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Scary software - LMT
Posted: Feb 17, 2010
During my first visit with a new doctor yesterday, I wondered why I was not presented with the usual "book of history" to fill out beforehand. As the nurse was asking questions, she was busy clicking on pull-down menus, etc. On her computer screen was software called SOAPware, and there, formatted into SOAP format and all, I saw my replacement.
Later, in the exam room, the FNP was using the software as well as we went along, after exam, labs, etc. I made a comment something along the lines of there goes my job, and the FNP was very candid during the discussion that followed. She had a few complaints about the time required to input information because all of the menus had submenus and they had submenus and they had submenus, but that they had completely transitioned away from dictation to the SOAPware, and how cost effective, etc. it was, that they could manually input text into fields if there was not a preset option for what they needed. It does everything we do. It printed out a document that looked like it was typed the "old fashion way." While it did take some time to do it, the results were instantaneous, no waiting on something to be typed and transmitted.
It sure left a sinking feeling in *my* stomach.
I've seen it too - anon
[ In Reply To ..]at my internist. NP was raving about how nice it was not to have to dictate:( She said some older docs had actually retired rather than have to learn the new software.
new medical records - old mt
[ In Reply To ..]Everybody around here has done that (NW Washington). I've even had specialists say "why don't you sit down and I'll dictate" because they just hate it. Apparently, they get so many perks of employment and if you really want transcription you have to pay for it. The HMO I go to laid of 400 transcriptionists from all their different offices. I'm afraid we are dinosaurs.
Yep- super scary - sgill
[ In Reply To ..]I have been privy to this a few times as a patient, as well. It's so scary. But this is the new world of Electronic Medical Records/Electronic Health Records. One of them had a tablet PC that he carried right into the room and docked on the desk, tapped around on while he talked to me, and when he left he just carried it right out with him. No paper. Just computers. Guess it's better for the environment... but back to school for me. lol
My doctor uses that but also still transcribes the reports - Some doctors still writing notes by hand
[ In Reply To ..]nm
The first time I saw it was about - tired
[ In Reply To ..]4 years ago at my orthopod's office.
It may be spreading like wild fire now, but it is definitely not new software.
I was informed by a higher-up in my company - sm
[ In Reply To ..]when I inquired about learning "clinic" work as I had always done acute care -- that such work would soon be phased out by new software and I should just stay where I was and be glad I had those skills. My doctor's office has also been using similar if not same point and click stuff.
I type about 90% surgical notes - I don't really see how they could automate that (sm) - LMT
[ In Reply To ..]Still, I'm going to look into refreshing my IT experience/skills. I know it's not a new concept/software, but I do think it's going to start playing a major role in this business. Combined with all the outsourcing, I agree we are dinosaurs.
op notes and EMR - pip
[ In Reply To ..]I get some op notes that would work great in an automated system (don't tell the client that, ha ha), like T&A's, carpal tunnel surgeries, knee replacements, and others that with several doctors I either use a template or a macro and don't type much. I agree, though, that some surgeries just aren't standard enough to do that or the doctor doesn't dictate in a standard way to have that work well.
I hope for the sake of my fellow MTs that seeing these kinds of things are wake-up calls to get working on an exit strategy from MT.
They have automated op notes for years - just called normals
[ In Reply To ..]As in "insert my normal phacoemulsification, right eye" and all you do is fill in the word "right" everywhere there's a pre-formatted blank.
I've had normals for everything from ophthalmology to orthopedics, gyn to general surgery (e.g., lap chole, appendectomy, etc.)...
Heck - I've even created my own normals - when doc was extremely repetitious
[ In Reply To ..]We've all had those docs that we WISH would create a normal because they insist on dictating the same exact thing OVER and OVER. GI docs are notorious for this - the whole business of getting that scope rammed up to the ileocecal valve is mind-numbingly boring and rarely varies until they describe the findings (which is also boring when they're completely normal).
Sometimes it's not the whole thing that's repetitious, but the prep, entry and exit. Cardio is SO boring right up through cardioplegia, and then again when they start taking the patient off the pump and make the mad dash to the golf course. Unless there's a problem, the only thing that varies is which arteries are being bypassed. Might as well "normalize" these things - with the precaution, of course, that you still have to listen to this boring stuff to make sure there aren't any surprises.
Technology - RLee
[ In Reply To ..]I have seen this myself - and it does leave you wondering about the industry we are trying to make a living in. When I worked for a neurology office one of the docs there, who also dictated EMGs, got his own computer and new software installed on it. The software was VR and he had the PATIENCE and got the software to work properly for him. He was a stickler as to perfection and was very happy with the outcome even though he had to proofread the document and edit it himself, which he did no matter who typed it. He even had software added to that program and got so good at it he could actually populate the EMG tracing itself under the appopriate headings into the report. The outcome of the report was very impressive I hate to admit. Needless to say the MTs in that office eventually were not typing EMGs any longer. It works for some docs, but not for all. The key word is PATIENCE on their part.
That's where my job went - JennM
[ In Reply To ..]Just lost my job 2 weeks ago b/c we went to EMR and voice recognition. The notes are junk, but they're cheaper.
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