Wednesday, November 25, 2009

ONC Announces Health IT Buzz Blog

The National Coordinator for Health Information Technology (ONC) launched Health IT Buzz.  This is a new blog introduced by David Blumenthal which allows American's interested in Health IT the ability to learn more about it in an engaging environement.  http://healthit.hhs.gov/blog/onc

Monday, November 9, 2009

Secure Exchange of Dictated Medical Information

ICSA Labs, a division of Verizon Business has joined MTIA in creating a new organization to develop standards for the electronic sharing of physician dictated medical records.  Verizon Business has been selected to develop the platform which will securely carry the digital records.  Sten-Tel is one of the consortium's founding members.  The goal is to address common challenges the medical community faces when trying to exchange health records with improved interoperability, privacy and security.  Read the full story.

Thursday, November 5, 2009

R+B Sten-Tel Partners to Offer Healthcare Information Technology

R+B Sten-Tel has entered into an agreement with Millennium Informatics to offer Healthcare Information Technology to the healthcare community. R+B Sten-Tel will offer these services through Millennium Informatics in Delaware, Maryland, New Jersey and Pennsylvania. R+B Sten-Tel and Millennium will work with physician practices to access the incentives proposed in the American Reinvestment and Recovery Act (ARRA) and the HITECH Act which offers up to $44,000 per clinician who adopts an Electronic Medical Records (EMR) system and meets the requirement to achieve meaningful use.

Millennium Informatics is a healthcare information technology Systems Integration firm that brings together diverse technology applications and service offerings that transform the healthcare system so that it delivers patient-centered, value-driven care to the healthcare community. Millennium takes a “best of breed” approach to application and services selection while ensuring a positive workflow experience for all users.

Millennium Informatics has an exclusive relationship with USA Managed Care Organization (USAMCO) to provide USAMCO provider members with health information technology solutions. USAMCO is the nation’s largest, most comprehensive, privately-held Preferred Provider Organization with over 400,000 individual provider members nationwide.
R+B Sten-Tel through Millennium will help USAMCO provider members address state and federal mandates to automate patient records. Millennium helps physicians navigate through the EMR maze and, when the right solution is selected, make certain the price is right, the solution is properly implemented and actually used. One of the many benefits of the EMR solution is its patient portal and electronic prescribing tool. The portal allows patients to complete their intake forms prior to their appointment, saving time for both the patients and physician. Having the intake form automatically populate the patient’s chart eliminates double data entry, saving the practice countless hours. Millennium also provides solutions to USAMCO’s hospitals, Independent Physician Associations (IPA’s) to form the basis of early Health Information Exchanges (HIE’s). Additional specialized solutions include hematology/oncology, pediatric rehabilitation, cardiology and imaging.

Friday, October 30, 2009

EMR Integration

I recently had conversations with consultants where I learned a lack of awareness on their part as it relates to the capabilities of medical transcription companies to help them and their clients be more successful.  It is important for those involved in helping the medical community adopt such technology that they are also aware of solutions which can help physicians overcome some of the shortfalls in EMR technology.

One EMR consultant said his objective in helping clients identify and implement the right EMR solution is to find one which limits the disruptions in how they practice today.  In many instances, his clients have dictated for a long time and would like to continue doing so, but he was unaware of our abilities to integrate into EMR systems and deliver dictated data directly into the patient record.  With this knowledge he can be more successful in meeting his clients needs while helping them adopt the right technology for their practice.

The bottom line is that dictation is up to 9 times faster than direct text entry according to the AC Group.  Furthermore, according to a study performed by MTIA, medical transcription maintains 98% accuracy vs. 85% direct text entry and voice recognition combined.  If a medical practice cannot afford these gaps then a consultant should be prepared to advise their clients continue dictating by using a service organization who can seamlessly integrate with their chosen technology.

Tuesday, October 27, 2009

EHR Implementation Guide

The Physician's Foundation has released a guide to assist physician's in the EMR selection process.  Electronic Medical Record Implementation Guide, The Link to a Better Future is a guide designed to assist physicians and practice managers to learn about the benefits of an EHR, understand the American Reinvestment and Recovery Act (ARRA), assess their readiness and prepare for implementation.

Thursday, October 22, 2009

Pennsylvania eHealth Initiative - PAeHI

R+B Sten-Tel's Peter Minio wrote an article in PA-AHDI's newsletter, The Keystone Kopy regarding membership in PAeHI.  As a Pennsylvania based transcription organization, R+B Sten-Tel feels that involvement on a state level is important.  Peter serves PA-AHDI as a LIG chair and represents them at PAeHI.  It is important to participate in this group because they are helping guide the future of health information technology in Pennsylvania.  Read his article.

