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9 responses to "Transcriptionists Partner with EMR Vendor"

1. # Michelle W commented on May 7th, 2010:

   It’s always better to adapt than go extinct: sounds like MxSecure learned a thing or to from the dinosaurs. I wonder, though, how that effects HITECH’s CPOE requirement; I remember there being a lot of discussion in the workgroup about CPOE having to be performed by a “licensed medical professional.” I’d be interested in hearing MxSecure or any other such products explain how transcription fit into the model the ONC envisions.

2. # George Catuogno commented on May 11th, 2010:

   John – I started to write a response and then got distracted for a few minutes. When I came back my message was gone. Before I reconstruct it, thought I’d check to see if you got the first part of what I wrote, so I can just resume where I left off.

3. # George Catuogno commented on May 11th, 2010:

   Looks to be the posts are going stright up, so let me start again…

4. # George Catuogno commented on May 11th, 2010:

   The Medical Transcription (MT) industry actually has done a lot to advance itself amidst HIT, particularly EHR technologies, while supporting narrative dictation, which for many physicians is still the preferred method of information capture because it’s fast and easy (efficient) and it tends to more comprehensively captures the patient “story”. DRT, BESR and NLP are three examples of this. I’ll save the best for last.

   1. Discrete Reportable Transcription (DRT) is the process of converting narrative dictation into text documents with discrete data elements than can be easily imported into the appropriate placeholders inside an EMR.

   2. Backend Speech Recognition (BESR) has been in play for years which allows physicans to dictate without engaging the computer for realtime correction. The correction is instead done retrospectively by a medical transcriptionist. Some speech rec technologies (like M*Modal) support data structuring. The gap remains, however, in getting applications written that readily move that strucutred infomration into EHRs like DRT can.

   3. Natural Language Processing (NLP) trumps both of these solutions because it takes a narrative report, regardless of how it was created, and codifies it (SNOMED) for a number of extraction, analytics and reporting applications: Patient Summary, DRT feed into an EMR, Core Measures and PQRI, coding automation, interoperability, and support for the majority of Meaningful Use requirements. Secondary use opens up to clinical trials and other applications as well.

   Overall, if the transcription industry can market itself and get its messaging out through the right channels regaridng these innovations that augment transcription and keep physicians dictating, then transcription is a terrific EHR adoption facilitator, enables “practical use” along with Meaningful Use, and will remain relevant for the foreseeable future.

5. # Michelle W commented on May 11th, 2010:

   What a great phrase to sum up what so many critique in the MU requirements: “Practical Use!” Wish I’d coined that phrase.

6. # “Practical Use” of an EHR Using Transcription | EMR and HIPAA pingbacked on May 12th, 2010:

   [...] George’s description of the medical transcription technologies which I think people will find interesting: The Medical [...]

7. # John commented on May 12th, 2010:

   Michelle,
   It’s like a dance that’s done between the doctor and the transcriptionists. CPOE is possible alongside transcription though.

   George,
   Thanks for the comments. I appreciate the information. I also love the term “Practical Use” really interesting way to term it. I did a post about it on my other site. Although, I personally see MModal doing the NLP stuff as much as the BESR stuff.

8. # “Practical Use” of an EHR Using Transcription | HealthRotate pingbacked on May 12th, 2010:

   [...] a post on EMR and EHR about Transcriptionists Partnering with an EMR Vendor, I got an interesting comment by George Catuogno from StenTel about the various technologies that [...]

9. # Transcriptions Becoming Medical Documentation Specialists | EMR and HIPAA pingbacked on May 26th, 2010:

   [...] really interesting transformations happening in the transcription industry (as I’ve written about before). One of those that I haven’t seen many people talking about is the transition of [...]