The role of MT's to EMR adoption. - This explains the cost of reports too.

http://74.125.95.132/search?q=cache:Isb2WcKZg3EJ:www.executivehm.com/article/The-Role-and-Relevance-of-Medical-Transcription-to-EMR-Adoption/+EMR,+no+transcriptionist&cd=4&hl=en&ct=clnk&gl=us&client=firefox-a

There is more in the beginning.

Ms. Daigh continues with a relevant illustration about documentation time and costs, noting the example of a typical outpatient visit to an internist and indicating that it takes about one minute to dictate a note for an established patient and costs about $4.30 versus 5 minutes and cost of about $13.50 to document the encounter directly into an EMR:

“By contrast, many EMRs use [direct] structured data entry as the primary method for entering clinical notes, in which physicians point and click their way through drop-down menus. The time required is at best equal to that of a transcribed note, and physicians often report it takes 8 to 10 minutes to complete a note using structured data entry, meaning the indirect cost to physicians is anywhere from $13.50 to $27.” states Daigh. “Indeed, physicians may ‘save’ $1.60 in outsourced transcription expense but at the cost of their valuable time. In our experience, this loss of productivity with [direct] structured data entry is the single biggest barrier to physician EMR adoption. By contrast, transcription customers are delighted to learn they can continue to dictate and let the transcription service deliver the clinical note to their EMR.”