Three Things The fair Electronic Medical narrate System Should Be

tremendous Healthcare has known about the advantages of an electronic medical describe system for years. In fact, substantial hospitals and HMOs were the early adopters of these systems, some stretching wait on to the not-so-good dilapidated days of the 1990s, when green screens and arduous UNIX interfaces were all the rage. Yes, collecting and digitizing patient records has been an significant portion of managing big healthcare organizations for quite a long time, and has provided ROI well beyond the expense of the novel systems.
But what of the petite, single doctor practice? What about the clinic with three to five doctors operating in one or two locations? Between 1990 and 2004, these doctors were noticeably absent from electronic medical relate system adoption. In fact, it wasn’t until Windows PCs became extraordinarily cheap, and user interfaces got graphical that microscopic practices even considered computerizing. The expense was unbiased too immense.
Cue the 2009-2010 Federal Stimulus program, and suddenly there is money for every doctor to jump aboard the EMR software voice. As a result EMR consultation industry has virtually exploded as doctors race to claim their stimulus dollars (try saying “free government money” at any Chamber of Commerce meeting, and gape the ears crop up) . Of course, it isn’t as easy as fair picking a vendor and watching the dollars roll in. There are a number of things a worthy electronic medical represent system should be. Here are impartial a few examples:
1. Easy To spend – Yes, no matter how amazingly tech savvy your office people are (really? ), the biggest consideration you should give when selecting an EMR system is how easy it is to spend. Why? Because ease of expend is so famous not only to initial adoption, but day-to-day operations. If your staff is calling assist five times a day looking for a solution, how mighty time is there left for your patients? Plus, when you first install, you’re going to need to tell the staff. These costs can mount. Now imagine that the system is so difficult that the staff members can’t properly content each other. inspect where the costs gain up? A final fact is that difficult systems recall longer to master, and can actually become hated by your staff. The result? No one is contented. Especially not you.
2. bustle On Simple Hardware – Looking for a UNIX system with single color monitor and specialized language interface? We don’t know why you would be. Today, any electronic medical represent system with any kind of client rotten simply must be Windows oriented. It helps with the learning process, as Windows programs tend to have recognizable interfaces, but it’s also key because of the hardware. Basically, Windows computers are cheap. So if one goes down, $200-500 will pick up you a attractive huge machine. EMR systems that hurry on “specialized hardware” are a abominable concept. Avoid them like the plague.
3. CCHIT-Certified – Question: what happens when the government offers a positive subgroup of the software industry a great subsidy? Answer: every programmer with a shingle and a pickup truck becomes a fragment of that subgroup. Everyone “becomes” an expert seemingly overnight. This is exactly what has happened to the electronic medical characterize software industry. Which is why, thankfully, experienced vendors, teaming up with genuine doctors, have gotten together to construct space of standards aimed at leaving the bandwagon jumpers unhurried. It’s called CCHIT. And it ensures that you aren’t getting ripped off by a slightly less than credible vendor. It takes an advanced EMR software application to qualify for CCHIT space, so ensuring your electronic medical portray system is current will put you a lot of heartache, both short and long term.
This is unprejudiced the beginning when it comes to finding a wonderful EMR vendor. Adopting an EMR system is no joke, and there are a lot of things you should sight at. Read more about computerized medical records must-haves here.

Impact of Electronic Health Record on Medical Malpractice Liability

Electronic health record (EHR) (also electronic medical record (EMR) or computerised patient record) is an evolving concept. It is a record in digital format that can be shared across different health care settings. EHR may include all the necessary information about a patient including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal stats like age and weight, and billing information.

Complete documentation and timely access to patient information become possible with the introduction of EHR and thus allows sound clinical decision making. Other advantages include reduced number of transcription errors, improved communication among providers, and less duplication of tests.

The adoption of EHRs is unfolding fast. A varied and shifting landscape of medical liability risks and benefits can be expected along with the process. Whether these developments improve the performance of the medical liability system is not clearly known yet.

Implementing a new information system may initially bring up, rather than decrease, providers' malpractice risk. Increases in computer-related errors have been documented by several studies. EHR failure may be due to individual errors or bugs in the software systems.

Electronic documentation enhances the evidence available to evaluate claims and thus strengthen the accuracy of courts in determining liability. It is not clearly known at this stage of infancy how the law may evolve to allocate liability fairly among individual clinicians, EHR developers, and provider organizations that select and implement EHR systems.

Poorly designed EHR systems will definitely create a negative impact. Liability that arises due this should rest with those in control of system architecture and implementation, not end users. A sub-optimal design may set the stage for user errors. However in most contracts the developer is protected from liability arising from the use of the EHR system.

Such contractual provisions that immunize the system developer can be avoided. Organizations must invest attempt early to ensure that the EHR system is custom-made to the practice patterns of their clinical staff. Systems that are designed to minimize the risk of user error or misuse and maximize the ease of record retrieval may be selected. Another vital aspect to be taken care of is proper training of clinicians. Physicians must be willing to climb the learning curve. They should know how using EHRs may help protect them from liability, and how misuse or non-use may increase liability risk. Organisations should ensure appropriate practice conditions. Existing barriers to the optimal use of EHRs must be identified. This includes factors like the placement of computer terminals
, problems accessing external records.

Physicians who function as experts in malpractice litigation can raise awareness among insurers and courts about the limitations of clinical-decision support systems and the appropriateness of departures from them in certain situations.

It is clear that EHR has long-run benefits but it is tough to quantify the risks and benefits with respect to liability. Provider organizations must however find ways to weigh the significant up-front cost and possible risks against the potentially healthy, but uncertain, long-run benefits.

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Medical Transcription Outsourcing - Providing Affordable and Integrated Solutions

Healthcare services play an important role in modern life, helping maintain and improve quality of health and well-being. Healthcare services also play an important role in emergency situations. Healthcare depends on various inputs internally and externally to provide quality services. Medical transcription services provide valuable inputs to the healthcare process by creating patient records. Outsourcing this process has been found to be one of the most efficient solutions for healthcare facilities and healthcare professionals seeking accurate, speedy and cost effective services. Outsourcing medical transcription provides affordable and integrated solutions How does outsourcing provide affordable solutions?
• Lowering costs: The most obvious and immediate outcome of outsourcing medical transcription is the reduction in costs. Factors like this being the core business of the service provider, the best practices established by the service provider, economies of scale help the transcription vendor in providing quality services with substantial savings.
• Eliminating indirect costs: Availing these services from an outside entity also helps healthcare facilities save on indirect costs like cost of real estate, utilities, investment of transcription equipment & systems, salaries & benefits paid to transcriptionists.
• Helping protect existing investments: In case the healthcare facility has already invested in a transcription system or EMR Transcirption system, a technologically savvy vendor can help protect these investments by integrating existing systems to enable outsourced transcription services and by allowing for transmitting information into the EMR system using HL7 interface.
How does outsourcing provide integrated solutions?

