techDaily.info :: Medical Transcription in the Era of Electronic Medical Records

Wednesday, January 07, 2009

Medical Transcription in the Era of Electronic Medical Records

Posted: 8/10/2006

Posted By:	OmniMD		Contact:	Nelson Jain
Phone:	914-332-5590		Email:	njain@omnimd.com

August 9, 2006 - EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.

The most critical part of any Electronic Medical Record (EMR) is the method of data entry. EMR is about aggregation of patient encounter data at the point of care in order to provide a complete, accurate, and timely view of patient information. An electronic medical record is not just a typed record of the patient encounter, but an extremely useful decision support tool. The data can be entered into the EMR via any of the two general mechanisms: direct entry by the physician using point and click templates or transcription of dictated notes. Point and click template indicates that each data element, which is to be inserted, requires selection, navigation, point and click process for capturing patient information.

Transcriptions have been around for years for documenting patient encounters. A medical provider dictates the medical note into a phone or a recording device. The transcriptionist receives the dictation and transcribes it. It may be reviewed by the supervisor for checking errors. The final computerized file is then either emailed directly to the healthcare provider or the file is transferred to a web site and is later downloaded by the provider.
Point and Click Templates
Most EMR systems allow providers to generate clinical documentation, by selecting variable terms from pre-structured point-and-click templates. Users simply point and click to select appropriate choices from lists of choices to record a patient encounter. The end result would be a document that closely resembles a transcribed procedure note.
Medical Transcription
Transcription has long been the standard for documenting patient encounters. It is more convenient for a provider as compared to handwritten notes or electronic data entry. There are many advantages of transcription in comparison to point and click charting.
EMR should give the freedom to the physician to decide to use either Point & Click or Medical Transcription. For a physician, the EMR that fits into his practice workflow would be invaluable. A competent EMR must have a template driven charting feature and the ability to interact with a transcription service at the same time. Both are indispensable features of Electronic Medical Record Software, as doctors are not unanimous on point and click charting or transcription. Such an EMR will be both efficient and cost effective.
The trends in transcription itself are changing with Medical Transcription service providers aiming to adopt new technologies. These technologies will evolve to increase efficiency & accuracy, decrease turnaround time and support data capture. While many of these technologies like such as digital dictation and electronic signature exist today, several technologies are still on the horizon.
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The author, Mr. Divan Da’ve, is the CEO and Founder of OmniMD, a developer of HIPAA compliant EMR, EHR, and Practice Management System plus other healthcare IT products and services. OmniMD also provides medical transcription, medical billing, scanning and indexing, patient portal design and patient insurance eligibility services.
For more information on OmniMD, please visit http://www.omnimd.com

Media Contact
Nelson Jain
Corporate Communications
OmniMD
Ph: 914-332-5590 x 414
Fax: 914-332-5766
pr@omnimd.com

OmniMD
303, South Broadway, Suite 101,
Tarrytown, NY 10591
Ph: 914-332-5590
Fax: 914-332-5766
www.omnimd.com
Copyright © 2006 OmniMD. All Rights Reserved. OmniMD® is a registered trademark of Integrated Systems Management.

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