Wednesday, September 14, 2011

Medical transcription: Procedure for quality assessment

The healthcare process is dependent on various inputs to provide safe, effective and quality services. To this end every factor that contributes to the healthcare process has to meet the highest standard of quality.  One such contributor to the healthcare process is information from patient medical records. The information from the patient medical records act as a reference point for various activities, involving the healthcare, operational and commercial aspects of the healthcare facility. Medical transcription is the process of creating patient medical records from the narration of the healthcare professionals regarding the patient encounter.

As medical transcription has an important supporting role to play in the process of healthcare, a best practices guide titled “Healthcare Documentation Quality Assessment and Management Best Practices” has been jointly created by AHDI, MTIA and AHIMA. One of the highlights of this manual is alignment with the Plan-Do-Check-Act cycle.

Each stage of the process is vital to ensure that the process of healthcare is documented keeping in mind that maintaining the highest standards of quality is a continuous process. The goal of this quality assessment program is to ensure that healthcare documentation is clear, consistent, accurate, complete and timely.

Do: Providing training to all the personnel involved in the medical transcription process

This part is very important, as the quality of the transcripts is dependent to a large extent on the skill level and experience of the medical transcriptionists. The skill level of the medical transcriptionist team in turn is dependent on the recruitment policies and the training provided to medical transcriptionists based on their specific capacities.

This consists of the following steps:

  • Sourcing the right talent: Medical transcription is a skill, which requires a combination of language skills, knowledge of medicine, adequate keyboarding skills, dexterity with computers, good listening skills and an attitude for perfectionism & discipline. It is important to source candidates with the right attitude and aptitude

  • Selecting the candidates: This would involve testing the skill level of the potential medical transcriptionists subjecting them to tests and process of evaluation.

  • Segregating the candidates as per skill level: Based on the level of skills displayed by the potential medical transcriptionists, they could be segregated based on specialties and as proofreaders & editors

  • Training process: The training process will provide the medical transcriptionists with the knowledge base required for optimum transcription and hone their existing skills to perfection. This part of the process is a continuous process involving keeping the medical transcriptionists updated regarding the latest developments in medicine and empowering them with the right reference resources to enable accurate transcription.

  • Assessment and feedback: One important aspect of the training exercise is to put medical transcriptionists through the actual process of transcription and then providing them with assessment of their work. The feedback provided enables medical transcriptionists to focus on honing their skills.

TransDyne, a leader in the medical transcription industry has processes in place to facilitate the recruitment of the right talent. The next step involves segregating medical transcriptionists into teams that specialize in one or two specialties. Extensive training is provided by TransDyne to the medical transcriptionists on the specialty making them domain experts in that specialty ensuring quality from the very start.

TransDyne offers quality medical transcription at reasonable prices, executed by experienced and qualified medical transcriptionists with a very quick turnaround time executed through secure HIPAA and HITECH compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!   

To avail complete medical transcription services from TransDyne, click here.

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