• Establishing a process for transcription:The process of creating patient medical records starts with the patient- healthcare professional encounter. The transcription process can be follows the sequence given below:

1. Dictation
2. Uploading files
3. Transcription process
4. Delivery of transcripts
Availing services of a specialized vendor provides an integrated process not only for the actual transcription process, but also for dictation, collection of audio files, uploading files for transcription and secure, speedy modes of document delivery as per the preference of healthcare professionals and healthcare facilities.
• Using software and tools: The software and tools used by the vendor provides integrated solutions to the needs of varied departments in the healthcare facility involved in the smooth running of the healthcare facility. Outsourced transcription services provide integrated solutions to
• Managerial staff: These services help the managerial staff in conserving the resources of the healthcare facility.
• Records management staff: Transcription services aid the records management staff by providing transcripts within the required turnaround time, reports in required formats/templates and by providing them with an efficient system for tracking the work in progress
• Support staff: They provide integrated solutions to the needs of support staff by enabling multiple modes of document delivery and providing them with archival facilities
• IT staff: They provide integrated solutions to information technology by integrating transcription systems with the healthcare facility systems, automatically upgrading software, integrating with EMR and providing HIPAA/HITECH measures for technology during the medical transcription process.
TransDyne, a leader in the outsourced medical transcription industry offers customized medical transcription solutions tailored to suit the needs of healthcare facilities. Visit http://www.transdyne.com for more details. Click http://www.transdyne.com/html/contactus.aspx to avail medical transcription services from TransDyne.

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Why Patients & Physicians Should Step Up to EMR

Healthcare is a subject that affects everyone. Therefore, the implementation of electronic medical records and electronic prescriptions should be of interest to the general population.
The use of EMR and e-prescriptions could not only improve clinical decision-making, save lives, and decrease mortality rates, it also could save medical practitioners invaluable time and money.
The American Medical Association (AMA), for example, has attributed “adverse drug events” to 2.1 million injuries and 100,000 deaths every year, equivalent to two 737s crashing every day. At a hospital in California, the leading state in EMR and e-prescriptions in the US, an electronic prescribing study showed that the mean monthly adjusted mortality rate decreased by 20 percent after the implementation of a computerized physician order entry system.
One possible reason California is leading the US in EMR adoption is its earthquake-prone geography. This susceptibility to natural disaster may lead to an awareness of the value of making patient data available online. By digitizing patient records, EMR allows those records to be backed up and stored on a reliable system, protecting the data from disasters that can cause valuable financial and data loss.
EMR also saves on the costs of transcribing records; and transcription errors drop to nil with EMR adoption, saving considerable sums of money.
According to a document from the Healthcare Information Management Systems Society, the Heritage Behavioral Health Center Inc. in Decatur, Ill., saved more than $200,000 on transcription and documentation costs. And the University of Illinois “relocated $1.2 million of nurse time from manual documentation tasks to direct delivery of patient care.”
A report by the AMA states that in 1 of 7 primary care visits, some important medical data is missing -- e.g., a laboratory result, a letter from a consultant, a radiology report, a hospital history, or a physical examination record. This problem of missing medical information can be alleviated by the implementation of EMR, with a consequent benefit in the communication and relationship of the patient to the physician. Moreover, the communication problems among specialists and primary care physicians, laboratories, and hospitals or nursing homes also can be greatly improved, assuring better and safer care of the patient.
Despite its benefits, resistance to EMR remains. Looking back in history, it is clear that the human tendency is to be hesitant about new technologies or new treatments. It is about time this changed by understanding the clinical and financial benefits that EMR acceptance and adoption presents for all patients. Public consensus will encourage physicians to integrate EMR into their practices.
The medical and financial benefits of EMR are hard to ignore. But the best benefit of EMR is to provide better patient care and quality of medical practice. Awareness of the need for faster adoption and use of EMR has to be everyone’s responsibility.

Medical Transcription Outsourcing - Serving Healthcare Facilities At All Levels

Medical transcription is the process of creating patient medical records of the patient- healthcare professional encounter. It is a known fact that these services aid healthcare professionals in the provision of quality healthcare. And outsourcing this process helps create patient medical records in an accurate, speedy, secure and cost-effective services.
But a lesser advertised and less known fact about outsourced medical transcription is how it aids the operations of healthcare facilities at every level.
It has the following benefits:
The managerial staff:
Savings on investment: Helps the managerial staff save on investments substantially, by eliminating the need to invest in transcription equipment and furniture required for transcription.
Saving information technology: Expenses for Information technology for executing transcription in-house can be avoided or substantially reduced.
Staffing benefit: Enables the staff of the healthcare facility especially the managerial and executive level staff to focus on the core business of providing quality healthcare.
The records management staff:
Recruiting and retaining transcriptionist staff: One of the main inputs for quality services is that of qualified and trained transcriptionists. Outsourcing the process of creating patient medical records effectively outsources the need to recruit, train and retain the transcription team.
Turnaround time: As turnaround time is the guaranteed by the transcription vendor it eliminates the responsibility of the records manager to constantly monitor and follow-up on turnaround time.
Process for medical transcription: By outsourcing the transcription process, effectively the responsibility to have an organized process for maintaining services at requisite quality levels is also outsourced.
Keeping track: The vendor would have a system in place that would provide a summary of the job status for transcription work, making it easier for the record management staff to keep track of dictations sent, transcripts received and the work-in-progress.
HIPAA and HITECH compliance: The onus of securing confidential patient information by securing the team, the technology and processes becomes the responsibility of the vendor
The support staff:
Multiple modes of document delivery: The support staff at the healthcare facility benefits from the multiple modes of document delivery provided by the service provider.
Archives: Archival facilities provided by the transcription vendor enables the support staff to retrieve transcripts easily by using various search criteria.
The Information technology staff:
Redundancy and backup of data: The vendor would be making provisions for redundancy and backup of systems lessening the burden of the information technology staff.
Interfacing of systems: By using advanced technology that is easy to use interfacing the healthcare facility system with that of the outsourced service provider would be very simple.
Install/upgrade software: The responsibility of installing/upgrading software for transcription is undertaken by the service provider when it is outsourced.
EMR adoption: Outsourcing medical transcription would help in adoption of EMR through HL7 interfacing

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Medical Transcription Outsourcing: Bridging the Gap to Meaningful Use

With the government pushing for the digitization of patient records, it is critical that health-care providers begin the process in a timely fashion and choose the best possible system to create electronic health record platforms, and satisfy meaningful use requirements.

Outsourcing medical transcription services ensures accurate and prompt creation of digitized patient records. The benefits of hiring a medical transcriptionist company to do this job include access to a sizable pool of highly skilled and trained transcriptionists, as well as access to the specialized software and tools needed for secure and efficient transcription.

Some health-care offices might try to do the job in-house, but office and professional staff will face many hurdles. First and foremost, specialized training is necessary in order to comply with the requirements and standards (including the mandated conversion to ICD-10) of electronic health records, or EHRs. For example, requirements for Stage 1 of Meaningful Use, as specified by the Centers for Medicare & Medicaid Services (https://www.cms.gov/EHRIncentivePrograms/99_Meaningful_Use.asp), includes both a core set and a menu set of objectives that are specific to eligible professionals or eligible hospitals and CAHs. For eligible professionals alone, there are a total of 25 meaningful use objectives.

Health-care offices may opt to try to do the job with speech recognition software, but this can create its own problems, including requiring extensive -- and expensive -- proofreading and editing to meet acceptable quality standards. If the medical transcriptions are not completely accurate, they do a disservice to patients and health-care providers and defeat the purpose of digitizing medi records.

Another option that some health-care providers are contemplating is point-and-click templates, but they too fall short of the job done by a medical transcriptionist company. Shortcomings of point-and-click templates include that they take the focus of the health-care professional away from the patient, lack narrative and can lead to mistakes in documentation.

The promise and value anticipated with electronic health records can only be delivered with a precise and extended narrative from the health-care professionals involved. Studies have shown that the most reliable and efficient method of capturing this extended narrative is through the transcription of the full articulation of the patient encounter by the physician. Voice dictation and transcription remains the most efficient medium and the one with the greatest power to feed into the EHRs. Simply put, medical transcription by professionals trained in medical dictation yields better results than any other method now in use by health-care providers.

