Tuesday, August 17, 2010

Emdat iPhone App Available Now!

Emdat account holders can now download and use our new iPhone App. Emdat Mobile for iPhone allows providers to obtain a listing of their scheduled appointments, perform dictation, and even review and electronically sign transcriptions.  This is a free download from the App Store

Monday, August 9, 2010

Healthcare Documentation Quality Assessment and Best Practices

The Association for Healthcare Documentation Integrity (AHDI) and the American Health Information Management Association (AHIMA) released "Healthcare Documentation Quality Assessment and Best Practices" as a toolkit for the transcription sector to improve clinical documentation quality.  As their press release highlights, the two associations felt it was important to take a closer look at the quality and integrity of clinical data capture as the final rules for "meaningful use" have been released.  As EHR adoption continues to progress, much of the information which is dictated, then transcribed will end up in an EMR either as a flat file or as structured/discrete data.

EHR Adoption Can Be Accelerated with 4 Steps

Information Week Healthcare recently published an article outlining four basic steps to accelerate the adoption of EHR technology.  Specifically, Step 3 highlights product impovements necessary to make it easier for physician's to use.  Part of the problem is that often EHR products do not "think" or work like a doctor.  Read more.

Monday, July 26, 2010

Verizon Introduces 'Cloud' Based HIE

The Verizon Health Information Exchange will address some of the interoperability issues related to the exchange of health information between physicians, clinics and hospitals.  Participating providers will now be able to share patient information securely on the Verizon Health Information Exchange

AHDI and MTIA Submit Comments for Ways and Means Committee Hearing

On July 20, 2010 the Ways and Means Health Subcommittee held a hearing on provisions within the American Recovery and Reinvestment Act (ARRA) for implementation of health information technology. 
AHDI and MTIA submitted comments on their concerns that health IT adoption must preserve narrative documentation.  They also emphasized how automated processes necessitate the need for human intelligence to ensure efficiency and patient safety.

Thursday, July 15, 2010

Meaningful Use Criteria - Medical Transcription Response

HHS has introduced their rules pertaining to the "meaningful use" of electronic health records.  It appears that those objectives still do not recognize the importance of the structured narrative component of a patient's record, nor the ability of our medical transcription industry to deliver dictated data in a structured format through Discrete Reportable Transcription (DRT) and Natural Language Processing (NLP) technologies.

The Association for Healthcare Documentation Integrity (AHDI) has drafted comments on what these rules mean to the healthcare community and the transcription sector.  Please read the full document.

Thursday, June 17, 2010

Transcription Workflow Demo - Register Today

R+B Sten-Tel delivers clinical documentation to clients by utilizing advanced technology which enables significant efficiencies for today's medical practice. Our online web-based dictation-transcription technology gives healthcare providers of all sizes and specialties - from small, single specialty practices to large, multi-specialty practices and hospitals the ability to:

-Cut overall transcription costs by utilizing templates or "normals"
-Go "paperless" with electronic signature and easy online editing
-Workflow improvements with auto faxing and printing
-Mobile device capabilities: use your smart phone to dictate, access patient schedules and reports, plus an iPhone App is coming soon
-Online access for referring physicians and other parties with proxy
-EMR Integration at no charge
-Meet Meaningful Use requirements
-Speech Recognition Technology

Join us on July 21 at 2 pm EDT for a demo of our dictation-transcription platform and learn how you can start saving today.  Sign up now.

Thursday, June 10, 2010

Goals on Computerized Records are Unrealistic

Doctors and hospitals from the Mayo Clinic to Partner's HealthCare System say the goals set by the Obama administration on computerized medical records are unrealistic and unattainable.  Read the full story at the New York Times.

Thursday, June 3, 2010

EHR Products Lack Usability Standards

James Bell Associates and The Altarum Institute developed a report on behalf of the Agency for Healthcare Research and Quality (AHRQ) and the U.S. Department of Health and Human Services which found gaps in how EHR products are developed with respect to usability related to healthcare.

