Sunday, September 30, 2007

What's In a Name -- Revisionist?

I was reading a recent article on speech recognition technology making a strong comeback, improving patient care and productivity. A contributing expert asserted that medical transcriptionists are now called "revisionists."
This was a new one for me! And yet, I shouldn't be surprised. We as a group of medical transcriptionists seem to be the last to be told that we are no longer MTs. We are medical language specialists, we are medical editors, we are document integrity specialists, we are backend speech recognition verifiers, we are ... what? Where is our identity?
We continue to understand best what we do. I visited with an MT and her husband one morning in Reno at the annual meeting. She asked what I thought of the name change to AHDI and then told me what she thought: “We have spent so many years explaining to everyone what we do, and we were finally getting some understanding. Now we have to explain AHDI?”
After that conversation, someone said that the message we need to be spreading is not what we do, but why it is important. We have spent years hearing the joking at various gatherings that we have a truly dead-end job because “transcription is going away!” And I have to ask: What have we gained with all these years of explaining what we do? Fewer questions at cocktail parties?
Technology vendors continue to try and sell chief financial officers on eliminating their transcription costs. Healthcare providers are beginning to do their own documentation in some arenas with I think ridiculous results. Any one of us can point to almost daily encounters with misspeaks in dictation that involve drug names, doses, diagnoses.. the list of course goes on and on. And the spelling!
I have to believe that respect for our position as the key piece in quality documentation and
verifiers of the content accuracy will continue to gain momentum. There simply has to come a point when the inaccuracies currently appearing will tip the balance back to an understanding that we revisionists have an important role in "capturing America's Heathcare story." Until then, we can
continue to work our magic on documentation for the sake of accuracy and quality patient care,
but we also need to each speak up about why it is important.

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