Guest guest Posted November 26, 2007 Report Share Posted November 26, 2007 Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the " drag and drop " charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2007 Report Share Posted November 26, 2007 Lou, I am taking the Dragon plunge with Annie. Can I get a copy of your handout or is it posted somewhere? Thanks, Sharon At 06:40 AM 11/26/2007, you wrote: Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the " drag and drop " charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2007 Report Share Posted November 26, 2007 Sharon-I will send it to you-I also will try to post in a few different places where people can find. > > > > > > > > > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred > >yesterday. > > > So now I have to figure out what to do with it.. > > > > > > > > > > > > Although I read Lou's handout on voice recognition stuff, I find > >that I > > > still really know not enough about how Dragon will work within my > >system. > > > Maybe those of you already using it have some pointers for me. > > > > > > > > > > > > So you know where I'm coming from: > > > > > > At my office, I have a Dell Power Edge server that hosts my EMR > > > (Healthmatics from Allscripts, nee A4) and I do most of my > >charting from a > > > Fuji Lifebook that has a wireless connection to the server. I > >also have > > > several PCs that are hardwired to the server. I also have my > >laptop, which > > > I use in the office for email and internet stuff, and which I > >chart with > > > from home, via remote desktop. In the office, if I need to use > >the laptop > > > for charting, I can also get the remote desktop connection, which > >is faster > > > than the direct connection for some strange reason. > > > > > > > > > > > > So, my plan has been to use Dragon for the impossible-to- template > >portions > > > of the HPI and the long and detailed plans that sometimes > >transpire, to cut > > > down on typing time. Before I really gave it any thought, I was > >assuming > > > that Dragon would work to put text into my EMR just like the > >keyboard does. > > > But now that I think about it a bit more critically, I wonder if > >that is > > > true. Or do I have to have some sort of interface set up for my > >EMR to work > > > with Dragon? Or do I need to use Dragon to dictate into Word, > >then cut and > > > paste the text into the EMR (which I already do if I want to put > >some > > > something in that is a word document, like patient education > >materials that > > > I don't already have built into the ERM, or like text from patient > >emails > > > that I cut and paste into the HPI if the patient emailed me to > >request the > > > appointment. > > > > > > > > > > > > I have been planning that I would put Dragon on the laptop, which > >is the > > > computer I use the most and use wherever I go. When in the > >office, I would > > > do most of the " drag and drop " charting on the little Fuji, and > >then switch > > > to the laptop to dictate the cumbersome stuff and sign off, but if > >I need > > > Dragon linked to the EMR, perhaps I need to install it on the > >office server > > > instead?? > > > > > > > > > > > > Thanks in advance for all your geeky wisdom! > > > > > > Annie > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 Sharon, I feel less alone, knowing you are diving in with me. I have Dragon sitting here mocking me “Nah, nah, you’re afraid to install me….” And it’s true, I AM afraid…. Is it really OK to buy one box and install that CD on a server, three laptops and 2 desktops??? Or if I put it on the server, and the goes-with-me-everywhere laptop will that suffice… I thought I knew a few things about computers, but this has me flummoxed! Annie From: [mailto: ] On Behalf Of Sharon McCoy , M.D. Sent: Monday, November 26, 2007 10:20 AM To: Subject: Re: Re: Dragon question Lou, I am taking the Dragon plunge with Annie. Can I get a copy of your handout or is it posted somewhere? Thanks, Sharon At 06:40 AM 11/26/2007, you wrote: Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the " drag and drop " charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 I just read a news article about a company that makes a lot of money by going after small business mistakes with software licences. http://www.nytimes.com/aponline/technology/AP-Software-Watchdog.html?_r=1 & oref=slogin (If the link doesn't work, go to www.NYTimes.com and search on " software license " It's pretty scary, as the company's approach is to go after the little guy who can't afford much legal help and sometimes just can't come up with actual receipts for software. Bottom line: Keep the receipts. If you move software to a new machine you have to delete it from the old machine even if you never use it on the old machine. Read the license agreements (have to admit that this one is beyond me). Gordon At 09:38 PM 11/26/2007, you wrote: Sharon, I feel less alone, knowing you are diving in with me. I have Dragon sitting here mocking me “Nah, nah, you’re afraid to install me….” And it’s true, I AM afraid…. Is it really OK to buy one box and install that CD on a server, three laptops and 2 desktops??? Or if I put it on the server, and the goes-with-me-everywhere laptop will that suffice… I thought I knew a few things about computers, but this has me flummoxed! Annie From: [ mailto: ] On Behalf Of Sharon McCoy , M.D. Sent: Monday, November 26, 2007 10:20 AM To: Subject: Re: Re: Dragon question Lou, I am