Solving the Problems Associated with Problem Lists in the EHR. The patient problem list, a key component of the electronic health record (EHR), is a list of the important illnesses, injuries, and other factors impacting a patient’s health.
American Health Information Management Association (AHIMA) defines the problem list as “a compilation of clinically relevant physical and diagnostic concerns, procedures, and psychosocial and cultural issues that may affect the health status and care of patients”. The list usually states the time that the illness or injury occurred as well as when it was identified and addressed. Medical transcription companies help healthcare providers maintain dynamic problem lists that include all of a patient’s past as well as present medical problems. A well-maintained problem list would provide the physician with a clear idea of a patient’s health problems that require medical attention or intervention.
Telehealth a Viable Tool to Combat the Obesity Epidemic. The electronic medical record (EMR) contains a ton of information – the patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, results of lab tests, and radiology images.
Outsourcing medical transcription helps providers ensure up-to-date information in the EMR. Today, integration of the EMR with a practice’s telehealth platform enables complete and effective care delivery, while also streamlining provider workflows. Telehealth is a useful tool to treat various medical conditions – from flu and hypertension to heart disease, skin disorders, mental health issues, and so on. Telehealth is now proving a viable tool to combat the obesity epidemic in the U.S., especially in the context of COVID-19. Obesity is one of the most serious health concerns in the United States. Telemedicine an effective option for obesity treatment, say studies. Impact of COVID-19 Pandemic on Demand for Radiology Services. The demand for imaging services has increased in the U.S. in recent years.
Radiologists interpret images, manage urgent cases, and consult with referring physicians. Medical transcription companies have always and will continue to support them with timely and accurate transcripts of imaging reports. Many reports have highlighted the critical role that radiology departments play in implementing processes to manage the pandemic, specifically for planning diagnostic screening, triage, and management of patients. According to a recent report in the Times, the demand for radiology services has surged significantly with the outbreak of the COVID-19 pandemic. How Clinical Decision Support Tools improve Clinician Efficiency? The electronic health record (EHR) is designed to reduce risk of errors and help physicians make better decisions about patient care.
When it comes to EHR documentation, medical transcription service providers deliver the necessary support to ensure that patient records have all the relevant information for physicians to render safe, appropriate, timely care. Clinical decision support (CDS) includes a wide variety of tools that are built into the EHR to help providers find the right information to make clinical decisions and provide the best possible patient care.
The amount of digital patient health data is increasing exponentially, leading to significant data management challenges for healthcare entities. Researchers estimate that healthcare data will grow at a CAGR of 36 percent through 2025 which this is much faster in manufacturing, financial services, or media, according to a Healthcare Analytics report. Top Electronic Health Records Trends for 2021 and Beyond. Electronic health records (EHRs) have come a long way since they were introduced and are continuing to evolve with flexible functionalities that improve the clinical decision-making process.
Medical transcription services allow healthcare providers to manage the record keeping process and save time to focus on patient care. According to recent reports, with significant enhancements in health information technology, EHRs are poised play an even more influential role in healthcare. Here are seven major EHR trends to watch out for in 2021 and beyond. Voice Recognition and Natural Language Processing: Voice recognition tools are mainly used to dictate reports and clinical notes into the EHR, making clinician interactions with the system less stressful.
Write Good and Effective Progress Notes with These Key Tips. Progress notes or SOAP (Subjective, Objective, Assessment, Plan) notes, document various aspects of the patient’s treatment and highlight important issues or concerns relating to care.
Good progress notes tell the patient’s story and prioritize patient care and safety. These notes provide information related to medical decision-making, patient-provider communication, critical thinking, billing and coding and medico-legal requirements for documentation. Medical transcription outsourcing is an ideal way to ensure EHR-integrated progress notes that are focused, concise, readable, organized, and useful.
Check out the infographic below Joined the MOS team in March of 2008. Technology can Streamline Data Exchange for Successful Care Transitions. Having complete and accurate healthcare information is critical in all stages of the patient care process, and many hospitals and physician practices rely on medical transcription companies to ensure this.
