This Week in Health and Health IT News: #HCSM

With 67 percent of physicians using social media for professional purposes and a growing patient population looking to providers for healthcare engagement via social platforms, it’s hard to ignore the power and potential surrounding social media in healthcare.  This week, we’ve honed in on some key #hcsm related stories in the news.  As a member of the healthcare community, how are you deriving value from social media engagement? 

6 Things Patients Want from Social Media, Healthcare IT News – In this story from @Michelle_writes, she provides an overview of a few key takeaways from the Connecting Healthcare and Social Media conference this week.  From access to streamlined information to actual engagement, this a great read for providers wondering what patients are looking for in relation to social media.

Twitter Emerges as Health Policy Sounding Board, MedPageToday – It’s about time that health policy experts realized the power of social media as it relates to gauging public sentiment!  This piece outlines how a draft recommendation against PSA testing for prostate cancer caused a serious uptick in conversation and feedback on Twitter.  In fact, just hours after a draft recommendation against PSA testing appeared last year, Tweets related to prostate cancer increased by 50% as compared with the 4 hours prior to the USPSTF announcement.

Social Medicine is the Next Big Thing After Social Media, Forbes Blog – This blog post takes social media one step further to social medicine and discusses technologies that are revolutionizing the way patients are approaching care by putting the power of real-time information in their own hands.  In addition to reading this piece, check out this video which is mentioned in the post – “We are the last generation to know so little about our health.”

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Part III – Nuance Celebrates National Medical Transcriptionist Week: Spotlight on Natalie Fluhr

As mentioned in a recent post, in celebration of National Medical Transcriptionist Week, May 20-26, we’re featuring a few Q&A’s with some of the leaders on our Nuance Transcription Services (NTS) Team.  We’d like to take this time to thank our NTS team again for all they do to ensure we provide superior clinical documentation services to our customers and the patients they look after.

Our final Q&A in this series is with Natalie Fluhr from Catlin, Illinois.  She’s been a medical transcriptionist (MT) for approximately 25 years.

What made you want to become an MT?

I have always enjoyed biology and science classes.  I was not sure I wanted to be a nurse but wanted to stay in the medical field so chose the medical secretarial field.  Went to college, got a two-year degree and was fortunate enough to get an MT job.  Twenty-five years later I am still in the industry. 

What’s your favorite aspect of your job?

I absolutely enjoy doing surgical reports.  I have always enjoyed surgeries, they are interesting and I enjoy all the technical aspects of surgeries.  I am also very thankful I have been able to do my job from home to be available for my family.

How has the medical transcription industry changed since you first started?

When I started out as an MT, I was typing on a little Panasonic Memory type writer.  You could type about four lines of text in the memory and back space and edit it before printing it out onto the paper.  Of course, the screen you were looking at only showed about half a line of text at a time.  Also everything was done on cassette tapes, the big cassette tapes and a few on the little micro cassette tapes. 

How has technology helped you to do your MT role better?

I do not have to have entire bookcase filled with medical reference books.  With the internet, we have access to many reference materials online or on a CD.  We also have access to look up brand names of equipment or drugs directly from the manufacturers. 

How do you expect the MT industry to change further over the next five to ten years?

I definitely see the MT roll changing some over the next few years.  I think there will always be a need for some MTs in certain situations, but with these younger physicians and providers being raised on technology and being very tech savvy they are more inclined to dictate and edit their own dictations; they are not afraid or intimidated by a computer.  Also, with more and more hospitals and clinics going to electronic medical records, many institutions are going to templates in order to document certain aspects of a patient’s chart.

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How to Engage in the Healthcare IT Conversation via Social Media

We are more connected to information today than ever before. We are on Facebook, Twitter, LinkedIn, WordPress, RSS feeds, E-newspapers, E-Magazines, and I’m sure I’m leaving more than a few ever-present, always plugged-into resources off this list. So, how do we keep up with all the conversations and information flowing through these social and information-rich channels? How does one decide which platform(s) is right for them?

While I can’t speak to all markets, all personal preferences and all tools available today, I can share what has worked for me and my perspective on the social world:

  • Twitter: A great way to consolidate real-time what is happening right now and stay in touch with industry thought leaders hot topics. This platform was especially helpful for me as the meaningful use regulations were being announced and the comment periods were being closed.
  • LinkedIn: A great way to visualize and stay connected with your professional (and sometimes personal) network.  It’s amazing how often I’m able to help others with a challenge they’re facing by connecting them with someone else in my network who is facing or has faced the same challenge.  It’s also a great way to keep current on the companies I think are innovative, relevant and thought-provoking.
  • Facebook: A great platform to engage with professional peers and even customers on a more personal level; I’ve found it especially fun to celebrate their successes as they happen with them – it’s as simple as sending a quick note.  This month our Facebook page – Nuance Healthcare – celebrates it’s one-year anniversary, make sure you ‘like’ us to get insight into the latest speech, language and mobile technology updates we have underway, as well as to discuss HIT trends and news.
  • eReaders: A great way to validate all of my RSS feeds, blogs, Twitter, Facebook, and e-Magazine content.  My favorite is Flipboard which gives me a fun way to view all of my content.

