4. Trke srm PowerScribe 360 Reporting 4.0 delivers enhanced core functionality to improve usability, administration and security. Our international Customer Success Team can help. If you receive a Check and cost free reading online in rar word pdf txt kindle zip as well as ppt Python 872 Responder LE Security Remote Start System . This integration will be an immense aid to users, and ultimately our patients will be the beneficiaries." See how you can keep your clients and your business move forward with Optify. Whatever you say into the microphone, Dragon will capture it with 99% accuracy right out of the box! It also enables valuable enhancements to optional add-ons. MetaMap is the world's first all-in-one identity verification platform. McKesson PACS and Powerscribe 360 is utilized by the Radiologists team to provide reads throughout the system including: 13 Primary Care Clinics, a busy Orthopedic practice, Outpatient Imaging Center and in the Hospital. This latest version gives you more control of your reports with the goal of making the dictation process faster and more accurate. When finished,
New overread workflow option allows greater flexibility to physicians when requesting additional input on a specific report by routing it to the appropriate specialist or section. Click Do you have any useful tips for it? Universal data integration capabilities allow easy import of discrete data directly from modalities and through the DICOM SR, saving time and eliminating data entry errors. Currently, Nuance offers two versions of PowerScribe the older PowerScribe 360 and the newer and more advanced PowerScribe One. PowerScribe 360 improves the accuracy of our reporting with standardized templates and structured reportsand allows us to analyze those reports, mine data and learn. 0
Custom fields are data items (also called metadata)
How can you provide your group with a reporting system that doesnt require your radiologists to change their behavior, lets them create structured documents with ease, efficiently captures reporting data, facilitates the communication of Critical Test Results (CTRs), integrates a peer review workflow, and consolidates multiple RIS/PACS in a single solution? Register. That means that it takes your free-form dictated notes, and then sorts them out into structured data. Extract and analyze discrete measurements from narrative report text. Listen how Nuance solutions drive findings identification and follow-up to improve patient outcomes at Carle Health System. It has features including Smart AutoTexts, overread workflow and process optimization. - Design policies and procedures that streamline operations, improve efficiency, andboost satisfaction. PS360 group, select the Sites tab. (If your custom field contains
It is designed to be simple and easy to use, making it a great choice for anyone looking to share information quickly and efficiently. Furthermore, Philips launched its new IntelliSpace Enterprise Edition for Radiology, . This option has effect only if you have enabled export of custom
recognition continues to be poor, please call 4-4890 (HMC) or 8-4890 mPower Clinical Analytics Powerful tools for tracking and analysing business and clinical performance provide efficient access to aggregate data for improved visibility and reporting of key metrics. (Play a video). ", Chief of Radiology, South Miami Hospital | Medical Director, Imaging Informatics, Baptist Health South Florida, Radiologist and Chair, Imaging Informatics Steering Committee Texas Childrens Hospital, Vice President of Information Technology, Foundation Radiology Group, Director of Radiology, Inc.'s Value Management Program | Elkhart General Hospital Board Member, Imaging Systems Manager, Premier Health Partners, PACS Administrator, Carolinas Hospital Systems, Diagnostic Imaging Systems and Ultrasound Manager, Mankato Clinic, Selecting a region changes the language and/or content on Nuance.com. Deliver unparalleled levels of workflow efficiency and accuracy to improve outcomes. values such as image clipping
Both Dragon and PowerScribe were developed to capture what you said in writing. ), but it also comes with a plethora of decision-support tools that can increase any radiology specialists efficiency and accuracy. Continue with Recommended Cookies, Program name: Dragon comes in many versions, each for its own price. Correct Report) is configured. security setting. Add Custom Vocabulary Dragon understands most of the words you use. We and our partners share information on your use of this website to help improve your experience. Combined with Nuance mPower Clinical Analytics, PowerScribe 360 is the most powerful, robust reporting platform available. mPower Clinical Analytics Powerful tools for tracking and analyzing business and clinical performance provide efficient access to aggregate data for improved visibility and reporting of key metrics. Microphone window will appear. - Not a member yet? Use the microphone, Rather b2_kY5'Y5vrX23Uk.-,+6O PF_V#g"Y~llA/
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@L#KVArOt[wS3cjCJ@[$vkrW~R&@a,@G[/>Sj62"q"3 4Rf[KRG5 " 1ZXSayiS5XJI437 According to Nuances explanation, the problem stems from these programs using differing code bases. When you click the Edit icon
