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is emr threat to medical transcription - kevin

Posted: Apr 24, 2012

i have come across many companies losing their client due to adoption of EMR, how is it going to impact us or India in the near future? can anyone throw light on this?

I have seen an EMR at work both on the transcription - PJ

[ In Reply To ..]
and the patient side. All of the normal things, such as symptoms, male/female, past medical history, smoker/nonsmoker, family history, allergies, medications, etc. are already loaded into the system. The doctor (or a scribe who follows the doctor around) will point and click on most items, with a minimal amount of typing into the system. The system then takes all of the fields that were clicked on or typed into and turns it into full sentences on a document.

For example: When they click on female, and type in or scan the date of birth, then click on symptoms of shortness of breath and chest pain. Then click on penicillin for an allergy and click on lisinopril under medications and click on hypertension under the past medical history section, it comes out something like this:

HISTORY OF PRESENT ILLNESS: The patient is a 79-year-old female with a past medical history of hypertension on lisinopril, who comes in with chest pain and shortness of breath.

ALLERGIES: PENICILLIN.

...and so on. It takes their clicks and turns them into sentences that you would normally see on a report.

So far, the changes that have come about for us are that the doctor dictates the portions that cannot be clicked on, and it fills them in (via voice recognition) on the EMR-generated report. We then edit the entire report for grammar, content, and clarity.

It seems to work well so far for radiology reports, some clinic reports, H&Ps, some consultations, ER notes, and discharge summaries. It has not worked well for complicated cases or operative reports in our hospital.

I hope that helps. Let me know if you have any further questions. I will try to answer them to the best of my knowledge.

Oh, the other big change I forgot to mention is that - PJ

[ In Reply To ..]
many of the transcriptionists at our hospital lost their jobs as transcriptionists and have become scribes for the doctors. They follow the doctors on their rounds and do the computer work for them while the doctor speaks with and examines the patient. I'm thinking of becoming a scribe.

Depends on the kind of EMR - Lots of it still uses a dictated record

[ In Reply To ..]
It depends wholly on the type of EMR. The type of system the other poster is referencing is an EPIC-based system which eliminates 99% of the transcription need if not 100%.

I work on an EMR system and they still do a dictated note. I think this particular account is savvy enough to recognize that they still like an accurate medical record. Some of the stuff that I have seen come out of the automatically generated systems are garbage.

EMR will definitely decrease the need for transcriptionists, possibly dramatically. There is no getting around that. I do not think it will eliminate us completely. There is no EMR system that can take the place of a dictated consult with all of the information that goes into some of those babies.

I read a statement by...Nuance or another systems developer - stating that clinicians do not

[ In Reply To ..]
like point and click, they want to just be able to dictate as they always have. This was a developer of these systems commenting on the reaction of the market to its products, point-and-click included, and in the end returning to developing and promoting improved dictation abilities. Not that P-A-C will go away, but as it turns out clearly neither will dictation.

I think voice recognition is more of a threat overall. - NM

[ In Reply To ..]
z

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