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Maybe It’s Time You

Maybe It’s Time You. Step Up To Digital Dictation. Steven D. Atwood, M.D., FACP satwood@pol.net www.adultmedicine.com/presentations/digital-dictation-mt.ppt. Digital Dictation for the MT. Benefits Charges Where the Jobs Are Dictation Equipment File Transfer Player Equipment

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Maybe It’s Time You

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  1. Maybe It’s Time You Step Up To Digital Dictation Steven D. Atwood, M.D., FACP satwood@pol.net www.adultmedicine.com/presentations/digital-dictation-mt.ppt Digital Dictation-MT

  2. Digital Dictation for the MT • Benefits • Charges • Where the Jobs Are • Dictation Equipment • File Transfer • Player Equipment • Typing Time Savers • Summary Digital Dictation-MT

  3. Digital Dictation Doctor dictates in office Transcriptionist types at home Return the next day Easily printed, saved, or inserted into an EMR Digital Dictation-MT

  4. Benefits • No daily trip to office for work or pick up a dictation tape • No files to get stolen from a work-at-home transcriptionist’s car • No irreplaceable files to get lost • Quicker return of work—esp. letters • Add to Electronic Medical Record later Digital Dictation-MT

  5. Benefits • Huge increase in number of people that could do this work • Easy to get the services of those with the best expertise and greatest skills • More services by transcriptionist e.g. Excel, Access, Faxes • Greater efficiency of software and equipment e.g.. 1 license for software that manages dozens of doctors • Transcriptionist work environment more comfortable— (work from home) Digital Dictation-MT

  6. Other Office Issues • Less payroll expense for office • No benefits—work comp, health insurance, etc. • Less personnel management—e.g. late, sick, slow, chatty, inefficient • No staff to train • No office space needed Digital Dictation-MT

  7. Benefits • Greater take home pay for transcriptionist—work more, make more • Better sound quality for transcriptionist • Higher quality transcribed product– formatted for saving or adding to EMR Digital Dictation-MT

  8. Risks • Confidentiality, HIPAA • Cost of hardware, software, computer, and Internet link Digital Dictation-MT

  9. Paying for the Service • Pay by key stroke or line1. 72 characters per line, 8-16 ¢ per line 2. convert to a charge per key stroke --e.g. 10 ¢ per line= 0.0137 ¢ per key stroke Digital Dictation-MT

  10. Service Providers • UnlimitedTranscriptions.com • Doctor:Dictate!.com • Medical Transcription.com List at Yahoo>business>health>medical_transcription TranscriptionGear.com Digital Dictation-MT

  11. Yahoo List—and goes on for 3 pages

  12. Yahoo List of MT Service Providers— list goes on for 3 pages http://dir.yahoo.com/Business_and_Economy/Business_to_Business/Health_Care/Health_Care_Services/Medical_Transcription/

  13. Dictaphone Digital Dictation-MT

  14. Portable Recorders– Many Options

  15. Panasonic 9300 Slide bar

  16. Clever Gear– holds 8 hours dictation

  17. Olympus 330 $160 5 hours, 5 folders, compressed file Off-Load by USB Wire not Smart Card USBport

  18. Dictation for the Busy Physician--hold in your hand, use on the move Digital Dictation- MT

  19. Dictation for the Busy Physician--work from your desk--just plug in and record Digital Dictation- MT

  20. Dictation for the Busy Physician--noise canceling microphonecan move about room in needed Digital Dictation- MT

  21. Sound Formats Just Like Picture Formats-- (dozens of options) • WAV– Windows standard, you type your notes from this file • MP3--- compressed 12 to 1 • VOX– phone lines • DSS—Olympus format, compressed ~12 to 1 • OGG (open source) ,MSV (Sony) , SRF, WMP, etc. Digital Dictation-MT

  22. Security • Encryption like a child’s decoder ring e.g. substitute 1=a 2=b 3=c thus cab=312 You Encrypt (or Convert) Then Send Receiver Needs Your System to DecodeThis Is In The Key You Give Them In Advance You Receive By The Same System In Reverse Digital Dictation-MT

  23. SSL or Secure Socket Is Basically Encryption from a Web Page WithThe Computer to Computer Link Having All Data EncryptedThis is Called a Secure Socket or SSL (Secure Socket Layer) Bidirectional—Send and Receive Digital Dictation-MT

  24. SSL or Secure Socket DropChuteSSL like online transactions-- sends like Instant Messenger-- i.e., only when both parties on line Digital Dictation-MT

  25. Security Options • Password on File • Password on Website • Encrypted File • SSL • Modem only on web briefly; then off • Firewall • Hacker Blocking Software on ISP Webserver 23

  26. Size Matters Upload—e.g. 30 minutes dictation File size: WAVformat that is used to play the file for typing(1 MB for 5 minutes) (30 minutes = 6 MB) DSSformat from Olympus is Compressed (30 minutes = 1 MB) 24

  27. Size Matters Returned Typing—e.g. 1 paragraph Format---File Size TXT 4 Kb RTF 4 HTML 8 PDF 16 DOC 30

  28. Size Matters Returned Typing—e.g. 1 paragraph Format---File Size TXT 4 Kb RTF 4 HTML 8 PDF 16 DOC 30 RTF Format Ideal BecauseUniversal standard Software type and version independent No Macro’s— So Less Virus Risks RTF File Upload Typically 3 MBs., Download ½ MB.

  29. Software to Play the Sound File both hands on keyboard, foot pedal Gear Player Voice It Voice Scribe Express Scribe (free) Start Stop Windows Media Player Real Player WAV Player Sound Forge Digital Dictation- MT

  30. Useful Features of Player Software soundword processor speed control auto-text start / stop cut and paste rewind few seconds templates rewind unlimited fast forward volume control pitch control Digital Dictation- MT

  31. Time Savers Auto-Text Normal.dot and your own DOT file Header for your office letterhead Digital Signature Bookmarks control+F9 --insert F11 --jump

  32. F-11 Jump to bookmark Add auto-text Digital Signature Digital Dictation- MT

  33. Digital Dictation Summary Soon all dictation will be done this way Need player, headset, foot pedal recorder, transfer to computer transfer encrypted via web Improved quality, faster, inexpensive, and better convergence to EMR Digital Dictation-MT digital -dictation-for-mt

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