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The XY Files in an MT World

National Verbatim Transcription Day

Published May 4, 2009 6:12 PM by Jay Vance

What do you suppose it would take for the health care field, not to mention politicians and the general public, to truly understand and appreciate the value medical transcriptionists bring to the healthcare documentation process?  I've thought about this a lot, and my conclusion is that we need a National Verbatim Transcription Day.  This would be a day when every MT transcribing American medical records would transcribe everything twice-once according to account specifics and with all the normal "cleaning up" we do on a daily basis, and another version which is totally verbatim, word for word, every sound, every stutter, every false start, absolutely everything.  All of the verbatim transcripts should be thoroughly de-indentified to avoid any HIPAA/HITECH issues, then compiled into one massive document and distributed electronically via the Internet to anybody and everybody who needs to see it. 

How crazy is this idea, do you think?  Would enough MTs ever be willing to do it?  Would MTSOs be willing to risk the fallout and encourage their MTs to do it?  And what kind of fallout do you suppose there would be?

I'd love to hear your feedback.

10 comments

We did this once with a physician, and he was a) horrified at what he actually said, and b)grateful that we cleaned it up so nicely for him.  Now he is dictating his reports in the presence of his patients--I wonder what they think of his tongue juggling!  

Visuals work too.  In one system we had, an extra space at the end of a report caused an extra blank page to print. I saved every blank page for a week, and at the next transcription meeting I plopped this huge stack of blank pages down to demonstrate how much impact this had.  The number of blank pages coming from the printer decreased dramatically.

Carol Matthews, Hospital - Transcriptionist, Central Peninsula Hospital May 9, 2009 8:52 PM
Soldotna AK

I have wanted to do this for years!  The implementation of voice recognition has pretty much accomplished this already, I might add.  As great as this system is for immediate reporting, it is still lacking in one aspect:  it will print the word it thinks it hears, which an experienced transcriptionist would never do. Some providers do very well editing their reports; but others should never be left alone holding a microphone!

Linda May 7, 2009 8:55 AM

I think the National Verbatim Transcription Day is a great idea. We are supposed to be transcribing verbatim now, but I don't think our 5 radiologists realize that we usually clean up their punctuation and grammar for them. I know that at least 1 of the 5 would deny that he had said any such thing.

Lynn, radiology - transcriptionist, Baxter Reginonal Medical Center May 7, 2009 12:10 AM
Mountain Home AR

I think this would be great, but unfortunately if we actually typed verbatim, no one would be able to make sense of the report.  There is one doctor I work for who went out and paid to have voice recognition because he thought it would solve the problem of finding a "qualified" transcriptionist and also to save money.  He has since hired me because he admits that he hates that darn machine.  He spends more time going back and making corrections and he really doesn't want to have to do that.  And, I agree that dictators should have to take some kind of test they have to pass in order to continue to dictate.  

Diane, All medical fields - Medical Transcriptionist, NEA Baptist May 6, 2009 11:01 PM
Jonesboro AR

I have a hospital and clinic group in which our contract actually specifies "verbatim."  If we actually did that, I bet we wouldn't have that contract for long!  

Meg Jordan, Vital Lines Transcription - Owner May 6, 2009 8:33 PM
Ahtens GA

I would be really in favor of this and insist that all my physician dictators be forced to read each and every verbatim one that they produce since they are all terrible.  I truly feel that all physicians should be forced to take a yearly course in how to do dictation and that those who fail the course should have their dictation done by someone who can speak clearly and concisely.

Sara May 6, 2009 3:42 PM

It would be a fabulous experiment that might really demonstrate in the clearest way what exactly has been discussed for a long time, now. I'm not sure you would get the support but it is actually just about the ONLY way to really demonstrate the value of the MT.  I vote in favor!

Melissa Wood May 5, 2009 1:27 PM
Mebane

This is a great idea, and not that difficult to do.  I type verbatim (with all the stutters, laughs, coughs, false starts, etc.) every day when I do my legal work.  It wouldn't be too difficult to do the verbatim first, then take the verbatim transcript and clean it up for the account specifics.  I'm in.

Tina Whitecotton May 5, 2009 11:48 AM

That's a great idea and I don't think it's crazy but a necessity of the time.  Would love to see all those bloopers on a single shot.  Furthermore, the doctors should be made aware of and encouraged to read one such venture.  The doctors need a couple of sessions on how to speak into the microphone in their curriculum.

Count my vote in favor.

Raj May 5, 2009 9:29 AM

I think this would be GREAT.  If only all physicians and MTSOs would verbally acknowledge that verbatim is NOT truly verbatim.  In fact, I had a physician dictate 25 milligrams of Synthroid just today!  I'd be on board just for the professional satisfaction it would give me.  Vote now for National Verbatim Transcription Day!

Lynette

http://transcriptiondiary.wordpress.com

Lynette Cabeen May 4, 2009 9:39 PM

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    Jay Vance, CMT
    Occupation: Medical Transcription Industry Consultant
    Setting: Yuma, AZ
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