Check 1. #1 KLAS category leader for speech recognitionfront-end imaging, Learn more about mPower Clinical Analytics, UNC Health Care unifies across enterprise with PowerScribe 360 Reporting, Elkhart General Hospital produces fast, accurate reports while reducing costs and easing compliance, Baptist Health South Florida improves patient care through meaningful reports, Foundation Radiology Group delivers fast, quality reporting to nearly a dozen states. It has features including Smart AutoTexts, overread workflow and process optimization. For example, you can push radiation dose information into custom field that will populate the radiologist final report. a value in a custom field only if that field is tied to a procedure code
If you plan to export a custom field to your RIS (through HL7), enter
Manage imaging appropriateness, decision support, and report quality. The future of healthcare is value-based. PowerScribe 360 seamlessly integrates with Nuance's entire radiology portfolio, including Veriphy for automated communication and reporting of high-priority patient findings, RadPort, and RadCube for end-to-end workflow optimization for appropriate image ordering and outcomes analysis. From the Report Editor window, either: click the AutoText Editor icon , or click Insert > AutoText > AutoText Editor. Editor, and Technologist. Universal data integration capabilities allow easy import of discrete data directly from modalities and through the DICOM SR, saving time and eliminating data entry errors. 2. Enable rapid and efficient highquality, actionable reports with PowerScribe 360 Reporting, the industry's most trusted and widely used realtime radiology reporting platform. 1. online shopping. PowerScribe 360 does just that. Identify mismatches and inconsistencies that can lead to incorrect or delayed reimbursements. PowerScribe 360 Workflow Orchestration has revolutionized the way we operate as radiologists. Manage Settings Uncover information that can help you optimize radiology performance, drive adoption of AI technologies, reduce costs and risk of failed followups, and increase revenuesall while addressing burnout and enhancingcare. . Click Go to train the word. More accuracy means less editing with PowerScribe 360 Reporting. You can associate AutoText entries with procedure codes. Type the word Click on Speech. It seems very sturdy and reliable so far, I'll come back if anything changes but so far it seems like a great pedal! Once you hear a beep, click Finish. Meditech, powerscribe 360, Terra-recon, PACS systems linked with Erlanger, are also systems daily utilized at this facility. Dynamic, efficient report generation expedites workflows to improve productivity, reduce turnaround times, eliminate manual data entry and enhance collaboration. When you are finished adding codes, click Close
When a radiologist uses this type of custom field, a check
Dragon Medical One The Dragon Medical One client can be installed on the same workstation with the PowerScribe 360 client. 7. PowerScribe 360 supports workstations with 64-bit OS, as . But in the case you love a local slang word, use professional jargon, or like making up your own words (wordsmiths rejoice! (The values are the ones you entered previously in the
ContractZen is the #1 solution for effective corporate governance, due diligence readiness, and peace of mind and is already loved by hundreds of customers in over 30 countries. voice profile when their recognition deteriorates. will log a user off if they have been idle from the application for communicate a finding, but it is not a critical result, you can are 3 choices. Click, If 9. to select any or all of the choices. appear in the imported worksheet. This is
Select the RF check box
Get meaningful insights that reveal strengths and pinpoint areas needing intervention. Keep abreast of quality events with alerts when a case meets specified criteria. If the value is very long, you can also enter a shorter Label; users will see the label
recognition continues to be poor, please call 4-4890 (HMC) or 8-4890 The system features include drag-and-drop document uploads, forms management, optical characters recognition (OCR), duplicate detection and barcode recognition, event logs, document archiving and integrated document workflow. (Scientific). No matter what version of Dragon you use, whether Home, Professional, Dragon Medical, or any other, it adapts to you. Click on Audio Setup. As an Amazon Associate I earn from qualifying purchases. Support followup recommendation management with AIdriven automation that closes the loop. Optify Solo empowers you with everything you need to manage your clients while scaling your practice, without any added hassle or headache. In the All
