Archive for Medical Transcription Outsourcing

Mediscribes, A Segment Of The Mega Job-Market Determined To Quash All Errors

The recent HIPAA laws in the USA seeking to attend to the consumer (patient in this case) have made for improved healthcare and the present global scenario of competitive healthcare has been made much more cost conscious with its affect on the employment market with the increased concern on access to healthcare and patient privacy.

Mediscribes, a solution provider for this sector, has completely engrossed the concepts coined by Six Sigma with the two most important facets of medical transcription business viz. turnaround time and accuracy to come up with a unique solution applicable across the entire business spectrum.

From describing Medical Transcription services and building its business model it goes on to process mapping in the area of operations, production etc. It simplifies the implementation of Six Sigma and opines that operational efficiency may be seen in terms of turnaround time (TAT) and Accuracy of files. After using the six sigma approach the benchmarked improvements are to be sustained through continual improvements shades of ISO.

The Six Sigma approach has been found applicable to all Medical Transcription operations and critical to its success are the managerial & team support as well as software support given that no significant investments are necessary for these improvements which exist in the operations. This approach may be constrained due to the lack of domain experts. Since this process is usually funded internally, by the management, it is but appropriate that their representative (usually the CEO) gets a ringside view of this team effort along the identified milestones. The roles of the team members are clearly identified for the core processes under the SIPOC method in the fields of implementation, Sales, IT, HR etc.

The critical-to-quality (CTQ) parameters of the core processes are set out with the specifications identifying the various parameters and the risk factors along with their mitigation are set out. The typical modes of the core processes are also spelt out. The TAT and Accuracy are sampled and measured as per the AAMT guidelines. A graphical analysis of TAT and Accuracy levels has been carried out and error marking has been done using the Kappa method, t-test etc.

The common errors in TAT and Accuracy have been identified and a learning curve has been delineated in the C&E diagram for TAT and Accuracy levels and a control chart developed as well as the Pareto analysis carried out too.

All these learning have been condensed into action plans with a solution priority matrix for ease of application of Six Sigma into the Medical Transcription business. Standard Operating Procedures, responsibilities etc. have been cod ified in a manual and scorecards too have been developed for monitoring the key process parameters. The correlation of the results showing the ‘before’ and ‘after’ SIX Sigma levels too have shown the positive effects of the Six Sigma approach.

Mediscribes has shown how the medical transcription business in India may prove itself a cost conscious one by synergizing the various processes through the six sigma way!

About Mediscribes

Mediscribes, Inc. is one of the fastest growing transcription & document management systems providers in United States, based in Metro Louisville. Mediscribes is an ISO 9000-2001 certified company, rendering cost-effective consolidated transcription solutions to major hospitals, clinics, and other healthcare facilities in United States. Mediscribes is the most value-providing organization in the market today with a strong presence in America and offshore locations. The firm specializes in providing highly accurate transcription adhering to ADHI guidelines in unbeatable turnaround time with robust & proven document management system as its vantage point to its esteemed clientele.

Mediscribes provides end-to-end transcription solutions as its primary offering. For our customers, we focus on dictation systems, both ASP as well as enterprise level solutions, with the help of our most valued asset   ezVoiceIntelligence (ezVI), providing specialty-specific qualitative transcription along with a “whole nine yards” document management system. Mediscribes specializes in EMR data integration as well. Our data dispatch department is highly proficient in integrating transcribed reports into any type of EMR. Healthcare facilities that do not have EMR get the option to use our web-based file monitoring interface called eTranscribe for global access to their data. eTranscribe has special features of E-signing, E-faxing, auto-printing, and user-friendly document search criteria.

For additional information, please visit

Media Contact (Mediscribes)
Mike Perry


12806 Townepark Way
Louisville, KY 40243-2311
Ph: 502-400-9374
Copyright © 2009. Mediscribes.
Mediscribes is a registered trademark. All Rights Reserved.



Six Sigma for Medical Transcription

Medical Transcription: Advantages of Outsourcing it From a Service Provider

When it concerns transcribing the medical records of a healthcare facility, there are several options in front to them. They could opt to go in for a transcription department or contract Independent contractors, or engage the services of an expert medical transcription company. Sometimes healthcare providers decide to have a mixture of all three.

However, outsourcing medical transcription needs on a total basis to a medical transcription company has a lot of benefits. Once the expertise of the service provider has been verified in terms of correctness, turnaround time, HIPAA compliance, technology and the pliability of services, there are many advantages to outsourcing the work

Given here are some of the benefits of outsourcing medical transcription:

Reducing time: By outsourcing, the administrative staff of the hospital as well the healthcare professionals can structure their limited time better to concentrate on the main business; that of providing healthcare.

Conserving resources: Outsourcing transcription liberates resources like technology, office space, working capital, management personnel etc. These resources can then be utilized for maximum benefit.

Savings on overhead: Having transcription in-house would require infrastructure like space, computers, power etc, which would have to be used to perform medical transcription. By outsourcing, outlay on this infrastructure could be saved.

Decreased efforts: A lot of inputs are needed from teams at every level, when transcription needs are executed in-house or through the use of independent contractors. Activities like hiring and training require a lot of effort. Outsourcing ensures that these efforts are used more productively.

