Health Information Management

Topic: Consider using a PDA as a transcription alternative

HIM-HIPAA Insider, October 2, 2007

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One way to encourage complete physician documentation is to increase the timeliness and quality of transcription. Complete documentation is critical for coders, quality and risk-management personnel, as well as other staff members. But the shortage of qualified transcription personnel means that you may need to find alternative ways to meet your transcription needs.

One option is to encourage physicians to use a personal digital assistant (PDA). For instance, physicians can enter text into a PDA and then download it into a document. This eliminates illegibility and reduces the need for a transcriptionist. It does mean that physicians will have to create a document, but this may encourage physicians to document material they might not otherwise, and the inclusion of extra information could actually improve the accuracy of the diagnosis.

Editor's note: This topic was adapted from HCPro's book More with Less: Best practices for HIM directors. For more information, click here.

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