Monday, June 24, 2013

Medical transcription outsourcing & Data security

Is outsourcing of patient records really unsafe?

There have been serious doubts about data security while outsourcing medical transcription. The case of Lubna Baloch from Pakistan who threatened to expose confidential data over the Internet for non-payment for services rendered has been used as an argument against outsourcing.

It is understandable that situations like this are worrisome and very traumatic for all parties concerned. But can this be cited as a case against outsourcing? To answer that question one needs to look at the case in question in great detail.

Let us examine the chain of events that led to the event in question: 

UCSF medical Center outsourced it medical transcription work to
¯
Sausalito’s Transcription Stat who outsourced it to
¯
15 contractors throughout the country
¯
One of the 15 contractors named Sonya Newburn further subcontracted the work to
¯
Tom Spires who subcontracted to
¯
Lubna Baloch

It can clearly be seen that the healthcare facility originally outsourcing its’ medical transcription needs had no idea as to who is actually doing their work. Even the medical transcription service provider who was under contract with them had no control over the end transcriber.

The lesson to be learnt from this situation is that while outsourcing the medical transcription needs of a healthcare facility, care should be taken to ensure to choose a medical transcription service provider that does not use sub contractors for executing the work. Due diligence on the working methods of the medical transcription service provider should be carried out; care should be taken at the time of drafting the contract to ensure that the “no sub contractor clause” is included. 

TransDyne is one company, which believes it is their privilege to be serving their customers’ needs in the best way possible. So any work outsourced to TransDyne, is executed by their own team of trained Medical Transcriptionists, than by the use of subcontractors or home transcriptionists.

Apart from ensuring that the data never leaves the premises physically, TransDyne ensures security during the medical transcription process by incorporating security measures like 128-bit data encryption, multi-tiered application architecture, design level security, safeguards, firewall protected networks, sterilized e-mail servers, denial of access procedure and multi modal alerts.

Further security is ensured by manned security at entry and exit points, surveillance cameras, disallowance of any removable storage devices and limited access of systems and information on a need to know basis. The people working on the transcription have also been educated on the importance of being HIPAA and HITECH compliant.  Undertakings have been taken from the personnel to further ensure confidentiality.

Choosing a professional and committed medical transcription service provider like TransDyne would ensure that the healthcare facility would enjoy not only the cost saving benefits of outsourcing and the knowledge that patient data confidentiality is maintained but also the other benefits of outsourcing like:

1.     Reducing capital investment with regards to medical transcription
2.     Managing fluctuating transcription report volumes and staffing issues for holidays and weekends.
3.     Reducing management expenses towards medical transcription
4.     Reduce human resources expenses connected to medical transcription
5.     Reduce direct labor cost
6.     Reduce It expenses
7.     Reduce real estate cost pertaining to medical transcription
8.     Improve information access
9.     Improve turnaround time
10. Shorten the receivables cycle
11. Concentrate on core business
12. Take advantage of a single source solution

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 secure medical transcription services from TransDyne, click here.

Saturday, June 22, 2013

Medical transcription: Smart Delivery system for EMR adoption

ARRA (American Recovery and Reinvestment Act) or Economic Stimulus bill was introduced in February 2009, aimed at spurring economic growth across multiple industries through Government spending. Out of this $ 19 billion was aimed at the healthcare Industry by way of incentives for meaningful adoption and implementation of EHR (Electronic Health Record) also known as EMR (Electronic Medical Record).

What is EMR/EHR?

Given below are the definitions of EMR and EHR

EMR: Is the electronic record of health related information on an individual that is created, gathered, managed and consulted by licensed clinicians and staff from a single organization involved in the individual’s health and care.

EHR: is the aggregate electronic health related information on an individual that is created and gathered cumulatively across more than one health care organization and is managed and consulted by licensed clinicians and staff involved in the individual’s health and care

Implementation of EMR/EHR has several benefits apart from that of the financial stimulus offered. These benefits include customizable templates according to doctor requirements, consistent & accurate data, easy retrieval and data input by pointing and clicking.

Having said that one needs to look at the down side of Direct Data Entry by doctors into the EMR/EHR system:

·       Lack the convenience of free form of dictation that allowed the doctors flexibility of time while allowing them to avail the benefits of comprehensively capturing data.

·       More time spent on data entry rather than on patient care that could lead to loss of productivity of doctors causing them to treat lesser number of patients.

·       Lack of eye contact while entering data with patients could lead to dilution of the “Bedside Manner” which forms an integral part of the personal care that patients expect.

·       Only tech-savvy doctors can adapt to this method.

·       Patient information would be in identical formats without the inclusion of personalized data that is an important part of healthcare.

·       Affect the bottom line of the healthcare facility in a negative way due to loss of productivity.

Having seen the benefits and the downside of EMR/EHR adoption one can see that the adoption of EMR/EHR through direct data entry by doctors can have a learning curve and lead to a loss of productivity. This may seriously hinder the transition and delay the adoption process. To solve this one needs to look at the possibility of adopting EMR/EHR while still retaining the traditional medical transcription method for creating records.