taking the Dragon plunge with Annie. Can I get a copy of your handout or is it posted somewhere? Thanks, Sharon At 06:40 AM 11/26/2007, you wrote: Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the " drag and drop " charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 RE license fees Some software now allows you to install on multiple machines, for ex Norton 360 comes with 3 licenses Quickbooks 2007 allows multiple licenses. But Microsoft does not, and terminates operations if not registered. Programs that have been registered before like Officesuite from microsoft, cannot be used on muliple machines. I still would consider site licenses if you have more than 5 machines. Another overhead cost of technology... Matt in Western PA RE: Re: Dragon question I just read a news article about a company that makes a lot of money by going after small business mistakes with software licences.http://www.nytimes.com/aponline/technology/AP-Software-Watchdog.html?_r=1 & oref=slogin (If the link doesn't work, go to www.NYTimes.com and search on "software license"It's pretty scary, as the company's approach is to go after the little guy who can't afford much legal help and sometimes just can't come up with actual receipts for software.Bottom line:Keep the receipts.If you move software to a new machine you have to delete it from the old machine even if you never use it on the old machine.Read the license agreements (have to admit that this one is beyond me).GordonAt 09:38 PM 11/26/2007, you wrote: Sharon, I feel less alone, knowing you are diving in with me. I have Dragon sitting here mocking me “Nah, nah, you’re afraid to install me….” And it’s true, I AM afraid…. Is it really OK to buy one box and install that CD on a server, three laptops and 2 desktops??? Or if I put it on the server, and the goes-with-me-everywhere laptop will that suffice… I thought I knew a few things about computers, but this has me flummoxed!Annie From: [ mailto: ] On Behalf Of Sharon McCoy , M.D.Sent: Monday, November 26, 2007 10:20 AMTo: Subject: Re: Re: Dragon question Lou,I am taking the Dragon plunge with Annie. Can I get a copy of your handout or is it posted somewhere?Thanks,SharonAt 06:40 AM 11/26/2007, you wrote: Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the "drag and drop" charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 I have had no problem, taking the same CD and installing it on multiple computers. Same with Adobe Acrobat. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Dr Levin Sent: Tuesday, November 27, 2007 8:02 AM To: Subject: Re: Re: Dragon question RE license fees Some software now allows you to install on multiple machines, for ex Norton 360 comes with 3 licenses Quickbooks 2007 allows multiple licenses. But Microsoft does not, and terminates operations if not registered. Programs that have been registered before like Officesuite from microsoft, cannot be used on muliple machines. I still would consider site licenses if you have more than 5 machines. Another overhead cost of technology... Matt in Western PA ----- Original Message ----- From: L. Gordon To: Sent: Tuesday, November 27, 2007 7:27 AM Subject: RE: Re: Dragon question I just read a news article about a company that makes a lot of money by going after small business mistakes with software licences. http://www.nytimes.com/aponline/technology/AP-Software-Watchdog.html?_r=1 & oref=slogin (If the link doesn't work, go to www.NYTimes.com and search on " software license " It's pretty scary, as the company's approach is to go after the little guy who can't afford much legal help and sometimes just can't come up with actual receipts for software. Bottom line: Keep the receipts. If you move software to a new machine you have to delete it from the old machine even if you never use it on the old machine. Read the license agreements (have to admit that this one is beyond me). Gordon At 09:38 PM 11/26/2007, you wrote: Sharon, I feel less alone, knowing you are diving in with me. I have Dragon sitting here mocking me “Nah, nah, you’re afraid to install me….” And it’s true, I AM afraid…. Is it really OK to buy one box and install that CD on a server, three laptops and 2 desktops??? Or if I put it on the server, and the goes-with-me-everywhere laptop will that suffice… I thought I knew a few things about computers, but this has me flummoxed! Annie From: [ mailto: ] On Behalf Of Sharon McCoy , M.D. Sent: Monday, November 26, 2007 10:20 AM To: Subject: Re: Re: Dragon question Lou, I am taking the Dragon plunge with Annie. Can I get a copy of your handout or is it posted somewhere? Thanks, Sharon At 06:40 AM 11/26/2007, you wrote: Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the " drag and drop " charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 Treading on thin ice here, but if you don't have to register the software, you're probably OK. M RE: Re: Dragon question I just read a news article about a company that makes a lot of money by going after small business mistakes with software licences.http://www.nytimes.com/aponline/technology/AP-Software-Watchdog.html?