A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Just a thought - ExAx

Posted: Jan 18, 2015

what will happen when the doctors start using templates and no longer have us to edit their reports. at some point they still have to dictate text, right. or will they be using templates for everything and just pulling information from the EHR. just curious how that is going to be with doctors completely being left on their own and accountable for their own records...

for example, take the worst dictator you have and try to imagine them seeing their reports without any of the editing...

there is not one report in a day that does not need some kind of editing, whether it is an incorrect medication or dose, or incorrect lab value. I know the EHR can even pull that information into the dictation and flag it, but are doctors really going to spend time doing that?

Pulling info in from the EHR - Informaticist

[ In Reply To ..]
How does it work when doctors are left on their own? Fine. And they are ALREADY and have always been accountable for their own records.

Yes, information can be pulled in from the EHR, but you are confused that it has to be flagged or that it takes doctors time to do that. It does not, because it is already correct.

Ah, Informaticist - is back!*

[ In Reply To ..]
(*)

Was not gone - see msg for proof of identity

[ In Reply To ..]
It's the same Informaticst you know and love ... "Nuance is selling you up the river ... find a new job".

Never said you were loved, - knowitall

[ In Reply To ..]
xx

Hahaha...I'm not a regular on this site, but... - starzzz

[ In Reply To ..]
but even I saw right through this poster...who is either uninformed or deliberately being dishonest. Ask any transcriptionist who is not allowed to correct "inconsequential" errors in the voice rec file (which subsequently flows into the EHR) and they will tell you that they do not even want their initials on those reports. We have physicians already complaining to administrators about the unprofessional reports with incorrect grammar. punctuation, etc., not to mention incorrect medication names, doses, spellings of physicians' names, etc. So for "informaticist" to make these blantantly false statements only makes one wonder if he/she misspelled their own moniker...should it be uninformaticist? You forget you are on a transcriptionist site and we know the truth...we live it everyday. In the course of transcription, I many times need to refer to the EHR for information...there are atrocious mistakes and critical errors in those documents that rely solely on voice rec. If I were a machine rather than a living, breathing, educated person, such atrocities as "Lovenox 500 mg" would not have been discovered and brought to the attention of a manager to be corrected to "levofloxacin 500 mg." Sorry about the rant, but it is bad enough how they are diminishing our role in providing an accurate medical record, but add to that these blatant lies put forth by people with ulterior motives and I see red!

We were not talking about that. - sm

[ In Reply To ..]
You seem to think everything in the EHR gets there via some dictated document. That is not the case and we were not talking about dictated material.

The discussion was about ALREADY CORRECT information pulled into the report from other sources, like pharmacy and orders.

What doctors dictate changes from what you are used to. They no longer need to dictate drug-dose, drug-dose, drug-dose. This is just imported from the pharmacy orders.

You are protesting about things that don't happen.

On the main board, someone said it was amazing how little MTs understand about how this works. I agree. When the training is available free on the internet, how can you not avail yourselves of it?

Your estimation of the average MTs ability to correct errors is inflated. Most of them cannot, and others are not allowed to by companies that need them typing verbatim to train the SR. I have no doubt that your doctors DO complain, but when they begin generating their own SR reports, they don't particularly notice grammar and punctuation because IT IS THEIR OWN WRITING.

They have been utterly unconcerned about the illegible hand-written notes and prescriptions they have produced for the last hundred years, in spite of the medical errors associated with that. Do you truly think anything changes when they switch to SR?

We have this where I work. I am not making anything up, either. You just don't know what it is.

Informaticist is always here telling us MTs - that we

[ In Reply To ..]
don't matter. I have no idea why this person frequents this site - a site for MEDICAL TRANSCRIPTIONISTS and CODERS. Doesn't this person have anything better to do with their time? Perhaps I should feel sorry for this person if their life is so empty they choose to hang out on a website that has nothing to do with them. Must be a terribly lonely existence.

Umm, YOU are the ones complaining that your - jobs are going away (nm)

[ In Reply To ..]
NM

It isn't the content of the message - being conveyed

[ In Reply To ..]
It is the condescending way in which the message is being conveyed. Your continued proselytizing is not helpful or needed and your know-it-all attitude is tiresome. Why do you continue to come here?