Care transitions involve many challenges and clear, accurate, relevant and up-to-date medical history should be readily available to clinicians when patients move from one setting to another. “Transitions of care”, as defined by the Joint Commission, refer to the movement of patients between health care practitioners, settings, and home as their condition and care needs change. Accurate documentation of information is a key requirement for patient safety and quality of care during these patient handoffs. Providers can improve patient care transitions by ensuring up-to-date medical history and streamlining data exchange using technology, according to a recent article published by McKnight’s.
Causes of Ineffective Transitions of Care. How to Maintain Accurate and Complete Chart Notes in Dentistry. As every medical transcription company knows, accurate and timely clinical documentation is critical for all medical specialities.
Dentistry is a separate area of medicine and producing and maintaining clear, accurate and accessible patient records are a vital element of the dentist’s professional responsibility. Importance of Keeping Good Dental Records Accurate and complete clinical dental records are important for many reasons: Dos and Don’ts for Telemedicine. Virtual healthcare has become widely accepted as a way for physicians to remain connected with patients during the global coronavirus pandemic.
Real-time, audio-video communication between physicians and patients had been in force prior to the pandemic. Now, telemedicine ensures that people with chronic and other serious conditions get the care they need as they follow stay-at home-orders. HIPAA compliant medical transcription services ensure that these encounters are securely documented. The global telehealth market size is projected to expand at a compound annual growth rate of 23.4 per cent and reach US$266.8 billion by 2026, according to a report from Fortune Business Insights. Whether telehealth is provided by video visits or phone calls, medical practices need to know the dos and don’ts of implementing a remote care strategy. Dos Don’ts According to a McKinsey & Co. report, physicians saw between 50 and 175 times more patients via telehealth than they did prior to the pandemic.
Cloud-based EHR Systems for Medical Practices – Key Advantages. 5 Key Considerations for Expanding Telehealth Post-Pandemic. Telemedicine – the delivery of healthcare using digital communication technology – has been around for a long time, but has faced numerous obstacles to widespread adoption.
Beyond some operational and clinical hurdles, the extensive implementation of telehealth has been hindered by various legal and regulatory barriers. With the COVID-19 pandemic and the social distancing – that is recommended as the standard for mitigating its impact- the adoption of telehealth increased rapidly across the country. Federal and state laws and regulations that were once a hurdle were relaxed to enhance the ability of physicians to provide and patients to receive telehealth services very effectively. Top Tips for Effective Documentation in Occupational Therapy. Like any other medical specialty, occupational therapy (OT) has distinct documentation requirements. Today, electronic health records (EHR) supported by medical transcription services have eased patient data management challenges for occupational therapy practitioners. Experts say that to get the most of EHR systems, occupational therapists should individualize patient reporting.
Goals of Documentation in Occupational Therapy According to American Occupational Therapy Association [AOTA] guidelines, the purpose of documentation in OT is: Telemedicine Visits – What are the Best Practices? Telemedicine has proven to be an effective treatment option, mainly during the care challenges created by the COVID-19 pandemic. This healthcare advancement reduces disparities in access to care, allows patients to get care at home and save costs. Medical transcription outsourcing companies can help physicians document these virtual encounters. By maintaining social distancing, physicians can engage with patients without in-person consults, avoid physical contact with symptomatic individuals, reduce chances of spread by preventing exposure in waiting rooms, and keep high-risk people at home.
Experts opine that remote health may continue to be the trend for chronic care management, health and wellness, and other ancillary services even after the current public health emergency. Telemedicine providers can consider outsourcing medical transcription tasks to an experienced company for accurate and timely documentation of patient notes. Medical Transcription Services Market to Reach USD 8176.8 Million by 2026. Converting voice-recorded medical reports into accurate transcripts is important for physicians or other healthcare professionals for future reference, easy access to report and faster sharing to other providers when required. Physicians often rely on professional medical transcription companies to get the task done accurately. Medical reports that need to be transcribed can be voice files, notes taken during a lecture, or other spoken material, and are often dictated over the phone or uploaded digitally via the internet or through smartphone apps.
