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For The Record Magazine - eNewsletter
October 2009
In this issue...
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Other News

Doctor’s iPhone App Makes for Smoother Rounds
A Florida TV station interviews the inventor of iPhone’s Dr. Rounds.

NJ Hospitals to Exchange Health Records
New Jersey's first health information exchange is expected to debut soon in Camden, according to the Philadelphia Inquirer.

Industry Insight

Electronic Pharmacy May Protect War Veterans From Medication Errors

Thousands of men and women who served in Iraq and Afghanistan sustained life-threatening injuries but were fortunate enough to return home alive. But some may have suffered accidental harm or even died from the incorrect use of potent prescription medications for their pain and injuries.

A robotic device that dispenses the proper dose of oral prescription medications to soldiers suffering from traumatic brain injuries, posttraumatic stress disorder, and other conditions requiring risky medications is under study by researchers at the University of Illinois at Chicago’s (UIC) Center for Pharmacoeconomic Research and Milwaukee’s Columbia College of Nursing.

“The military has an increasing number of patients with combat-related injuries that may not allow them to strictly adhere to their medication regimens,” says Daniel Touchette, a UIC assistant professor of pharmacy practice, who serves as coprincipal investigator on the project. Some, he says, “are in transitional care outpatient settings that do not have nurses or pharmacists to manage their medications daily.”

(READ MORE)

Editor’s E-Note
Spheris

No doubt, e-mail has changed the way we communicate. But it can be so much more—even moreso for providers that exchange as many e-mails as there are plans to reform healthcare.

In this month’s E-News Exclusive, learn how proper archiving can help healthcare organizations get the most out of their inboxes.

— Lee DeOrio, editor

E-News Exclusive
University of Cincinnati

How to Leverage Effective E-mail Archiving Solutions
By Ken Horner

E-mail is the major application for healthcare organizations to communicate with members and partners, and internally as well. However, healthcare organizations, given compliance and regulatory requirements, face challenges with regard to securing, retaining, and accessing required e-mail over long periods of time. The solution for many organizations has been to deploy e-mail archiving solutions to capture and retain e-mail and electronic discovery solutions to identify and access required e-mail. Here are several areas to consider when designing an e-mail archiving strategy to avoid potential gaps.

(FULL STORY)

Recently in For The Record...
HealthPort

Free Up Your Cash Flow
While the economy trips and stumbles on its way to a full-blown recovery, healthcare organizations are examining point-of-service payments as a means to boost revenue flow. Read more

Top 10 E/M Coding Flaws
Making sense of the 1995 and 1997 guidelines is virtually impossible, according to a practicing physician and certified professional coder.
Read more

ULearn From a Master
With more than a decade of experience working with CPOE, the leaders at Alamance Regional Medical Center give their thoughts on how to ace the implementation process. Read more

Maximize HIT Investment
During the early stages of EMR planning, healthcare providers are employing lean management practices to identify and eliminate waste. Read more

Ask the Expert

Have a coding or transcription question?
Get an expert answer by sending an e-mail to edit@gvpub.com.

Solarity IndexingThis month’s selection:
I am currently reviewing turnaround times (TATs) for transcribed reports that we have set for our department. The facility for which I work is a 430-bed acute care facility that transcribes both inpatient and outpatient services. I would like to know what the national standards are for TATs for the following report types: history and physical, consults, operative reports, and discharge summaries.

Maureen Cooke
Transcription Coordinator

Response:
Quoted below are the TATs as reflected in the TAT4CDT white paper that was developed by a joint task force of the AHIMA and the Medical Transcription Industry Association (MTIA). The entire white paper can be found on the MTIA Web site at http://mtia.com/downloads/TAT4CDT.pdf

IV. Current TAT4CDT Findings
Based on the analysis of data provided from leading medical transcription service organizations (MTSOs), the task force used a weighted average methodology to calculate the findings of current TATs for common document types. MTSO-provided data represents TATs of over 1,200 healthcare facilities nationally.

Current TAT4CDT findings are as follows:

• History and physical examination: eight hours;

• Operative report: eight hours;

• Discharge summary: 24 hours;

• Inpatient progress note: eight hours;

• Consultation: 12 hours; and

• Radiology report: four hours.

— Linda Yaniszewski is CEO/president of ExecuScribe, Inc.

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