Medical Transcription (MT) and Electronic Medical Records (EMR) Software

Electronic Medical Records (EMR) has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription – however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.

The most critical part of any Electronic Medical Record (EMR) is the method of data entry. EMR is about aggregation of patient encounter data at the point of care in order to provide a complete, accurate, and timely view of patient information. An electronic medical record is not just a typed record of the patient encounter, but an extremely useful decision support tool. The data can be entered into the EMR via any of the two general mechanisms: direct entry by the physician using point and click templates or transcription of dictated notes. Point and click template indicates that each data element, which is to be inserted, requires selection, navigation, point and click process for capturing patient information.

Transcriptions have been around for years for documenting patient encounters. A medical provider dictates the medical note into a phone or a recording device. Distributor alat listrik, The transcriptionist receives the dictation and transcribes it. It may be reviewed by the supervisor for checking errors. The final computerized file is then either emailed directly to the healthcare provider or the file is transferred to a web site and is later downloaded by the provider.
Each method has its pros and cons.
Point and Click Templates
Most EMR systems allow providers to generate clinical documentation, by selecting variable terms from pre-structured point-and-click templates. Users simply point and click to select appropriate choices from lists of choices to record a patient encounter. The end result would be a document that closely resembles a transcribed procedure note.


* Completely customizable templates. The doctor can specify the layout of the template, which helps him to adjust the template as per his practice & procedure.
* Provide consistent, complete and accurate data. The chances of medical erros are reduced since the data is documented in customised forms.
* Notes for similar type of exams will appear to be standard and similar
* Store / organize data for subsequent retrieval.
* Each click adds data elements to the database. Point-and-click systems create data that can be used to generate clinically useful reports, such as health maintenance reminders, disease management etc.
* One of the major advantages of template based charting is the time needed to make the document available as a medical record. Since notes are created within the EMR, they are available immediately upon completion.

* It takes more time, and definitely more concentration for a physician to navigate through large data set and create progress notes using point and click templates.
* Templates must be customized as per the physician’s requirement.
* Customization can be inflexible and costly.
* Well accepted by only tech-savvy doctors.
* The approach of direct data entry by the physician has generally failed because busy providers reject it altogether.
* Output from these templates is too canned and identical. It loses individuality for each patient.
* It is difficult for a provider to capture complete patient encounter on computer in front of a patient.

Medical Transcription
Transcription has long been the standard for documenting patient encounters. It is more convenient for a provider as compared to handwritten notes or electronic data entry. There are many advantages of transcription in comparison to point and click charting. There are a few disadvantages as well.


* Correspond intuitively to the physician’s usual method of working. Dictation remains the most intuitive and least time-consuming means of data entry.
* Physicians can dictate anytime, anywhere using PDA, Dictaphone or telephone at their convenience.
* Providers need not change the way they practice just to accommodate an EMR. EMR can interact with transcription service so that transcriptions can be attached directly into the patient’s electronic medical record, if such a facility is provided by the EMR vendor.
* It requires minimal training for physicians.
* Provides expressive power to describe patient’s condition and other health related events


* Details of the exam can easily be forgotten and omitted while dictating, if dictation is not captured immediately at the point of care
* It cannot be queried for generating reports unless transcribed in pre-formatted templates
* Transcribed reports are not immediately accessible. Physicians would normally have to wait for 12 to 24 hours for charts to be delivered, unless few vendors supporting 2-4 hours short turn around time.
* Transcription provides for more efficient use of doctor’s time.
* Although average transcribed report costs $2 to $4, it can reduce the doctor’s time spent on data entry.

Considering the value of doctor’s time, transcription is not a costly proposition.