According to a report from 360 Market Updates, the global Medical Transcription Services market size that was USD 5597.7 million in 2019, is expected to reach USD 8176.8 million by the end of 2026. This market is predicted to grow at a CAGR of 5.5% during 2021-2026. In 2021, the market will be growing at a mild rate and with the rising adoption of strategies by key players, the market is predicted to rise over the projected horizon. Telehealth Proving to be a Viable Option for Follow-Up Care. Telehealth adoption reached a new high during the Covid-19 pandemic. In February 2020, the Centers for Disease Control and Prevention (CDC) issued guidance recommending that health care providers in areas affected by the COVID-19 pandemic adopt social distancing practices and offer virtual care through telehealth.
MT Review improves accuracy of SR-generated clinical documents. Accurate and timely clinical documentation is paramount to quality care and patient safety. Even with the widespread adoption of electronic health records and speech recognition technology, medical transcription services continue to be relevant to create error-free patient records. Many US physicians use dictation services supported by SR technology and professional medical transcriptionists. Researchers found that errors in dictated clinical documents reduced following manual review by a professional medical transcriptionist. EHR clinical documentation is a time-consuming task and is a key factor in physician stress and burnout. The introduction of speech recognition (SR), the automatic conversion of voice into text, in the 1980s has eased the task. A 2018 study that analyzed the quality of SR-assisted documentation found that seven in 100 words in SR-generated documents had errors.
The key takeaways of the study: What are the Five Cs for Quality Radiology Reporting? Telehealth Is Expected to Stay Even after COVID 19. Telemedicine allows healthcare professionals to evaluate, diagnose and treat patients who are at a distance through telecommunication technology. Even though telemedicine was already there in the healthcare industry, it gained huge popularity with the outbreak of COVID 19. Five Major Challenges facing Healthcare Organizations in 2021. Practices that make a Patient Feel Better after an Operation. Significance of EHR Training to Minimize Physician Burnout. EHRs Need to Adapt to Changing Clinician and Patient Needs. Regardless of the illness or healthcare setting, patient records that medical transcription companies help physicians document contain similar information such as the chief complaint or reason for the visit, history and physical or assessment and plan, progress notes, test results, and orders.
The Rising Use of Teleradiology During the Pandemic. What are the Guidelines to Ensure Quality Radiology Reporting. Key Tips for a Successful and Stress-free Doctor Visit. Check Out Our Top 10 Blog Posts of the Year 2020. As a provider of medical transcription services, we assist small and large clinics, multi-specialty clinics and group practices, and individual physicians practicing in any specialty in improving their office efficiency.
Our medical transcription service is designed to improve the way you work. We serve all major specialties. Our blogs are focused on highlighting the importance of medical transcription, the latest news, updates, and events in the transcription industry. As we are heading to a New Year, here’s a look back at some of our most insightful blog posts of 2020. This is an opportunity to learn from the best in business. Medical Transcription Software Market to Reach USD 4.89 Billion by 2027. Guidelines and Tips to Write Good Progress Notes. How to Travel Safely without Fears of Covid-19 Dampening the Mood. How to Document the Crucial Components of an Operative Note. Hybrid Model Shaping the Future of Healthcare, say Reports. Quick Tips to Avoid Medication Error and Ensure Patient Safety.
Incomplete Medical Records - Consequences and Solutions. Benefits of Harnessing Telehealth for Chronic Disease Management. Key Components Included in a Hospital Discharge Summary. Physician EHR Documentation Practices can Affect Care. What Are the Different Types of Medical Transcription Reports? Study: Peer Comparisons Can Improve Oncology EHR Documentation. 10 Advantages of EHR Interoperability. Patient Access to Medical Records Improves Medical Record Accuracy. Reduce EHR Documentation Burden with Scribes & Transcription Services. Seven Things Patients Expect from Medical Practices. Is Telemedicine an Effective Option for Preventive Care? Improving Diagnostic Radiology Report Turnaround Times. Patient Access to Medical Records - Benefits, Barriers and Solutions.
Significance of Radiology Transcription for Neurologists and Researchers. October Is Observed as National Physical Therapy Month. How to Stay HIPAA Compliant when Using Telemedicine. Best Practices to Preserve EHR Documentation Integrity. Benefits of Cloud-based EHR systems for Medical Practices.