This could help overcome issues like loss of productivity leading to erosion of bottom line, personal care for patients etc. One needs to look for a medical transcription company that has the capabilities to import patient information to the EMR system while at the same time able to maintain accuracy, turnaround time and offer reasonable rates.

TransDyne is a leading medical transcription company has a smart delivery system, which has features like User defined folder paths to enable easy imports to EMR systems. The Smart Delivery system is the suggested mode of document delivery where pre-defined file saving would help import documents to EMR systems.

Not only that TransDyne offers quality medical transcription at reasonable prices, done by expert Medical Transcriptionists with a very quick turnaround time executed through secure HIPAA compliant channels, with very high levels of accuracy and all this with technology that is advanced but easy to use!

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

Friday, June 21, 2013

Medical transcription outsourcing; A catalyst for quality healthcare

The core objective of any healthcare facility is to provide quality healthcare. There may be other goals like strengthening the bottom-line, gaining a reputation for providing quality care, minimizing litigation issues and research etc. All these are important milestones to the final goal of providing quality healthcare.

As a healthcare facility grows it becomes important for administrators and chief doctors to start focusing on activities other than healthcare. These are activities that act like catalysts in the process of healthcare. They speed or impede the process of healthcare without actually participating in the process.

One such activity is that of medical transcription, which plays an important role in the process of healthcare. The convenience of accessing patient records at the click of a button/mouse can be invaluable to a healthcare professional as information plays a key role in further treatment plan, verifying test results, and referrals or simply as evidence in case of litigations.

An easy and convenient option available to healthcare facilities for medical transcription is that of outsourcing their needs to a professionally managed medical transcription service provider who will provide tailor made solutions to take care of their medical transcription needs.

What defines a professionally managed medical transcription service provider?

  • Accuracy: This means the percentage of accuracy of the completed transcripts vis-à-vis what was dictated. A minimum of 99% and above would be acceptable.

  • Turnaround time: Turnaround time refers to the time taken to revert the transcribed report to the healthcare facility. A turnaround time of not more than 24 hours for normal reports and 4-12 hours for STAT reports would be considered ideal.

  • Data security: The service provider being outsourced to should be HIPAA and HITECH compliant. The medical transcription service provider has to have adequate security measures to ensure that the confidential data transmitted back and forth is safe and secure.

  • Pricing: Reduced costs are one of the main benefits that a healthcare facility hopes to have, from the outsourcing option. Pricing should be fair and reasonable for the services rendered. Pricing method should also be transparent and simple so that both parties can verify the same at any stage of the process

Outsourcing medical transcription help a healthcare facility focus more on the core business by freeing up resources that would have been used for in-house medical transcription:

  • Capital investment: By outsourcing medical transcription a healthcare facility can free up capital investment that would have otherwise been dedicated to medical transcription.

  • Management resources: A sizable portion of management time would be spent on coordinating medical transcription activities. Outsourcing medical transcription would free up these management resources to concentrate on the core business.

  • Real estate: The space allocated to medical transcription would be freed up by outsourcing medical transcription.

  • Information technology: IT resources which would be required for coordinating medical transcription in-house would be freed up by outsourcing medical transcription.

  • Human resources department: Recruiting and training of medical transcriptionists takes a large chunk of the Human resource department’s time, this would be freed up by outsourcing medical transcription.

Partnering with a professionally managed medical transcription service provider like TransDyne would have benefits like a 99% accuracy, with a turnaround time of 24 hours, data transmission through secure channels and pricing which is both reasonable and transparent. TransDyne offers benefits like flexibility with regards to varying volumes of transcription, holiday & weekend transcription, archival facilities with secure and easy access, free trial and promotional offers etc.

This creates a synergy of core competency of the healthcare facility with the expert medical transcription services of TransDyne to create superb healthcare services.

To avail complete medical transcription services from TransDyne, click here

Thursday, June 20, 2013

Medical transcription and Voice Recognition

Is voice recognition the new solution for medical transcription needs? Voice recognition or speech recognition is one of the new developments in the medical transcription field. It has been touted as the solution for a health provider’s documentation needs.

How does it work? The doctor is offered a digital platform by the Voice recognition service provider where the doctor can dial in and dictate his patient notes at the end of the day. The software converts it to typed form, which is made available to the doctor to edit and correct as needed.

Seems simple enough. But is it as simple as that? Apparently not!  Voice recognition needs to be evaluated on all the criteria used while finalizing a healthcare facility’s medical transcription service provider.

Time saved: When medical transcription needs are outsourced one of the main benefits is the time saving factor. Time is a precious commodity for Doctors and they would like to utilize it for providing quality care to their patients. But when voice recognition software is used the doctor has to spend more time on it in the following areas:

1.     Training time: Voice recognition software requires the doctor to personally ‘train’ the software on the speech pattern, accent, standard terms and various nuances of his/her speech pattern so that the software can ‘learn’ it and adapt accordingly. This could involve a huge time commitment from the doctor using it, which he may ill afford to make.

