Health Information Technologies and Processes

Dictation as EHR downtime solution for provider documentation

  • 1.  Dictation as EHR downtime solution for provider documentation

    Posted 02-26-2020 15:10
    First question, how many of you out there no longer offer a traditional dictation/transcription solution for provider documentation? For those who don't, how do providers document during an EHR downtime? Do you offer dictation as a backup or do they document on paper? Other options?

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    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health
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  • 2.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 02-26-2020 15:38
    Our Business Continuity plan which also addresses downtime specifies the use of dictation/transcription in the event of an EMR downtime.  All patient care areas have the contact information and instructions in their unit specific downtime manuals.

    additionally, there are some providers by the nature of their consulting services who do not readily use the EMR and use dictation instead, so it is a valuable tool that our facility still uses.

    hope this helps
    Karen

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    Karen Lawler
    Corporate Him and Privacy Director
    Hospital For Special Care
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  • 3.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 02-27-2020 09:35





  • 4.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 03-02-2020 19:04
    We use dictation/transcription services in the event of EMR downtime.  There are some clinics still on paper so we keep forms for this purpose.

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    Leah Beck, RHIA
    HIM Assistant Director
    Arrowhead Regional Medical Center
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  • 5.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 03-03-2020 13:15
    How do you ensure timely turn-around of dictated reports so they are on the "chart" or otherwise accessible for patient care? who does the transcription?

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    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health
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  • 6.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 03-03-2020 13:16

    We use Nuance.

     






  • 7.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 03-03-2020 14:49
    As a downtime solution only?

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    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health
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  • 8.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 03-04-2020 08:55

    As downtime only will start in May. Right now we allow them to use it daily but that is ending in May.

     






  • 9.  RE: Dictation as EHR downtime solution for provider documentation

    Posted 03-08-2020 10:19
    In my previous job, this is addressed in the Medical staff by-laws. You can also draft your HIM process for future reference.

    There are document variations too i.e., op note must be immediately after the procedure then op report within 2 days after the procedure.

    H/P, transfer, Discharge or death summary varies and again it will be per protocol. We make it more “stringent” than the regulatory and/or accreditation guidelines though.

    Susan Oliver

    Sent from my iPad