medical transcription outsourcing, clinical documentation, health information management, risk management, HITECH, HIPAA, HL7 interface, EMR adoption

While technology has left its indelible mark on the process of medical transcription, the role of human intelligence in the process of documenting the patient- healthcare professional encounter is undeniable.  The way in which the patient- healthcare professional encounter was documented saw a sea change with advent of the Internet. It was no longer necessary for healthcare professionals and healthcare facilities to have medical transcriptionists within their premises. In fact they had the choice to source the best medical transcription services based on criteria like accuracy, turnaround time, security, pricing and even the technology used by the service provider.

In recent times with the nationwide drive towards adoption of electronic healthcare systems, the role of medical transcription services have been questioned. At this juncture it is important to realize that the goal of adopting nationwide EMR and EHRs can only be achieved with the help of the human factor in the form of medical transcriptionists and medical transcription service providers.

What is the role of human intelligence in the process of documenting the patient encounter?

The role of human intelligence in the process of creating patient medical records applies to the following areas though definitely not confined to only those given below:

• Ensuring that the entire patient story is captured
• Ensuring that the patient medical record reflects a logical and coherent record of the patient's health history, diagnosis, treatment, response to treatment, procedures etc
• Applying context where necessary to ensure that the content in the patient medical record is not confusing or misleading
• Ensuring that all necessary information is reflected and unnecessary noises are removed
• Ensuring the intelligent capture of details by using research and reference tools

How do outsourced medical transcription service providers fulfill the role of human intelligence in the process of creating patient medical records?

Outsourced medical transcription companies have ensured that human intelligence continues to play a vital role in the process of creating patient medical records, by providing services that include:

• Allowing the narrative to be a part of the patient medical record, by retaining the familiar and preferred method of record creation: Dictation- transcription
• Ensuring the integrity of the information by:

1. Training medical transcriptionists to be specialists in the specialty they are transcribing in
2. Putting the transcripts through a stringent quality assurance process

• Providing editing and proofreading services for transcripts created by speech recognition software ensuring quality records
• Allowing for adoption of EMR/ EHR, while still retaining the familiar medical transcription process for creating patient medical records by enabling HL7 adoption
• By creating software and technology for medical transcription, ensuring maximum benefits to healthcare professionals and healthcare facilities by providing benefits like:

1. Flexible modes of dictation
2. Varied modes for document delivery
3. Archives enabling easy search for older records
4. HIPAA compliant technology to facilitate security of confidential data during the entire transcription process.
5. Flexible turnaround times

It can be seen that human intelligence continues to play a huge role in the process of documenting the patient- healthcare professional encounter. And outsourced medical transcription service providers have helped fulfill the role of human intelligence in the process for creating complete patient medical records.

 

TransDyne, a leader in the outsourced medical transcription industry has utilized their extensive background in information technology and their experience in providing medical transcription services to come up with medical transcription solutions that help healthcare facilities save on time, money and efforts.

TransDyne offers quality medical transcription at reasonable prices, done by expert 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 outsourced medical transcription services  from TransDyne, click here.