + 1 to open the Google web browser. The term will display in the Search field; press Enter to search. Wiki articles, when available, display at the bottom of the Google search window. Use this area to review Wiki articles illegible in the Text Editor. Text dropping to the next line prematurely does not affect the final report version. No further action is required. Page 18 of 22 November 14

19 Spotlighted Features Topic: Job Physicians Quick Pick List Rule of Thumb: When information is dictated or directed by the Client Profile to update fields, do not use entries preceded by a question mark instead, search for the entry. Explanation: Fluency for Transcription Editor (FFT Editor) 7.3 provides a Job Physicians quick pick feature. With this feature, accessing the Select Physician search window presents a pre-populated list of all physicians and ancillary staff transmitted through the ADT feed: Some entries have incomplete data associated with them. To ensure accuracy, always perform a search for information even if the requested entry displays in the Job Physicians list. Page 19 of 22 November 14

20 Main Topic: Creating Jobs without Audio Explanation: Create Jobs without Audio is a feature which allows the user to create a job in Fluency for Transcription Manager, which can be used in Fluency for Transcription Editor to perform various tasks. These tasks may include transcribing jobs that obtain their audio from an outside source or working on expansions without being in a production job. When you create a job without audio using your FFT Manager ID, the job is automatically reserved to the corresponding FFT Editor user and displays upon log in. To create a job without audio, follow the steps below: 1. Log in to Fluency for Transcription Manager using the FFT Editor Log in. Select Create Job from the task pane on the left to display the Create Job menu: 2. Fill in the Client Facility, Work Type, and Dictator fields by doing the following: Start typing the information or press the spacebar to display all entries. Select an entry. Press Enter to populate the field. The cursor automatically moves to the next field. 3. When applicable, enter the Dictation Job ID. Page 20 of 22 November 14

21 If left blank, the Dictation Job ID will default to the assigned Internal Job ID. 4. Once information has been entered in the first three fields, the Create Job option activates. 5. Press Enter or click Create Job to create a job with the information entered in the fields. The Internal Job number displays: 6. The job routes to the user upon logging in to FFT Editor. Alternatively, to Create Jobs without Audio, after logging in to FFT Editor, press Alt + I or click Line Count on the Control Center to access FFT Manager. After creating the job, press Alt + Tab to move back to the Editor and press Alt + W to download the job. When creating a job without audio to work on Expansions, Abandon the job when finished; do not Upload a blank job to the customer. Page 21 of 22 November 14

22 Topic: Modifications to ADT Matching Explanation: When multiple visits are associated with the patient numeric identifier such as the Medical Record Number (MRN) entered during job creation, Fluency will now display basic patient level ADT information. Continue to follow the standard procedure and perform an ADT Search to fully populate the patient s record with the visit information, when available. When a match for the MRN entered is not available in the database, then only the MRN will display in the ADT fields. Follow the established procedure to search the database using the dictated criteria. Example: ADT Fields populated when multiple visits exist: Page 22 of 22 November 14

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