We’ve also found ways to make social work from a vendor standpoint in healthcare. Here are some of the ways Nuance Healthcare has engaged in the HIT conversation via social media:

Influencer Engagement

Partner Engagement

Also, we’ve had great success with direct customer/prospect engagement on Facebook, Twitter and LinkedIn, as well as media engagement.

Have a best practice(s) or tip(s) for engaging in health IT conversations on social? Share them in the comments section below and be sure to tweet me at @cedwardski so we can start talking #HIT!

Happy surfing!

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Part II – Nuance Celebrates National Medical Transcriptionist Week: Spotlight on Melissa Post

In celebration of National Medical Transcriptionist Week, May 20-26, we’re featuring a few Q&A’s with some of the leaders on our Nuance Transcription Services (NTS) Team.  We’d like to take this time to thank our NTS team for their hard work and continued commitment to superior clinical documentation and the capture of a complete, accurate patient narrative. 

Today’s Q&A is with Melissa Post from Sayre, Pennsylvania.  She’s been a medical transcriptionist (MT) for approximately 30 years.

What made you want to become an MT?

I didn’t choose medical transcription; it chose me.  I graduated from college with a degree in communications and a concentration in corporate communication in healthcare.  MT was not at all what I had in mind, but it was a job that was available, and I was hired.  I learned the skill set necessary for this profession in a small hospital where I received one-on-one training and mentoring.  As new technologies emerged and the demand for the profession skyrocketed, I got caught up in it and never looked back!

What’s your favorite aspect of your job?

  • I learn something new every single day. 
  • The practice of medicine and the technology used in healthcare documentation are changing rapidly.  I find that continually adapting my skill set and learning new ways to serve my clients better is challenging and satisfying.

How has the medical transcription industry changed since your first started?

The only thing that HASN’T changed is our commitment to quality and providing accurate, accessible patient documentation…

  • Technology has afforded us better tools to do our jobs.
  • The business climate has changed, and we have shifted from primarily on-site, hospital-based departments to medical documentation specialty services, with a great percentage of the workforce working from home.  As such, we need to be more technologically savvy (and adaptive) than ever. 
  • Access to limitless reference resources has allowed us to do our jobs more efficiently, but has also demanded that we be excellent time managers.

 How has technology helped you to do your MT role better?

I think the most striking benefit has been instant access to information, and the “absence of obsolescence.”  The science of medicine moves so quickly that any print reference material, by definition, instantly becomes obsolete.  With access to on-line resources, often the same ones clinicians use, I can find immediate answers to questions that I have and can complete my work more efficiently, thus providing better service to my customers. 

How do you expect the MT industry to change further over the next five to ten years?

Technology creates opportunities.  Healthcare institutions and clinicians are riding a wave of awesome technology into a future that includes meaningful use, data mining and quality analytics….all in an effort deliver better health care, more efficiently and cost-effectively, with better results for their patients.  Healthcare documentation specialists are in the perfect position to utilize their skills along with these emerging technologies to manage, organize and ensure the integrity – and privacy – of patient data.

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Nuance Celebrates National Medical Transcriptionist Week: Spotlight on Colleen Dixon, MT

In celebration of National Medical Transcriptionist Week, May 20-26, we’re featuring a few Q&A’s with some of the leaders on our Nuance Transcription Services (NTS) Team. 

At Nuance, we employ a growing, global team of medical transcriptionists (MT’s) who help us assist more than 10,000 healthcare organizations day-in and day-out.  Nuance’s Transcription Services Team remains a vital link between our technology, providers and patients.  We’d like to take this time to thank you for your hard work and continued commitment to superior clinical documentation and the capture of a complete, accurate patient narrative. 

Today’s Q&A is with Colleen Dixon from New Hampton, Iowa.   She’s been an MT for approximately 11 years.

What made you want to become an MT?

I honestly don’t know what made me want to be an MT.  The day I had my interview for Mayo Clinic’s transcription program I also had an interview for a job at a university.  I chose to go the transcription interview.  They chose me to participate in their program and learn transcription.  I passed the transcription test and worked for Mayo Clinic for three years before I moved to a transcription job closer to home and eventually worked from home. 

What’s your favorite aspect of your job?

I like that I can work from home and pick my own hours; I like the flexibility of this job.

How has the medical transcription industry changed since your first started?

I have been doing medical transcription for about 11 years.  I remember after transcribing for about three years, I applied at a clinic and they still used typewriters.  I have never used a typewriter for transcription and I couldn’t imagine the noise in a room with many transcriptionists using typewriters.  The biggest change I have seen in the transcriptionist industry is speech editing.