Decreased strain on internal resources: Due to raising costs, declining percentage of payments, and constrained budgets, it has become increasingly challenging to manage internal resources. Outsourcing transcription lessens the burden on internal resources.

Leveraging from the knowledge of the provider: Outsourcing has the advantage of the hospital gaining from the skills of the service provider. The know-how and expertise of the service provider add to the other advantages of outsourcing.

High level of service: As more and more resources of the healthcare facility are liberated, the focus on delivering quality services would get better, thereby enhancing the quality of service.

Flexibility of choice: One of the major advantages of outsourcing medical transcription is the adjustability of services provided. The responsibility of having to arrange medical transcription services for varying influxes of patients, holiday transcription and weekend transcription needs is on the service provider.

Enhance shareholder value: With the decrease of expenses, gains are maximized thus enhancing shareholder value.

Streamlined and improved operations: With one of the vital contributors in the healthcare process being taken care of, the administration of the clinic is free to focus on other areas. This helps streamline and enhance operations.

Staying competitive: The ability to reduce expenses without affecting the quality and prompt delivery of patient records gives a competitive advantage to the healthcare facility.

Enhancement and expansion of services: With enormous cost cutting benefits and improvement in efficiency by outsourcing, the healthcare facility’s improvement and future plans become a reality.

Increase in cash flow: Medical transcription is the primary stage of the receivables cycle. Outsourcing ensures that the turnaround time is quicker, thus quickening the receivables cycle. This in turn improves the cash flow.

Apart from all the above long-term benefits, outsourcing transcription needs to a professional transcription company has benefits like quality services at fair prices, done by expert transcriptionists with a very prompt turnaround time executed through secure HIPAA and HITECH compliant channels, with very superior levels of accuracy and all this with technology that is advanced but simple in usage!

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Bar-code technology cuts medication errors: study

By Maureen McKinney

Using bar-code verification technology for medication administration can significantly reduce error rates and decrease the likelihood of adverse events, according to a newly published study in the New England Journal of Medicine.

In the study funded by the Agency for Healthcare Research and Quality, researchers at Brigham and Women’s Hospital, Boston, examined data from several units in the hospital as they rolled out a staggered implementation of an electronic medication administration record, or eMAR, with bar-coding technology. The use of a bar-code eMAR was associated with a 27% decrease in timing errors, such as late or early medication administration, and a 41% drop in the rate of errors not related to timing, which include incorrect dosages and administration without an order.

Also, researchers noted that the rate of potential adverse events associated with errors not related to timing fell from 3.1% to 1.6%—what they described as a nearly 51% relative reduction. Not surprisingly, use of a bar-code eMAR also eliminated transcription errors, which occurred at a rate of 6% on units that did not yet have the system in place.

Bar-code eMAR systems allow nurses to receive medication orders electronically from a pharmacist or from a computerized physician order-entry system, and then use a bar-code scanner to verify medications at the patient’s bedside.

The results of the study demonstrate that bar-coding can have a substantial effect on safety, according to Eric Poon, director of clinical informatics at Brigham and Women’s, and lead author of the study. Poon also expressed confidence that the observed improvements were due to the implementation of bar-code eMAR systems and not another factor.

“We took measurements within a pretty small time frame, and the implementation was the main project we were doing at the hospital during that time period,” Poon said.

Still unclear, however, is whether hospitals with limited resources should implement a CPOE or bar-code eMAR system, Poon said, adding that Brigham and Women’s has had a CPOE system in place for many years. The two systems catch different types of errors and complement one another, he said.

For instance, a CPOE system is more likely to prevent errors related to incorrect judgment or insufficient clinical knowledge when choosing a treatment plan, while a bar-code eMAR usually catches errors associated with lapses in memory or mental slips, the study said.

“If a hospital can only afford one, we need to know which one makes the most sense to implement first,” Poon said. “That question is still unanswered.”

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Medical Transcription Service – Digital Records in Safe Hands

The hospitals, clinics, health care centers and physicians, and all the other medical service providers look for the best medical transcription service. There are many companies which provide these services in conformity with the Health Insurance Portability and Accountability Act. These services are very cost effective and have helped in the efficient record maintenance of the patient’s medical records.

A Transcription Services Company should include transcriptionists of all medical sections like cardiology, radiology, orthopedics, pediatrics, gastro-enology etc. These specialists provide digital medical reports and that too with high quality of accuracy. The Health Insurance Portability and Accountability act was implemented by the US Health and human service department. This act ensures that the medical records of the patients are kept under strict privacy and that the personal information of the patients in not used for any other purpose than the medical or health related issues.

By the year 2014 all the patient’s records will be converted to digital records. This has been designated by the federal government.

The companies which work as per the guidelines of the Health Insurance Portability and Accountability act guarantee that the data of the client would be kept completely confidential. The best medical transcription service will also help in saving a lot of dollars per year.

The data or the information of the patient is recorded as a dictation and is transferred through Voice over Internet Protocol to the company which provides such services and the medical transcriptionist reviews and edits the reports and sends them online only. Along with the transcriptionists there are proof readers, editors and analysts who try their best to maintain the quality standards. For best quality there are there assurance levels that one needs to maintain.

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