A
report issued by US Pharmacopeia revealed
that transcription errors are the 5th most
common cause (15%) of medication improprieties;
with people over 65 being twice as likely
to be harmed. A study by HealthGrades, Inc.
places reported preventable deaths due to
healthcare personnel mistakes at 195,000 per
year; doubling previous figures from a Institute
of Medicine study.
Medical errors account for more deaths in
America than breast cancer, AIDS or car accidents
annually. Errors may be as complicated as
incorrect treatment planning algorithms or
as simple as transcription inaccuracies.
The FDA implies that it may be dangerous to
import drugs from Canada, while, conversely,
the healthcare industry endorses processing
of radiology tests and medical records in
India. This substandard wage outsourcing may
yield up-front financial gain for medical
institutions but certainly is very controversial
with regards to patient care issues, while
demonstrating complete indifference to national
allegiance. Do the benefits outweigh the problems?
What benefits do patients receive?
Could the old adage "penny
wise, pound foolish", while
simplistic in such a complex setting as the
healthcare industry, hold true? The unfortunate
truth is that bottom line concerns affect
quality patient care. However, more factual
is that ERRORS COST MONEY. Non-conscientious
decision-making results in injury and death.
Within reason, end-users need to recognize
that cost is secondary to acceptable quality.
The outsourcing market was estimated to be
USD 8.4 billion in 2010.
Nearly $250,000,000 of the total outsourced
work is off-shored to destinations such as
India, Philippines, Pakistan, Sri Lanka and
China. Out of the work off-shored, 78% is
supplied by India, equaling $647,000,000 USD.
Sweat-shop wages fall far below industry standards,
as does the quality - being poor to mediocre.
Outsourcing of transcription to overseas concerns
renders an inferior stopgap. The value does
not equate to the worth of the end result.
So
what viable transcription options are available?
…and which avenue provides the best
check and balance system?
An
independent study by Superior Consultant Company,
Inc. indicated that “a vendor solution
is less costly in most cases because of additional
costs and unseen variables in-house”.
Transcription technology companies often will
offer ‘the definitive solution’,
charging tens-of-thousands of dollars for
sophisticated systems, which can ultimately
be cumbersome for office staff to use and
not interactive with, sometimes, even simple
software applications or documentation requirements.
Large,
USA-based transcription companies have impressive
marketing budgets and large staff bases, enabling
rapid turn times with generally adequate quality.
Transcriptionist compensation is based on
line production quantity not quality. Do doctors/health
care facilities receive a fair price? Per
hour compensation reimburses only for the
actual processing, allowing latitude to do
the job right the first time, while still
utilizing productivity aids.
Single
contracted transcriptionists can offer somewhat
lower prices, due to absence of overhead.
Many are good; some lack of credibility. Accessory
coverage issues are periodically problematic.
Yearly
transcription costs for a moderately busy,
solo doctor can be upwards of $20,000. Speech
recognition technology has been toyed with
to defray this. Some doctors have been successful;
many have thrown it away. Regardless of how
good the accuracy of speech recognition is
(typically 95-98%, after numerous training
hours), documents must still be proofread/edited.
(99% accuracy, in a 1000 word report, parallels
9.9 errors!) While technology can assist in
speed, there is no substitute for human common
sense; something machines simply do not possess.
‘Doctor’-time consumed by performing
‘clerical’ tasks, logically, could
be spent on patient care; thereby substantially
increasing revenue and greatly out-weighing
transcription costs. Speech recognition, however,
when used in the correct combination of doctor
dictating/computer typing/transcriptionist
editing, can and is a great time/ cost saver.
Quality-minded,
small transcription companies often can provide
the most effective answer. A reputable company
can provide the sought-after benefits a health
care facility requires: Articulate, expeditious
processing, coupled with personal service,
problem-solving and trust; dedicated to individual
client requirements. Features include USA-based
processing, processing of tapes and/or the
more cost/time efficient digital voice files,
utilizing simple/secure electronic data transfer,
available nationally, and speech recognition
when applicable. Credible companies offer
proficient and accomplished staff; permanent/temporary
‘on call’ support, 24/7/365, with
transcriptionists assigned to provide consistency
and auxiliary coverage. There is no start-up
cost, no training and no overhead.
Transcription
Plus, LLC has the highest standards of quality
and accuracy, along with a proven track record
of excellence and dependability for 21+ years;
distinguishing our company from other transcription
companies.
Transcription
Plus, LLC requires that each dictation is
re-listened to while proofreading - listening
to each and every word eliminates careless
errors.
Transcription
Plus, LLC is proud of our 100% USA Based Offices
and Staff.
PATIENTS:
Legislation has been introduced to keep private
medical information in the United States.
Contact your legislators to voice your opinion
that it is not safe to send this information
overseas, as well as the affect it has on
depreciating the U.S. economy. Communicate
to your doctor(s) your preference of keeping
your medical records in the USA. Solicit
adoption of a zero-tolerance policy for inaccurate
documentation. Insist that your safety
be put before the bottom line.
HEALTHCARE
PROVIDERS: Please weigh your
transcription options and results carefully...for
the benefit of all concerned. Don't
present yourself as stated in the following
actual patient record: "Patient was alert
and unresponsive."
Transcription
Plus, LLC has the highest standards of quality
and accuracy, along with a proven track
record of excellence and dependability for
21+ years; distinguishing our company from
other transcription companies.
Transcription Plus, LLC requires that each
dictation is re-listened to while proofreading
- listening to each and every word eliminates
careless errors.
Transcription Plus, LLC is proud of our
100% USA Based Offices and Staff.
You can contact me directly at 860-583-2818
or transcriptionplus@comcast.net
and we'll discuss how you can keep your
pot of gold by using absolutely accurate
transcription services provided by Transcription
Plus, LLC.
Have a Happy and Safe St. Patrick's Day
Thank you,
Mary A. Goehring
Owner/CEO
Transcription Plus, LLC
Corporate Office
40 Acorn Lane
Bristol, Connecticut 06010
Transcription Plus, LLC
860-583-2818