The report found that "current best practices and standards of design, testing, and monitoring EHR product(s), particularly for usability, are varied and not well disseminated."   As a result, EHR products must be adjusted to meet health care-specific needs and usability must be a key component.  Read the full report.

Friday, May 28, 2010

FTC Delays Red Flag Rules

The FTC has again delayed the Red Flag Rules until December 31, 2010.  Read more about it.

Wednesday, May 26, 2010

Emdat Launches DaRT™ To Integrate EMRs With Their Transcription Platform

One of R+B Sten-Tel's technology partners, Emdat's has launched DaRT™ which is a solution allowing physicians to use EMRs without changing their workflow.  Also known as Discrete accurate Reportable Transcription, a solution that seamlessly integrates electronic medical records (EMRs) with Emdat’s web-based transcription platform.  DaRT is Emdat's version of DRT (Discrete Reportable Transcription).

Healthcare providers can populate EMRs more efficiently by using information entered by transcriptionists rather than physicians. This allows doctors to experience the benefits of electronic records without doing time-consuming data entry that can reduce their productivity and infringe on the time they spend with their patients.

With DaRT, physicians continue to dictate as usual. Discrete information in the resulting transcription is tagged and uploaded to the EMR. The tagged data – Chief Complaint, Medical History, Family History, etc – populates the fields of the EMR as if it were entered directly by the doctor, allowing medical personnel to conveniently parse and search patient records.

Emdat’s team of experienced interface specialists developed DaRT as a way to provide accurate, reliable transmission of data regardless of which EMR vendor a hospital or clinic uses. This new technology, along with Emdat’s Qualified Text™, which reduces the number of lines a transcriptionist has to type, increases the value brought to medical providers.

Call R+B Sten-Tel to learn more at 888-744-4479.

Tuesday, May 4, 2010

2010 PHIMA Conference in Hershey, PA

R+B Sten-Tel will be attending and exhibiting at the 2010 Pennsylvania Health Information Management Association's (PHIMA) state conference on May 10 - 11.  Come visit our booth to learn more about how Discrete Reportable Transcription (DRT) can help your organization by fully utilizing clinicians by dictation while still delivering structured data into your EMR to meet Meaningful Use and other requirements.

Pennsylvania MGMA Annual Conference

R+B Sten-Tel will be attending and exhibiting at the Pennsylvania Annual Conference in Philadelphia this Thursday, May 6th.  If you plan on attending, come by our booth to learn about how Discrete Reportable Transcription (DRT) and Natural Language Processing (NLP) can assist in your transition to Electronic Medical Records (EMR) and navigate to Meaningful Use.

MTIA 2010 Annual Conference in Daytona Beach

Peter Minio and Richard Blum from R+B Sten-Tel attended the MTIA 2010 Annual Conference in Daytona Beach last week.  The topics varied, but centered around transcription technologies and how as an industry we have an opportunity to accelerate EMR adoption and bring new value to the physician community.  Most notably, there was a discussion on how Natural Language Processing (NLP) can meet Meaningful Use and accelerate HIT adoption.  Like Discrete Reportable Transcription (DRT), NLP is the next wave of technology to meet the growing needs physicians have due to the shortfalls in EMR technology as well as the increased requirements for reporting and structured data for Meaningful Use.

Tuesday, April 27, 2010

2010 MTIA Advocacy Summit - Washington, DC

Dr. Cherise Tasker, Dr. Nick van Terheyden, Peter Minio, Linda Sullivan, Stephen Gaus

Top 10 Challenges to Meaningful Use

CSC releases a reporton Meaningful Use and the Top 10 Challenges Eligable Professional face in achieving it.  Read the full report.

Friday, April 16, 2010

WSJ: Can Technology Cure Health Care?

There is more mounting evidence that EMR technology has it's share of shortfalls and unintended consequences.  Jacob Golstein of the Wall Street Journal recently wrote an interesting article called "Can Technology Cure Health Care?"questioning if technology is the end all, be all for health care.  He noted that physicians and users of EMR technology state that the technology is often difficult or time consuming to use.  It brings a new class of errors as physician workflow changes and is disrupted.

