Management team at ABC Hospital are interested in adding voice recognition software

Certain members of the executive management team at ABC Hospital are interested in adding voice recognition software to their current EHR. As director of HIM, Cynthia is preparing an extensive report on the impact this would have on the department. She is proposing that a feasibility study and subsequent request for proposal be completed.
The report includes information on voice recognition such as the projected workload of voice recognition software and how it would be implemented in the daily EHR operations. This includes its usage for the standard transcribed reports, such as discharge summaries; histories and physical exams; operative, autopsy, and consultation reports; physician progress notes; nursing care documentation; and other therapy documentation. A review of historic and current transcription workload, number of staff with respective salary and benefits, supplies, and equipment is completed.
One of the objectives Cynthia has made is to interview HIM directors at other hospitals who use voice recognition. She wants feedback on how it changed the HIIM functions within the department and the hospital. In addition, she wants to know how this software affects the quality of the generated reports and how much time is invested in report editing by the staff. The physician query process is another area that she wants to scrutinize. The transcription supervisor is also trying to determine what criteria and updated skills will be needed in the retained employees. The human resources department was consulted regarding the process of lay-offs for some of the staff whose positions are not upgraded.

1. Recommend changes needed to change the job description of a transcriptionist to an editor for transcribed reports.

2. Identify job retraining to be offered to transcriptionists whose positions are eliminated due to the implementation of voice recognition software.

3. Develop a list of questions to be addressed at site visits to evaluate different voice recognition systems at various healthcare organizations.

 

Sample Solution

1. Recommended Changes to Transcriptionist Job Description for Editor Role:

The transition from transcriptionist to editor necessitates a shift from verbatim typing to critical review and quality assurance. Here’s how to change the job description:

  • Title Change: “Medical Document Editor” or “Clinical Documentation Editor”
  • Summary: Replace “transcribes medical dictation” with “reviews and edits voice-recognized medical documentation for accuracy, completeness, and compliance with established standards.”
  • Essential Duties and Responsibilities:
    • Replace: “Transcribes dictation from physicians and other healthcare providers.”
    • Add: “Reviews voice-recognized medical documentation for accuracy, clarity, and consistency.”
    • Add: “Edits and corrects errors in grammar, punctuation, spelling, and medical terminology.”
    • Add: “Ensures documentation adheres to established formatting and style guidelines.”
    • Add: “Verifies the completeness and accuracy of patient information, including demographics and medical history.”
    • Add: “Identifies and resolves discrepancies or inconsistencies in documentation.”
    • Add: “Collaborates with physicians and other healthcare providers to clarify documentation issues.”
    • Add: “Maintains knowledge of medical terminology, anatomy, physiology, and pharmacology.”
    • Add: “Utilizes voice recognition editing software and other related technologies effectively.”
    • Add: “Performs quality assurance checks on edited reports.”
    • Add: “Participates in training and development activities to enhance editing skills.”
  • Required Skills:
    • Proficient knowledge of medical terminology, anatomy, physiology, and pharmacology.
    • Excellent grammar, punctuation, and spelling skills.
    • Strong attention to detail and accuracy.
    • Ability to identify and resolve documentation errors.
    • Familiarity with EHR systems and voice recognition software.
    • Strong communication and interpersonal skills.
    • Ability to work independently and as part of a team.
    • Knowledge of 1 HIPAA regulations.  
  • Preferred Skills:
    • Certification in medical transcription/editing.

2. Job Retraining for Eliminated Transcriptionist Positions:

To support those whose positions are eliminated, offer retraining in areas that align with healthcare’s evolving needs:

  • Medical Coding:
    • Provides skills in assigning diagnosis and procedure codes for billing and reimbursement.
    • High demand in healthcare organizations.
  • Clinical Documentation Improvement (CDI):
    • Focuses on improving the quality and accuracy of clinical documentation.
    • Prepares individuals for roles in CDI specialist positions.
  • Health Information Management (HIM) Technician:
    • Provides a broader understanding of HIM functions, including record management, data analysis, and regulatory compliance.
    • This allows for many different job opportunities.
  • Patient Access/Registration:
    • Provides skills needed to register patients, verify insurance, and schedule appointments.
    • This is a good option for people that have good customer service skills.
  • Electronic Health Record (EHR) Support:
    • Focuses on providing technical support and training to EHR users.
    • Prepares individuals for roles in EHR implementation and maintenance.
  • Medical Scribing:
    • This is a good option for people that are familiar with medical terminology.

3. Questions for Site Visits to Evaluate Voice Recognition Systems:

To effectively evaluate voice recognition systems, address these questions during site visits:

  • System Performance:
    • What is the accuracy rate of the voice recognition software?
    • How does the system handle different accents and speaking styles?
    • How long does it take to train the system to recognize new users?
    • What is the system’s performance in noisy environments?
  • Integration and Workflow:
    • How well does the system integrate with the existing EHR?
    • What is the impact on physician and staff workflow?
    • How is the physician query process handled with voice recognition?
    • How is the editing process handled, and what tools are available to editors?
    • How does the system handle stat reports?
  • Training and Support:
    • What type of training is provided for physicians and staff?
    • What level of technical support is available?
    • What are the ongoing maintenance and update requirements?
  • Quality and Compliance:
    • How does the system ensure the quality and accuracy of generated reports?
    • How does the system address HIPAA compliance and data security?
    • How does the system track edits, and who made them?
  • Vendor Experience:
    • How long has the vendor been providing voice recognition solutions?
    • What is the vendor’s reputation for customer service and support?
    • Can you provide references from other healthcare organizations?
  • Financial Considerations:
    • What is the total cost of the system, including hardware, software, and implementation?
    • What are the ongoing maintenance and support costs?
    • What is the projected ROI for the system?
  • Staff Impact:
    • How have other hospitals handled the transition from transcription to editing?
    • What are the new skills required for editing roles?
    • What are the common challenges faced during implementation and how were they overcome?
  • Physician Impact:
    • How do the physicians feel about the voice recognition software?
    • What is the average amount of time that a physician spends editing a report?

By gathering comprehensive information during site visits, Cynthia can make an informed recommendation to the executive management team

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