EMR should give the freedom to the physician to decide to use either Point & Click or Medical Transcription. For a physician, the EMR that fits into his practice workflow would be invaluable. A competent EMR must have a template driven charting feature and the ability to interact with a transcription service at the same time. Both are indispensable features of Electronic Medical Record Software, as doctors are not unanimous on point and click charting or transcription. Such an EMR will be both efficient and cost effective.
The trends in transcription itself are changing with Medical Transcription service providers aiming to adopt new technologies. These technologies will evolve to increase efficiency & accuracy, decrease turnaround time and support data capture. While many of these technologies like such as digital dictation and electronic signature exist today, several technologies are still on the horizon.
The author, Divan Dave, is the founder and CEO of OmniMD, a developer of HIPAA compliant Pocket PC and Internet-based enterprise clinical solutions, designed to fully automate the work-flow of contemporary healthcare organizations. The company is a division of Integrated Systems Management, Inc. (ISM), a leader in Internet consulting and e-business development since 1989.

Tennis Elbow Affects Millions But It Can Be Beaten

Tennis is a physical sport. Running, jumping, swinging, and sometimes diving on the hard court; like any sport, there are many ways that tennis players can incur an injury. However, there is one injury that is so prevalent among tennis players the injury itself has the word tennis in the name; that injury, of course, is tennis elbow.

While tennis elbow, known medically as lateral epicondylitis, is not limited to tennis players, it is estimated that one third of all tennis players will experience the condition at some point in their lives. Anyone who engages in lifting at the elbow, or repetitive movements of the elbow and wrist, is likely to be susceptible to this condition, so naturally tennis players are at high risk.

The cause of pain from this condition is not a medical certainty, although it is believed that it is caused by small tears of the tendons attaching the forearm muscles to the bone at the elbow joint. It is the muscles of the forearm that are used to cock the wrist back – extensor carpi radialis brevis – that are the suspected culprits in this condition.

So how do you know you have tennis elbow and not some other painful condition? Individuals with this ailment typically feel pain on the outside of their elbow, especially when grabbing an object and cocking back the wrist. The pain is generally more severe when lifting something – although pain while resting should be expected – and it is often described as a pain that radiates down the forearm. Pain from tennis elbow generally starts gradually, although it has been known to have a sudden onset as well.

If you believe that you are suffering from tennis elbow you should consult with your physician immediately. Treatment for this condition is typically noninvasive, and over 90% of patients are successfully treated without surgery. Tennis players can often address the problem through some subtle changes in their equipment and technique.

A good first step is to make sure that you are using a racket with a properly sized grip. Another option is to reduce the tension on your racket strings. Ceme Online – That reduction in string tension will soften the impact of the ball, and reduce twisting of the forearm during off-center hits. Lastly, changing your actual tennis stroke can help reduce the negative impacts on your elbow as well. Players who learn to swing without leading the racket with their elbow in a flexed position can often alleviate much of the condition and reduce the likelihood of reoccurrence.

There are noninvasive medical options that can address the pain of this condition as well. Anti-inflammatory drugs are used to combat both pain and inflammation. If a regimen of anti-inflammatory drugs is not successful, cortisone injections are an option that has proven successful for some patients.

However, injections are not always successful and if relief does not come quickly then you are likely not going to be served by continued injections. However, medication is not the only avenue that one can explore when trying to alleviate pain and discomfort in the elbow region. Use of an elbow brace can reduce the strain placed on the elbow during the tennis stroke.

Sadly, if the aforementioned treatment options are not successful then surgery may be the only road to relief. The good news is that surgery has a very high rate of success, and it is only required in a small percentage of patients.

The Tennis Court, Dimensions And Surfaces

Tennis courts are standard in dimension, but vary widely in surface material. Tennis rules dictate the length, width, and placement of the lines on a tennis court. Tennis courts have a variety of surfaces and can be either outdoors or indoors. In this article, we will introduce the basic dimensions and aspects of the tennis courts and discuss the different types of tennis court surfaces.

The rules of tennis dictate that tennis courts be 78 feet long from baseline to baseline. A net, 3 feet high in the middle, divides the court into two equal halves. Tennis courts are 36 feet wide from doubles sideline to doubles sideline, and 27 feet wide from singles sideline to singles sideline.

