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#103151 - 07/10/08 07:02 AM
One answer to EMR data entry: Hire a scribe to do
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Nae
Administrator
Registered: 07/16/98
Posts: 6465
Loc: Sanford, Fl, USA
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The brave new world of MT? That's anyone's best guess I suppose, but this was highlighted in the AHDI newsletter this week ...
Hire a scribe for EMR data entry
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#103172 - 07/10/08 01:32 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: Nae]
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DebbMT
New Member
Registered: 10/19/07
Posts: 18
Loc: Virginia
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An excerpt from article noted above:
Here's how it works: The scribe takes notes during the clinical exam and enters them into the appropriate place in the EMR, relieving the doctor of the note-taking and data-entry responsibilities.
I wonder how many patients will appreciate having nonmedical personnel sitting in the exam room writing stuff down?
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#103184 - 07/10/08 03:22 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: DebbMT]
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thisismyusername
Member
Registered: 06/04/04
Posts: 653
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If they are dressed in scrubs, and the patients have more than 10 minutes (with the added plus of face-to-face contact) with their physician, most won't give a rat's behind, MPO.
_________________________
I think that 1 of the poisons America faces is from a generation of well-educated triangulators.
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#103185 - 07/10/08 03:26 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: thisismyusername]
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BizzeeMT
Member
Registered: 07/23/01
Posts: 1243
Loc: Midwest
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Again with the "psychic" requirements - how does the scribe know which essential parts of the visit to note and enter in the EMR? And Why does AHDI continue to try to attach more importance and responsibility to the role we play in health care administration, either as MTs or "scribes"? Sometimes "I types what I hears" and that works best.
_________________________
For I am a Bear of Very Little Brain, and long words bother me." — Winnie the Pooh
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#103188 - 07/10/08 03:38 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: BizzeeMT]
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sheepshearinglady
Member
Registered: 03/26/04
Posts: 225
Loc: Nebraska
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And this will be such a savings for the doctors. Look at all we saved on transcription! (Just don't count an in-house scribe and the many, many thousands on the EMR system in that equation.)
Edited by sheepshearinglady (07/10/08 03:39 PM)
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#103193 - 07/10/08 04:03 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: sheepshearinglady]
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Glory1863
Member
Registered: 03/27/08
Posts: 440
Loc: Beyond Antares
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I thought the job sounded facinating, although I think there was a thread earlier that covered the same subject, and the pay mentioned in that one was $10/hour.
In any case, this is the job description I found for the company mentioned in the article above: http://www.physicianscribes.com/index.php?content=jobdescription.html
It doesn't look like transcriptionists need apply. Bummer!
_________________________
The dogmas of the quiet past are inadequate to the stormy present. Abraham Lincoln
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#103215 - 07/10/08 07:11 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: Glory1863]
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14tonks
Member
Registered: 10/25/01
Posts: 7170
Loc: Only 3rd world country in US
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I thought the job sounded facinating, although I think there was a thread earlier that covered the same subject, and the pay mentioned in that one was $10/hour....It doesn't look like transcriptionists need apply. Bummer!
On the up side, if the job becomes widespread, there will never be enough pre-med students available to handle all the positions in hospitals, let alone in private practices.
On the down side, by the time the nationals finish cutting line rates for MTs, something that pays $10/hour plus requires commuting and clothing costs is probably going to start looking good to anyone who can work somewhere besides home. :-(
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#103320 - 07/11/08 03:05 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: BizzeeMT]
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thisismyusername
Member
Registered: 06/04/04
Posts: 653
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If the EMR is savvy enough, the visits will be based on the codes. It will be a basic point and click check list to justify the code for billing. Simple enough for most "scribes."
Here is an example of what most doctors are basing their documents on -- it's all about reimbursement.
As a result, there will be no psychic skills necessary -- only the bare bones needed to get payment.
_________________________
I think that 1 of the poisons America faces is from a generation of well-educated triangulators.
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#103406 - 07/12/08 11:42 AM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: thisismyusername]
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BizzeeMT
Member
Registered: 07/23/01
Posts: 1243
Loc: Midwest
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When documentation becomes about nothing more than reimbursement, I suppose this manner is sufficient. Something does, however, get lost in the translation of appropriate medical care when a doctor's tagalong data entry clerk is doing his thinking for him with a PDA, especially when that is the only documentation he has to refer back to regarding his patient's visit. The liability alone would be enough to stop me in my tracks if I were a doctor.
