The transcription sector took a solution-focused message to Capitol Hill June 3-4 in response to President Obama's provisions and mandate for EHR adoption under the recent HITECH Act. With this administration's push to have both a definition and criteria for "meaningful use" determined by July of this year, the Medical Transcription Industry Association (MTIA) and the Association for Healthcare Documentation Integrity (AHDI) believe there is a critically narrow window of opportunity for this sector to ensure that such criteria includes provisions for the evolving role of transcription in hybrid capture, where complex narrative is preserved and quality outcomes, not just fiscal savings, drive adoption and integration. The HIT vendor community is positioning itself around key decision-makers in the Department of Health and Human Services (HHS), in whose hands the determination of "meaningful use" now resides. Inarguably, the primary interest of those vendors is in securing widespread EHR adoption through HITECH provisions, and our message to legislators was that HHS needs others at the decision-making table whose interest is geared more toward how these technologies will be deployed and not whether they will be deployed.
Defining "meaningful use" is not the role of HIT but rather of clinicians and experts in health care documentation who can speak to the document workflow process and the complexities of capturing health stories in a way that informs clinical decision-making and promotes coordination of care. If the "meaningful use" definition is shaped only by the vendor community, there is great risk for EHR deployment to fall short of health care's goals for capturing and consuming health information. All stakeholders, most importantly the patient, lose under such an imprudent integration approach.
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Thursday, July 2, 2009
Medical Transcription as Proven Accelerator of EHR Adoption
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