Yearly Archives: 2015

Documenting History of Present Illness (HPI) Report in Ophthalmology Care

Obtaining an accurate history is the critical first step in determining the etiology of a patient coming with eye problems. Most of the time, you will be able to make a diagnosis based on the history alone. However, the value … Continue reading

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EHR Deficiencies in HIMSS Survey and the Need for Medical Transcriptionists

Most providers are transitioning to EHR technology owing to the EHR incentive program, and they must be sure of their clinical documentation integrity. A 2014 survey by the Healthcare Information and Management Systems Society (HIMSS) found severe deficiencies with EHR … Continue reading

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How to Convert Old Paper Charts to Your EHR

As many healthcare providers are relying upon electronic health record (EHR) systems for more efficient clinical documentation and on account of the incentive program for meaningful use, there is growing concern about migration of old paper charts into EHR. Information … Continue reading

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Importance of Incorporating SOGI Information within EHR

Expanding Electronic Health Records (EHRs) data collection to include sexual orientation and gender identity (SOGI) information is critical to eliminate the invisibility of LGBT (lesbian, gay, bisexual and transgender) people in the healthcare system. The Institute of Medicine (IOM) has … Continue reading

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Study Says Diabetes Drugs Have Different Effects on the Male and Female Heart

According to a study published in the December issue of American Journal of Physiology – Heart and Circulatory Physiology, widely used diabetes drugs affects men’s and women’s hearts differently. The researchers studied the effect of three commonly prescribed medications metformin, … Continue reading

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Patients Prefer Online EHR Access, Protect Your Data from Errors and Breach

According to a study released by the Washington, D.C.-based National Partnership for Women & Families, a significant boost in online access to health information is increasing patient engagement. As more patients use online EHR, healthcare providers should ensure the security … Continue reading

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Recent Trends in Telemedicine

Telemedicine, the actual delivery of remote clinical services using technology, is growing rapidly. According to a report by Research and Markets, the global telemedicine market is expected to increase by a compound annual growth rate of 18.5% through 2018. The … Continue reading

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A More Comprehensive Approach to Address SRT Challenges

Speech recognition technology (SRT) is being increasingly adopted in clinical documentation. While only a small percentage of providers use this technology in self-editing (front-end) mode, the use of back-end SRT system is growing rapidly within the healthcare field. Though many providers … Continue reading

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How Death Summary is Different from Discharge Summary

Discharge summary is among the four types of reports that comprise the core of medical transcription work and is required whenever a patient is discharged from the hospital. This report is critical for further consultation and promoting patient safety while … Continue reading

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Predicted Rise in Healthcare Data Breaches in 2015 and Transcription Outsourcing

Research studies say that there will be more data breaches in healthcare in the year 2015. In this scenario, you need to be very careful when outsourcing transcription tasks. As EHR is now widely adopted, most of the providers are … Continue reading

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