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

Doctors and front end SR - TXMT

Posted: Apr 27, 2014

Hospital where I worked before being outsourced kept a friend of mine on for QA. Now they don't outsource at all. Using a program like Dragon and the doctor dictating has to edit his own report. And QA is auditing the doctors! If the report is not accurate, the doctor is written up. No more blaming the MT for their mistake.

I like it! - nm

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:)

I hope they pick apart the doctors' reports - for every punctuation mark, etc.!

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See how THEY like it.

That ought to end QA nitpicking (sm) - Rose

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And I'm sure the doctors now blame all errors on VR. Wouldn't it be nice to return a report to a doctor with the notations...

"NO FIRST NAME OR SPELLING OF LAST NAME FOR CC LIST - PLEASE RESEARCH!!!"

"RETURNED FOR DEMOGRAPHICS YOU NEGLECTED TO PROVIDE!!!"

"STOP DICTATING "AND COMA!!!"

"REMEMBER TO USE PAUSE BUTTON WHEN CHEWING!!!"

Misunderstanding ... - sm

[ In Reply To ..]
I think you are misunderstanding how this works. Still.

These reports aren't going to medical records so someone can print them and fax them around. They are not going to a computer 3000 miles away to be transcribed. It happens on the computer in front of the doctor as he speaks. The report appears in the record AS HE SPEAKS EACH WORD. No delay.

They are usually entered straight into the patient's EHR while the doctor is IN the EHR. No dempgraphics have to be added, because the EHR already has them.

There are no issues with chewing, or mumbling, because the Dragon does the transcript in front of the doctor -- he sees the problem right then and has to adapt. What he sees is what he gets.

These systems usually do not allow for cc's. There is no need because all the doctors have access to the same record electronically. It is also such a huge HIPAA liability that any hospital that faxes and mails copies is crazy. (We do not do it.)

Umm, yeah, we do that, too. - sm

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We audit for content, though, not for spelling and punctuation.

Just pile it on the doctors - Val

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Next, the hospitals will fire everyone and have the doctors run the lab, count the pills, manage the IT, sign in the patients, do the coding and billing, and clean the floors. What does "accurate" mean, I wonder? Is "QA" a high school graduate telling the doctor that he or she left out a comma? I think using Dragon just adds more pressure, more things to do, and will lead to physician burnout. See the bit about "underutilization" of physicians in the "Corporatization of Medicine" post from a couple days ago.

KevinPho, "Doctors and Nurses Being Overloaded with Menial Tasks" - Val

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Excerpt from an article by Jordan Grumet --

I don't agree with the words "menial tasks"-- I prefer "division of labor."

The excerpt: "Why canâ��t you get an appointment with your doctor? Why are diagnoses being missed? Why is the quality of health care in the United States declining rapidly? Stop querying big data and start looking at the hunched backs and sore shoulders of the people who are inputting that data.

We are turning our physicians and nurses into scribes, field workers, and secretaries. Those who create the most value, who took the most time and money to train, are being overloaded with menial and level inappropriate tasks.

No small business would be naive enough to operate this way.

Why then, should one of the largest sectors of our economy?"

GOOD - they act like they are gods or something

[ In Reply To ..]
let them eat cake!!!

MT profession - MT

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Anyone out there feel that MT will eventually make a come back? Maybe point and click can't replace narrative dictation. Maybe doctors won't want to bother with clerical/editing. Maybe the emphasis on accuracy is a good thing to a certain extent because the more accurate we are, the more valuable we may be to them. Maybe MT won't disappear but just go to another country. I wish we were competitive with wage rate. Maybe other countries will have their own medical records some day and that will solve the problem!

Come back - MT

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It will never make a comeback to what it was. Yes accuracy is a plus but the doctors don't see what goes into that accuracy. Most probably think the VR is that accurate. They don't know it goes to us who clean up all the inaccuracies. Editors may never go away, or will go to other countries ,but the well paid MT is definitely a thing of the past.

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