Keep in mind that Discrete Reportable Transcription (DRT) addresses many of these gaps.  It is important for physicians and other users of such technology to know that there are technologies and services which can integrate with their EMR/EHR to bring greater productivity, ease of use and a second set of eyes for quality.

Thursday, April 15, 2010

Top 10 Barriers to a Successful EHR Implementation

John Halamka, MD gave his students at Harvard School for Public Health a project to create a Top 10 list of Barriers to Successfully Implement an EHR.  Here are a few they came up with and the full story can be found on his Life as a Healthcare CIO:

10. Usability - products are hard to use and not well engineered for clinician workflow.


8. Fear of lost productivity - clinicians are concerned they will lose 25% of their productivity for 3 months after implementation. Administrators are worried that the clinicians are right.

6. Interoperability - applications do not seamlessly exchange data for coordination of care, performance reporting, and public health.

2. Cost - the stimulus money does not flow until meaningful use is achieved. Who will pay in the meantime?

View John Halamka, MD's blog at Life As a Healthcare CIO.

Tuesday, April 13, 2010

Tools for Success Conference in Villanova, Pennsylvania

R+B Sten-Tel will be attending the Tools for Success Conference in Villanova, Pennsylvania on April 14, 2010.  Tools for Success is organized by the Delaware County Medical Society and includes members from each of the surrounding counties including Bucks, Chester, Montgomery and Philadelphia.  There will be over 100 Physicians and Practice Managers from each of these communities attending to learn about the tools available to improve the way in which their practices operate.

Monday, March 29, 2010

The Medical Data Exchange

View a video on The Medical Data Exchange developed as part of a consortium between the Medical Transcription Industry, ICSA Labs and Verizon Business.  It is designed to meet all Nationwide Health Information Network (NHIN) requirements.

Advocacy Summit - Transcription and Meaningful Use for EHR Adoption

R+B Sten-Tel sent Peter Minio down to Washington DC last week to participate in the AHDI/MTIA 5th Annual Advocacy Summit and speak about issues with Congress on behalf of the sector.  He was joined by members of AHDI and MTIA from around the country.  Peter had a great time in Washington, meeting with many of the healthcare and legislative aids of our Senators and Representatives.  He even received a personal tour of the Capitol by Congressman Glenn Thompson.

The objective was simply to encourage the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONCHIT) to acknowledge in the regulations that the dictation-transcription process is a viable means by which to achieve “meaningful use” and that certified EHR systems should be able to receive structured narrative reports from the dictation-transcription process.  Read the full press release.

Thursday, March 18, 2010

MGMA Believes Modifications to Meaningful Use Required

A recent letter from MGMA to CMA states, "we believe it is imperative to remember that the intent of ARRA was to provide a practical and achievable glide path to enable large numbers of physicians and other providers to adopt EHRs." The letter went on to state "we do not believe that the legislation anticipated the onerous nature of the proposed meaningful-use criteria nor the expected high cost and decreased physician productivity associated with participation in this incentive program." - Modern Healthcare

Tuesday, February 23, 2010

Texas Medical Association - EMR Survey

The Texas Medical Association released their Fall 2009 EMR survey which revealed a number of interesting issues. It said that 50% cited awkward or time-consuming data input and it was what they liked the least about their system. Digging deeper, the survey found that physicians in larger practices are more likely to report data entry is difficult.

The EMR products with the largest numbers of users are EPIC - 14%, e-MDs - 10%, Allscripts - 10%, Centricity - 8%, NextGen - 8%, and eClinicalWorks - 8% along with many others.

Practices that evaluate and implement these products seldom understand these usability gaps ahead of time, nor realize integrated transcription solutions can fill them. Furthermore, 22% cited lost productivity due to the use of their EMR product.

