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Article - Transcription Holy Grail - mte

Posted: Dec 30, 2009

Here's a link to another article regarding tyrannical QA editors, how it takes a highly skilled professional to input medical data, etc.

http://www.fortherecordmag.com/archives/062209p14.shtml

Unfortunately, even if there were an agreed-upon QA standard - it would not solve other issues

[ In Reply To ..]
The dream of establishing an entirely objective quality standard with 100% buy-in up and down the documentation chain is admirable, but the real problem is that there are systemic impediments to implementing any standard, including those we have now that are reasonably objective and enjoy broad agreement.

First, there is the disinclination of the customer to control the quality of the input (the dictation) - which in effect forms the "specifications" for the "customized product" that the documentation process produces.

Imagine that you operated a custom widget factory. Customers can come in, order a widget according to their specifications, those specs are evaluated, turned into machine instructions, and eventually the widget pops off the end of the assembly line.

But wait! Now, let's suppose that our customer walks in with anything from an engineering drawing replete with parts list, while another customer walks in with some scribbles and sketches on the back of a coffee-stained napkin.

And, let's suppose further that this stained-napkin customer might walk in on Tuesday with a demand for one widget, on Wednesday with a demand for 50 widgets, none on Thursday, and 100 on Friday...in each case, his order having to be filled by end of business that day.

And now, let's suppose further than you have not just one such customer, but a hundred of them.

...and every one of their widgets, regardless of the quality, completeness, legibility, etc. of their specification, is to be produced to 99% quality standards, regardless of how many there are, within the allotted time. Your "assembly line" has to be sufficiently elastic to accommodate any conceivable number of orders, and it shouldn't cost you too much in overhead on the days when it's only utilized at 10% of capacity.

But wait! We have another supposin' to do, because these customers are simultaneously demanding that you shorten your production time while reducing your prices "or they'll take their business to the widget factory down the street"...and of course, if they do so, it won't be long before they're making the same demands with THAT widget factory owner. And, it really doesn't matter very much to these customers whether their demands ultimately result in a situation that is fiscally and operationally impossible for the widget factory owners in town...because they can always order widgets from Pakistan.

The presumption behind this article, as well as the quality draft standard from AHDI that it mentions, is that the customers want quality. What the presumptions fail to address is that quality - HOWEVER it is ultimately defined - costs money, and the customers in healthcare these days DO NOT WANT TO PAY THE PRICE.

Holy Grail - jaytee

[ In Reply To ..]
You said it just perfectly! Send your response in to For the Record. :)

"Holy cr@p" is more like it.................. - BOS = Bunch of ____. nm

[ In Reply To ..]

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