A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Is EMR Mandatory? - survivalmode
Posted: Apr 16, 2012
Perhaps I should know the answer but I do not. What is the deal with the move to EMR? Is it government mandated? I just picked up a good side job transcribing for a cardiology group in my community and it's projected to last only until they go to EMR..the move isn't happening too quickly...are there penalties if they don't move to EMR? Who is driving this?
who is driving this ever hear of OBAMACARE - read the zillion page bill
[ In Reply To ..]See all the ways your gonna get screwed above and beyond our job.
EMR has been around since long beforeObama - Mountain MT
[ In Reply To ..]We had EMR at the hospital where I worked in Baton Rouge YEARS before I ever even heard of Barack Obama. I'm not his biggest fan, either, nor am I a fan of his healthcare reform. But let's only blame him for what he has actually done, shall we? Just because you don't like him or his policies doesn't mean you should blame him for things that had nothing to do with him.
The electronic medical record has been around for about 15-20 years. I have not been an AAMT member since the mid 90s, and we had long discussions about the advent of EMR and how it would affect our industry. I don't think many of us around the country ever heard of Obama back then.
Just sayin'. Let's blame him for what he does do and not place "blame" at his feet for things that have nothing to do with him.
Is EMR Mandatory - survivalmode
[ In Reply To ..]If I could just get the facts , it would be appreciated. I honestly don't want to start something.
Technology and possible cost savings driving it - same as cell phones, video, grocery scanners.
[ In Reply To ..]All sectors are feeling the employment problems caused by technology. Fewer bank tellers, grocery store clerks, librarians, etc. The new health care act at least brings more people into the health care system to help stabilize our jobs. Acute care and embracing the technology is the way to go.
and then you woke up - nm
[ In Reply To ..]nm
Yup. As to who's driving--technology, followed by - government wanting to put it to work. HM
[ In Reply To ..]x
As a patient, I like it - information sharing
[ In Reply To ..]I have a few docs I have to see. Now they can check my record to see what tests have been done, my current prescriptions, tests I need, etc. Previously I had duplicative lab tests, prescription confusion, and a biopsy that had not been reported to my primary. I think this will slow the cost of care down and also be safer for patients. When and if I become a snowbird when I retire, I will be able to easily take my medical records with me, if necessary.
EMR - Emily
[ In Reply To ..]This was scary stuff for me and I just kept telling myself that it was not going to happen for awhile...boy was I wrong. Just eliminated positions from supervisor to clerks of several hospitals, clinics. Physician's offices are not even dictating any longer. Administration made it mandatory that the physicians use the system so no need for transcription and also some HIM staff are also gone. For your own benefit, get yourself trained in something else. It did not even take 2 weeks to eliminate the above positions. A very difficult situation to go through.
EMR - MT
[ In Reply To ..]Why do I keep hearing about the importance of using EMR/EHR systems? As part of the 2009 Stimulus Act, the National Coordinator for Health Information Technology (HIT) was mandated to update regulations to require utilization of an electronic health record for each person in the U.S. by 2014. In other words, under this new HITECH Act, by 2014 it will be mandatory for physicians and hospitals to use EMR/EHR for all patients
from here: http://www.homscales.com/aboutus/EMR-EHR.aspx
and for more reading pleasure, the HITECH Act, part of the recovery and reinvestment act of 2009, so you can see the penalities for physicians, etc.
http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html
EMR regulations - ann
[ In Reply To ..]I took the course on the HITECH Act which is part of the stimulus plan. Although EMR is NOT mandatory per se, any physician NOT using EMR by their target date in 2015 will get a reduction by 1% in their reimbursement rates from Medicare, and 3% in 2016, and I think it gets even worse from there on.
The government is offering assistance financially to both hospitals and physicians for purchasing the necessary equipment before then. You can Google HITECH act and get more info.
Thank you to both MT and Ann for providing facts - Unions Are Dead
[ In Reply To ..]and an opportunity to read further about what is happening on the Federal level that impacts our industry.
a segment of transcription not affected by HITECH - ICManiac
[ In Reply To ..]There is a segment of transcription that will not be affected by this. There are individuals and clinics who do not take federal funding. I'm waiting to see how it plays out, but what I hear from those involved in taking only accident cases (Worker's Compensation, slip and fall, motor vehicle accidents, lawyer protected clients) will not be converting. Of course, you can also see if you can get on with a legal office as a transcription in their personal injury division.
H&Ps, Discharges, Consults, OPs still require a - narrative. So even with
[ In Reply To ..]EMR/EHR there remains a need for transcription. I have worked for one hospital my entire career and they converted to EMR about 5yrs ago and we still have a very high work flow.
They did implement a point and click system for their physician's offices and plan to do the same for the ER physicians, but its just not feasible for them to do implement point and click with acute care meaning consults, H&Ps, OPs etc. Some reports and hospital encounters require that there be a narrative summary and they just cannot do away with that, so we still remain. We may not be typing many ER reports anymore, but we will have an abundance of other acute care work.
Like I said, our hospital went paperless (converted to EMR - electronic medical record) about 5yrs ago and we still have work.
The EHR is the same way - Electronic Health Record. This does not exclude the need for MTs. As long as there is work that requires a narrative, there will remain a need for the MT.
Point and click templates are mainly used in doctors offices and ER encounters. People keep forgetting about the narrative part.
Agree - McFeist
[ In Reply To ..]I have been transcribing documents for an EMR for the last 4+ years. We never get any radiology or ER reports, but we get all kinds of consults, DC summaries, H&Ps, OP notes, and psych dictation, which tend to be pretty long and detailed reports. Our EMR system is very MT friendly. I get a lot of docs that say, "Leave that blank, and I'll paste it in," for various sections of the reports like medications, past medical history, and stuff that they don't feel like repeating but have from before that they can just copy over.
ICManiac - Survivalmode
[ In Reply To ..]Great information..thanks!
One more thought about Medicaid/Medicare - ICManiac
[ In Reply To ..]One of the reasons why the money making reports that you mentioned will continue to be required rather than using a point and click or check off system lies in the creed of documented medical records: If it is not in the record, you did not do it and we (Medicare/Medicaid) will not pay you for it. There is concern in the community that the point and click/check off systems can be invitations for increased fraud of federal funds.
Medicare/Medicaid - Anonymous
[ In Reply To ..]You are correct. That is why, even though some facilities have templated/point and click systems, the providers still dictate. Medicare has been known to withhold payment if there are too many errors or the documentation is incomplete.
EMR required for fed funding - VR is not - sm
[ In Reply To ..]Drives me nuts the folks who equate EMR with SR/VR. EMR & meaningful use requirements do NOT require SR/VR. Furthermore, EMR and SR/VR are NOT interchangable terms.
I'm sick of the companies & hospitals trying to justify selling/using SR/VR as something they have to do because of the EMR/meaningful use requirements.
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