Tuesday, October 20, 2009

R+B Sten-Tel on LinkedIn


R+B Sten-Tel is now on LinkedIn.  Join our group and stay on top of the innovative solutions we have to support the medical community with Health Information Management (HIM) products and services.








Friday, October 9, 2009

Transciption Provider for Valley Preferred

R+B Sten-Tel has signed an agreement with Valley Preferred as the exclusive provider of transcription services in their Preferred Vendor program. “This is an exciting opportunity for us. Valley Preferred opens the door to an entire region. Our partnership says to Valley Preferred members that we’ve been vetted and they can trust us,” according to Peter Minio, Director of Business Development for R+B Sten-Tel.

They will work together by offering R+B Sten-Tel’s services to physician members within the Valley Preferred network. They now have a clear choice to consider with respect to outsourcing their clinical documentation needs. Medical Transcription is taking spoken words and transferring them into an electronic format. It is a proven platform to increase physician productivity and maintaining high quality.

Valley Preferred is a Preferred Provider Organization (PPO).  The Valley Preferred network includes more than 3700 DOCTORS and 18 HOSPITALS throughout 11 counties in Eastern Pennsylvania.

Wednesday, October 7, 2009

Benefits of Outsourcing

Beyond cost savings, there are other benefits one can achieve by outsourcing certain functions of a practice such as transcription.  Sue Kay of Efficiency in Practice wrote a great article highlighting 5 benefits of outsourcing beyond cost.  It includes increased expertise, competitive advantage, management resources, management focus and reduction in risk.

Friday, October 2, 2009

Transcription in the EHR Age

Recently a colleague of mine forwarded me an article by Ken Congdon of Healthcare Technology Online, "Transcription in the EHR Age." He stresses the pitfalls practices experience while implementing an EHR primarily because of how drastically it changes a physician's behavior and recognizes challenges with respect to quality and data accuracy. Ken suggests that transcription in conjunction with the EHR can address many of the challenges associated with implementation. Using the technology transcription companies have available now, dictated information can be converted to text by a Medical Transcriptionist and inserted directly into an EMR. R+B Sten-Tel offeres such a solution today with EntriPoint. In other words, Medical Transcription can be a catalyst for EMR adoption.

Thursday, September 24, 2009

Medical Transcription - The Future

As I meet with prospective clients I am coming across a question which is growing in it's frequency: "Isn't medical transcription going away?" Folks marketing voice recognition and EMR technology have done a good job professing that their solutions are the nail in the coffin for outsourced transcription services.

I tell my prospective clients that it depends on the practice and physicians. Voice Recognition technology has become a tool which helps improve productivity, but it doesn't replace human intelligence. There is still a certain percentage of each document which needs to be edited. A study by the AC Group finds that traditional EHR data-entry is 9 times longer than narrative dictation/transcription. Users come to a crossroad where they need to weigh the balance between the cost of transcription and the loss of productivity.

Even with EMR and Voice Recognition technology there is still a need for human intelligence. Specifically, a practice that needs to remain productive and not lose patient visits due to productivity shortfalls will continue with dictation/transcription. Furthermore, although in it's infancy, Discrete Reportable Transcription - DRT is the answer many are looking for by combining the efficiencies and quality gains of medical transcription with the value of discrete data.

Monday, September 21, 2009

EMRs Cutting Doctor-Patient Time

A recent article in American Medical News "Don't let EMRs cut into your doctor-patient time" describes a situation where the interaction between a physician and his patient is diminished and less intimate because he was stuck behind a computer screen trying to document the encounter.

That's what DRT - Discrete Reportable Transcription is all about. Why force a doctor to type his or her own note or search for the right diagnosis on a computer screen. Physicians should be focused on their patients, not their keyboards. DRT allows physicians to dictate their patient visits, leaving more time to improve their patient's health. The transcribed information is delivered directly into the system as discrete data.

Friday, September 18, 2009

The Value of Discrete Data

With Discrete Reportable Transcription (DRT) a dictated note can be inserted into a patient's medical record within a practice wide EMR. The difference between DRT and a standard import feature many EMR provders offer is that a DRT solution inserts discrete data. With the data being discrete, even a dictated and transcribed portion of a patient encounter allows for the same benefits one would receive through other means of documenting such an encounter within the EMR itself. Therefore, it allows for searching or reporting on data within an EMR which has been dictated. For example, discrete data makes it easy if a Practice Manager wants to find out how many patients have a history of smoking or an Orthopaedic practice needs to find out who has been referred to a certain Physical Therapist. DRT isn't just transcription, because the data provided becomes much more valuable than words. Make sure your EMR is DRT enabled.