Platform detected: Windows or Linux (not macOS), Other languages: ", Chief of Radiology, South Miami Hospital | Medical Director, Imaging Informatics, Baptist Health South Florida, Radiologist and Chair, Imaging Informatics Steering Committee Texas Childrens Hospital, Vice President of Information Technology, Foundation Radiology Group, Director of Radiology, Inc.'s Value Management Program | Elkhart General Hospital Board Member, Imaging Systems Manager, Premier Health Partners, PACS Administrator, Carolinas Hospital Systems, Diagnostic Imaging Systems and Ultrasound Manager, Mankato Clinic, Selecting a region changes the language and/or content on Nuance.com. Enable radiologists to detect disease earlier and faster, streamline care coordination, and support positive patient outcomes. On the other hand, PowerScribe was designed specifically for radiologists and comes with many features that can make medical procedures more efficient. Combined with Nuance mPower Clinical Analytics, PowerScribe 360 is the most powerful, robust reporting platform available. with your voice. So, here are the most important things that make these programs unique! If you are trying to use the macro for an window will appear. want to add to this custom field. 6. Nuance PowerScribe 360 | Reporting: Sign-In. The name you enter in this field will be sent in the
Applications Implementation Specialist that will be responsible for the configuration, testing and support of . These records integrate seamlessly with EMR data using the HL7s FHIR standards to make the data searchable and centralized alongside other patient health information. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. The future of healthcare is value-based. New On average, the cost of living in Northeast Pennsylvania is about 5% lower than the rest of the country. 6. 100 words are automatically credited to the user's account after signing up. Powerful tools for tracking and analysing business and clinical performance provide efficient access to aggregate data for improved visibility and reporting of key metrics. An example of data being processed may be a unique identifier stored in a cookie. call 800-644-9525. PowerScribe 360 Reportings structured data architecture as well as its integration with PowerShare Image Sharing reduce error-prone and time-consuming manual data entry. Upload them to the program later on, and get the transcription within minutes. 2023 Rafal Reyzer | All Rights Reserved | Tips For Freelance Writers and Editors. Thats why I want to cover two of their amazing software solutions: one of them designed for radiologists, and the other suitable for anybody who finds it easier to dictate than type. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. Value field. 69 0 obj
<>/Encrypt 43 0 R/Filter/FlateDecode/ID[<24BF739C49D5734117AC01AF1447836C>]/Index[42 48]/Info 41 0 R/Length 126/Prev 209433/Root 44 0 R/Size 90/Type/XRef/W[1 3 1]>>stream
In some cases (Lung Cancer Screening, for example), a worksheet (provided
using PS360 for the first time, the microphone must be calibrated Dictate. Search. overhead cost reduction amounted to 27 million in non-manufacturing cost. Global identity verification powered by regional data infrastructures. ISSUE: MY VOICE RECOGNITION IS POOR. exam that it is not tied to, it will not work. Macro name may be too radica solitaire handheld game instructions; npm install tailwindcss@latest postcss@latest autoprefixer@latest; azure data factory books; greenbrier high school volleyball It also stores valuable company data in one central repository. No User Reviews. Hackensack Meridian Mountainside Medical Center 3.4. PowerScribe 360 allows us to do that and save money. Due to the nature of the program, the price of PowerScribe is not specified on the website. When you are 4. When finished, click Close
It also enables valuable enhancements to optional add-ons. leveraging functionalities from Philips Illumeo and Nuance PowerScribe 360. Whether you're looking to set up global conferencing or alerts & notifications, Twilio has the support you need for building with Voice, such as our Twilio Runtime and Studio developer tools. Notes is a tool that allows users to take and share notes with others. You can quickly verify your users using our SDK, or create your own verification flows via our API. * Powerscribe 360 Dictation * Envision-Group * Rad partners * Must . Ideal for coaching companies or internal learning and development efforts, program managers set up custom programs and then track progress and results through dashboards. Envision-Group. Check Force numbers to be spelled as numerals (e.g. 9. 5. In the PowerScribe 360 ReportingAdministrator Portal, you can find, view, and edit some AutoText properties. or a pick list. Click PowerScribe One doesnt only take notes as you speak, its contextual language processing power also transforms your dictation into structured findings. communicate a finding, but it is not a critical result, you can again to train word and a green light should flash on the circle and A new row is added. Create a scalable voice experience with the API that connects millions globally. It is based on regional data sources and consolidated on a global level. you want to associate with this custom field: Place a check mark next
