Medical Transcription 02 Lecture Slides.pdf

How does Medical Transcription Work?

1. Introduction to Medical Transcription II
How does Medical Transcription Work?
MEDICAL TRANSCRIPTION
DR EBENEZER ODURO ANTIRI

2. 2
•Back in the day, dictation was done on tape recorders or over the phone (to a
bigger tape recorder).
•Transcriptionists would then play back the tapes through headphones, using
transcription equipment that allowed them to start, stop, fast-forward, and
rewind the tape with a foot pedal, and type what they heard using IBM
Selectrictypewriters.
•They were masters of wielding Wite-Out and typewriter correction tape.
Making corrections has always been and always will be part of an MT’s tasks.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

3. 3
•Dictators often don’t dictate in a straight line from beginning to end, which can
make producing a coherent technical report challenging.
•Even when they are speaking clearly, they tend to say something, then back
up and change it, resume where they previously left off, pause and ask the
transcriptionist to insert a new paragraph in the middle of the report, correct a
medication dose they dictated earlier, get interrupted, forget what they already
said and repeat it, and so forth.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

4. 4
•They simply don’t go straight from point A to point B.
•Although the tools have changed, the transcription process remains largely the
same.
•Dictation is done on digital recorders or over the phone (to a bigger digital
recorder).
•Transcriptionists then play back the recording through headphones, using a
foot pedal or keyboard controls that allow them to start, stop, fast-forward, and
rewind the recording, and perhaps most importantly, replay it very slowly.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

5. 5
•They type what they hear into a computer and they’re masters of macros and
keyboard commands that search and replace and insert and delete text, and
spell-check.
•Dictators still often take side trips in the middle of a report, but it’s easier to
deal with them.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

6. 6
The journey a report takes from patient encounter to permanent medical record
goes like this:
1.A patient visits a healthcare professional or undergoes a medical or diagnostic
procedure.
2.The care provider uses a voice-recording device to create a verbal record of
the encounter or diagnostic results. The dictator may speak into a handheld
recorder, use a phone-in system, or dictate directly into a computer terminal.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

7. 7
3.The report is transmitted over a secure connection to a central server, where it
is placed in a “pool” and then funneled into a medical transcriptionist’s job
queue.
4.The medical transcriptionist accesses the voice recording, listens to it, and
transcribes it into the required format.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

8. 8
5.The transcribed report may be “put on hold” to undergo a quality assurance
(QA) process.
6.The report is transmitted back to the medical facility and becomes a part of the
patient’s medical record.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

9. 9
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

10. 10
•When a report arrives back at the originating facility, it’s ideally reviewed by the
dictator for accuracy, signed, and added to the patient’s medical record.
•Some dictators don’t review their transcribed reports, and those are tagged as
“dictated but not read” and receive an electronic version of the dictator’s
signature.
•Today the vast majority of MTs work from home and access their job queue
remotely using a personal computer and an Internet connection or dedicated
telephone line.
How does Medical Transcription Work?
ME D I C A L T R A N S C R I P T I O N I S T S

11. Any questions?
Thanks!
11