Medical Transcription: The Useless Moose on the Desk


Okay, right this moment I’ll ask that you simply persist with me on this dialogue as a result of it is one I feel we have to begin having and one which I feel we have sort of averted in our business for awhile. So seize your espresso, take a deep breath, dangle in there to the top, after which I wish to hear your ideas.

First let me inform you a narrative. A number of years in the past after I was on the (then) AAMT Board of Administrators, our CEO advised us a narrative about what we got here to discuss with because the “lifeless moose on the desk.” It went (paraphrased) like this: There is a huge lifeless moose on the desk. Everybody is aware of it is there. But, no person talks about it. And the longer nobody talks about it, the extra it stinks. But we proceed to disregard it, hoping that each the moose and the stench will go away. At present we’d even get out the Fabreze and attempt to get rid of it like that. However in the long run, there is a lifeless moose, proper there in the course of the desk, and except someone lastly speaks up, the stink is barely going to worsen. I consider we’ve a moose on the desk.

Let’s take a look at among the issues which have occurred over the previous couple of weeks in our business. First, we noticed the announcement of the acquisition of WebMedx, a medical transcription firm, by Nuance, a know-how vendor who may be very energetic within the EHR world. The subsequent factor I seen was that Medquist, a transcription firm, bought M-Modal, a know-how vendor. That was adopted by the announcement that Transcend, yet one more transcription firm, bought Salar, an EHR firm. Together with that I noticed a few different issues. Within the Medquist press launch, the brand new CEO spoke of rebranding the corporate and helping their shoppers with the transfer to the EHR. In a webinar sponsored by HIMSS, a consultant of Nuance spoke of their plans to work with the IBM Watson know-how and likewise described the “imaginative and prescient” of how documentation can be completed by working it by means of an SRT engine, utilizing pure language processing, which might additionally connect information tags in order that the structured information might be instantly put into the EHR. And, no, transcription was not talked about in that discuss in any respect.

Now let us take a look at what’s occurring to the folks in our world. Up to now two weeks, I’ve heard extra tales than I may even rely about good, seasoned, nicely skilled MTs being laid off from their jobs. Why? Expertise means corporations can do extra with much less. And sure, generally it is also as a result of the corporate is outsourcing extra of its work. I hear the tales from MTs who’re small enterprise house owners of their workload being half of what it was a yr in the past due to the digital well being report. Faculties are challenged with what to do to greatest put together their college students for sustainable future employment. How do you train every little thing we train now and but nonetheless train the brand new applied sciences which are rising? College students in packages and who’re new professionals in our business are asking what the longer term seems like for them as nicely.

What we hear within the skilled associations associated to medical transcription is the mantra of the narrative. Now let me first say I feel there’s worth to the narrative in a medical report. It tells the affected person’s story. Each associations are centered on selling the concept of retaining the narrative as a technique to “protect” the occupation, and business, and maybe even the organizations themselves. And but within the background, the EHR is being carried out because the well being care business marches to the beat of assembly issues like significant use and EHR adoption that, not like the SRT know-how of 10 years in the past, is not only a good enchancment in productiveness, however a mandate from the Federal authorities. AHIMA has a workgroup engaged on transcription roles and the EHR, and I think about we’ll see a report when that is completed. Nonetheless, that is the HIM world deciding for us what we can be and the place we’d match. I actually want the transcription associations had been this centered on the longer term and defining new roles.

So for the moose. This is what I feel the moose is. The EHR is very similar to the push all of us noticed with speech recognition applied sciences. Some mentioned it will by no means occur, some mentioned “not in my lifetime, I am going to retire first,” and a few simply waited for it to occur to them. A couple of discovered the know-how early on and that is in all probability the group who has completed the most effective with it. Keep in mind, although, this know-how was solely a “good productiveness enhancer” or “one thing so you are able to do the identical work with fewer folks.” It was not mandated by the federal government. In 2016, as of proper now, healthcare suppliers can be penalized for not having an EHR and assembly these necessities. Penalized means much less cash. It’s going to drive the stragglers to lastly get on board.

I feel the moose on the desk is that every little thing factors to conventional transcription going away increasingly more, maybe till there may be little or no or none left. Okay, I mentioned it. Meaning if we solely have these expertise that we have relied on for therefore a few years, the longer term goes to get fairly scary. The EHR is right here right this moment, it isn’t going away, and it is critically essential that we deal with the moose on the desk and begin determining easy methods to do one thing with it. No quantity of “narrative-scented Fabreze” goes to maintain this one.

This publish is lengthy. We’ll do a collection of discussions this week about this moose and the way we will deal with it and be higher ready. I’ve watched our business for a very long time and too many occasions MTs have simply let another person determine their destiny. I feel it is time to cease that and begin doing one thing for ourselves. With out some trustworthy, brutal dialogue, that can be powerful to do.

So let’s chat. I wish to hear your response to date. This is not a sooner or later dialogue so let’s get began!


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