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Electronic health records: getting it right first time

Electronic health records (EHRs) are hardly new; the goal of digitizing patient health records dates prior to the emergence of the Internet.
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In the US, however, the government’s investment of nearly $20 billon for the “meaningful use” of EHRs as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, has placed new urgency on adoption. While the precise requirements for meaningful use have yet to crystallize, healthcare providers must master the basics of getting implementation right. With the first wave of HITECH deadlines fast approaching, providers do not have time to make implementation mistakes. Any delays will results in wasted time, lost incentive money and resistance to future adoption of technology.

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Medical providers make healthy investment in digital charting

The digital revolution will soon be hitting a doctor's office near you – if it hasn't already.
Bay area health care providers are spending hundreds millions of dollars to turn their systems paperless and store electronically everything from registration and billing information to X-rays and blood test results.
Digitizing the process will change everything from admitting practices – such as palm scanning – to a nurse checking a barcode on a wristband before she gives you medication at your hospital bedside.
Organizations say it can bring better safety and efficiency, even though it can seem reminiscent to Hollywood-style dystopian technology seen in movies such as "Gattaca."
BayCare Health System – the nonprofit corporation that runs 11 hospitals including St. Joseph's and Morton Plant – is among the first local providers to implement these changes on such a large scale. The company is digitizing records that cover about 2,700 hospital beds, 10,000 clinicians and thousands of patients. "Everything that you could possibly want to know about your patients is available in a click," says Pat Donnelly, BayCare's vice president of patient care services for St. Joseph's Hospitals sand South Florida Hospital in Plant City.
"More than implanting software, it changes the way we're providing care," Donnelly says.
The system rolled out phase two of the "Beacon Project" in August. When a nurse or doctor accesses patients' files, everything from the reason they're at the hospital to how they felt the last time they took their medication pops up in the virtual chart.
BayCare plans to spend $200 million over five years to go paperless.
They're not the only hospital spending big bucks, though.
Tampa General Hospital will invest $120 million over five years to convert to an electronic system, says Elizabeth Lindsay-Wood, senior vice president and chief information officer for the hospital.
"We don't expect we'll get a (financial) return on this," Lindsay-Wood says. "We're expecting improvements in quality and safety. This is really bringing health care into the future."
The hospital will debut its electronic system at the TGH Family Care Center, 2501 W. Kennedy Blvd., and Outpatient Rehabilitation Center, 509 S. Armenia Ave., in mid-2011. From there, it aims to launch the digital system everywhere else (including the main hospital campus) by late 2011.
At the onset, it is expensive for providers to redesign complicated workflows, but they say electronic medical records will increase patient safety and decrease hospital inefficiencies. And those in the throes of change say the process works not just in theory, but in reality, too. "We input and our results come back electronically so our turnaround time for our patients is much faster," St. Joseph's Hospital nurse Amy Jaramillo says.
"Not only can the nurses see the information faster but so can the physicians – so their plan of care is much quicker than before."
Hospitals and doctors have a financial incentive to update their systems – and penalties if they don't. Health care providers who go paperless by 2011 are rewarded in the American Recovery and Reinvestment Act. They get an incentive payment that's equal up to 75 percent of Medicare allowable charges the first year, with a maximum payment of $15,000 that will keep decreasing until 2016.
Providers who aren't in an electronic system get penalized starting in 2015, when doctors will receive 1 percent less in their Medicare and Medicaid reimbursement for each year they delay. The cut caps at 5 percent. "As goes Medicare so goes the rest of the marketplace," says Jay Wolfson, director of PaperFree Florida, a public-private partnership aiming to integrate electronic prescribing hardware and software.
The first regional initiative, backed by a $6 million federal stimulus grant to the University of South Florida, PaperFree Florida will attempt to get at least 1,000 physicians' offices in 11 counties to switch from paper to digital charts.
"It's going to affect the health quality, safety and access of tens of thousands of patients," Wolfson says.
That's also why Tampa General Hospital will subsidize electronic systems for its physicians who want to use the same software provider up to 85 percent. "That will help motivate doctors," Tampa General chief medical informatics officer Rich Paula says. The Florida Medical Association, an advocacy group for physicians, believes that digital records are a must for doctors.
"The incentive money is only a small part of the importance of electronic health records," spokeswoman Erin Van Sickle says. "All of the quality initiatives and reporting will depend heavily on EHRs."
The association believes that it's such an important development, it hired an informational technology team to do 15 seminars for doctors around the state starting in January.
But where there's big money and bureaucracy, there's controversy.
While health care providers have an economic incentive to go electronic, the Food and Drug Administration has yet to set up any kind of software and system standards.
And while hospitals say patient information is safe, there's always the privacy risk.
"Privacy is only going to be as good as the control system in the software," Wolfson says.
Like the breach that happened to a Michigan-based hospital chain that uses Cerner, the same software vendor used by BayCare and Moffitt Cancer Center.
A report from the Huffington Post Investigative Fund found that Trinity Health System computers began swapping medical records in June, causing doctors to unknowingly put wrong information into patients' files. Less than two weeks later, Trinity found its nurses weren't getting digital orders from pharmacies, prompting a four-hour shutdown of a system that serves 10 hospitals.
The Midwestern health care provider says it was a "technician error" and "coding issue" that caused the hiccup.
Even though he's an advocating for physicians, Wolfson says it's also in the patient's best interest to have digital records.
"They reduce costs, errors in prescriptions, redo's on tests that get lost. Patients and their families need to be part of this. The info that's provided by them can be use for them," he says.
Prencis Hampton, who recently had laparoscopic knee surgery at St. Joseph's Hospital, agrees that an electronic system may be better for patients like her, who says in previous hospital visits she had to repeat information to several people and things still got lost.
"It isn't so frustrating, for them and me," Hampton says from her bedside. "You can't lose as many computers."

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Manage Your Family's Medical Records with PassportMD Promo Codes

We all know how important it is to ensure that our health is at its optimum condition. The old adage that says health is wealth is still very much true, especially in these times when our bodies have never been so susceptible to many kinds of illnesses and diseases.

There are many people who would prefer a good health over riches, and we can't blame them because what good will all the wealth in the world do if our body is getting frail from an incurable illness. In most cases, no amount of wealth can save a rich person on his death bed, so all his wealth becomes useless because his sick body keeps him from enjoying it. A healthy person, on the other hand, gets to enjoy the simple pleasures in life and treasure the good memories of each day with his loved ones even though he is not financially endowed.

This only stresses how important good health is in making our lives enjoyable and more fruitful. But it doesn't stop at ensuring your own good health because you still should do the same with the health of everyone in your family, for how can you be truly happy if one of your loved ones is suffering from poor health or from a debilitating illness?

We really need to invest on our health as well as on the health of everyone in our family. It is highly recommendable that you secure medical maintenance and assistance that can be provided by HMOs and other medical companies. This is where the online service called PassportMD comes in as a valuable medical tool. PassportMD is one of the premiere companies preferred by many Americans in helping them manage their family's health, cut medical costs and avoid medical blunders.

Recommended by physicians and pharmacists, PassportMD is known as the leading provider in the personal health records (PHR) and consumer-directed healthcare industry. This online health service fosters independent family wellness and is committed to helping people keep track of their family's health and wellness by helping them organize personal health records and documents, doctor communications, as well as pharmacy and other expenses.

There are PassportMD coupon codes that give consumers the best value in availing of PassportMD's highly recommendable online health service. Availing of PassportMD promotional codes will also provide consumers discounted access to PassportMD's innovative concierge service that assists in creating online health record for the entire family by collecting records, digitizing images, and offering other health and wellness tools.

