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

How is any point-and-click system going to deal with - L&L

Posted: May 06, 2012

Oh, transcriptionst, back up there where I said ... please change it to ... Now come down to the bottom and continue, no wait, add this ... to the physical. And add this ... after the H&P. Now, back down to the bottom and continuing on ...

The idea of point-and-click is to - eliminate the need for

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dictation so there will be none of that. Which is why hospitals dont use them in the acute care setting because they have to have a narrative summary in the clinical documentation.

Right now mainly clinics are using them and emergency rooms. From what I understand, there is suppose to be templates built in for the physicians to insert, but there are not enough templates in the world to address each and every single patient.

Patient encounters vary and having that history is important to help the physician best treat the patient. There is a lot of improvement that needs to be made before you see acute care jump on the point-and-click bandwagon.

You see what happen with speech recognition and how well that went (NOT).

point and click - MandM

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I guess I just do not understand. Not many would stay in a profession for 42 years and still wish for the continuation of the "old ways". Okay, I do not like drastic change and really, it was change for me to go from the belts to the cassettes, to go from IBM Selectric to the word processors. Then it got better. I like better. This other crap is terrible. I use this as an example because it is typical of the junk the VR is putting out. Doctor says boldface, VR hears "bull flatus" and those are my sentiments exactly.

VR is not point and click - they are two different things

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The point and click system my PCP uses does not involve VR. There are templates and fill in the blank forms for standard items, then the doctor types in any text he/she wants to add. No VR, no transcriptionist.

VR is not point and click - MandM

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I know. I am new to reading this site but saw some similarities to how I was feeling about the editing. I should have read down and found one about editing, but my feelings were the same. I do think I know what it is, but whatever it is, whatever editing is, I still do not like to clean up after a computer. I love transcription. I typed when we had to learn how to spell the words and I love the medical language. It is hard to let it go. I am really getting too old for this, but I used it as a gauge to tell if senility was creeping up on me. As long as I could spell the words without looking them up, I figured I was okay.

change - pumpernickel

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The difference between the change of going from a typewriter to a computer (beyond learning the new technology)and VR was the computer helped you do your job faster and make more money. If VR was paid at the same rate we were making typing that would be true, too, but we have taken huge paycuts to do VR, and even if it's good VR, it's a struggle for most of us to make what we used to typing.

change - MandM

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I was not paid by the line until I had retired my first job and was working my second. Then, that hospital sold out to MQ, but I had retired again before then. Anyhow, my pay was cut in half to go to the next job and then cut in half again to edit. Funny, the guy at the company that was training for editing said they would never be able to do without transcriptionists. He also said we could make as much as 90 dollars an hour. I am an old dog, but this old dog cannot correct a report that they put out this fast. I will be leaving it behind this year. And, you girls that are supporting families, I am so sorry they treat our profession like that. One of my friends went into coding. I just think I will try to work on being retired. My heart is with you young girls that did not have the chances that I have had.

Another thing I forgot to mention - ....

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I have read where places who implemented this system have what they call "scribes." They follow the doctor around with a mini computer and document the narrative for the physician as he is seeing the patient.

Of course they would have to come up with something because physicians dont have the time it takes to sit and fiddle with a computer, pointing and clicking and inserting templates.

Im sure they have probably figured that out by now, that half the time the template does not apply or either lacks the info needed. So to fix that problem they implemented a "scribe." Now they have to pay them too. When they could have just kept it simple and stuck with the transcriptionist.

The MTSOs kicked out their speech recognition software in hopes of getting the document out there in a more timely fashion, but now they are in competition with the vendors who are trying to sell their point and click systems and EPIC.

Everyone thinks its all about us losing our jobs to EMR (electronic medical record) or EHR (electronic health record), but the fact of the matter is, most hospitals have already moved to EMR/EHRs, we have been typing and editing directly into their system for years, I would say at least the last 5yrs anyway. Most just dont realize that.

The clinic I work for just - switched over

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to a point and click system, and it is working great. I work there as a receptionist and at home as an MT. It only took the physician about 2 weeks to get his speed built up. We got a system that is pretty expensive in comparison to some of the others, and you get what you pay for. We had someone come in and train and set up all of the physicians templates with him. We are specialty, so they set up loads of templates. We send nothing to transcription now and have no need to. The reports actually look great.

There is a very large multispecialty clinic that is right by us that just switched, and they have went from 5 MTs to 1. If you get the right one, the systems will do just about anything you want it to. Since we have multiple offices, it makes it so much easier for us. We were having to pack charts back and forth to different offices.

Point and click systems are pretty much the reason that I only do MT part time as I am a clinic MT.

Templates and ownership - just me

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I hope you are not using templates the transcriptionist created, as this is legally her property. Only the medical report as it pertains to that patient can be used and no templates copied from reports. The amount she or he can sue for is astounding.

point and click - mt

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Since the doctor is the one pointing and clicking, he/she won't be changing her mind as much. My doc sits and does her pointing and clicking while we talk. There are preloaded templated phrases that make it easy to code, easy to data mine, etc.

Point-click doesn't have this issue - Ayn

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As stated by another poster, in point-click system the physician is not dictating and is doing all this jumping around him/herself.

Speech/voice recognition, on the other hand, is a whole 'nuther animal and, no, cannot do all this jumping around, which is where the editor comes in (and loses all his/her time).

One more reason physicians should be made aware when they are switched over to a voice/speech rec program and should be TRAINED to dictate and specifically how to use speech/voice recognition, not just given the keys and told to go with it.

A Nuance article stated that physicians don't like to just - point and click, or edit. They want to

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be able to dictate as needed. For those who don't know, Nuance is probably THE preeminent developer of health information systems, so this is a very significant admission coming from that source.

The good, expensive systems being developed now allow physicians to point and click simple repetitive portions of a report, dictate others, edit whatever they want to edit themselves, and send whatever they don't want to edit to us.

For now, in acute care that IS the future. Those private practitioners who never did much beyond letters and SOAP notes will be using point and click more and have little need for transcriptionists, or desire to invest in very expensive systems.

BTW, everybody who reads about our industry has known this stuff for years now. In all the uncertainty about the future, a couple things have been clear for the past decade. One, those who wish to continue at this work need to be in acute care. (But not just any acute care. For instance, the need for radiology editing has been dropping tremendously.)

The other thing, of course, is that SR is the future. It's been a decade now that wishful people have been insisting it couldn't work--even as they watched SR text scrolling across their TV screens! It's just way past time to stop whining about SR and editing and put all that energy into anger about line rates instead--or into a pair of good walking shoes.

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