Advantages of medical transcription service

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Advantages of Medical Transcription Improves ease-of-use: Dictation and medical transcription fits into the physician’s workflow and can meet the needs of physicians who dictate during the patient encounter, in between patients, or at the end of the day. Physician can provide comprehensive information faster and, unlike speech recognition software, medical transcription delivers better quality documentation by having additional quality checks. Helps improve co-ordination between members of patient care; Dictation and medical transcription simplifies the informal description of the patient story, letting healthcare professionals to capture necessary facts which are not easily expressed in distinct data points. Expedites physician and patient communication: Possibly most highly, letting the physician to dictate without getting rid of sitting and using computer removes the complication that documenting straight into the EHR can place between the physician and the patient. Apart from benefits to physician, I would like to add to the value of medical transcription: medical transcribers can surge practicality of medical information by being the expert human behind the authentication of new technologies. Making sure that we use complete knowledge and skills of a Medical transcriber, we contribute to physician’s approval and documentation quality, while allowing providers to understand the extreme return on costly technology investments. Natural Language Processing (NLP) and its ability to created discrete, encoded data from narrative information, is unique and correct to some extent; but what is often omitted is argument about the authentication process required to confirm accuracy of results. NLP is not correct, the statement that NLP is direct and effortless solution to solve all our problems is misguided. Needful effort on part of physician to validate results of NLP is not the answer. Skilled medical transcriber may be the person in the documentation workflow who can fill this gap, becoming a Healthcare Documentation Specialist; a knowledge-based worker, not a “transcriber” of documents. The Healthcare Documentation Specialist adds value to NLP-driven technology by: •Authenticating that the NLP has properly captured the discrete data elements as well as the document structure before attempting to upload to the EHR or exchange through an HIE. By authenticating that the contents of document and concepts such as medications and allergies are correctly encoded, the Healthcare Documentation Specialist prevents errors in the EHR. •Authenticating encryption of clinical contents before the document gets to a coder or clinical documentation specialist.

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•Properly “classifying” contents such as medications or allergies that might have been missed. It is not, like many believe, necessary to remove descriptive records in order to have semantically interoperable electronic information. The Health Story, HL7, IHE Consolidation project is making great strides towards the creation of interoperable standards for the exchange and use of health information which will allow us to have structured clinical data while retaining the narrative information that is required for human understanding. A creation of this assignment, Consolidated CDA, has in fact been accepted by the ONC as the standard for the electronic transfer of the patient Care Summary as part of Meaningful Use Stage 2. If fully adopted for all document types, consolidated CDA creates a standard both for content of clinical notes as defined by the Health Story project and for the electronic exchange of this information. What this means is that it is possible to have the benefits of electronically structured and encoded data while retaining the narrative created by dictation and medical transcription. By ensuring that we make full use of medical transcriber’s knowledge and skill, we can contribute to physician approval and documentation quality, while enabling providers to realize the maximum return on expensive technology investments. Is Medical Transcription the solution to all of today’s clinical documentation problems? Of course not. But when used as one of the tools in the provider’s documentation tool belt, it can be a great advantage to any documentation workflow.

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