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Electronic Medical Records

Included in the $787 billion stimulus bill passed earlier this year is the requirement that all medical records be transitioned into electronic files, doing away with the pen and paper charts doctors have historically relied upon. Sure it sounds good, but please, let's think about it realistically.
When this transition is complete there will certainly be success stories for plan architects to tout to the public. However, what happens when the computer system crashes? I'm not talking about just the national system mind you, but the system in your doctor's office?
Secretary Sebelius and Vice-President Biden recently announced grants totaling $1.2 Billion to reimburse doctors and medical facilities for the cost of making the switch from paper to electronic files for all medical records. As is usual with bureaucracy business, the specifics of the actual requirements to qualify for reimbursement are a bit fuzzy. Did we learn anything from Cash for Clunkers?
Obviously, if the national system goes down, due to hacking, east coast blackouts, human error, software or hardware issues, we will be in a world of hurt. What happens to patients awaiting a critical test result prior to the administration of life-saving medication, or a pathology report needed to direct the surgeon's scalpel, should the system decide to blink? Can you hear a mother pleading with an emergency room doctor to "Help my child!" only to be told the computer is running slow today?
Last year I went to the dermatologist for my annual check-up. I have a history of small skin cancers, so I keep that appointment religiously. However, when the nurse entered the examination room I was told their "system was down" and there was no access to appointment records or patient charts. The nurse asked me, "Why are you here today? What have you been seen for in the past?" Obviously, this physician practice has already made the transition to electronic files.
Okay, let's be fair. If you take your child to an emergency room far from home their records won't be available at a moments notice anyway. But, circumstances usually take you to the emergency room nearest your home. And, there is always the telephone...
How many times have you been totally frustrated because you were unable to complete a task due to a slow or completely fried computer? What will happen if such a system failure occurs when a life and death medical record or test result is hung up?
The more complexity we build into our systems, the more we rely on technology. It can be a wonderful thing, but are you willing to bet your life on it? Aesop taught us that "slow and steady" wins the race. Let's think this through and get it right the first time.


Lynn Baber is a Christian writer, business woman and retired equine professional. She shares the lessons learned in thirty-five years at the business table and round pen with her clients and readers. Highly credentialed in issues of leadership, customer relations and most things equine, Lynn has a unique perspective not found elsewhere. Whether the topic is customer service or training stallions, Lynn brings years of experience to presentations and articles. As a frustrated citizen, Lynn spent nearly two years running for office, earning 57,000 votes, but losing the win to Warren Buffet's son, Howard.

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Electronic records can be confidential

Of all the problems with electronic medical records, the sort of breach that happened at Miami Valley Hospital is the easiest to fix.
The hospital recently notified Bren-nan Eden that four people inappropriately accessed his medical records. The hospital says the four offenders have been disciplined. Meanwhile, Miami Valley has to report the lapse to federal authorities.
Mr. Eden is 19 and was the driver in a spectacular August crash on I-675 that was caught on police video. His survival is both a miracle and a mystery, which presumably explains why some people went prying.
A hospital official whose job is to protect patient privacy - and who can do audit trails to see who's looking at records, which aren't possible with all-paper records - brought the case up to hospital managers, noting that some 200 people had tapped into Mr. Eden's records.
Upon hearing that, Mr. Eden's mother told the Dayton Daily News that she feared that number suggested there could have been major snooping.
That only four people were found to have disobeyed the rules is a reminder of how many people have a role in a critical patient's care. The very fact that so many need to know sensitive patient information is one of the reasons that there has to be scrupulous enforcement of patient privacy.
Obviously, when you go to a hospital (or a doctor's office or pharmacy or nursing home), you don't expect your medical records to be available to any staff person who wants to take a peek. But you still should want those records to be electronic.
The big picture is that digitizing medical records is almost always best for patient care, but especially in emergencies. The situations where having quick, electronic access to records can be a life-and-death matter are many. Think about, for instance, a patient who is unconscious; if he's is unsure about the medicine he's taking or what tests he's had; if multiple doctors are treating a patient; or when prescriptions can interact and cause harm.
As part of the federal stimulus package, the Obama administration dedicated $19.2 billion to help medical providers go electronic. Some places are moving faster than others. Locally, the Greater Dayton Area Hospital Association snagged $3 million-plus of that funding to help doctors and clinics in Montgomery, Preble, Miami, Darke, Shelby, Auglaize, Mercer and Allen counties make their records more accessible.
Still, there are big problems ahead. Medical organizations have different operating systems, meaning that not everybody can talk to other entities yet. Like everything digital, security is a huge issue. Laptops with critical data on them can and have been stolen. Geeks and crooks will find ways to hack into systems. Ethical guidelines about how data can be used for research and to make money are fuzzy.
One expert on medical privacy has said that healthy people care more about privacy, while sick people worry more about doctors having all the information they need to know - notwithstanding the downsides to electronic access.
Professionals can err on the side of taking good care of people while still giving them the protection they deserve. But the growth curve for doing that won't be quick, and it does require individuals to at least follow fundamental rules about patient rights.

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Electronic Health Records: The Future of Medical Data

Changing Social Dynamics



The future of medical data is changing with our nation’s social dynamics. With increased access to individual health information through electronic health records systems, or an instant messaging session with a doctor, the traditional role of patient and physician is evolving into something more modern. No longer will patients walk into an appointment uninformed and uneducated. Rather, they will have had access to their electronic health records online, reviewed their latest lab results, and read recommended articles concerning their conditions before walking through the door.



Increased access to personal medical information will be a welcome change for a younger generation used to status updates, instant messaging, and social networking. While most patients might not be sharing their latest CAT scan on Facebook, soon-to-be parents are posting their babies’ ultrasound images and using social networking sites to share information about conditions, treatments, and doctor efficiency.



Closing the Communications Gap



Electronic health records technology closes the communications gap between clinics and patients, physicians and files, and information and decisions. Doctors appointments will be scheduled online and lab results can be reviewed on your smart phone, eliminating the formalities of follow-up visits and quarterly check-ups.



Electronic health records allow people to get more involved in their health care decisions, while doctors will be able to use additional information for better diagnostic and treatment decisions. These changes will be aided by the national shift to electronic health records currently underway throughout the health care industry. A massive effort being helped by $19 billion dollars from the federal government’s 2009 economic stimulus package.



Learn More About Electronic Health Records



Electronic health records technology will significantly improve how our health care system effectively communicates and treats our nation’s health. If you need more information about electronic health record systems and how they may improve the quality of health care for your practice, contact e-MDs, a leader in electronic medical record software provision.



e-MDs offers a host of affordable solutions for physicians and facilities looking to modernize or enhance their services with the latest electronic health records technology. e-MDs is committed to providing affordable and integrated EHR and Practice Management Software solutions, including clinical, financial and document management modules designed to automate medical practice processes and chart management – delivering the clinical tools needed to succeed in today’s health care environment.



From e-MDs Chart to e-MDs Tracking Board, you can find additional detailed information about all the different services and benefits an electronic health records system has to offer your practice by contacting a representative right now at 1. 888. 344. 9836 or sales@e-mds. com.

Thanks to http://sansuis.com/electronic-health-records-the-future-of-medical-data/ submit for this.

