Medical Transcription – Quality before Quantity

It has always been very important to me to remember that the patient is first.  We have an obligation to get it right … this is their story.   It is oftentimes easy for the MT to focus first on their paycheck and second on their job. 

Here’s a good article to read on productivity, using expanders and shortcuts and the importance of keeping the patient’s history and record first and center!  Remember … your spouse, child, mother, and even YOU are the patient. 

Productivity in Medical Transcription and Documentation – Expand Responsibly

Medical Scribe Program

Are you a Medical Transcriptionist or Medical Assistant?   If so, you are wanted!

I bet you did not know these facts: 

-The need for healthcare services is growing due to the aging population in the U.S.

-The U.S. Government is spending $26B to implement electronic health records nationwide

-Electronic health records … 2013 will be a crucial year for physicians to avoid possible pay reductions under quality reporting and health information technology programs

-Hospitals, medical offices and doctors need Allied professionals, just like you, and they need you NOW!

http://www.ama-assn.org/amednews/2012/11/12/gvsa1112.htm

EHR and Medical Scribes

Are you currently a Medical Transcriptionist or Medical Assistant looking for a new direction?  We have a solution – medical scribe.   A medical scribe is similar to a medical transcriptionist and a medical assistant rolled into one.

The merging of advanced technology, EHR, with continued emphasis on efficient and accurate health documentation has created a new career in the allied health profession.  While actually not entirely new, the need for clinical documentation specialists who offer services in real time for medical providers is becoming more prominent as healthcare providers seek ways to be more efficient and compliant with new regulations.

Health Information Managers, also known as “medical scribes” offer an efficiency that enhances patient care.  The physician or clinician is able to focus more of their time and energy on patient communication, diagnosis and treatment, than on administrative tasks such as dictating and ordering diagnostics.

The increased use of electronic medical records has made the health records system more complicated for many providers.  A clinical information manager, also called a “scribe”, is a medical language specialist who accompanies a physician into the exam room and inputs clinical information into a medical record database as instructed by the practitioner. They may also input ancillary orders and track results to assist the practitioner in the administrative duties of patient care. They provide an interface between a busy physician and the EMR software, which allows the physician to focus on direct patient care and diagnostic decision-making.

ONSITE, REAL-TIME, AT THE POINT OF CARE, HEALTHCARE DOCUMENTATION .. that is the role of a Medical Scribe (CIM).