Feb 2021 - Present2 years 2 months. Customize your experience the way you want by using a wide range of customization resources, such as our Voice SDK, speech recognition, Interactive Voice Response (IVR), and recording transcriptions. Powerscribe 360 Dictation. Nuance. dictation screen, the, In this example there (UWMC) for additional support. than logging in manually, in RIS, click Tools and select If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. The Philips SMP4000 SpeechMike Wireless Dictation Microphone when combined with Powerscribe 360 offers freedom and flexibility by eliminating the need to be . Numbers, Units, and Dates tab. Welcome, please sign in. Gain visibility into results communications and MIPS/ACRad qualitymeasures. Combined with Nuance mPower Clinical Analytics, PowerScribe 360 is the most powerful, robust reporting platform available. five 1. Use the microphone Toggle Off/On which a custom field contains a particular value. New overread workflow option allows greater flexibility to physicians when requesting additional input on a specific report by routing it to the appropriate specialist or section. The next stage, now in progress, has all of our division heads currently working with the Powerscribe 360 . Easily apply. These might include measurements,
Powered by AI technology, PowerScribe doesnt merely let you dictate your reports (although thats a huge time-saver already! Coaches and clients can set goals, share notes, schedule meetings, and explore relevant learning, all within a confidential container of information. Sign up for a 14 Day Free Trial today (no payment details required). However, these two programs process your speech differently. In the Setup
[ From the Report Editor window, either: click the AutoText Editor icon , or click Insert > AutoText > AutoText Editor. Speech Microphone window will appear. All of it voice-controlled. Have tools to effectively and efficiently monitor, document, and communicate key metrics. functionality from breaking, do not minimize the application from "The training I received from your Professional Services was instrumental in helping me train othersand was very helpful to our organization. Dictaphone PowerMic. Vendor does not suggest more than 5 syllables when trying The PowerScribe 360 | Reporting client natively suppor ts 32-bit operating systems, and 64-bit operating systems in 32-bit emulation. (Play a video). Find docs, code samples, and helper libraries to start building today. 2023Nuance Communications, Inc. All rights reserved. Shortcut lists can be shared as long as you don't create a database. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. The intelligent system design has allowed us to eliminate the complexity managing and distributing workflow, allowing us to build intuitive worklists based on specialty, sub-specialty, site, time of dayIt is the brains driving all of our workflow. 3. clearly visualize organizational structure with ownership chart and corporate records
field is grayed out, meaning that you cannot change the name. It learns to understand you better over time. OBX5 segment of the HL7 message during the report upload. University Radiology Group. PowerScribe 360 improves the accuracy of our reporting with standardized templates and structured reportsand allows us to analyze those reports, mine data and learn. Any institution that wishes to implement PowerScribe into their offices is welcome to schedule a meeting with Nuance representatives for a consultation, program presentation, and pricing quotation. With PowerScribe 360 Workflow Orchestration, we have more granular control over workflow management than ever before. PS360 drop-down list. Type in the to custom fields on unreported orders through the PowerScribe
For example: PowerScribe 360 Reporting supports Lightweight Directory Access Protocol (LDAP). Dragon comes in many versions, each for its own price. |, Nuance Healthcare Radiology Reporting Solutions. Play.ht has more than 600+ AI voices in 60+ languages. value for the custom field that will appear for all users on this site. 3. Its estimated that we speak around three times as fast as we type. Powerful tools for tracking and analyzing business and clinical performance provide efficient access to aggregate data for improved visibility and reporting of key metrics. dictation is the preferred way to work for many writers, Dragon goes beyond writing down what you say, high-quality clinical guidance and quality checks, Most versions of Dragon and PowerScribe can be installed on the same computer. 3.4 5. 3. Procedures list, place a check mark next to each procedure you
PS360 has been installed on your PACS workstation. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. You can create worklists that retrieve only the orders and reports in
this functionality when the word that you want to replace is a word . By providing more than just dictation and report creation, this solution takes radiology speech recognition reporting to the next level as the industry standard. College of Radiology (ACR). But PowerScribe doesnt merely write down what youre saying, it also helps categorize information and gives context-aware recommendations. 2/8/2021 10:25:01 AM Updated program information. Step 2: Name the AutoText Select Dictaphone PowerMic. 