MMRGlobal CEO Robert H. Lorsch to Outline Opportunities in Health Information Technology at 2010 Fall Health IT Summit in Los Angeles

LOS ANGELES, CA, Nov 02, 2010 (MARKETWIRE via COMTEX) -- Robert H. Lorsch, Chairman and Chief Executive Officer of MMRGlobal, Inc. /quotes/comstock/11k!mmrf (MMRF 0.07, 0.00, -1.45%) , a leading provider of Personal Health Records (PHRs) and electronic document imaging and management systems for healthcare professionals, will address the pressing questions facing physicians and administrators in the healthcare field as Conference Chair of the 7th Annual Fall Health IT Summit on opening day November 3, 2010. The two-day event hosted by the Institute for Health Technology Transformation is being held in Los Angeles at the Sofitel Hotel.
Lorsch, delivering his introductory remarks the morning after Election Day, will address industry leaders and senior executives from North America's leading provider organizations and physician practices. He will discuss the vast challenges and criticisms being levied at government over next step solutions in health IT, specifically those targeted at streamlining solutions for electronic conversion of paper-based records.
"I'm honored to be asked to both chair and speak at length on the challenges and opportunities in healthcare technology," Lorsch said. "In addition to hearing from national thought leaders on health IT strategies and qualifying for stimulus funds, the Summit represents an opportunity for individual and institutional investors to take advantage of the momentum created by health IT initiatives."
Throughout the morning, Lorsch will introduce healthcare decision-makers, including Keynote Speaker Betsy Thompson, MD, Chief Medical Officer, Region IX, Centers for Medicare & Medicaid Services, and a Keynote Panel moderated by Health Affairs Senior Editor Mary Rubino and comprised of Adam Clark, Director of Scientific and Federal Affairs, FasterCures and member, ONC HIT Policy Committee; Emad Rizk, MD, President of McKesson Health Solutions; Ashish Jha, MD, Department of Health Policy & Management at the Harvard School of Public Health; Theresa Cullen, MD, Chief Information Officer, Indian Health Service and Rear Admiral, U.S. Public Health Service; Charles Kennedy, MD, VP of Health Information Technology at Wellpoint; and Curtis N. Dikes, Senior Advisor, Healthcare Transformation, Cisco Systems.
This is the second time that Lorsch has been asked to be a Chair at the Fall Health IT Summit. Several months ago, he spoke at the Health Technology Investment Forum in New York City where he illustrated the significant consolidation opportunities for investors in the Electronic Health Records and Electronic Medical Records industries as a result of the federal government allocating over $42 billion for healthcare IT over the next several years.
In addition to the keynote addresses, this conference will include panel sessions, on-stage interviews, interactive roundtables and exhibitions displaying the latest health IT solutions including hardware, clinical systems, remote management solutions, mobile devices, and revenue cycle management in addition to electronic medical records.
About MMRGlobal, Inc.
MMRGlobal, Inc., through its wholly-owned operating subsidiary, MyMedicalRecords, Inc. (MMR), provides secure and easy-to-use online Personal Health Records (PHRs) and electronic safe deposit box storage solutions, serving consumers, healthcare professionals, employers, insurance companies, financial institutions, and professional organizations and affinity groups. MyMedicalRecords enables individuals and families to access their medical records and other important documents, such as birth certificates, passports, insurance policies and wills, anytime from anywhere using the Internet. The MyMedicalRecords Personal Health Record is built on proprietary, patented technologies to allow documents, images and voicemail messages to be transmitted and stored in the system using a variety of methods, including fax, phone, or file upload without relying on any specific electronic medical record platform to populate a user's account. MMRGlobal's professional offering, MMRPro, is designed to give physicians' offices an easy and cost-effective solution to digitizing paper-based medical records and sharing them with patients in real time through an integrated patient portal. MMR is an Independent Software Vendor Partner with Kodak to deliver an integrated turnkey EMR solution for healthcare professionals. MMR is also an integrated service provider on Google Health. To learn more about MMRGlobal, Inc. and its products, visit www.mmrglobal.com.
Forward-Looking Statements
Any statements contained in this press release that refer to future events or other non-historical matters are forward-looking statements, and some can be identified by the use of words (and their derivations) such as "need," "possibility," "offer," "development," "if," "negotiate," "when," "begun," "believe," "achieve," "will," "estimate," "expect," "maintain," "plan," "help" and "continue," or the negative of such terms and other comparable terminology. MMRGlobal, Inc. disclaims any intent or obligation to revise or update any forward-looking statements. These forward-looking statements are based on MMRGlobal, Inc.'s reasonable expectations as of the date of this press release and are subject to risks and uncertainties that could cause actual results to differ materially from current expectations. The information discussed in this release is subject to various risks and uncertainties related but not limited to changes in MMRGlobal, Inc.'s business prospects, its results of operations or financial condition, government regulation and changes in healthcare initiatives, and such other risks and uncertainties as detailed from time to time in MMRGlobal, Inc.'s public filings with the U.S. Securities and Exchange Commission.


Thanks to http://www.marketwatch.com/story/mmrglobal-ceo-robert-h-lorsch-to-outline-opportunities-in-health-information-technology-at-2010-fall-health-it-summit-in-los-angeles-2010-11-02?reflink=MW_news_stmp submit for this.

5 million patients get electronic medical records

Nearly 5 million patients across Ontario may now have an electronic medical record in their doctor’s office but critics argue the province is still “light years” behind others.
Health Minister Deb Matthews announced Tuesday 5,500 doctors now can manage patients’ health files electronically — a jump of more than 80 per cent in one year.
This good news announcement comes more than one year after Auditor General Jim McCarter issued a scathing report on how the province’s attempt at electronic health records had loosely spent nearly $1 billion of taxpayer’s funds with little to show for it.
However, Matthews said new leadership at eHealth Ontario — the province’s flagship agency working to bring electronic health records to everyone by 2015 — has turned the ship around and progress is being made.
Last year the electronic records scandal gripped Queen’s Park and caused the departure of several key players in Premier Dalton McGuinty’s government including Health Minister David Caplan.
Documents obtained by the Star revealed eHealth awarded millions of dollars in sole-sourced contracts, executives were given perks and paid lucrative bonuses while consultants were paid nearly $3,000 a day. To the ire of taxpayers, some of those high-paid consultants expensed $1.65 cups of tea.
But now is the time to look forward, not backward, Matthews told a news conference Tuesday at the Taddle Creek Family Health Team office on Bay St.
“Work on this has kept going,” Matthews said, noting a modern health system means paperless medical records. The records allow doctors to quickly access lab and test results and they cut down on medical errors when physicians write and renew prescriptions.
“There is much more to do but when it comes to eHealth we have clicked to the next page and we are on track delivering results for Ontarians.”
After an extensive national search, Greg Reed was appointed CEO and president about seven months ago. Reed is a Harvard Business School graduate who previously had a career in resuscitating distressed companies.
Political health critics argue Ontario is still “light years” behind the rest of the country when it comes to EMRs.
Health professionals still can’t speak to each other on one system, said Progressive Conservative MPP Christine Elliott (Whitby-Oshawa). “What we have now is a system in doctor’s offices where they have electronic records,” Elliott said. “What we need to do is make sure that all the other health professionals and institutions are able to talk to each other. We aren’t even close to that.”
Ontario is the “laughing stock” internationally because of the way the province is preceding, Elliott added. “We are given to understand it will cost another $5 (billion) to $10 billion before we have a system that is up and running,” she said. “Every other Canadian province is ahead of us.”
Doctors have been given $28,000 over 3 years to bring electronic medical records to their offices. Physicians can choose from 12 different vendors when buying software, Reed said.
While the medical records in doctor’s offices and clinics won’t look the same across the province and they all can’t talk to each other, they will all essentially perform the same function, he said.
“There are different levels of linkages,” Reed said. Some hospitals and doctors offices are linked up near big teaching hospitals but that isn’t the case everywhere.
“One of the things we have to do is build the network of networks so that no matter where you are in the province you can access information from the hospitals that your patients are referred to,” he said. “That is work that is ahead of us.”
New Democrat MPP France Gélinas (Nickel Belt) said the eHealth announcement is a small step but in reality means little. Doctors can now computerize their appointments and figure out drug interactions online — but most physicians had those capabilities before, she said. “Right now, do those computers connect to anything that allows them to do their work better than before? Not really.”

