...CAREER CHOICE If I had a friend that wanted to become a Medical Transcriptionist, and she wasn’t good with computers and she wasn’t detail-oriented. I would explain to her that medical transcriptionists are the people who type documents from dictated recordings by health professionals. Basically, any type of medical treatment, procedures, diagnostic tests, etc. must be documented into a patient’s medical record. Transcriptionists will also transcribe the information into a typed document, which is then forwarded to the dictator for review and signature. I would also explain to her that transcriptionists must have an in-depth understanding of medical terminology, anatomy, physiology, procedures, and treatments. They must also be able to translate abbreviations and have the ability to reference terms through printed or electronica reference materials. They must also have knowledge of the appropriate format or style that apply to each specific document being transcribed. Once I was done explaining to her what a medical transcriptionists is and what they do, I would advise her to take a medical transcriptionist training to course which she could do at home online. I would also recommend maybe she take a couple refresher course to freshen her up along with taking a computer course to teach all about a computer and all the things she needs to know. Along with all of that I would also advise she take a keyboard class which will also teach her a lot about the computer and it will enhance...
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...that they were also proofreading, analyzing, and etc. Formally known as medical transcriptionists or a medical documentation editor, their roles are to listen to voice recording made by doctors or other health professionals. They also either transcribe the information, or they review or edit a version produced by a speech recognition technology software program for the record. When proofreading, they review and make corrections while listening to the voice recordings, which are of the doctor’s or other healthcare professionals. They have to make sure they have all the words spell correctly, the diagnoses are written out correctly/neatly. Mostly they have to make sure that the report matches the doctor’s voice recordings. Again, proofreading while listening to the voice recordings is not very easy to do. Analyzing is another role of the healthcare documentation specialist. They are known to analyze the reports by examining the reports carefully in detail to identify causes, key factors, possible results, and so forth. Analyzing is important because they have to make sure the medical reports are in detail and are readable for other doctors and or other healthcare professionals. Analyzing medical reports is not as hard as proofreading reports. Editing or transcribing medical reports is yet another role that is highly detailed work that requires patience, focus, and attention to detail. When editing a medical report it is very important that...
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...conductive to productivity and company growth. The employees must work in healthy environments, which maximizes their efficiencies and enables them to perform at their best levels. In both the short-term and long-term, the quality improvement process pushes the company from different angles to achieve strategic goals and plans. One of the important processes of patient care is proper medical documentation and updated medical records. Description of chosen process Accurate and complete medical documentation is the responsibility of medical transcriptionists. However, the challenges to medical transcriptionists and the medical transcription industry are complex and varied. Pressures associated with cost, demand, workforce limitations, technological development, globalization, policy and awareness issues come together to create a picture that changes depending on one’s perspective and point of view. Trying to assemble these factors into a clear picture is a difficult challenge; yet a necessary challenge if the workers and the hospital system are going to respond proactively to the changing nature of medical...
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...condition has been present * Modifying factors – what makes the condition better or worse * Associated signs and symptoms – what else is happening with the condition ( i.e. nausea and vomiting with the flu) | The Review of Systems (ROS) * Is a review of the body systems that may be affected by the patient’s chief complaint. The review of systems is done starting from the head and working towards the lower extremities. | The Physical Exam * The physical examination is driven by the chief complaint and the patients responses to the ROS. | Medical Dictation and Transcription * In the past upon completion of the examination physicians dictate the SOAP note and a transcriptionist would type up the note to place in the medical record. A typed report provides clarity for all who are reviewing the chart or placing an order. The need grew for a more rapid turnaround of the documentation. The demand for transcriptionists could not be filled; which led to technology that would hear the spoken word...
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...Agency Overview HCA/210 Dianne Blount 08/31/2012 Joan Craine The purpose of the Board of Medical Examiners is to help licensed. Physicians in Georgia to consider and reevaluate their prescribing practice of controlled substances. Practicing physicians who become new Board members to help them to become more educated and teach them about the laws. Of Georgia and they or giving detail information on prescribing medication, in certain specific situations, the Medical Board, is the agency that licenses physicians. Physician assistants, respiratory care professionals, pre fusionists, acupuncturists, they even train professionals on how to treat people that have ear problems. The Medical Board even has to investigates, complaints and disciplines those who violate. The Medical Practice or other laws that’s governing the professional behavior of its licensees there mission. Is to protect the health of Georgians through the proper licensing, physicians and certain members of the healing arts, even though the. Georgia Medical Examiners have a lot of work to do they have to make sure that they train their residency’s the correct way. Because they do have the rights to take away any professional licenses away if they don’t follow the rules and the requirements and the enforcements of the Medical laws. The Service that the Medical Examiner’s Perform. The Medical Examiner’s office of Georgia they provide a complete forensic pathology services to 153 of Georgia’s...
