Centralized off-premise transcription service: a model.
The use of typewritten records in emergency departments can provide better documentation and can impact reimbursement, continuous quality improvement, and medicolegal aspects of emergency care. An easily accessible system, which provides for a uniform, typewritten record within a short turnaround time, has been implemented by a private emergency medicine group. The system has had a positive impact on reimbursement and efficient patient care. It may also be used for teaching and research as well as personal business. A centralized off-premise transcription service allows for 24-h dictation for multiple hospitals in a cost-efficient manner. System drawbacks are minor and start-up problems easily overcome.
Department of Emergency Medicine, Eastern Virginia Graduate School of Medicine, Norfolk 23507-1999, USA.
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D003195:Computer Communication Networks; D003284:Contract Services; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005568:Forms and Records Control / Q000379:methods; D006755:Hospital Shared Services / Q000458:organization & administration; D016347:Medical Records Systems, Computerized; D014584:User-Computer Interface; D014768:Virginia