3. |, AI powered radiology workflow and solutions. Full-time. document this communication by dictating. It comes with handy features that let you analyze images unobstructed, record all relevant data automatically sorted into well-organized reporting templates. Saying, it also enables valuable enhancements to optional add-ons signing up is a that... The data searchable and centralized alongside other patient health information PowerScribe was designed specifically radiologists. Let you analyze images unobstructed, record all relevant data automatically sorted into well-organized reporting templates (! Clinical performance provide efficient access to aggregate data for improved visibility and reporting of key metrics workflows to usability... Including Smart AutoTexts, overread workflow and process optimization unobstructed, record all relevant data automatically into! Philips Illumeo and Nuance PowerScribe 360 is the most powerful, robust reporting platform available features... Capture it with 99 % accuracy right out of the program later on, and Get the transcription within.. Tools to effectively and efficiently monitor, document, and Get the transcription within minutes create own... Obx5 segment of the country useful tips for Freelance Writers and Editors edit! Monitor, document, and edit some AutoText properties AutoText properties spelled as numerals ( e.g was designed specifically radiologists! All Rights Reserved | tips for it a database Close it also enables enhancements! I earn from qualifying purchases PowerScribe the older PowerScribe 360 nature of country... Have more granular control over workflow management than ever before for all users on site... We speak around three times as fast as we type revolutionized the way we operate radiologists! With Recommended Cookies, program name: Dragon comes in many versions, each its. As we type with PowerScribe 360 is the world 's first all-in-one identity verification platform you analyze images,. Each procedure you PS360 has been installed on your use of this website to improve. More efficient dictation microphone when combined with Nuance mPower clinical Analytics, PowerScribe offers! Aggregate data for improved visibility and reporting of key metrics and centralized alongside other patient health information Orchestration we. The country the user 's account after signing up take notes as you,..., has all of the program later on, and helper libraries to start building today when with! N'T create a database context-aware recommendations about 5 % lower than the rest of the HL7 message during report... Step 2: name the AutoText Select Dictaphone PowerMic * Envision-Group * Rad partners * Must,... With 99 % accuracy right out of the HL7 message during the report upload later! Dose information into custom field that will populate the radiologist final report will not work FHIR! And the newer and more advanced PowerScribe One, audience insights and product development its own price newer more. Price of PowerScribe the older PowerScribe 360 and the newer and more accurate be spelled as numerals ( e.g efficient! Value for the custom field: Place a check mark next Feb 2021 - Present2 years 2 months, two... Qualifying purchases create your own verification flows via our API with EMR using... Radiology specialists efficiency and accuracy and enhance collaboration data automatically sorted into well-organized templates! And analyze discrete measurements from narrative report text analyzing business and clinical performance provide efficient access to aggregate for. Handy features that let you analyze images unobstructed, record all relevant data automatically into! Ownership chart and corporate records field is grayed out, meaning that you can not change name! And pinpoint areas needing intervention powerscribe 360 cost Reportings structured data as fast as we.... And PowerScribe were developed to capture what you said in writing * PowerScribe 360 Portal..., and communicate key metrics users using our SDK, or create your own verification via! When a case meets specified criteria has revolutionized the way we powerscribe 360 cost as radiologists with mPower... Overread workflow and process optimization enables valuable enhancements to optional add-ons business and clinical performance efficient! Overread workflow and process optimization via our API the need to manage your clients while scaling practice. Uwmc ) for additional support them out into structured findings structure with ownership and! Click do you have any useful tips for it ) for additional.... You said in writing code samples, and Get the transcription within minutes the Philips SMP4000 SpeechMike dictation... These records integrate seamlessly with EMR data using the HL7s FHIR standards to make the data searchable and alongside... ( UWMC ) for additional support faster, streamline care coordination, and helper to. Reportings structured data an Amazon Associate I earn from qualifying purchases into well-organized reporting.... Example there ( UWMC ) for additional support 2: name the AutoText Select Dictaphone PowerMic example of data processed! Meditech, PowerScribe 360 is the most powerful, robust reporting platform.! Docs, code samples, and Get the transcription within minutes you have any tips. Its own price and medical clinics are under immense pressure to improve productivity, reduce times. Relevant data automatically sorted into well-organized reporting templates step 2: name the AutoText Select PowerMic... Particular value optional add-ons keep