How can we improve our nation's health care?
John A. Halamka M.D. (Chief Information Officer ─ Harvard ─ Affiliated health─Beth - Israel Deaconess Hospital): In our country it is estimated that 144 billion dollars a year is lost because lack of coordination of medical care.
The electronic medial record enables seamless transmission of patient histories, medications and laboratories from doctor to doctor. It's only through Electronic Medical Records ( EMR) that we will receive coordinated care, safe care and cost-effective care.
The American Association Presents Medical Transcription: Ensuring Safe, Quality Cost-Effective Health Care.
Dee Thomas CMT (Owner Thomas Transcription) : I like the fact that we do play a part of the roll of patient's healthcare in the industry.
Some years in high school originally I've thought about being a nurse, but I could not stomach it. But this is a way to make that same contribution but at the same time, well maybe on the backend of that, we make a significant contribution to patient healthcare.
Did the patient have three kimonos or trichomas?
Valli Pillion CMT, FAAMT: When Medical Records (MR), are accurate, both the patients and the doctor are protected.
Dee Thomas: We have physicians who, you know, who didn't get into the profession, because they wanted to dictate in the first place. They get into the profession because they want to take care of patients. So they do this generally and as fast and as quick as they can so they can get back to what they really wanted to do, which is administer patient care.
I'm not always sure if I hear it or I know it from years of experience. But many times we can get the blanks (garbled phrases).
Did the physician say 5,000 or 50,000 units of insulin?
When we catch a problem in the report that's been dictated, we bring that to the attention of the facility or the physician.An example of that would be; we had a report and the physician did actually dictated 50,000 units of insulin. I know it should be 5,000. Anyone with experience in transcribing reports would automatically know it should have been 5,000.
So we would bring that to the attention of the facility, we would make that correction in the report. Now had that report fallen into the hands with someone with less experience, and it may not be caught, and the patient would receive the wrong dosage of medication.
John A. Halamka M.D. : between 0.7 and 7 percent, all hospital patients have a medication error during their stay. MR provides a foundation for the system support that enables us to do drug-drug, drug-allergy and drug – laboratory interactions check so we can provide high quality care.
The American Association for Medical Transcription: Promoting Quality, Certification and Continuing Education for Medical Transcriptionists.
Jefferson Howe CMT, MSA Maine Medical Center: the American Association for Medical Transcription helps it's members by advocation certification, a focus on quality, and a focus on continued learning in this professional environment. It's changing now and its changing fast and we have to be up to speed with where things are going.
Dee Thomas CMT: I think all medical transcriptionists (MT) should be certified. I think there should be a benchmark in every profession. I think we're are one of the few profession in the health care industry where certification is not required and would you just want anyone handling your patient records.
Valli Pillion CMT, FAAMT: Medical Transcriptionists face the same problem that healthcare system as a whole faces. Our mission and our goal are only for MTs to be the best they can be, but our healthcare system to be the best that they can be.
The American Association for Medical Transcription:
Working To Bring Medical Transcription into The future.
Jefferson Howe CMT, MSA: Technology is changing and it's changing faster all the time. The American Association for Medical Transcription absolutely has to help the MT evolve with the EMR to learn and understand their position today, so they can play an interoral part in it.
John A. Halamka M.D. : we have found even with the voice recognition we have found that their not accurate enough, without human intervention. So our challenge has been to use the machines, the best of technology as well as the human brain and MT to bring a quality product.
How is the electronic medical record changing health care delivery?
Jefferson Howe CMT, MSA: the EMR, is probably the most exciting change in my career and it has made exciting to me. I think that we have to ask; what will we do when we have so much EMR everywhere?
What does it mean to Home Health Care Aids, Nursing Homes, and other health care facilities or agencies, pharmacies, physical therapist, when they can plug in and see my health care information at that point?
Be it at home or in the medical environment make better judgments based on what they have at hand.
John A. Halamka M.D. : We have to deliver safe effective care in our hospitals without the support of our Electronic Systems. In fact, two years ago we had a network outage. It lasted about a day and a half.
We went from the hospital of 2002 to the hospital of 1972. It took 100 extra staff, just to deliver the good quality care that we were doing with EMR. They are an essential part of the modern hospital of today.
MTs: An Integral Part in the Health Care System.
Dee Thomas: the record, the transcription that we do is the first line of defense of making sure that that patient receives the health care that he needed. That the hospital facility receives payment for the services that were rendered.
And we ultimately, even though we work in the background, you know, we have done all of the documentation necessary to see that that happens.
John A. Halamka M.D. : the next five years will be very exciting. We'll ensure that doctors have all the information that they need, in an accurate and timely way, anywhere of the information they need even on the internet, with the oversight of MTs ensure it's accuracy.
Valli Pillion CMT, FAAMT: Every time that we catch an error within the dictation, the patient and the doctor benefits. Ironically most of the patients don't know we exist. But we know that we are making a difference within the industry.
For more information please contact the American Association for Medical Transcriptionists. http://www.aamt.org.
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