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

ok, please help me understand the required EMR - sm

Posted: Jul 14, 2011

I've started trying to understand it. I see lots of software programs out there that supposedly handle this. But if there are multiple programs, how does all the various work put into these programs end up in ONE (!?) place where a persons medical record can be accessed by any medical professional? Or is my understanding already flawed?

Will those MDs, or whoever, that choose to continue the narrative dictation (vs point and click or fill in the blanks) can they continue in same fashion with EMR?

Any help is appreciated. So far my google research has just left me confused. Thanks.

All programs at the end - sm

[ In Reply To ..]
will be sending standardized codes for different diseases, treatments and drugs to a centralized database, which is going to accept data in a specified protocol, known as ICD-10. Search Google for ICD-9 and ICD-10.

http://en.wikipedia.org/wiki/ICD-10

Making them all communicate is a big current problem. - Apparently a bunch of programs are

[ In Reply To ..]
being marketed out there that are deficient in that respect. An orthopedist in Big Bear spends megabucks to find he can't upload records from a PCP in Minnesota. It's coming along. Lots of stuff has already been standardized, like the ICD codes and many other things, in readiness for smooth communication.

Another problem slowing things down is getting a program certified as meeting government standards--few are so far. I'm just guessing most of those are pretty expensive.

As for how they'll do their reports? Big question most providers can't answer themselves yet. They'd love to get rid of having to send reports through us, but many early-adopters are finding the SR salespeople greatly exaggerated their ability to do that easily. Apparently lots of unedited (!) trash records are being created that will eventually require backpedaling, maybe government-mandated if they don't take care of it themselves, but the horror stories of what happens after a few of those fall into the hands of claimants' attorneys should be a big wake-up call. Probably the best (more expensive) systems will allow considerable flexibility. One doc dictates everything, another puts all her standard text in templates and pokes the screen and/or talks to it to make changes herself. Probably most MT/ME work will be in hospitals and high-grade clinics. Probably our work will change to include...?

Right now everybody's being swept along in the flux, or clinging to rocks and trees at the side, and just don't know for sure what's up around that next curve yet, or the one after. So, welcome to the uncertainty. :)

thank you -- very helpful post. - no msg.

[ In Reply To ..]
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