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Webmedx presents award to providers for front-end speech implementation - longtimemt

Posted: Sep 17, 2010

This article was from July, I just found it. It may have been addressed back then, and if so I missed it. Here is one part of the article:

"Currently in use at several Webmedx customer sites, the ability for physicians to capture documentation using front-end voice recognition and then self-edit their work reduces costs by 60% for every transcribed report."

This is the link to the article: http://www.healthcareitnews.com/press-release/webmedx-presents-award-providers-front-end-speech-implementation

Yes, I saw it. WMX and others are trying to offer both - Anon

[ In Reply To ..]
front- and back-end solutions, and combinations of both, in the belief that no one approach, currently available at least, will prevail in the market.

help - mtme

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what is front-end and back-end

Front-end = doctors do it themselves, no MTs. - Back-end = MTs edit. NM

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Front-end = not good for MT's job stability.

Front-end also means report available for use immediately-- - Poppy

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-after the dictator makes corrections and finalizes. Thus a big advantage and a big disadvantage.

Back-end means serious delay in report availability while we edit, but physicians turned loose to go do doctor instead of clerical work; also, on average a higher-quality report is produced. Big disadvantage, followed by big advantage, PLUS big disadvantage of costs for editing.

Not necessarily... - Webber

[ In Reply To ..]
With WMX's insistence on overhiring, there is very little work to go around and many ISR reports are returned within minutes of being received by an MT. They could probably be transcribed just as fast and be in the client's hands just as quickly. I would bet that an MT can edit those speech reports much faster than a dictator could since we are used to editing and have many shortcuts, macros, etc., that the doctors do not. A doctor's time is much more valuable when it is utilized to see patients rather than edit or type reports. I don't know why they can't see that. In my opinion, WMX should be justifying our service to the hospitals and stressing the quality and time savings for the dictators that they get from our service. The money that they could make by seeing more patients would more than make up for money spent on transcription. I don't think they are helping anyone with this front-end speech solution.

Front-end fast & growing by utilizing scribes - Beware of the Scribes!

[ In Reply To ..]
Actually front-end will benefit the many physicians, health care companies now implementing "Scribes" to handle dictation, fast and growing field

Serious doubts about future of scribes. It's just incredibly inefficient, - Pragmatist

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and with costs of maintaining even low-pay employees so high...no. Also, young physicians just aren't as resistant to keyboarding as those nearing retirement.

Front-end also means that the physicans can choose to... - see message

[ In Reply To ..]
...send the report on to the MT for final editing.

I didn't realize they had that option when they see a mess! - Poppy

[ In Reply To ..]
A mixed system that allows clinicians to do what works best for them and still saves report time and processing money is probably what we're going to be seeing.

Webber, true now and then, but far from consistently. We'd all be sitting on our hands all day if a 1-minute turnaround was normal, and McDonalds would truly be a step up the economic ladder. :)

LongTimeMT, I always get a little clutch when I see this stuff too. Deep breath, positive thoughts, life's an adventure, challenge keeps you growing, uncertainty keeps you on your toes, and no matter what I'll always be working at something...oh, wait.... :)

agree with poppy - longtimemt

[ In Reply To ..]
Yes,my account that is doing this has the option of the physician kicking it back to us. And surprise, when we get these reports, the docs are not entering in any demographic data, names, etc....a huge headache and losing money for those of us who try to figure these out!

And...education is always a good thing :) I enjoy learning so I have tried to keep up with education and this is a challenge, might lead to a position I enjoy more! In the meantime, this position is allowing me to survive while still taking some classes part time :)

front-end speech - longtimemt

[ In Reply To ..]
I posted this without comment to see what others thought. From a business perspective and with the current globalization, I CAN understand that this is probably necessary for any company that wants to be competitive. However, purely from a selfish reason of protecting my job, it just caused a big "oh-oh" on my part...I am trying to find another profession and taking some classes part time now.

It may save money in the short term but... - oldMT

[ In Reply To ..]
in the long run it may actually cost more due to medical mistakes caused by widespread degradation of the quality of the records.

As any MT can tell you, many providers are not conscientious about documenting their work. Many others are only minimally proficient in English, although most ESLs are no doubt more proficient at reading and writing than they are at speaking English.

At my last doctor's appointment I saw a new family practice MD, a young guy who struck me as highly competent and conscientious. He asked what I did and a short discussion of dictation/transcription ensued. He said he personally much preferred doing dictations because it was much faster for him than pecking around on the keyboard during and after his appointments. He had, however, been using VR and EMR point-and-click systems for some time.

I asked him if he had noticed any degradation of the records with the new systems. Without hesitation he said yes, it was noticeable. He said that some of the younger residents are even doing their documentation in something like cell phone texting language, using lots of abbreviations and such in place of words, and that in some cases the records are difficult to read/confusing.

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