Thanks to http://www.thestar.com/news/ontario/ehealth/article/884488--5-million-patients-get-electronic-medical-records?bn=1#article submit for this.

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Physicians Lose Money When Using EMR

I read a very interesting article today on whether or not physicians lose money when using EMR. I will sum up the article for you.
A physician’s time is worth protecting. It is critical and very important in regard to patient’s care. They have gone through many years of schooling and training. When they practice medicine, they require structure and tools to ensure that the majority of their time is spent on patient care, not documenting or typing.
Studies show that the average physician collects approximately $75 per hour. At this rate, each hour a week wasted on EMR documentation affects a facility’s bottom line. Let’s say a physician works 47 weeks out of the year. If 1 hour a week is spent unnecessarily documenting EMR, the total pay lost is over $3,500. Let’s say EMR for the physician takes 1 extra hour a day to complete, the loss of pay would be over $17,000 (per physician).
Interrupting a physician’s time can only hurt the facility’s bottom line. Remember that this is only taking into consideration the physician’s take-home pay. The physicians should be able to focus their time on patient care, not wasting their time on EMR.
I can’t imagine physicians chose their career to spend hours doing their own record documentation. There are some physicians who do very well with working in the EMR, but does it make any sense for a physician to be wasting their time on it. You know how the saying goes, “time is money.”

Thanks to http://medicaltranscriptionhelpdesk.com/physicians-lose-money-when-using-emr for submitting this.

Medical Transcription Outsourcing - Providing Overall Benefits

It is a known fact that outsourcing medical transcription helps doctors and other healthcare professionals by providing them with timely, accurate and secure transcripts of patient medical records at reasonable costs. Timely and accurate creation of patient records help in providing quality care to their patients by providing pertinent details about the patient like demographics, pre-existing health conditions, past diagnosis, procedures/tests undertaken, medications, allergies etc. This helps the healthcare professional make informed decisions instead of relying on his/her memory or inputs from patients.
That apart, this service benefits other members of the hospital/ clinic by providing value added services.
How does outsourcing benefit other members of the healthcare facility?
Outsourcing has the added advantage of advanced software and tools used by the transcription vendor. These add value to the service of creating patient medical records in the following areas:
Archives: In healthcare facilities with a large amount of activities due to varied inflow of patients it is quite difficult to trace transcripts. It would require the support staff to walk down to archives and having to manually search through patient records to trace the particular record that is required. Outsourced service providers have come up with a simple solution by providing archival features.
The files received from the doctors' end are kept in the transcription systems of the service provider for a certain period of time, after which they are archived. The amount of time that these files stay archived can be determined by the healthcare facility. Searching for files becomes easy as an user is allowed to search from the archives for a document based on different criteria like date of service, date of dictation, MRN #, patient name or combination of any of these criteria.
Job summary: It is difficult for the staff at the hospital/ clinic to keep track of dictation, the number of documents in a dictation and receipt of transcripts. Outsourcing this service to a professional transcription vendor would ensure that they have a system in place that provides them with a job summary, making it easy for the support staff to keep track of the summary of the dictations sent, the transcripts received and the pending jobs.
Transparent billing: Billing for medical transcription has always been a confusing areas having too many variables. Outsourcing to a vendor who uses a verifiable, measurable, definable, consistent, fair and honest billing method can help ease the worries of the healthcare facility regarding the billing procedure. A professional service provider would ensure that the healthcare facility is clear on the billing method and explain all the components of cost to the hospital staff to ensure that everybody is on the same page.
Upload of files: Availing services from a vendor who uses advanced technology can provide easy to use benefits like automatic upload of dictation. The system could be set for checking for dictation files at predefined intervals as per the requirements of the doctors/ hospital.
Integration with EMR: A medical transcription service provider having resources and tolls like HL7 interface could aid the healthcare facility in adopting EMR systems.
It can be seen by outsourcing to a tech savvy medical transcription service provider, healthcare providers can avail numerous benefits apart from that of accurate, timely, secure and cost-effective services.

Thanks tohttp://ezinearticles.com/?Medical-Transcription-Outsourcing---Providing-Overall-Benefits&id=5389846 for sharing this.

New Online Market Place for EMR Transcription Services

Having this blog has given me the opportunity to talk with a number of different transcription companies over the years. I think one thing has become pretty clear. The face of transcription is certainly changing quickly, but the need for transcription is still going to be there for a long while to come. Although, it won’t be the same process of transcription as we know today. Transcription and EMR will start to come together more and more.
Many of us (including myself) were quick to use transcription cost savings as a way to justify the purchase of an EMR. What I think we’ve seen over the 5 or so years I’ve been writing about EMR is that transcription can still be a fantastic compliment to an EMR system. EMR cost justification will often have to come from some of the other EMR benefits.
With that as background, I was quite interested in a company called myMonolog that I met at the Mobile Health Expo. They’re creating an online marketplace for finding and utilizing a transcription service. I’ll admit that I’m not an expert in transcription, but I like the idea that you have a marketplace of transcription providers to choose from and you can see the ratings and reviews from other people who have used that transcription service. I also like that they have an app for Smart Phones to be able to record, send and view the transcriptions.
I’d still like to see them do some deep integrations between their system and EMR vendors, but I think it’s an interesting idea to create a marketplace for transcription services. Plus, if you choose to change transcription service providers, you can still use the same interface with a new provider. Or if your transcription company gets behind, you can just hire another transcription provider to catch you up.
myMonolog has offered Physicians, Nurses or administrators that read this site a 1 week free trial of transcription services if you use the promotion code: “emrandhipaa” when registering. If you need transcription services, try it out and let me know what you think of the service.

Thanks to http://www.healthrotate.com/new-online-market-place-for-emr-transcription-services for sharing this.

Medical Transcription Outsourcing - Providing Resourceful Solutions

Healthcare is an ever changing service having to cope with both new diseases/health conditions, new cures/treatments and also the external developments like statutory requirements & regulations. It is important for healthcare as well as other services associated with healthcare to be resourceful so as to cope with changes as they occur. Medical transcription is an important support service aiding healthcare by creating patient records from the audio recordings of the healthcare professionals of the patient- healthcare professionals encounter.
Medical transcription is essential to the healthcare process by assuring that comprehensive information is captured to enable healthcare professionals and healthcare facilities to use this information in various ways. The information in patient records is not only essential for providing continued care but is also essential for coding and billing purposes. This process can be made efficient, effective and economical by outsourcing to a professional transcription vendor. This not only ensures accurate and timely creation of patient records it also ensures that the medical transcription service provider comes up with resourceful solutions for the needs of healthcare professionals and healthcare facilities.
How does outsourcing provide resourceful solutions?
Outsourcing ensures that the various issues faced by healthcare professionals and healthcare facilities during the creation of patient medical records is solved in an effective and imaginative manner.
What are the resourceful solutions provided by the outsourced service provider?
• Flexible modes of dictation: Time is a scarce commodity for healthcare professionals, realizing this and understanding their need to optimize their limited time resources, they are given the option to retain their familiar modes of dictation. This enables them to use their regular mode of dictation as per their convenient time and also saves them time spent on learning to use new methods for dictation.
• Automatic upload of dictation: Another means through which resourceful solutions are offered is by enabling automatic upload of audio files for transcription. Turnaround time is a critical factor when it comes to patient records. By having a system that checks for audio files automatically at pre-fixed intervals, healthcare facilities can save on time and effort and the process of creating patient medical records is quickened
• Document delivery modes: Healthcare professionals and healthcare facilities would require transcripts delivered to them through various modes like secure Email, fax, in printed form, delivered to specific folders or even delivered to multiple users. Resourceful solutions for such requirements have been provided by using technology to ensure flexible, timely and secure modes of document delivery.
• HIPAA/HITECH compliance: Maintaining the confidentiality of patient information is a major concern for all those involved in the healthcare process. Transcription vendors have resourcefully secured confidential patient information by having HIPAA/ HITECH compliant measures in place to secure people, processes and technology.
• Archives: At any given time the volume of data regarding patients in a healthcare facility would be voluminous. The support staff have to keep track of this data as it moves through the various stages. They also need access to patient records for various uses. A resourceful solution to this problem has been provided by creating archives making tracing the information speedier and easier.
• Adoption of EMR/EHR: Adoption of electronic medical records has become mandatory by law. Many healthcare facilities have invested in EMR systems, but find that healthcare professionals prefer the dictation- transcription mode of capturing data convenient. A resourceful solution has been provided for this by using HL7 messaging to capture information on to the EMR.
Outsourcing medical transcription to the right medical transcription service provider can provide healthcare facilities and healthcare professionals with resourceful solutions to their needs.