2.     Time for dictation: Voice recognition software requires the doctor to change his style of dictation to include punctuations, grammar, spellings, detailed terminology, paragraph and report start and ending etc., as opposed to the free flow form of dictations that the doctors are used to.

3.     Time for editing: Unlike the traditional method of medical transcription where the records are subject to rigorous proof reading and quality checks, here the doctor needs to spend considerable time editing and correcting before signing off on the reports
.
Accuracy: The accuracy levels of the finished reports is of utmost importance as it affects care of the patients at every level as well as forming the basis for all further documentation needs. The accuracy level from voice recognition software is found to be about 60%-65%. That means correcting and editing the documents have to make up for the remaining 35%-40% accuracy.

Cost: The cost factor for voice recognition software will vary according to the number of users and the size of the organization. It will also have to factor in additional costs required for editing the documents to an acceptable level. One may find that it is costing more per line than was quoted in the beginning.

Learning curve:  When healthcare facilities look for solutions for producing their patients’ medical records they would like to have solutions that are expert and accurate from the very beginning. In the case of voice recognition software there is a definite learning curve that affects the quality of finished reports till the software ‘learns’ to follow a particular doctor’s speech patterns and even then the accuracy levels are only 60%-65%.

Flexibility: When new doctors are added to the practice the voice recognition software has to be trained further to accept the speech nuances of the new joiners. There is no flexibility offered by voice recognition software for this. 

In conclusion we can safely say that voice recognition software will never be able to completely replace manual medical transcription. The important point to be considered here is that medical records are created of human beings, dictated by human beings and therefore needs another human being to transcribe it.  Medical transcriptionists will have an important role to play at least as editors and proofreaders.

Medical transcription requires a certain amount of training, subjective judgment and understanding the context to be accurate and relevant, which will not be possible to achieve completely through software, no matter how expertly created.

For the transcription needs of a healthcare facility one should look for a company that offers commitment on accuracy, turnaround time, reasonable pricing and data security.

TransDyne, a leader in the outsourced medical transcription industry has used their extensive background in information technology and their experience in serving the needs of the healthcare sector to provide affordable and integrated medical transcription solutions.

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.

Wednesday, June 19, 2013

Medical transcription: Getting value for money?

It is easy for a healthcare facility to imagine that by having transcriptionist/s in-house they have resources right at hand that will take care of all their transcription needs instantly and at reasonable costs. It is not as simple as that. There are two factors that determine the value for money that they get from the amount spent on in-house transcriptionists. One is the cost of having transcriptionists in-house and the other factor is the transcription volume.

To understand this better one needs to look at what constitutes the cost of an in-house transcriptionist.

Item
Cost in US $ per annum
Salary
30000
Benefits
8000
Real estate
2000
Furniture
1000
Computer
2000
Management
5000
Consumables
1000
Utilities
500
Miscellaneous
500
Total cost
50000

Then a look at what is the productivity of an average medical transcriptionist

Production
Number of lines per 8 hour day
1250
Work hours per year
1920
Lines per year
300000
Downtime in %
10
Actual lines produced in a year
270000
Cost per line
18.5

The annual costs of an in-house transcriptionist have been arrived at, and the number of lines an average transcriptionist can transcribe in a year now the cost per line transcribed can be ascertained. The cost per line transcribed is 18.5 cents per 65-character line.

But this is a not a fair analysis of cost per line as it is based on the assumption that the volume of transcription is constant. The volume of transcription would vary according to the influx of patients, which is not predictable. The cost per line of transcription will vary accordingly.

The chart below shows clearly how the cost per line can vary according to the volume of transcription:

Number of lines transcribed by 1 medical transcriptionist in 1month
Monthly cost of in-house Medical transcriptionist in $
%  Decrease in transcription volume
Cost per line in cents
% Increase in cost per line transcribed
TransDyne cost @ 10 cents per line
Savings by outsourcing to TransDyne in $

22500

4166.67

0%

18.52

0%

2250

1916.67

20000

4166.67

11%

20.83

13%

2000

2166.67

18000

4166.67

20%

23.15

25%

1800

2366.67

16000

4166.67

29%

26.04

41%

1600

2566.67

14000

4166.67

38%

29.76

61%

1400

2766.67

As can be seen, as the volume of transcription decreases the cost per line increases considering that the cost outlay is fixed. Hiring a professionally managed Medical Transcription Company like TransDyne to take care of Medical Transcription needs will solve both the problems of planning for volume as well as staff requirements. Not only that TransDyne takes care of any holiday staffing needs that arise, leaving the healthcare facility free to focus on other areas.

TransDyne offers quality Medical Transcription at 10 cents per 65 character line, 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!

For more details about how to use TransDyne’s superior outsourced medical transcription services, click here.