Thursday, September 17, 2009

Transcription and Legislative Issues

The association representing Medical Transcriptionists in Pennsylvania (PA-AHDI) has asked Peter Minio of R+B Sten-Tel to be the Committee Chairperson of their Legislative Issues Group (LIG). Peter is honored that PA-AHDI asked him to support the transcription industry in this way. Along with his role representing the organization in the PA eHealth Initiative, Peter will keep the group up-to-date on legislative issues effecting the industry so that as an association they can proactively address or support those issues.

Monday, September 14, 2009

Bones of PA - Orthopaedic Administrators

R+B Sten-Tel will be participating at the Bones of PA annual conference at Mount Airy Casino Resort in Mt. Pocono, Pennsylvania. Bones of PA is a State Society of Orthopaedic Administrators. In addition, R+B Sten-Tel is a Preferred Vendor in providing medical transcription services to it's membership.

Meaningful Use

Click here to follow dialogue on meaningful use with HHS and ONCHIT. This is the page within HHS which provides all relevant information and documents pertaining to the development of "meaningful use" guildelines as they pertain to ARRA funding.

Sunday, September 13, 2009

Why Outsource Medical Transcription?

In today's environment there is a growing need for accurate clinical documentation produced in a timely fashion. By outsourcing the medical transcription function, a practice can focus on managing the daily operations and not worry if they have enough qualified transcriptionists to get the job done. Companies like R+B Sten-Tel provide total outsourcing as well as overflow outsourcing, but most of all offer peace of mind knowing that the job is going to get done.

If you haven't given thought to outsourcing the MT function in your practice, it may be time to investigate this further. In many instances, outsourcing will save you money and lead to higher quality reports with faster turnaround.

R+B Sten-Tel is a Pennsylvania based company offering medical transcription services and other record management solutions to clients nationwide.

Thursday, September 3, 2009

Can Transcription Help EMR Implementation?

The AC Group recently noted a 73% failure rate of EMRs due to usability frustrations. Part of that is the fact that many EMRs do not offer a comprehensive dictation/transcription solution as part of their documentation process. Instead they rely on the physicians to enter the data in themselves. The medical transcription industry has developed technology called Discrete Reportable Transcription (DRT) which enables physicians to document their patient encounters just the way they always have. It provides a choice for documentation. Make sure the EMR you choose is DRT enabled and ensure a successful implementation.

Thursday, August 27, 2009

Pennsylvania eHealth Initiative

Peter Minio of R+B Sten-Tel is representing PA-AHDI as a Charter Member in the Pennsylvania eHealth Initiative (PAeHI). PAeHI was organized several years ago to promote and support the use of Electronic Medical Records (EMR), specifically as a part of a broader statewide Health Information Exchange (HIE). The group has brought together leaders from government, trade organizations, healthcare delivery (hospitals and ambulatory practices) and the vendors who offer products and services which support the health information infrastructure which ultimately make an HIE.

As part of Peter's participation in this group, he has joined the Communication & Education Committee. His contributions will assist the committee in reaching it's goals of supporting and promoting these efforts with an educational focus through various communication channels. Come back to receive updates on the activities of PAeHI.

Monday, August 24, 2009

"Meaningful Use"

Read a feature article George Catuogno wrote in Healthcare Ledger back in June 2009 titled "HITECH Act Promises EMR Funding to Clinicians with Meaningful Use". George eloquently lays the framework as to why Discrete Reportable Transcription (DRT) can play an important role enabling the successful adoption of Electronic Medical Record (EMR) technology.

The article touches on the pitfalls to EMR implementation but also describes how along with human intelligence, discrete data paired with Natural Language Processing (NLP) can address many of the common setbacks. By way of referencing numerous studies and examples, George demonstrates how a DRT enabled EMR accelerates adoption, eases implementation and adds value by enhancing capabilities.

Digital Transcription

Service providers offering digital transcription can help make a medical practice more productive. A doctor can dictate a patient encounter quickly. With the click of a button that digital voice file will be transferred to an electronic system such as the one offered by R+B Sten-Tel, where the doctor’s note will be transcribed by a fully trained and experienced Medical Transcriptionist (MT). The client will receive their finished report over a secure web connection.