Thanks to http://ezinearticles.com/?Medical-Transcription-Outsourcing---Providing-Resourceful-Solutions&id=5374751 for sharing this.

Vein Clinic EMR Software System Worth $6,000 to Be Raffled Off at Industry Trade Show

One lucky attendee at this week's 24th Annual Congress of the American College of Phlebology will win a free medical records management software system from SonoSoft, a $6,000 value! “We’re 100% confident that a live demonstration during ACP will convince phlebologists to consider our software to save time and grow their practice”, said SonoSoft founder Dr. John Stagl. “Because we know ACP attendees will be busy, we want to reward them for giving us a half hour of the time by giving them a chance to win a free EMR system for their practice.”

To see a short video about the features and benefits of SonoSoft, hear testimonials from current SonoSoft customers, and sign up for a half hour demonstration during the show, please visit: www.Sonosoft-Phlebology.com

One of the software's key values is the fact that it virtually eliminates the time-consuming chore of dictation, a feature which by itself can save physicians up to 20 hours a month.

"Sonosoft saved my marriage," said Dr. Daniel Mountcastle, owner of Mountcastle Vein Centers in St. Petersburg, FL. "I used to sit in my clinic late at night, anxious to get home to my family because I spent so much time going through tons of paperwork. But now I go home early and I'm with my wife and children every night. And thanks to SonoSoft, I've grown my practice too. I have 5 clinics now!"

SonoSoft is a vein clinic EMR software program that allows a medical staff to input most of the data that used to be entered exclusively by physicians, using a simple point and click interface. The system automatically creates reports, OP notes, and patient encounter notes. Other features of the SonoSoft Software include medical transcription, practice management, a clinical statistics generator, marketing management and tracking, built in electronics insurance billing, image archiving, and a HL7 interface that communicates with third party EMR systems.

Thanks to http://www.prlog.org/11046359-vein-clinic-emr-software-system-worth-6000-to-be-raffled-off-at-industry-trade-show.html for sharing this.

Medical Transcription (MT) and Electronic Medical Records (EMR) Software

Electronic Medical Records (EMR) has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription – however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
The most critical part of any Electronic Medical Record (EMR) is the method of data entry. EMR is about aggregation of patient encounter data at the point of care in order to provide a complete, accurate, and timely view of patient information. An electronic medical record is not just a typed record of the patient encounter, but an extremely useful decision support tool. The data can be entered into the EMR via any of the two general mechanisms: direct entry by the physician using point and click templates or transcription of dictated notes. Point and click template indicates that each data element, which is to be inserted, requires selection, navigation, point and click process for capturing patient information.
Transcriptions have been around for years for documenting patient encounters. A medical provider dictates the medical note into a phone or a recording device. The transcriptionist receives the dictation and transcribes it. It may be reviewed by the supervisor for checking errors. The final computerized file is then either emailed directly to the healthcare provider or the file is transferred to a web site and is later downloaded by the provider.
Each method has its pros and cons.
Point and Click Templates
Most EMR systems allow providers to generate clinical documentation, by selecting variable terms from pre-structured point-and-click templates. Users simply point and click to select appropriate choices from lists of choices to record a patient encounter. The end result would be a document that closely resembles a transcribed procedure note.
Advantages
* Completely customizable templates. The doctor can specify the layout of the template, which helps him to adjust the template as per his practice & procedure.
* Provide consistent, complete and accurate data. The chances of medical erros are reduced since the data is documented in customised forms.
* Notes for similar type of exams will appear to be standard and similar
* Store / organize data for subsequent retrieval.
* Each click adds data elements to the database. Point-and-click systems create data that can be used to generate clinically useful reports, such as health maintenance reminders, disease management etc.
* One of the major advantages of template based charting is the time needed to make the document available as a medical record. Since notes are created within the EMR, they are available immediately upon completion.
Disadvantages
* It takes more time, and definitely more concentration for a physician to navigate through large data set and create progress notes using point and click templates.
* Templates must be customized as per the physicians requirement.
* Customization can be inflexible and costly.
* Well accepted by only tech-savvy doctors.
* The approach of direct data entry by the physician has generally failed because busy providers reject it altogether.
* Output from these templates is too canned and identical. It loses individuality for each patient.
* It is difficult for a provider to capture complete patient encounter on computer in front of a patient.
Medical Transcription
Transcription has long been the standard for documenting patient encounters. It is more convenient for a provider as compared to handwritten notes or electronic data entry. There are many advantages of transcription in comparison to point and click charting. There are a few disadvantages as well.
Advantages
* Correspond intuitively to the physician’s usual method of working. Dictation remains the most intuitive and least time-consuming means of data entry.
* Physicians can dictate anytime, anywhere using PDA, Dictaphone or telephone at their convenience.
* Providers need not change the way they practice just to accommodate an EMR. EMR can interact with transcription service so that transcriptions can be attached directly into the patients electronic medical record, if such a facility is provided by the EMR vendor.
* It requires minimal training for physicians.
* Provides expressive power to describe patients condition and other health related events
Disadvantages
* Details of the exam can easily be forgotten and omitted while dictating, if dictation is not captured immediately at the point of care
* It cannot be queried for generating reports unless transcribed in pre-formatted templates
* Transcribed reports are not immediately accessible. Physicians would normally have to wait for 12 to 24 hours for charts to be delivered, unless few vendors supporting 2-4 hours short turn around time.
* Transcription provides for more efficient use of doctor’s time.
* Although average transcribed report costs $2 to $4, it can reduce the doctor’s time spent on data entry.
Considering the value of doctors time, transcription is not a costly proposition.
EMR should give the freedom to the physician to decide to use either Point & Click or Medical Transcription. For a physician, the EMR that fits into his practice workflow would be invaluable. A competent EMR must have a template driven charting feature and the ability to interact with a transcription service at the same time. Both are indispensable features of Electronic Medical Record Software, as doctors are not unanimous on point and click charting or transcription. Such an EMR will be both efficient and cost effective.
The trends in transcription itself are changing with Medical Transcription service providers aiming to adopt new technologies. These technologies will evolve to increase efficiency & accuracy, decrease turnaround time and support data capture. While many of these technologies like such as digital dictation and electronic signature exist today, several technologies are still on the horizon.