_r=1 & oref=slogin (If the link doesn't work, go to www.NYTimes.com and search on "software license"It's pretty scary, as the company's approach is to go after the little guy who can't afford much legal help and sometimes just can't come up with actual receipts for software.Bottom line:Keep the receipts.If you move software to a new machine you have to delete it from the old machine even if you never use it on the old machine.Read the license agreements (have to admit that this one is beyond me).GordonAt 09:38 PM 11/26/2007, you wrote: Sharon, I feel less alone, knowing you are diving in with me. I have Dragon sitting here mocking me “Nah, nah, you’re afraid to install me….” And it’s true, I AM afraid…. Is it really OK to buy one box and install that CD on a server, three laptops and 2 desktops??? Or if I put it on the server, and the goes-with-me-everywhere laptop will that suffice… I thought I knew a few things about computers, but this has me flummoxed!Annie From: [ mailto: ] On Behalf Of Sharon McCoy , M.D.Sent: Monday, November 26, 2007 10:20 AMTo: Subject: Re: Re: Dragon question Lou,I am taking the Dragon plunge with Annie. Can I get a copy of your handout or is it posted somewhere?Thanks,SharonAt 06:40 AM 11/26/2007, you wrote: Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the "drag and drop" charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 I'll speak about Dragon NaturallySpeaking separately-it does depend on the software. I think we need to clarify -if are talking about Adobe Acrobat reader software-this is freely downloadable from the web for as many computers as you wish. (This is distinguished from the full version of Acrobat which is limited to one or two computers). > > > > > > > > > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred > > yesterday. > > > So now I have to figure out what to do with it.. > > > > > > > > > > > > Although I read Lou's handout on voice recognition stuff, I find > > that I > > > still really know not enough about how Dragon will work within my > > system. > > > Maybe those of you already using it have some pointers for me. > > > > > > > > > > > > So you know where I'm coming from: > > > > > > At my office, I have a Dell Power Edge server that hosts my EMR > > > (Healthmatics from Allscripts, nee A4) and I do most of my > > charting from a > > > Fuji Lifebook that has a wireless connection to the server. I > > also have > > > several PCs that are hardwired to the server. I also have my > > laptop, which > > > I use in the office for email and internet stuff, and which I > > chart with > > > from home, via remote desktop. In the office, if I need to use > > the laptop > > > for charting, I can also get the remote desktop connection, which > > is faster > > > than the direct connection for some strange reason. > > > > > > > > > > > > So, my plan has been to use Dragon for the impossible-to- template > > portions > > > of the HPI and the long and detailed plans that sometimes > > transpire, to cut > > > down on typing time. Before I really gave it any thought, I was > > assuming > > > that Dragon would work to put text into my EMR just like the > > keyboard does. > > > But now that I think about it a bit more critically, I wonder if > > that is > > > true. Or do I have to have some sort of interface set up for my > > EMR to work > > > with Dragon? Or do I need to use Dragon to dictate into Word, > > then cut and > > > paste the text into the EMR (which I already do if I want to put > > some > > > something in that is a word document, like patient education > > materials that > > > I don't already have built into the ERM, or like text from patient > > emails > > > that I cut and paste into the HPI if the patient emailed me to > > request the > > > appointment. > > > > > > > > > > > > I have been planning that I would put Dragon on the laptop, which > > is the > > > computer I use the most and use wherever I go. When in the > > office, I would > > > do most of the " drag and drop " charting on the little Fuji, and > > then switch > > > to the laptop to dictate the cumbersome stuff and sign off, but if > > I need > > > Dragon linked to the EMR, perhaps I need to install it on the > > office server > > > instead?? > > > > > > > > > > > > Thanks in advance for all your geeky wisdom! > > > > > > Annie > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 - GET A GRIP-IT'S JUST SOFTWARE-ONES AND ZEROS. Besides, there's nothing you can do to screw up your computer that can't fix. (and whatever she doesn't know I probably do) Okay- License issues-I'm not so sure about the preferred but I know that it's more than one computer that the program can be used on. I have the professional and have installed it on three or four computers-it needs to be registered so I know at least that many is kosher. The voice files can be Centrally on a server but the program itself needs to run locally- WHAT THAT MEANS -is that you can have the program running on a number of laptops etc.. When you start the program it grabs your voice files and loads them from the central location and then works locally. When you close the program down on whatever computer you're working on the software transfers the voice files back and overwrites them on the central server. This is a little tricky to set up and what I advise is that you first install the program on one or two laptops, get it up and running and get used to it. If you want, we can get fancy later. > > > > > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred > yesterday. > > So now I have to figure out what to do with it.. > > > > > > > > Although I read Lou's handout on voice recognition stuff, I find > that I > > still really know not enough about how Dragon will work within my > system. > > Maybe those of you already using it have some pointers for me. > > > > > > > > So you know where I'm