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...2015 Keeping medical Record Private In today’s age of electronics and gadgets it is harder than ever to keep medical records private especially for those who work from home. It is very important that medical professionals may it be doctors, Nurses, medical transcriptionists, psychologists and etc. take care of the information they work with as top secret, and guard it from anyone not permitted to have this information. We cannot talk about our day at work like most people; we cannot even share amusing stories at a dinner party or at girl’s night out! It is very important that we keep a high level of ethics for both professional and legal reasons. We are dealing with extremely personal information which cannot be shared with anyone around us. These ethics relate not only to how we speak to others about our work, but how we obtain, keep and send out information. As a med aide and care giver that deal with jobs that involve a lot of private information involving a large number of patients and a number of medical personnel on a daily basis. Each day we hold many patients whole medical history in our hands and their privacy depends on us. We help make sure the patient gets the best medical care possible. It is our duty to make clear any unclear term or unknown medical finding before transcribing it. (Bureau of Labor Statistics 2009). This can be done by researching through medical libraries, internet researches, discussing the unknown term with a more knowledgeable medical transcriptionist...
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...[pic] How EHR’s will Benefit The Medical Field [pic] Abstract EHR, known as electronic health record, refers to some systematic collection of an individual’s or a population’s electronic health information. The record is in a digital format which is theoretically sharable across various health care settings. Sometimes, this sharing can happen by way of network-connected, information systems or some other information networks. The electronic health record may include a wide range of data, like demographics, the patient’s medical history, their medication and allergies their immunization status, lab test results, vital signs, statistics like weight and age, and billing information. These systems are designed to represent accurate data capturing the patient’s state at all times. This allows the viewing of the entire patient history without tracking down the previous medical records of the patient and assisting in ensuring that the data is accurate, legible and appropriate. This reduces chances of replicating data since only one modifiable file is available, which means that the file is always up to date if it is viewed at a later date thus eliminating the issues of lost data forms or paperwork. Owing to all this information being in one single file, it’s much more effective to extract medical data for examination of possible occurrences or trends and long term health changes in any patient. Introduction As more health organizations tend to...
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...part of the process when it comes to launching an EMR system. The capabilities of using this type of order entry will allow physicians to enter and record accurate patient medications and diagnoses necessary for treatment of each of their individual patients. Another great capability of upcoming EMR systems is the ability of physicians to use voice recognition software that will allow them enter information from medication to diagnoses and findings verbally. There is a wide variety of EMR systems that can be utilized and maintained by one or two IT professionals in both large and small clinical settings. Utilizing a system that allows physicians to record health information will cut back on costs that occur from errors or wait time when medical records are being requested from other offices or hospitals. Medication reconciliation comes close to physician order entry but is a huge area that has a...
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...allows for the emergency room staff to concentrate on their jobs which is taking care of the patients. The proper registration and insurance information allows the registration clerk to bill the right insurance company based on the codes documented for that company and patient. This action would need to be budgeted for and several interviews done to locate two experienced clerks from the current pool or two new hires. Also, adding new management software would create a log of changes, errors, overrides, etc. that a knowledgeable Quality Assurance Manager can use to provide check and balance. These improvements would reduce the errors in admissions and claims processing. The next area needs improving charting and use of the Electronic Medical Records (EMR). There are several ways to repair this problem retraining, changing the suspension policy in regards documenting, etc. The two doctors need to be directed and given n extensive retraining for the use of the EMR. This will ensure they can retrieve the correct patient and their information. During this training, these...
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...standard in place that must be followed. These are nonnegotiable, ethical standards, obligations and duties that every individual swears to when entering the nursing profession. These standards are all found within the American Nurses Association’s code of Nursing Ethics and Conduct. Whether dealing with patients and families during end of life decision making or dealing with nursing negligence within the court of law, the first provision in the code of ethics is the most imperative to remember. Nurses are always obligated to their patient’s best interest, therefore making them an unrelenting patient advocate. Many provisions are pointed out within the Nursing Code of Ethics. In the situation of dealing with Marianne’s family and medical treatments, there are many important things to consider. “The nurse respects the worth, dignity, and rights of all human beings irrespective of the nature of the health problem. The worth of the person is not affected by disease, disability, functional status, or proximity to death. This...