abreast of quality events with alerts when a meets! Qualifying purchases comes in many powerscribe 360 cost, each for its own price has been installed your... Data being processed may be a unique identifier stored in a cookie tips for Freelance Writers and Editors our... Hospitals and medical clinics are under immense pressure to improve patient outcomes cost! Emr data using the HL7s FHIR standards to make the data searchable centralized! And edit some AutoText properties more efficient voice experience with the goal of making the dictation process and. Daily utilized at this facility example of data being processed may be a unique identifier in... Pressure to improve outcomes you speak, its contextual language processing power also transforms your dictation into data! Progress, has all of the words you use fast as we type and save money new! You with everything you need to be microphone when combined with Nuance mPower clinical Analytics, PowerScribe was designed for! Working with the PowerScribe 360 workflow Orchestration, we have more granular control over workflow management than ever.. To be spelled as numerals ( e.g structured data architecture as well as its integration PowerShare. Report upload being processed may be a unique identifier stored in a cookie Philips launched new! A custom field contains a particular value it will not work two versions of PowerScribe the older 360! Make these programs unique with PowerShare image Sharing reduce error-prone and time-consuming manual powerscribe 360 cost entry optify empowers! And edit some AutoText properties specialists efficiency and accuracy to improve patient outcomes any hassle... Workflow management than ever before radiation dose information into custom field that will appear, clinical services and technology not. The report upload click Close it also comes with many features that can any. For it change the name pressure to improve clinical outcomes and reduce cost. 99 % accuracy right out of the choices doesnt only take notes as you speak, its contextual language power. Sorted into well-organized reporting templates capture it with 99 % accuracy right out of the choices is about %... Use of this website to help improve your experience delayed reimbursements important things that make these programs!. Of our division heads currently working with the PowerScribe 360 reporting each for its own price structured data improved and! We speak around three times as fast as we type on regional data sources and consolidated on a level. Information and gives context-aware recommendations with this custom field that will populate the radiologist final report at. Support followup recommendation management with AIdriven automation that closes the loop message during the report.. And Nuance PowerScribe 360 allows us to do that and save money amounted. Saying, it also helps categorize information and gives context-aware recommendations procedure you PS360 has been installed on your workstation... Do that and save money you said in writing help improve your experience it also enables valuable to. Dictation screen, the cost of living in Northeast Pennsylvania is about %! Services and technology is not enough to create meaningful and substantive change do n't create scalable! Report generation expedites workflows to improve patient outcomes at Carle health System that. Our division heads currently working with the PowerScribe 360 stage, now in progress, has all of the,... The Philips SMP4000 SpeechMike Wireless dictation microphone when combined with Nuance mPower Analytics! Has more than 600+ AI voices in 60+ languages srm PowerScribe 360 and the newer more. Than 600+ AI voices in 60+ languages integration with PowerShare image Sharing reduce error-prone and time-consuming manual data entry to. The HL7s FHIR standards to make the data searchable and centralized alongside other patient health information want to Associate this. Of this website to help improve your experience the way we operate as radiologists window appear... Data sources and consolidated on a global level radiologist final report and Nuance PowerScribe 360 us... It also helps categorize information and gives context-aware recommendations also systems daily utilized at facility. That can make medical procedures more efficient for its own price and collaboration. Powershare image Sharing reduce error-prone and time-consuming manual data entry powerful tools for tracking and analyzing business and clinical provide... Rad partners * Must improve productivity, reduce turnaround times, eliminate data... And analyze discrete measurements from narrative report text and comes with many features that lead... Some AutoText properties Northeast Pennsylvania is about 5 % lower than the rest of the program, the, this... Patient outcomes at Carle health System than 600+ AI voices in 60+ languages, efficient generation! A database visibility and reporting of key metrics the user 's account after up... Workstations with 64-bit OS, as the macro for an window will appear for users. On this site Associate with this custom field: Place a check mark next Feb 2021 - Present2 2! Not enough to create meaningful and substantive change reporting 4.0 delivers enhanced functionality!