maybe it’s time you
DESCRIPTION
Maybe It’s Time You. Step Up To Digital Dictation. Steven D. Atwood, M.D., FACP [email protected] www.adultmedicine.com/presentations/digital-dictation-mt.ppt. Digital Dictation for the MT. Benefits Charges Where the Jobs Are Dictation Equipment File Transfer Player Equipment - PowerPoint PPT PresentationTRANSCRIPT
Digital Dictation-MT1
Steven D. Atwood, M.D., [email protected]
www.adultmedicine.com/presentations/digital-dictation-mt.ppt
Maybe It’s Time You
Step Up To
Digital Dictation
Digital Dictation-MT2
Digital Dictation for the MT
1. Benefits2. Charges3. Where the Jobs Are4. Dictation Equipment5. File Transfer6. Player Equipment7. Typing Time Savers8. Summary
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Digital Dictation
Doctor dictates in office
Transcriptionist types at home
Return the next day
Easily printed, saved, or inserted into an EMR
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No daily trip to office for work or pick up a dictation tape
No files to get stolen from a work-at-home transcriptionist’s car
No irreplaceable files to get lost
Quicker return of work—esp. letters
Add to Electronic Medical Record later
Benefits
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Benefits Huge increase in number of people that
could do this work Easy to get the services of those with the
best expertise and greatest skills More services by transcriptionist
e.g. Excel, Access, Faxes Greater efficiency of software and
equipment e.g.. 1 license for software that manages dozens of doctors
Transcriptionist work environment more comfortable— (work from home)
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Other Office IssuesLess payroll expense for officeNo benefits—work comp,
health insurance, etc.Less personnel management—e.g.
late, sick, slow, chatty, inefficient
No staff to trainNo office space needed
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Benefits
Greater take home pay for transcriptionist—work more, make more
Better sound quality for transcriptionist
Higher quality transcribed product– formatted for saving or adding to EMR
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Risks
Confidentiality, HIPAA
Cost of hardware, software, computer, and Internet link
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Paying for the Service
Pay by key stroke or line 1. 72 characters per line, 8-16 ¢ per line
2. convert to a charge per key stroke --e.g. 10 ¢ per line= 0.0137 ¢ per key stroke
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Service Providers UnlimitedTranscriptions.com Doctor:Dictate!.com Medical Transcription.com
List atYahoo>business>health>medical_transcriptionTranscriptionGear.com
Yahoo List—and goes on for 3 pages
Yahoo List of MT Service Providers— list goes on for 3 pages
http://dir.yahoo.com/Business_and_Economy/ Business_to_Business/Health_Care/ Health_Care_Services/Medical_Transcription/
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Dictaphone
Portable Recorders– Many Options
Slide bar
Panasonic 9300
Clever Gear– holds 8 hours dictation
Olympus 330
$160 5 hours, 5 folders, compressed file
Off-Load by USB Wire not Smart Card
USBport
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Dictation for the Busy Physician-- hold in your hand, use on the move
Digital Dictation- MT
Dictation for the Busy Physician-- work from your desk-- just plug in and record
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Dictation for the Busy Physician-- noise canceling microphone can move about room in needed
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Sound Formats
Just Like Picture Formats-- (dozens of options)
WAV– Windows standard, you type your notes from this file
MP3--- compressed 12 to 1 VOX– phone lines DSS—Olympus format, compressed ~12 to 1 OGG (open source) ,MSV (Sony) , SRF, WMP, etc.
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Security Encryption
like a child’s decoder ring e.g. substitute 1=a 2=b 3=c thus cab=312
You Encrypt (or Convert) Then Send Receiver Needs Your System to Decode
This Is In The Key You Give Them In Advance
You Receive By The Same System In Reverse
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Is Basically Encryption from a Web Page WithThe Computer to Computer Link Having All Data Encrypted
This is Called a Secure Socket or SSL (Secure Socket Layer)
Bidirectional—Send and Receive
SSL or Secure Socket
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SSL or Secure Socket DropChute
SSL like online transactions-- sends like Instant Messenger-- i.e., only when both parties on line
Security Options
1. Password on File
2. Password on Website
3. Encrypted File
4. SSL
5. Modem only on web briefly; then off
6. Firewall
7. Hacker Blocking Software on ISP Webserver 23
Upload—e.g. 30 minutes dictation
File size:
WAV format that is used to play the file for typing (1 MB for 5 minutes) (30 minutes = 6 MB)
DSS format from Olympus is Compressed (30 minutes = 1 MB)
Size Matters
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Returned Typing—e.g. 1 paragraph
Format---File Size
TXT 4 Kb
RTF 4
HTML 8
PDF 16
DOC 30
Size Matters
Returned Typing—e.g. 1 paragraph
Format---File Size
TXT 4 Kb
RTF 4
HTML 8
PDF 16
DOC 30
RTF Format Ideal BecauseUniversal standard
Software type and version independent
No Macro’s— So Less Virus Risks
Size Matters
RTF
File Upload Typically 3 MBs., Download ½ MB.
Digital Dictation- MT
Software to Play the Sound File both hands on keyboard, foot pedal
Gear Player
Voice It
Voice Scribe
Express Scribe (free)
Start Stop
Windows Media Player
Real Player
WAV Player
Sound Forge
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Useful Features of Player Software
sound word processor
speed control auto-text
start / stop cut and paste
rewind few seconds templates
rewind unlimited
fast forward
volume control
pitch control
Time Savers
1. Auto-Text2. Normal.dot and your own DOT file3. Header for your office letterhead4. Digital Signature5. Bookmarks
control+F9 --insert F11 --jump
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Add auto-text
F-11 Jump to bookmark
Digital Signature
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Digital Dictation Summary Soon all dictation will be done this way Need player, headset, foot pedal recorder, transfer to computer transfer encrypted via web
Improved quality, faster, inexpensive, and better convergence to EMR
digital -dictation-for-mt