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#920 02/15/2007 12:54 AM
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I am lookimg for ways to enhance the efficiency of entering dictated notes into AC. Right mow, my transcriptionist types a word doc from my dictation and then cuts and pastes each section into the corresponding section of the encounter note. Anybody found a better way to do it?


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Why doesn't she just type and use templates directly in AC???


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I would assume she can't and doesn't want to take typing classes. And "hunt & peck" is, well...


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Wayne #929 02/16/2007 10:56 AM
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Personally, for me, one of the greatest benefits of having an EMR is not having to pay a transcriptionist. I am not a skilled typist either but, with the use of the templates and my ever-improving "hunt and peck" style, I have managed to do very well without having to pay for transcription. Of course, another option would be to dictate into your notes using Dragon or another voice-recognition software. Many on this forum are doing that very successfully it seems


Leslie
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Thanks for the replies. Our transcriptuion service is outsourced and for billing needs to generate a line count, which is impossible by direct text entry into AC. We also keep the printed transciption, at least for the moment, in our paper files as backup.
We are a subspecialty practice for which templates are not terribly useful except as cues for the RN patient intake process.
I've worked with Dragon for years (since version 3). There is no question that its capalities have evolved remarkably in the 12 or 13 years since I first worked with it. However, it still generates text that contains 2-3% significant, occasionally nonsensical, insertions that have to be found and corrected. In my hands, this takes as long (and, in some ways, is harder) than finding and correcting typos.
So, for all those reasons, we depend on human transciptionists. As there may be others who would find the facility helpful, I'm going to take the initiative of talking with the IMH folks to see if their import interface might be adaptable for transciption for a little monthly cost.

Bob Burr

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Hi,

We use a transcriptionist for my notes in our practice. The way we set this up was to create two new users - one for the dictation queue and one for returned dictation.

When I see the patient and finish dictating the note, I save it into HER mailbox. She picks up the tapes, and pulls the note from her mailbox. When she's done, she forwards them back to my PRINT mailbox, and I proof them, code them and print them.

She does not have authority to sign the notes, so I don't have to worry about accidently having an unfinished note accidently get saved to the database.

Since half the lines in the note come from me, some come from templates, etc, what has worked for us is paying her by the hours, rather than by the line.

We've done this for about 2 years. Works great.

Vinny


Vincent Meyer, MD
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Thanks. I'll discuss the hourly rate idea with my transcription outfit.


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