M*Modal – Fluency Direct PresentationBy Vickie Arnerich, Kim Devencenzi & Jillian Vasquez

M*Modal AgendaOverviewM*Modal’s Fluency Direct is a frontend speech solution for freeformdictations of medical reports into Electronic Medical Records (EMRs).Initial Experience• Password• Establish Medical Specialty• Calibrate MicrophonePersonalize Profile• Dictionary• Abbreviations• Create commands• FormattingCommon Voice CommandsSign out/QuitMobile App• Video

Initial Experience• Change Password • Select specialty

• You may only select one at a time. Despite Specialty selected, all medical terminology will still be recognized.

• Calibrate –M*Modal will guide you through a series of 13 screens to train your profile (voice, accent and speaking patterns)

Personalize Profile• Dictionary, Pronunciation & Abbreviations

Personalization

Fluency Direct offers a variety of tools to help you personalize your experience and

daily use.

Dictionary: Create a custom dictionary of Names, Locations, Medications, Procedures,

Diagnoses, and Excluded Words

Abbreviations: Create a collection of abbreviations. This is a list of words or phrases

that you use repeatedly but abbreviate when speaking.

Commands: Create commands to which can be used to insert snippets of text, perform

keyboard shortcuts, and more.

Formatting:Define specific options related to the display and rendering of the dictation

and draft text including dates, times, measurements, and spacing.

Medical Specialty: Fluency Direct focuses on the physician's medical specialty, select

your specialty here to ensure improved recognition.

Profile Training: Training your voice profile, or enrollment, is a simple process. Once

you login as a new user, you have the option to complete the enrollment process after

you have selected and calibrated your microphone. This is recommended for best

recognition results, but is not required to run the program.

Adding a Dictionary Entry

1.Enter the Written Form of the word to be added to the

dictionary.

2.Based on the written form, the pronunciation will be

created. You can change this by clicking the blue

Change link.

3.The Pronunciation dialog will then appear. From here,

you can view the Written Form, Spoken Form and

Record Pronounciation.

Commands

Using brackets [ ] around your ‘normals’, allows the cursor to stop and speak/type over the normals, as the patient reports

Suggested Microphone Habits

The best speech recognition quality comes from optimally recorded audio. Follow the

habits below in order to achieve a better experience. The General Dictation Habits

section is applicable to every microphone type.

General Dictation Habits

•Check the microphone settings to verify the microphone you intend to use is selected

and the record buttons are appropriately set.

•Gather your thoughts and assemble any pertinent information prior to dictating.

•Dictate in a quiet area, with minimal background noise. Calibrate microphone if

environment changes.

•Speak in full thoughts or sentences, consistently and evenly, avoiding fragmented

dictations.

•Use correct verbiage and grammar – including punctuation.

•Speak clearly, at a regular pace – articulate properly without over enunciating or

speaking too slowly.

•Enunciate words that can be misunderstood: abduction vs. adduction and hyper vs.

hypo

•Avoid using slang, acronyms, and/or coined terms.

•Be sure to wait until recording has begun before beginning to dictate and only releasing

the record button (if using Hold to Talk) or recording is turned off (if using Toggle to Talk)

after dictation is complete. This prevents words from being “clipped” from the start or tail

end of the dictation.

•Stop recording when taking a pause from dictation. This is to prevent capturing other

conversations or background noises.

•Avoid heavy breathing or coughing into the microphone while recording.

•Never allow another person to dictate under your login. This will negatively affect your

recognition quality.

•It is best to mention any issues to your in-house Help Desk as it may or may not be

related to the hardware.

Best Practices

Signing Out

Sign out from the Fluency Direct application using this

option; this option will not exit the application, it will remain

running on your desktop.

Quit

To exit the application completely (the Control bar will no

longer be available on your desktop), select Quit from the

Control Bar menu.

M*MODAL Fluency Mobile APP

• Where to get it?

• Google Play Store

• App Store

Directions

STEP 1 STEP 2 STEP 3

Directions

Step 4: Open up Microphone Setup on computer Desktop.

Note: Setup CAN be configured via Pulse Secure or through VPN.

Directions

Step 5:Click on the Drop Down Arrow to select “Link a Mobile Device”.

Directions

STEP 6: Enter 4-digit code in phone

Directions

Step 7:Once your phone has been linked, click “Calibrate” to calibrate the microphone to your voice and surroundings.

Directions

Step 8:Click the “Microphone” button on your mobile device and dictate the text in the paragraphs. Upon completion, click “Okay” then “Close”. You may begin to dictate.

Video Demonstration • https://mediaconnect.medcity.net/media/Far+West+Division+M%2AModal+Mobile+Microphone+Training/0_97zlx4wi

Thank you, this concludes the M*Modal presentation

Any Questions?