How has technology helped you to do your MT role better?

Speech editing has helped me complete more lines and save my wrists from carpal tunnel syndrome!

How do you expect the MT industry to change further over the next five to ten years?

I do expect the MT industry to change.  I often times wonder if MTs will be needed in 10 years.  I have heard people say, MTs will be needed because the doctors will not want to use technology that may eliminate MTs.  I guess time will tell what will happen to the MT industry.

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This Week in Health and Health IT News: Mobile Technology and Medicine

Maybe it’s the recent launch of iMedicalApps’ weekly Tweet chat or the shared interest between patients and providers when it comes to the possibilities surrounding mobile technology in medicine but the buzz surrounding mHealth just continues to grow exponentially.  For a roundup of what made major headlines this week, check out these articles and videos:

Medicine Meets Mobile (video) – This is a must-see video about the value of mobile as it relates to individual patient care and the possibilities surrounding patient data capture through the smart phone.   If you don’t know Eric Topol, you need to.  Check him out on Twitter, @EricTopol, and be sure to get your hands on his book, “The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Healthcare.”

Mayo Clinic’s First Free Patient App Offers Medical Record Access, mobihealthnews – We all know Mayo Clinic is ahead of the curve on many tech and social media fronts but the latest from them regarding a patient-facing app that allows access to one’s medical records, lab results, appointment schedule and/or enables patients to refill prescriptions or communicate securely with their care team is just flat-out cutting-edge.  Be sure you check out this video of Mayo’s new app, Patient – Mayo Clinic debuts patient mobile application.

Debate: Can mobile apps achieve what pills can’t?, FierceMobileHealthcare – Happtique’s announcement last week that they’re launching a mobile platform to enable doctors to “prescribe” apps to patients spurred very vocal and very different opinions from the healthcare community.  This debate by a mobile proponent and a member of the pharma community is a must-read.

What other mobile stories from this week should the mHealth community have on their radar?

 

 

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Customer Spotlight: Sutter Medical Group

Q: What’s your name, title and place of practice?  And how long have you been in the medical field?           

Brian Kim, M.D., Medical Oncologist, Sutter Medical Group, Sacramento CA.  I’ve been an oncologist since 1996.  There are about 500 MD’s in our multi-specialty group located in the Northern California region, with the main center at Sutter General Hospital in Sacramento.  We have eight medical oncologists and two bone marrow transplanters in our group.   I am also an Epic Mentor and a physician champion for the use of voice recognition within our group.

Q: What Nuance technologies are you using today? 

We are using Epic as our electronic medical record with Dragon Medical 360 | Network Edition.  Of the 500 MD’s in our system, we currently have about 50 who use it regularly and about 140 who use it intermittently. 

Q: As far as health IT is concerned, what’s keeping you up at night right now? 

There are several issues that are important in my mind at this point.  The physicians using Dragon are not costing the group any transcription fees.  Since the majority of our physicians are still using transcription services, their expense cost is shared amongst the whole group which is not fair to the Dragon users.  I’m currently on a group committee looking at rolling out a system-wide implementation of Dragon Medical 360 | Network Edition.  My goal is to convert all doctors to using Dragon Medical 360 | Network Edition and I’m working on convincing the Board to mandate voice recognition across all the physicians in the group.

I’m also worried that with decreasing reimbursement, we need to be able to look for ancillary income which could come from mining our clinical notes.  I’m impressed with the Nuance’s new clinical language understanding technology and its ability to convert free text into mineable data.  It would be a big asset to be able to do research on our large patient database.

Q: Tell us about one of your “aha!” moments as it relates to the implementation of transcription or analytics.  

I was happy when I found insight in one of Nuance’s eTips newsletters that explained the issues Enterprise Edition encounters when used with Citrix based EMR’s.  I was confused as to why the grammatical corrections and spacing were incorrect when I went back to correct words while dictating into our Epic progress notes.   So my “aha” moment was the understanding of the inaccuracy of using Enterprise edition with our Citrix based Epic, and then when I learned of the workaround by using the Dictation Box.  Since then, I have been sharing that tip with as many of my MD users as possible.

Q: What top three health IT trends do you think will be most prevalent in the next five years? 

  • I’d like to see a faster conversion to mobile platforms and to be able to dictate into our iPads or iPhones directly into our EMR. 
  • For our group, it’s imperative that a system-wide approach be instituted for the implementation of front-end voice recognition.  It is not only more economical, but the instant turnaround of the clinical note makes for much better patient care.
  • I think there needs to be more MD-to-MD training of Dragon’s power.  Not all MD’s are convinced that voice recognition is accurate.  But in a peer-to-peer environment with my PowerMic, I can show them how effective speech can be and get their buy-in more easily as a result.

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