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Medical Transcription in the Era of Electronic Medical Records(EMR) |
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EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription. |
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| Author: Divan Dave |
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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.
Each method has its pros and cons.
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.
About Author
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 www.omnimd.com
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