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EMR RemediesAHDI - ACE 2011
Electronic Health Record Solutions
Anil KeswaniPresident
August 20, 2011
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Medical Transcription
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Dead or Alive??
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“ “That it will ever come into general use, That it will ever come into general use, notwithstanding its value, is extremely notwithstanding its value, is extremely doubtful because its beneficial doubtful because its beneficial application requires much time and gives application requires much time and gives a good bit of trouble, both to the patient a good bit of trouble, both to the patient and to the practitioner because its hue and to the practitioner because its hue and character are foreign and opposed and character are foreign and opposed to all our habits and associations.”to all our habits and associations.”
from The London Times in 1834
Commenting on ... the “stethoscope”
A computer for patient care?
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Information
Share
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Background 30 years of technology experience Electrical Engineering degree – Stevens Institute of Technology 23 years with Texas Instruments in Defense and Information
Technology 7 years in Software Development; IT, legal and healthcare services Held positions as Chief Technology Officer and Chief Information Officer Resided in Sweden to improve efficiencies for a global software
company Worked with physicians on identifying and deploying EHR, LIS and
PACS technologies Published an article on bar code technology for the defense industry Married 27 years
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Evolution of Transcription
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In the beginning…
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Your Business……
Imagine you are the only MTSO…
You have 100% of the market & revenue…
In 3 – 5 years what will be your market & revenue…
- 100%- 50%- 25%
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Reality Check…
25 – 30%
WHY??
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Enabling Technologies Voice Recognition NLP (Natural Language Processing) Wireless
- iPhone - iPad
- Smart phones - Android Tablet
Cloud Infrastructure/ Hosted Environment EHRs What else…… ???
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Voice Recognition Document Editing vs. Full Transcribing Integration into EHR platforms Key suppliers
Nuance M*Modal (MedQuist) InfraWare
Shorter Turn Around Times Less work for the MTs Different skills required by MT
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Cloud Computing General Definition – Delivery of hosted services which are sold on
demand and are elastic (use as much as is needed).
Businesses will not need to have on-site infrastructure or expertise.
MTSOs and Hospitals can reduce the investment cost for servers & applications and focus on service efficiencies.
Can integrate the workflow tools that best suite their clients and staff.
Caters to the distributed workforce.
Security is more complicated.
Information resides off-site in a data center.
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EHR Technologies Integration with MT software applications
Direct documentation into the product
Built in modules
Improved productivity for practices and hospitals
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Financial Impact to Medical Practices and Hospitals
Technology investments
Transfer of cost from MT payments to EHR payments
Reduction in Medicare/Medicaid reimbursements beginning…2015
Reduction in private insurance reimbursements beginning…??
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Let’s talk about the future
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You Must be Ready…
Yesterday & Today
Today & Tomorrow
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Predictions are dangerous, especially when you are talking about the future.
- Yogi Berra
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Strategies for MTSOs Sell to the highest bidder or close your doors
Morph into a strategic partner of your client by offering other services
Refocus your skills to editing documents
Develop technical skills with the voice recognition, NLP, etc
Become an enabler of technology…Invest
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Strategies for Hospitals Stay the current course and hope for the best
Outsource and require the vendor to integrate to your EHR
Accept the EHR transcription capability and develop skills to efficiently use the technology
Refocus your MT skills to editing documents
Develop technical skills with the voice recognition, NLP, etc
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Is this half-full or half-empty?
Personality Test
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Summary
The Medical Transcription Industry is not Dead …
It is Alive and maturing
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Questions??
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Thank You!
Anil Keswani
214-546-4608
www.EMRremedies.com
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