Thursday, December 28, 2017

EMR Vs Medical Transcription



Electronic medical records (EMRs), mandated by Obamacare, promised multiple benefits such as shorter time to create accurate patient healthcare records, monitor and record patient health and treatment over a period of time, accessible to all providers involved in patient care, faster processing of claims, eliminate the need to repeat expensive medical tests, and would help in overall quality of care given to patients.

Obamacare signed into a law by President Barrack Obama on March 23, 2010, mandated EMR adoption by all healthcare institutions but is still not accepted across the board by majority of physicians in the US.  Instead of increasing patient-doctor interaction time and reducing clinical errors, it fell short of realizing its intended objectives, and the overall quality of healthcare is suffering because of that.  The doctors ended up spending a lot of time in front of their computers to input patient data and digitize information in the EMR that required them to scroll through multiple drop-down menus drastically reducing patient-care time.  The personal touch is missing from physicians’ diagnoses and consultations.  Some would still prefer the old style of the narrative which captures the entire patient story and help in arriving at wholesome treatment options.  The physicians’ critical thinking and logical rationalization of treatment options for patients could not be fully facilitated, with more time and attention needed for them to digitize the patient information and enable billing and coding parameters to bring about the intended revenue.  It is indeed against the basic philosophy of medicine which intends to cure patients’ illnesses rather than losing time in digitizing information and turning health care from its originally intended form into a health care business.  Thus at this juncture, with the EMRs that cannot play up to their promise, there is a vital role for medical transcriptionists (MTs) to bring about accurate healthcare documentation.

Whatever the advancements brought about by EMRs in storing and retrieval of clinical information, there is always the human touch that will be needed to make the patient story complete, accurate, referable, and usable by multiple providers who are treating the patient in his or her lifetime.  Thus it is not an entirely sunset time for MTs who can still be very proud of their integral role in clinical documentation and healthcare revenue cycle.  Having said so, they ought not to remain complacent with the traditional way that transcription is practiced but should keep pace with developments in technology such as advanced EMR platforms, allied fields of medical billing or coding, so that they can continue to sustain themselves and develop as multi-talented, multi-faceted professionals who can take up the challenges of the future and cater to the needs of the industry.