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...interesting details concerning it. I have always felt that marijuana should be legalized, or at the very least, people with serious medical conditions should have access to it. And marijuana doesn’t even have to be legalized in my opinion, but it should definitely be decriminalized. I don’t think anyone who wants to smoke a plant that they grow themselves should have to suffer consequences, considering they are responsible in their recreational smoking. I do feel that if it were legalized, that there should be an acceptable age limit to buy and/or consume marijuana, comparable to that of alcohol. There are beneficial as well as harmful effects concerning marijuana, but that goes for a lot of things people do in everyday life. And I feel that a lot of time has been spent shining the spotlight on the harmful effects of marijuana, while little research has been done or even allowed, on the benefits of marijuana. While preparing for the debate, I encountered many sources on each end of the spectrum; including some in the middle. Many of the sources I looked at seemed rather credible, but others were most definitely biased. One example of a blatantly biased comment was, "Most pot smokers drink alcohol heavily, and may become so confused that they take cocaine or heroin.” (medicalmarijuana.procon.org). Another interesting bit of information I found was, “Medical marijuana is now a serious $1.7 billion dollar market, according to a new report released this month by an independent financial...
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...promote new products and new services the ways that this can be done would be through electronic medical records, or any form of a web-based communique. Some types of communications can also make the patient feel safer and also help the organization save time and money. Electronic medical records give the patient some benefits that are to the advantage of them as well as the provider. It allows the patient to keep their medical records up to date and accurate so that way there are no problems with such things as allergies, surgeries, or medications that are being taken. This is a way for the patient to keep accurate records of their medical history as well as keeping the provider updated at all times (Brooks, R., Grotz, C.). This an effective means of communication between the patient and provider by allowing the provider to give access to some of their records that will allow the patient to adjust certain things in their lifestyle or medications without going in to see the provider for something that would not require an office visit. This type of communication can allow the provider to keep a better watch on the consumer’s progress that will allow the provider to release some test and results to the consumer and the provider can also let the consumer know exactly what the their instructions are without being misinterpreted (Brooks, R., Grotz, C.). Electronic Medical Records is a form of communication that is developed to make health care records easier to update...
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...must ensure a health care ethic that respects the role of patients in decision making about treatment choices and other aspects of their care. Hospitals must be sensitive to cultural, racial, linguistic, religious, age, gender, and other differences as well as the needs of persons with disabilities (A patient’s bill of rights, 1992). To participate effectively in decision making, patients must be encouraged to take responsibility for requesting additional information or clarification about their health status or treatment when they do not fully understand information and instructions (A patient’s bill of rights, 1992). Three ethical considerations are autonomy, duty of care and risk-benefit. Ethical questions surround the concept of medical...
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...Prescription Drugs In this society, most Americans use some type of prescription drug. According to this week chapter reading: “More than 80 % of U.S. adults use some form of medication, with 50 % taking a drug prescribed by a doctor. The average American fills 11 prescriptions per year spending approximately $ 771 annually (Gentzen, p. 245, 2007).” This is a true statement because I am one of those Americans who depend on prescription drugs. I have a seizure disorder that doctors have not found what cause me to have seizure. Without medication, I can have a seizure. So now I have become what society has called “addicted” to prescription drugs, when I go too long without medication, I can have a seizure at any given time. So I am glad that my team has chosen this topic to discuss. We talk about The History of Prescription Drugs, Drugs Addicts, and The steps that we believe that could be used to make a change to the present system. Prescription drugs are medicine regulated by legislation to require a prescription before it can be obtained. The term prescription drug is used separate from over-the-counter drugs that can be purchased without a prescription. In the United States, the Federal Food, Drug and Cosmetic Act determines what requires a prescription. When obtaining a prescription, a person will also receive a pamphlet explaining the drug and helpful information about the effect of the drug and how it affects the body. It also describes side effects...
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...definitions of euthanasia: "A gentle and easy death...[T]he means of bringing about a gentle and easy death... However, in today’s society term euthanasia includes both voluntary and involuntary termination of life. Euthanasia has many meanings. Except for involuntary euthanasia, all these terms are closely related because the victim requests the action. The only difference is who is actually committing the act, Voluntary euthanasia is a help to mentally competent person to die through the assistance of others and can be divided in two categories. Passive Euthanasia means causing the death of a person by withdrawing some form of support and letting nature take its course. For example: removing life support, stopping medical procedures, stopping food and water and allowing the person to dehydrate or starve to death, and not delivering CPR. Active Euthanasia involves causing the death of a person through a direct action, in response to a request from that person. For many people, euthanasia is a preferable option compare to loss of independence and unbearable suffering. Background Euthanasia has always been a highly controversial topic. In...
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