Brucel,

I am glad to see another neurologist posting and if you search I have exactly the same problem. I tried the suggested workarounds but they do not work in my office. I dictate my note with Dragon and just like my transcription this needs to be proofread by my staff. We have simply lost too many charts in the handoff, and while I like the program in many ways it seems my only options are to proofread myself, which slows me down tremendously and does not catch all errors, or forget about proofreading and sending out files with errors, both of which are unacceptable.

It seems that specialists have a much greater problem with this as the completed note is their "product", something that must be near perfect. Neurologists in particular regularly produce long, descriptive notes that must be proofread if one does not want to come of sounding like an idiot, literally. I have cringed when I read a few letters I had sent to referring docs without being proofread.

I have been monkeying around with Quest's Care360 which allows for a location to store "Notes in Progress" and allows you to specify who in the office has access to that location. I have yet to lose a file. No forwarding or other confusion that I cannot for the life of me explain to my staff. I don't know who is more scared to move a chart in AC, me or my staff. This issue has been the only one limiting my adoption of this otherwise wonderful EMR. I am back to the old system of transcription - no EMR benefits, but so much quicker and failsafe.

Please tell me what gives.


Richard Ferguson, M.D.

Solo Neurology