Medical transcription, the target of outsourcing, yes it is happening, but one thing missed in this entire article, which is the real long term threat to medical transcribing is “speech recognition”. Between using electronic medical records that organize and simplify patient charts, speech recognition is also widely used, and this in fact cuts out the outsourced contractor. It’s not all that simple as there is training required and a learning curve for the physicians. Some hospitals have already enjoyed some success and are also saving money, plus it’s all in house, nothing over the internet.
We are now starting to see some web based solutions in this area as far as access. As noted below, the Veteran’s Hospital in Long Beach has no transcribers. The entire VA system uses electronic medical records and the system is called Vista, been around for a long time.
Just a couple days ago I wrote about RadWhere from Nuance, speech recognition for Radiology. I think the writer of this article perhaps was not aware of where transcription services were really going. I use it to do my blogs!
Speaking of the VA, in Tennessee they have licensed 750 licenses for Dragon Naturally Speaking and the Los Angeles VA has a pilot program with 6 regular users working with speech recognition.
At UCLA, another portion of Nuance is used that has HL-7 integration and links to the EMR.
Beth Israel Deaconess Hospital found a great solution with e-Scription and reduced transcription cost by 50% in Boston.
Vocada Veriphy-Ready HL7 Integration Server (VIS), which allows Vocada Veriphy, the company's critical test result management (CTRM) solution, communicate directly with internal diagnostic systems and enterprise-wide clinical information systems. Critical test results from any internal diagnostic system are thus automatically routed to the ordering physician, populated in the patient record and verified and audited.
Back in 2005, Dr. Crounse from Microsoft made this video with the Overlake Hospital, at at that time they eliminated all transcription services with speech recognition, so this is nothing that is new but the technology gets better and smarter all the time.
Anyway, as you can see from some of the examples, the fate of the transcriptionists is at the hands ultimately of technology and not really the interim outsourcing contractors being used at present. This point and the real ultimate fate of what is happening with transcriptions seemed to have been missed here. BD
LONG BEACH - There's a common perception that jobs in the medical field are high-paying, plentiful and perhaps most attractive in an era of high unemployment, "recession-proof."
After 30 years as a medical transcriptionist, documenting patient records for doctors, Welch was laid off in September when her employer transferred much of her workload to an office in India.
Shocked, she began contacting former employers and co-workers for job leads, but found only part-time work at less than half her previous pay.
Outsourcing transcription work abroad - to countries such as India, Pakistan, Philippines and the Caribbean - has grown more popular as transmitting confidential health information over the Internet has become more secure, the the bureau report states. "However, the demand for overseas transcription services is expected only to supplement the demand for well-trained domestic medical transcriptionists."
A survey of area hospitals revealed many contract outside agencies to transcribe patient records, though Long Beach Memorial Medical Center has a staff of 38 transcribers on site.
The Veterans Affairs Medical Center hospital on Seventh Street doesn't use any transcribers - in-hour or off-site - and instead requires physicians to directly input medical files, said VA spokesman Richard Beam.