Medical Transcription has traditionally been the method clinicians have used to document patient encounters. With transcription being today's fastest and most accurate method for documentation it is imperative that practices understand that integrated transcription solutions are available to them. R+B Sten-Tel along with its technology partners are integrated with many of these solutions to offer ease-of-use and meet productivity shortfalls.

The bottom line is that when a physician is required to document a narrative they should have the tools at their disposal to do it effectively in the shortest period of time while maintaining the integrity of the data. The transcription industry has worked hard to build these integrated platforms. Clinicians should know this technology is available to them as a benefit to save time and money.

Integrated transcription will assist a practice to reach a more successful implementation and achieve practical use out of their systems. EMR technology is very meaningful, but the technology itself should not be a barrier for physicians to practice medicine. Many of the complaints about these technologies can be met with integrated transcription platforms by improving productivity, ease-of-use and quality.

Care360 by MedPlus a Quest Diagnostics Company

The Care360 EHR by MedPlus, a Quest Diagnostics company offers a variety of methods to document patient encounters including direct data entry and voice recognition.  Care360 users now have the ability to dictate narrative sections of a patient encounter through transcription, which is still today's fastest and most accurate form of documentation.  Any structured section of a patient encounter can be dictated to save time and ensure a high level of accuracy.  That dictated section is then typed by a trained EMR transcriptionist and delivered back into the corresponding section of the practice's Care360 EHR. 

If you are a Care360 user, call R+B Sten-Tel today at 888-744-4479 and learn more about how we can help you better utilize your EHR by increasing clinician productivity and ensuring your documentation achieves the highest level of quality.

Monday, February 15, 2010

How To Get More Out Of Your EMR?

My clients have shared stories similar to what many of the studies are suggesting; after a "successful" EMR implementation productivity is reduced by as much as two patients per clinician each day.  Many who utilize EMRs are not necessarily aware of the alternatives which exist to enter the data into a patient's record.

Many transcription service organizations, including R+B Sten-Tel and it's partners have developed technology to bridge that gap.  By interfacing with EMR and delivering the data into the patient's record, clinicians have the choice to dictate, which is still the fastest and most cost effective method of patient visit documentation.

Some may have concerns that by utilizing a transcription service organization, the data is not immediately available. This is true, but there are customizable options available to meet the needs of a practice and should not be a deterrent.



R+B Sten-Tel's technology partners have interfaced with many of the leading EMRs on the market today including Allscripts, Care360, eClinicalWorks, NextGen and SRSsoft just to name a few.

Friday, January 29, 2010

Confusion over EHR use stems from poor design

Dr. David M. Polaner, Associate Professor of Anesthesiology and Pediatrics at The Children's Hospital, University of Colorado School of Medicine in Aurora wrote an interesting editorial in Modern Healthcare online.  Please read.  The letter questions if EHRs are really meeting the needs of physicians, specifically he questions the way in which encounters are documented.  Much of topics we discuss on this blog elude to the fact that hybrid solutions where practices decide to integrate transcription with their EMR results in optimal productivity, quality and patient intimacy.

Wednesday, January 27, 2010

Advantages of EMR Transcription: R+B Sten-Tel can Integrate with Your EMR

Did you know that integrating transcription into your EMR can help save you time and money while improving the quality of your electronic documentation? Studies suggest that direct data entry into an EMR by a physician can reduce a clinician’s productivity by up to 9 times compared to traditional transcription.

However, taking a hybrid approach by integrating the two, clinicians can achieve optimal productivity. The realized productivity results in cost savings along with additional opportunities by allowing for more time devoted to quality patient care.

Medical Transcriptionists are held to scoring metrics and standards with a documentation accuracy rating of 98% or above. Contrastly, many studies have found direct data entry and speech recognition averaging 85% accuracy. The quality of medical records improve with the help of a medical transcriptionist, where as part of their responsibilities reports are edited and errors are changed or flagged for clinicians to review.

R+B Sten-Tel is able to integrate with your EMR, helping clients achieve optimal productivity and quality.