coming from: > > > > At my office, I have a Dell Power Edge server that hosts my EMR > > (Healthmatics from Allscripts, nee A4) and I do most of my > charting from a > > Fuji Lifebook that has a wireless connection to the server. I > also have > > several PCs that are hardwired to the server. I also have my > laptop, which > > I use in the office for email and internet stuff, and which I > chart with > > from home, via remote desktop. In the office, if I need to use > the laptop > > for charting, I can also get the remote desktop connection, which > is faster > > than the direct connection for some strange reason. > > > > > > > > So, my plan has been to use Dragon for the impossible-to- template > portions > > of the HPI and the long and detailed plans that sometimes > transpire, to cut > > down on typing time. Before I really gave it any thought, I was > assuming > > that Dragon would work to put text into my EMR just like the > keyboard does. > > But now that I think about it a bit more critically, I wonder if > that is > > true. Or do I have to have some sort of interface set up for my > EMR to work > > with Dragon? Or do I need to use Dragon to dictate into Word, > then cut and > > paste the text into the EMR (which I already do if I want to put > some > > something in that is a word document, like patient education > materials that > > I don't already have built into the ERM, or like text from patient > emails > > that I cut and paste into the HPI if the patient emailed me to > request the > > appointment. > > > > > > > > I have been planning that I would put Dragon on the laptop, which > is the > > computer I use the most and use wherever I go. When in the > office, I would > > do most of the " drag and drop " charting on the little Fuji, and > then switch > > to the laptop to dictate the cumbersome stuff and sign off, but if > I need > > Dragon linked to the EMR, perhaps I need to install it on the > office server > > instead?? > > > > > > > > Thanks in advance for all your geeky wisdom! > > > > Annie > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 I do register it. I get CDs with every computer but don’t label them as to which computer and when I need to reload software for any reason, it doesn’t seem to matter. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Dr Levin Sent: Tuesday, November 27, 2007 8:35 AM To: Subject: Re: Re: Dragon question Treading on thin ice here, but if you don't have to register the software, you're probably OK. M ----- Original Message ----- From: Kathy Saradarian To: Sent: Tuesday, November 27, 2007 8:28 AM Subject: RE: Re: Dragon question I have had no problem, taking the same CD and installing it on multiple computers. Same with Adobe Acrobat. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Dr Levin Sent: Tuesday, November 27, 2007 8:02 AM To: Subject: Re: Re: Dragon question RE license fees Some software now allows you to install on multiple machines, for ex Norton 360 comes with 3 licenses Quickbooks 2007 allows multiple licenses. But Microsoft does not, and terminates operations if not registered. Programs that have been registered before like Officesuite from microsoft, cannot be used on muliple machines. I still would consider site licenses if you have more than 5 machines. Another overhead cost of technology... Matt in Western PA Re: Re: Dragon question Lou, I am taking the Dragon plunge with Annie. Can I get a copy of your handout or is it posted somewhere? Thanks, Sharon At 06:40 AM 11/26/2007, you wrote: Annie- go ahead and put speech recognition on all of your computers- all of your laptops and tablets. Make sure you have a decent microphone as well as for the laptops and tablets a USB soundcard (external)-remember the internal laptop/tablet soundcards do not produce a clean enough voice pattern for the program to work adequately in the great majority of cases. In the vast majority of electronic health records-speech can be input into whatever text fields are available in the specific record. Alternatively, under the tools menu-you can produce a dictation box on the screen which then you can dictate into and will automatically transfer the text into fields on your electronic health record which might otherwise be non-compliant with the program. Finally, I would be glad to talk with you personally just so we're on the same page-Wednesdays or Fridays are best with me-I'm sure you'll have other questions as you get going. Lou --- In , " Annie Skaggs " wrote: > > > > Thanks to Lou's sharp shopping eyes, I picked up Dragon preferred yesterday. > So now I have to figure out what to do with it.. > > > > Although I read Lou's handout on voice recognition stuff, I find that I > still really know not enough about how Dragon will work within my system. > Maybe those of you already using it have some pointers for me. > > > > So you know where I'm coming from: > > At my office, I have a Dell Power Edge server that hosts my EMR > (Healthmatics from Allscripts, nee A4) and I do most of my charting from a > Fuji Lifebook that has a wireless connection to the server. I also have > several PCs that are hardwired to the server. I also have my laptop, which > I use in the office for email and internet stuff, and which I chart with > from home, via remote desktop. In the office, if I need to use the laptop > for charting, I can also get the remote desktop connection, which is faster > than the direct connection for some strange reason. > > > > So, my plan