My husband and I have this running private joke as in our day-to-day lives of doing business in any public mode (DMV, banking, insurance, etc.), there is inevitably a clerical error made that always manages to throw a wrench into the entire works and requires countless hours of undoing or redoing and we refer to it as the "long fingernails". At the DMV, we had watched a clerk typing our information into the computer. She had excessively long nails and every other key she hit was in error. Our paperwork came out a mess and had to be redone by her supervisor.
(Just to add - I did coding/billing for 20 years before crossing over to MT. Funny as I am doing admits, H&Ps, consults, etc., I still find myself "mentally" coding them. I'd be curious to see how they were really coded.)
Edited by BizzeeMT (07/12/08 11:49 AM)
_________________________
For I am a Bear of Very Little Brain, and long words bother me." — Winnie the Pooh
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#103481 - 07/12/08 10:44 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: BizzeeMT]
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moaab
Member
Registered: 02/02/08
Posts: 480
Loc: Chicagoland
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BizzeeMT, you reminded me of many, many years ago when I was a young typist. After typing all day from hard copy, I would go home and read the newspaper. As I was reading, my mind would be typing each word as I read it. It was so annoying and so hard to turn off. It got to be so that whenever I looked at anything written, I would type it in my mind as I read. Ugh! I was so glad when I finally began doing transcription from tapes. Finally I could go back to reading without typing along in my head.
_________________________
Most people are about as happy as they make up their minds to be.........Abraham Lincoln's mother
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#103684 - 07/15/08 03:02 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: BizzeeMT]
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thisismyusername
Member
Registered: 06/04/04
Posts: 653
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Something does, however, get lost in the translation of appropriate medical care when a doctor's tagalong data entry clerk is doing his thinking for him with a PDA, especially when that is the only documentation he has to refer back to regarding his patient's visit. The liability alone would be enough to stop me in my tracks if I were a doctor.
The conundrum we have here is that most doctors in a hospital setting don't have a choice about their documenting. The administrators are making those choices for them. Add into the mix the practice of "defensive medicine," and there you have it --- doctors ordering massively extensive workups for what should be simple and inadequate EMR systems and the end result is....well, we all know the end result, and it ain't pretty.
_________________________
I think that 1 of the poisons America faces is from a generation of well-educated triangulators.
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#104090 - 07/18/08 07:40 AM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: Nae]
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pineyrose
Junior Member
Registered: 09/19/05
Posts: 62
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I read this article. I was ticked that they only hire those that are going to med school or PA school....don't you think MTs would be the perfect candidates?
As for what the patient might think, if people only knew how many hospital personnel have access to their personal records........
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#104101 - 07/18/08 08:45 AM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: pineyrose]
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Glory1863
Member
Registered: 03/27/08
Posts: 440
Loc: Beyond Antares
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As I said above, I think the job would be fascinating, although having a shift in the ER at the trauma center on a Saturday night might get a little hairy.
As Tonks points out, if this became a widespread way of doing things, then there wouldn't be enough med students to handle the load. I think they might try to appeal to nurses first. AHIMA might think it was a great job for an RHIT and would probably devise a special credential for it. By the time the standards were lowered to MT, I'm afraid the pay would be lowered to minimum wage, too. Although in some places, if the pay starts at $10/hour, it wouldn't have all that far to fall (sad smile).
_________________________
The dogmas of the quiet past are inadequate to the stormy present. Abraham Lincoln
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#104116 - 07/18/08 11:11 AM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: pineyrose]
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BizzeeMT
Member
Registered: 07/23/01
Posts: 1243
Loc: Midwest
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don't you think MTs would be the perfect candidates?
Absolutely not! Med students maybe, PAs yes, NPs yes, etc... those with medical degrees. It is not the role of an MT, nor should it ever be, to be a doctor's right hand man, which is essentially what this system requires of the "scribe" to be doing. I can't think too many PAs or NPs would be settling for $10 an hour. Now if they have a specific training program for physician's scribe, an MT may be able to step into it and pass through successfully, but not on the naked outset. Clinical skills are severely lacking.
_________________________
For I am a Bear of Very Little Brain, and long words bother me." — Winnie the Pooh
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#104121 - 07/18/08 11:40 AM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: BizzeeMT]
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tropsicleAfter
Member
Registered: 10/30/06
Posts: 2725
Loc: Vicksburg, MS
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I'm, personally, not interested in cutting my pay in half to walk around being a doctor's toady.
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tropsicle
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#104168 - 07/18/08 05:05 PM
Re: One answer to EMR data entry: Hire a scribe to do
[Re: tropsicleAfter]
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BizzeeMT
Member
Registered: 07/23/01
Posts: 1243
Loc: Midwest
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Nor would I 
_________________________
For I am a Bear of Very Little Brain, and long words bother me." — Winnie the Pooh
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