Date post: | 23-Dec-2015 |
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Digital Dictation1
Steven D. Atwood, M.D., [email protected]
www.adultmedicine.com/presentations/digital-dictation.ppt
Maybe It’s Time You
Step Up To
Digital Dictation
Digital Dictation2
Digital Dictation
You dictate in your office
Transcriptionist types at home
Return the next day
Easily printed, saved, or inserted into an EMR
Digital Dictation3
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 Dictation4
Benefits Huge increase in number of people that could do this work Easy to get the services of those with the best expertise 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 Dictation5
BenefitsLess payroll expense for officeNo benefits—work comp,
health insurance, etc.Less personnel management—e.g.
late, sick, slow, chatty, inefficient
No staff to trainNo office space needed
Digital Dictation6
Benefits
Greater take home pay for transcriptionist
Better sound quality for transcriptionist
Higher quality digital product– formatted for saving or adding to EMR
Digital Dictation7
Risks
Confidentiality, HIPAA
Cost of hardware, software, computer, and Internet link
Digital Dictation8
Paying for the Service
Pay by key stroke or line 1. 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 Dictation9
Service Providers UnlimitedTranscriptions.com Doctor:Dictate!.com Medical Transcription.com
List atYahoo>business>health>medical_transcriptionTranscriptionGear.com
Digital Dictation17
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 Dictation22
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 Decode
This Is In The Key You Give Them In Advance
You Receive By The Same System In Reverse
Digital Dictation23
Is Basically Encryption from a Web Page WithThe Computer to Computer Link Having All Data Encrypted
This is Called a Secure Socket or SSL (Secure Socket Layer)
Bidirectional—Send and Receive
SSL or Secure Socket
Security Options
1. Password on File
2. Password on Website
3. Encrypted File
4. SSL
5. Modem only on web briefly; then off
6. Firewall
7. Hacker Blocking Software on ISP Webserver 23
Upload—e.g. 30 minutes dictation
File size:
WAV format that is used to play the file for typing (1 MB for 5 minutes) (30 minutes = 6 MB)
DSS format from Olympus is Compressed (30 minutes = 1 MB)
Size Matters
24
Returned Typing—e.g. 1 paragraph
Format---File Size
TXT 4 Kb
RTF 4
HTML 8
PDF 16
DOC 30
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
Size Matters
RTF
File Upload Typically 3 MBs., Download ½ MB.
Time Savers
1. Auto-Text2. Normal.dot and your own DOT file3. Header for your office letterhead4. Digital Signature5. Bookmarks
control+F9 --insert F11 --jump