Tag Archives: transcription

Hello! Is Anybody Here?

Person talking to person on the computerHello?

I always snicker at that Ally Bank commercial in which a human at a dry cleaner’s business is replaced with a blender.  It sounds absurd, doesn’t it?  And yet, we’ve all had it happen to us in one way or another.  You’ve likely called “Customer Service” and were sent on a finger-fumbling journey through menu after menu, only to be either placed on hold or disconnected.  Or maybe you were asked to speak your choices from the oh-so-friendly-sounding automated voice cooing choices in your ear:  “Press 1 for technical support.  Press 2 for account information.  If you know your party’s 27-digit extension, enter it now.  Please wait while I try that extension.”  Don’t you feel silly talking to a machine?

The iDoctor

Unfortunately, we’ve come to expect such detached treatment from many service industries.  But think about this:  Could it be that your doctor is being (has been?) replaced by a machine?  Have you seen your doctor lately?  If you have, chances are he or she came into the room clutching a wonderful, magical machine.  No, it’s not a blood pressure monitor, EKG machine or defibrillator.  It’s a tablet or small notebook computer.  And chances are good also that he made more eye contact with that tablet computer in his hands than he did with you.

The iPatient

Thanks to electronic medical records, doctors have been forced to become one with their computers now.  When Dr. Peter J. Papadakos, an anesthesiologist and director of critical care at the University of Rochester Medical Center, wrote about these electronic distractions over two years ago, he correctly predicted the future when he said “it’s getting worse.”  While it’s true that those electronic gadgets contain a wealth of information that might be helpful in assessing a patient’s condition and improving patient outcomes, it may be that the doctor is relying too heavily on the gadget instead of the human sitting right in front of him for very real, very personal, very important cues about the patient’s illness.  After all, the gadget is not the patient:  the patient is the patient.

Making iContact

In an effort to help physicians engage their patients in the whole electronic extravaganza that is the patient encounter, Kaiser Permanente has developed the LEVEL system for paying attention to a patient while in the exam room:

L:    Let the patient look on
E:    Eye contact
V:    Value the computer
E:    Explain what you’re doing
L:    Log off

This is supposed to send the message to the patient (and reaffirm to the physician) that “the computer is our friend!”  So now, not only does the doctor have to remember how to navigate through drop-down boxes, menus, medication interaction sections, diagnosis codes and such, he also has to be retrained to make eye contact with the patient.  Do patients really care about the computer that’s in my doctor’s hand or what he’s doing with it?  I don’t think so.  I think a patient just wants to be heard and seen.  That requires the doctor’s full attention, and no nemonic system is ever going to replace good old fashioned one-on-one conversation and eye contact.

The iSolution

Dictating part of the patient encounter allows the doctor and patient to interact much more natural and personal way.  Instead of the doctor trying to type into the appropriate fields what the patient is conveying, he can instead just dictate it in a much more clear and detailed way than his data entry will allow.  If you’re a doctor struggling to find a balance between computer interaction and patient interaction, call us and together we’ll work to implement a system of dictation and transcription that suits the way you want and need to practice medicine.

Bumgarner Transcription and EMR Integration — 864-905-3559.

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You Can Do That?


You can do that?

You can do that?

Doctors are so busy with practicing medicine and overwhelmed by trying to learn a massive electronic medical records system, they often don’t stop to think that some of their tried-and-true routines don’t have to change.

A few years ago, a client told me with great sadness that they would soon have to stop using our transcription service because the hospital system to which they belonged would be implementing electronic medical records.  She was surprised when I told her that didn’t mean they had to give up dictating.  I saw at once a question and a glimmer of hope in her eyes.  I told her we would just take it a step further and transcribe their patient encounter note directly into the patient’s record.  They remained clients, and happy ones, at that.

That made me realize I need to do a better job of being proactive in our marketing efforts, and not assume that everyone knows they can still dictate and use EMR concurrently.  I still get that head tilt and, “You can do that?” when I visit prospective clients or market to them by email or on the phone.  It’s so gratifying (dare I say, fun?) to be able to explain to them how simply it all works and then welcome them as they become our clients.

If you want to see your daily production increase by 20-30%, and if you want to spend more face time with your patients, contact me and let me know your needs.  We can do this!

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Filed under Dictation and EMR