Other benefits are that many digital dictation and transcription systems are embedded with additional features such as backend Voice Recognition technology and Discrete Reportable Transcription (DRT). Most also have the ability to interface with hospital systems and EHR technology, delivering reports directly. With digital transcription workflow technology, R+B Sten-Tel is able to provide services to clients from coast-to-coast even while headquartered just outside Philadelphia, Pennsylvania. The impact to clients goes beyond productivity as it also can help improve quality and patient care.

Benefits of DRT

Discrete Reportable Transcription (DRT) is a solution which addresses EMR usability issues. It reduces time spent documenting patient encounters, consults and assessments by supporting narrative dictation with results delivered directly into an EMR/EHR. This affords clinicians more time and intimacy for quality patient care, leaving the clerical work for a trained EMR transcription staff.

DRT allows physicians to use their preferred method of clinical documentation and reduces time spent documenting encounters. It ensures better patient care by allowing a clinician to practice using their natural method of working and increases accuracy with a proven dictation-transcription process by allowing Medical Transcriptionists to be a “second set of eyes.”

R+B Sten-Tel achieves these benefits for clients through their EMR portal, EntriPoint™.

Thursday, August 20, 2009

DRT Enabled EHR

There are hundreds of EHR solutions to choose from, all with variations on how one should document a patient visit. An EHR that has adopted DRT (Discrete Reportable Transcription) technology recognizes the need for physicians to continue dictating as a method for data input. This allows them to continue practicing the way they always have. Therefore, a DRT enabled EHR does not change the way in which physicians interact with their patients nor how they document their encounters and provides an added benefit by delivering discrete data directly into the patient's record.

Tuesday, August 18, 2009

The Great American EHR boondoggle

Modern Healthcare recently published an article, "The Great American EHR boondoggle" written by a Medical Director at Virginia Gay Hospital and Clinics in Vinton, Iowa. The essence of his story was how many EHR solutions on the market today force physicians into losing the intimacy they have maintained with their patients. Click here to read the full article.

The medical transcription community meets this need by offering Discrete Reportable Transcription (DRT), a solution when integrated with an existing EHR can allow a physician to practice just the way they always have. Doctors remain productive and can maintain the level of intimacy in their encounters which patients demand.

R+B Sten-Tel offers DRT technology and EHR integration through EntriPoint. Learn More

Thursday, August 13, 2009

Is Medical Transcription Going Away?

In the age of EHR technology and with almost $20B dedicated as an incentive to physicians who adopt this technology as part of the American Reinvestment and Recovery Act (ARRA), one would think the medical transcription industry doesn’t have much life left. This holds especially true when thinking of a widespread view initiated by the EMR community as part of their value proposition that transcription can simply be replaced with this technology.

However, that view is not held by everyone, including several influential industry leaders who believe that Discrete Reportable Transcription (DRT) can actually help accelerate the adoption process of EMR technology while alleviating some of the pitfalls which in many instances lead to an unsuccessful implementation. Mark Anderson of the AC Group explains in this video clip he did for MTIA.

Monday, August 10, 2009

Data Backup and Recovery

R+B Sten-Tel has partnered with Proven Backup a White Plains, NY based IT company offering online backup service to clients across the country. We will add the backup service to our offerings as part of an overall effort to provide clients with a comprehensive suite of solutions.

This compliments our current offerings very well. Many practices do not appropriately backup their data effectively and as more adopt EHR technology, their current backup processes may put them at risk. Proven backup is a solution which securely and effectively protects their data from potentially harmful events, enabling clients to recover any lost data.

To learn more about Proven Backup and how this secure, online system works, visit R+B Sten-Tel.

AHDI & MTIA Advocacy Summit

In February 2009 the Obama Administration passed the American Reinvestment and Recovery Act (ARRA), which was inclusive of the Health Information Technology for Economic and Clinical Health Act (HITECH Act). Through this legislation, physicians will receive incentives if they prove “meaningful use” of EHR technology. The Department for Health and Human Services (HHS) and the Office of the National Coordinator of Health Information Technology (ONCHIT) have yet to determine the criteria for “meaningful use.”

Members of both the Association for Healthcare Documentation Integrity and Medical Transcription Association organized on Capitol Hill this past June advocating how medical transcription can and should play a role in the qualifications for “meaningful use.” Studies show narrative dictation/transcription method is a proven productivity tool and increases accuracy of clinical documentation.

To learn more read Medical Transcription : A Proven Accelerator of EHR Adoption, a white paper explaining how Medical Transcription can help meet some of the usability challenges physicians face with EMR implementation.

Thursday, June 11, 2009

New Web Site Coming Soon

R+B Sten-Tel will be releasing a new web site with improved functionality. We will also be adding a "library" section to include white papers and other industry related resources.