Yes it is already correct - Ugh

[ In Reply To ..]
and they don't seem to care about capitalization, punctuation, spelling or sentence structure in the free text parts.

I have noticed that too - I see the EHR info

[ In Reply To ..]
An account I work on lets us go into the EHR to verify info. A lot of notes are done the way informaticist tells about - docs just enter their own text. The structure and grammar and spelling look horrible. Makes me wonder why all these years we have been chastised over capitalizing a department name or using/deleting a comma!

Docs have always entered their own notes - Nothing new with EHRs

[ In Reply To ..]
instead of writing by hand, they just talk. It works really well. I am dictating this on my tablet computer. This uses Google dictate, but it works pretty well. Dragon is actually better. You really can't tell that I'm just talking and the computer is typing. When doctors dictate, you can't really expect that they're written product is going to be any better than what they used to write by hand. The same bad grammar shows up. The same misspellings show up when they take by hand. And, no one really cares. They don't care because doctors have always done it that way it's just expected with the way doctors right.

Doctors have always written their own notes, including the Big 4. In paper records, they were just written on paper, so you never saw them. The handwriting was bad, but so were the spelling, grammar, and punctuation.

Dictation was not available at some hospitals until the mid to late 90s. Even then, budgets limited it to certain report types. Everything else went in by hand.

The pressure on MTs to write, format, and spell correctly was simply because they were paying you to do it. (The pressure on you NOW may be because they are using you to train the SR engine.)

With electronic records, doctors no longer enter daily notes, orders, meds, etc., on paper. They do it electronically. EHRs have pharmacy modules that allow selection of meds and dosages, along with computer checking for interactions. They have order entry modules that do similar things, allowing choices of things to order. Notes are entered in another module using the keyboard, point and click from templates, canned text, or ... most recently ... integration of a front-end SR system like Dragon with the notes.

EHR - your treatise has several errors in it! - Cha

[ In Reply To ..]
nm

My PCP already does this - xx

[ In Reply To ..]
and has done so for several years. No dictation takes place, and letters and other communications can be automatically generated with places for the practitioner to enter comments. They seem to find that it works well for them. The letters don't look like old-style letters on nice letterhead, but they convey the information.

I get a letter from my doctor after every encounter that outlines what took place, what the lab results said, prescriptions given, referrals made, and recommendations. It's not fancy, but it gets the message across.

Dictation-free records are already here.

not to mention... - JOttS

[ In Reply To ..]
and make no mistake, that billing can also be done through these EHRs. So you can bet that once doctors (and whomever else) get used to their MAs doing all the EHR data input, the billing will also be done by them or someone else in the office. Then you can kiss the billing and coding professions goodbye, too! Just sayin... it's a matter of time; and our professions are being taken away from us one at a time. Hate to be the bearer of bad news... just reality again. Ain't life and technology "wunerful?" JOS

not to mention - rena

[ In Reply To ..]
Yes, that's true JOttS. And that's a very good reason not to sign up for one of the "medical billing and coding" courses that are offered anymore. I know I sure don't plan to.

"wunerful" technology - SM

[ In Reply To ..]
It will be interesting to see how this all plays out. I read somewhere about predictions regarding technology and jobs in the not too distant future. Not just the MT field, but everywhere. For example, the fast-food industry, which employs hundreds of thousands of people, will no longer need those employees because everything will be automated. You pull up to the drive-thru window, state your order, which goes into a voice-generated computer program that tells robotic "arms/hands" what to prepare, the robotic arms cook/prepare your order, and another arm hands it to you through the window. You won't have to pay because there's no exchange of money/credit card, you just speak your personal voice code, which is then processed through your bank and the money is taken out of your account and transferred to the fast-food place. Of course, the bank won't need employees, either, it will all be computerized. Really scary stuff. What are future generations going to do for jobs?

REALLY scary stuff! - nm

[ In Reply To ..]
x

It's going to happen in the fast food - industry

[ In Reply To ..]
sooner rather than later if the burger flippers get their wish for a $15 minimum wage. Their employers will simply step up the introduction of automation and solve that problem. But it will probably work out better for the consumer. Robots won't spit in your food or post pictures of themselves pulling really stupid, unsanitary stunts in the food-preparation area.

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