Medical transcription services have aided the healthcare process by creating patient medical records - converting the narration of the patient – healthcare professional encounter into text format. Though there are numerous options available to healthcare professionals to document the patient encounter, medical transcription has proven to be the method that meets all the healthcare documentation criteria. Not only this medical transcription has also proven to be most preferred method of documentation considering the numerous advantages of documenting the patient encounter using this method.
To be effective medical transcription needs to meet the criteria of quality, compliance and usability. As medical transcription is a specialized skill requiring quality inputs in the form of people, processes and technology and requires considerable investment of time, money and resources, the easy fix to ensure that medical transcription meets all the criteria is to outsource the entire process to a professional medical transcription service provider.
Meeting Usability criteria for medical transcription:
What is the usability criteria for medical transcription and how does outsourcing medical transcription help meet the usability criteria?
As in every service it is important to focus on the needs of the end user while defining standards of usability. Medical transcription is no exception, the focus of the services and the quality standards defining it are focused on the end users - healthcare professionals and healthcare facilities.
Usability has been defined as:
- More efficient to use
- Easier to learn
- More satisfying to use
Outsourced medical transcription services have to meet all these standards to comply with the criteria of usability. The usability of medical transcription services can be further categorized into:
The content: There are certain content requirements for patient- healthcare professional encounter, which include:
- History, patient intake forms with basic information- chief complaints, history of complaints as narrated by the patient, subjective complaints or presenting complaints etc.
- Past and social history of the patient
- Review of symptoms
- Physical examination, re examination (objective findings)
- Laboratory findings
- X Ray
- Diagnostic tests, impressions and interpretations
- Prognosis notes – Prognosis motes justify care and establish medical necessity
- Document discharge MMI of the patient – reason, diagnosis, treatment, findings, condition of the patient at the time of discharge
- Any other records from past care under other healthcare professionals
- Any consultation
- Medical consent to treat, explained and signed
The process of documentation should be done being aware of the criteria of medical necessity and the need for treatment
The method of documentation: Medical transcription is a method of documentation that is not only the method most preferred by healthcare professionals, but it also strives to document in detail all the contents of the process of healthcare.
Medical transcription meets all the usability criteria of being:
- More efficient to use: Outsourced medical transcription services meet this criteria by using software and technology that not only provides security but also provides numerous benefits:
1. Easy to use: The technology used by the medical transcription service provider is aimed at easing the work life of healthcare professionals and the support staff by providing multiple benefits
2. Multiple modes for document delivery: medical transcription service providers have technology that safely delivers transcripts to healthcare professionals through the modes specified by them
3. HL7 Interface: Using HL7 interface, medical transcription service providers have enabled healthcare facilities to adopt EMR/EHR systems
- Easier to learn: Using medical transcription services is very simple, as it conforms to the usual style of working of healthcare professionals and can be smoothly integrated into the workflow of healthcare professionals. Outsourced medical transcription services enable healthcare professionals to concentrate on providing quality care and focus entirely on the patient by providing them flexible options for dictation
- More satisfying to use: As the process of documenting the patient- healthcare professional encounter using the services of a professional medical transcription service providers means expert services, it brings satisfaction to healthcare professionals in terms of accuracy, turnaround time and cost effectiveness.
TransDyne, a leader in the outsourced medical transcription industry provides medical transcription services with a deep understanding of the functioning of healthcare facilities and healthcare professionals. TransDyne has used their expertise in information technology and their experience in having served some of the leaders in the healthcare sector, to come up with medical transcription solutions that help save on money, time and efforts.
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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