has been to use Dragon for the impossible-to-template portions > of the HPI and the long and detailed plans that sometimes transpire, to cut > down on typing time. Before I really gave it any thought, I was assuming > that Dragon would work to put text into my EMR just like the keyboard does. > But now that I think about it a bit more critically, I wonder if that is > true. Or do I have to have some sort of interface set up for my EMR to work > with Dragon? Or do I need to use Dragon to dictate into Word, then cut and > paste the text into the EMR (which I already do if I want to put some > something in that is a word document, like patient education materials that > I don't already have built into the ERM, or like text from patient emails > that I cut and paste into the HPI if the patient emailed me to request the > appointment. > > > > I have been planning that I would put Dragon on the laptop, which is the > computer I use the most and use wherever I go. When in the office, I would > do most of the " drag and drop " charting on the little Fuji, and then switch > to the laptop to dictate the cumbersome stuff and sign off, but if I need > Dragon linked to the EMR, perhaps I need to install it on the office server > instead?? > > > > Thanks in advance for all your geeky wisdom! > > Annie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 You make a good case for open source programs and operating systems. You can get an .iso file that you can burn on a CD with a complete Linux operating system and a copy of our free Tkfp EMR from our site at http://tkfp.sourceforge.net . Just burn it and boot your computer into Linux and leave Microsoft behind. Or you can keep Microsoft and just put an extra cheap computer on your network and try it out. I am sort of bewildered why more of the innovators on the list have not embraced open source software with more gusto. People think if it is free, it can't be any good. Nothing could be further from the truth. The software that runs the Internet is all open source, if we had to wait for Microsoft to come up with it and buy licenses etc, it never would have happened. A lot of the open source software is done by professional programmers who just don't want to have to deal with all those licenses, so they donate excellent code, in return for getting other code they need from other programmers. So the quality is most often as good or better than proprietary software. Caldwell Tulare, CA > > I just read a news article about a company that > makes a lot of money by going after small > business mistakes with software licences. > > http://www.nytimes.com/aponline/technology/AP-Software- Watchdog.html?_r=1 & oref=slogin > (If the link doesn't work, go to www.NYTimes.com > and search on " software license " > > It's pretty scary, as the company's approach is > to go after the little guy who can't afford much > legal help and sometimes just can't come up with actual receipts for software. > > Bottom line: > Keep the receipts. > If you move software to a new machine you have to > delete it from the old machine even if you never use it on the old machine. > Read the license agreements (have to admit that this one is beyond me). > > Gordon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2007 Report Share Posted November 28, 2007 I'll jump in to second 's convictions. When I was starting up, I didn't take 's message to heart enough. Now I'm feeling very caught and limited by proprietary EMR and PMS companies, although I don't think mine are worse than any others. I'm looking for the time in my life to transition all this to open source. (It may have to happen quickly if my EMR company keeps telling me I have to get a new $5000 database that I wasn't told about up front!) And I'm going to try to do it on a Linux platform. Ubuntu is very easy to install and run. I put it on an old computer that was very slow under XP Pro but is quick under Ubuntu. Getting certain things to work can require getting under the hood a bit, but there is so much support on the net. I'd encourage anyone with some inclination toward actually understanding how the computer works and how to make it do what you want yourself to seriously consider open source. Haresch > > You make a good case for open source programs and operating > systems. You can get an .iso file that you can burn on a CD > with a complete Linux operating system and a copy of our free > Tkfp EMR from our site at http://tkfp.sourceforge.net . Just burn it > and boot your computer into Linux and leave Microsoft behind. > Or you can keep Microsoft and just put an extra cheap computer > on your network and try it out. I am sort of bewildered why more > of the innovators on the list have not embraced open source software > with more gusto. People think if it is free, it can't be any good. Nothing > could be further from the truth. The software that runs the Internet is > all open source, if we had to wait for Microsoft to come up with it and > buy licenses etc, it never would have happened. A lot of the open > source software is done by professional programmers who just > don't want to have to deal with all those licenses, so they donate > excellent code, in return for getting other code they need from other > programmers. So the quality is most often as good or better than > proprietary software. > > Caldwell > Tulare, CA Quote Link to comment Share on other sites More sharing options...
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