Thanks to

Outsourced transcription solves EMR data-capture issues

Voice-to-text conversion software is a great tool for some physician practices that are implementing EMRs – but not all. The Wharton Medical Clinic based in Burlington, ON tried various combinations of templating, editing by doctors and in-house transcriptionists for four years before finally giving up. The clinic then turned to Accentus, an Ottawa-based outsourced transcription service provider, to solve its problems.

Wharton is a weight management clinic dedicated to decreasing cardiovascular risk factors such as high blood pressure and diabetes in obese patients. The high-volume practice has 13 specialists on staff who each see about 50 to 100 patients daily and relay their reports back to the referring family physician.

The clinic implemented an EMR system four years ago to boost productivity, says Marcia Villafranca, director of operations. “The reduction in transcription costs by using voice-to-text software to transcribe dictations was a big selling point when we were considering EMR systems. Vendors always try to sell you this. But we’ve tried voice-to-text and it just doesn’t work for us.”

The clinic had 4 full-time transcriptionists initially when it went live with its EMR, but typically had a backlog of one to two weeks in turnaround, says Villafranca. “We thought we could wean our doctors off transcriptionists with voice-to-text.”

But training the software to recognize speech patterns turned into a major headache. Although it can achieve a certain degree of accuracy over time, it all depends on the user, she says. “It becomes difficult if you have doctors with heavy accents or a particular way of saying things, especially if you have multiple physicians working in a busy clinic. They aren’t necessarily interested in cutting costs – they’re more concerned about getting accurate letters off to family physicians.”

The clinic tried various approaches over the years, using templates instead of dictated free-form notes, voice-to-text with doctors self-editing, and other administrative processes. “Trust me, we’ve done it all. Our physicians were very frustrated.”

Wharton gave up on voice-to-text in the end and looked for an alternative solution. The clinic considered various options, such as overseas transcription services, but was leery about loss of control over sensitive patient data, and the quality and accuracy of transcriptions.

Instead, it settled on Ottawa-based Accentus, whose entire operations are based in Canada. The company offers both the technology and labour needed to process transcriptions remotely, and guarantees 24 hour turnaround time.

“So four years after implementing an EMR, we’re back to transcriptionists in a different form with Accentus. When selecting an EMR, avoiding transcription costs shouldn’t be a deciding factor. Physicians should consider their patient volume, efficient turnaround time, the professionalism needed for notes, and improved patient care,” says Villafranca.

The Accentus Solution
Wharton opted to invest in digital recorders for all its doctors, although Accentus can capture dictations from any phone or desktop as well. “Due to our work flow, we found it easier to do it this way although it’s more expensive,” says Villafranca.

Wharton’s doctors can walk around freely all day dictating their notes into their hand-held recorders. At the end of the day, these are docked into stations equipped with software that detects the doctor’s ID file and the number of dictations, then automatically transmits the files to Accentus’ system after labeling them.

The transcribed files are then transmitted back to Wharton for further processing by administrative staff, who input the notes into the EMR and the letters to family physicians.

But in the next phase of its project, Villafranca says the clinic plans to implement the interfaces needed to upload the transcribed notes from Accentus directly into the patient’s EMR record. “This would completely cut a whole step and role in our clinic.”

Productivity has been improved tremendously at Wharton. A rheumatologist can see a patient on Monday, and by Wednesday, the family doctor has the letter. “Our customers are family doctors, and we’re getting comments from them that our turnaround time is unheard of in specialist practices. We can even turnaround a letter the same day if it’s an urgent matter by asking Accentus to do it as a rush job.”

Wharton’s problems with voice-to-text are not unique, says Steve Rogers (pictured), CEO of Accentus. Many similarly frustrated physician practices are turning to Accentus. “We’re signing up three to five clinics a week. EMRs are being sold with a certain expectation that you can eliminate staff. But the overwhelming response we’re getting from clinics is that’s not so.”

Rogers says a technology issue that many doctors may not be aware of is that most EMRs that offer voice-to-text aren’t integrated to allow for third-party transcription. The audio files of a doctor’s dictation aren’t saved and can’t be made available to others.

“The incorporation of voice-to-text in EMRs is meant for physician self-editing but not transcriptionists. It creates a text file that only the physician can review because only he knows what he wanted to write. This is fine for short notes by radiologists who can dictate and edit on the fly, but it becomes cumbersome for longer notes.”

Accentus also uses voice recognition and voice-to-text in its technology platform, but it’s at the back-end, he adds. “It’s embedded in our transcription platform, which transmits both the audio file and the text file the system generates from it. The final edit is done by our specialized human editors who compare the two to ensure its accuracy.”

Rogers says no special software is needed to use Accentus’ service. Doctors can use any device anywhere to dictate and communicate their notes. There are no set-up fees or upfront commitments needed, and charges are based on minute of dictation.

Integration of Accentus with a clinic’s EMR so transcriptions are uploaded directly into a patient’s record can further boost productivity, he says. This requires implementing an HL7 interface from Accentus’ platform to the EMR.

“We advocate full integration into the EMR so you get to that last step without human intervention. This is just a matter of us working with the EMR vendor to establish the links to the clinic, and is a fairly quick and simple process. We’ve done similar integrations of our service with complex hospital systems across Canada, so setting it up for smaller EMRs is easy. A doctor could be set up and dictating in a day,” says Rogers

Thanks to http://www.canhealth.com/tfdnews0164.html for sharing this.

Electronic Health Records: The Future of Medical Data

Upon the passage of health care reform, our country’s medical industry is expected to add approximately 23 million additional users to the health care system. For an already burdened system, digitizing medical data is a viable solution for easing the transition into universal healthcare. But migrating an entire nation’s health records to electronic health records systems will do more than simply reduce the excess workload, it will change the way people manage their own care.

Changing Social Dynamics

The future of medical data is changing with our nation’s social dynamics. With increased access to individual health information through electronic health records systems, or an instant messaging session with a doctor, the traditional role of patient and physician is evolving into something more modern. No longer will patients walk into an appointment uninformed and uneducated. Rather, they will have had access to their electronic health records online, reviewed their latest lab results, and read recommended articles concerning their conditions before walking through the door.

Increased access to personal medical information will be a welcome change for a younger generation used to status updates, instant messaging, and social networking. While most patients might not be sharing their latest CAT scan on Facebook, soon-to-be parents are posting their babies’ ultrasound images and using social networking sites to share information about conditions, treatments, and doctor efficiency.

Closing the Communications Gap

Electronic health records technology closes the communications gap between clinics and patients, physicians and files, and information and decisions. Doctors appointments will be scheduled online and lab results can be reviewed on your smart phone, eliminating the formalities of follow-up visits and quarterly check-ups.

Electronic health records allow people to get more involved in their health care decisions, while doctors will be able to use additional information for better diagnostic and treatment decisions. These changes will be aided by the national shift to electronic health records currently underway throughout the health care industry. A massive effort being helped by $19 billion dollars from the federal government’s 2009 economic stimulus package.

Learn More About Electronic Health Records

Electronic health records technology will significantly improve how our health care system effectively communicates and treats our nation’s health. If you need more information about electronic health record systems and how they may improve the quality of health care for your practice, contact e-MDs, a leader in electronic medical record software provision.

e-MDs offers a host of affordable solutions for physicians and facilities looking to modernize or enhance their services with the latest electronic health records technology. e-MDs is committed to providing affordable and integrated EHR and Practice Management Software solutions, including clinical, financial and document management modules designed to automate medical practice processes and chart management – delivering the clinical tools needed to succeed in today’s health care environment.

Source: http://www.thanhtoantructuyen.biz

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