Unlike the dimensions of a tennis court, the tennis court surface can vary in character. The different surfaces have different characteristics that affect the style of play. Common surfaces for outdoor tennis courts include grass, red clay, green clay, and hard courts. In addition, indoor tennis courts often have hard surfaces or synthetic, carpet-like surfaces.

The very first tennis courts were made of grass. While the number of grass tennis courts has decreased in recent years, some remain, and the world’s most prestigious tennis tournament, The Championships at Wimbledon, is still played on grass tennis courts.

Grass tennis courts are considered a fast surface because the ball moves quickly through the court when it bounces. Typically, the ball stays low and close to the ground. Because of the speed of the court and the unreliability of the bounce, historically players playing on grass tennis courts prefer to volley the ball out of the air whenever possible.

Red clay and green clay are the two types of clay, or slow, court surfaces. Red clay tennis courts are made of natural clay or crushed red brick. The French Open is played on red clay courts. Green clay, the more common type of clay court in the U.S., is made of Har-Tru, a mixture of crushed stone, rubber, and plastics. Clay courts are considered slow because the ball bounces more slowly off the court. Typically, players playing on clay tennis courts prefer to hit balls off the bounce from behind the baseline.

Hard courts, the most common court surface in the U.S., are another fast court surface. Hard courts are made of asphalt or concrete coated with a thin sealer and special paint. Some types of hard courts have more extensive, rubberized coatings. The ball bounces high off hard tennis court surfaces and moves through the court quickly. Because the ball has a reliable bounce and the ball moves quickly off the court, players can employ a variety of tactics. Generally, aggressive play is preferred.

Finally, tennis players also play poker online indoors, especially during the winter, on indoor tennis courts. Indoor tennis court surfaces are made of concrete or a synthetic or plastic material that mimics grass. Indoor tennis courts are generally the fastest tennis court surface of all. At the professional level, hard serves, volleys, and powerful grounds trokes dominate matches on indoor tennis courts.

Digital Electronics and Renewable Energy Go Hand In Hand

Someone once said “It takes money to make money,” and that is mostly true. Today, we might add, “It takes energy to make money,” with reference to all the wondrous digital electronics we use every day to conduct business and create things. Problem is that it can take quite a lot of energy to run all the computers, peripherals, big screen display and multimedia installations in our homes and offices. And a bunch more to keep all those cell phones, digital cameras, GPS systems, iPods and handheld gaming systems charged and ready to go. So while the cost of energy keeps rising, and more and more people realize that climate changes, pollution and diminishing oil reserves demand a move towards renewable energy sources, we consume more and more with all of our beloved electronics.

Does that mean that the very progress that brought us the wonderful world of digital electronics is also digging us into a deeper and deeper hole of energy dependence and spiraling monetary and environmental costs? It doesn’t have to be that way. Business and the environment do not have to be at odds. There is, in fact, a green electronics movement that seeks to make our beloved electronics more energy efficient and environmentally friendlier. The movement covers the entire spectrum from huge international conglomerates pledging to recycle, reuse and conserve, all the way to electronics being more energy-efficient and either bio-degradable or easier to recycle, thus reducing what is now called “e-waste” from millions of tons of landfill to reused and recycled resources.

Saving energy and recycling makes perfect sense, and it’s no surprise that there are now companies devoting themselves to green electronics and energy sustainability. After all, it’s good PR and makes economic sense. But it goes farther than that. Beli Mesin Sabut Kelapa – There are now even companies that sell both digital electronics AND renewable energy products. It’s easy to see how a firm belief in renewable energy, conservation and sound energy policies may drive an environmentally conscious business owner to sell items like solar and wind energy products as well as digital electronics made by companies that have realized that business and society are interdependent and thus embraced green technology.

What is “green technology?” It can be products certified for low emissions, products certified to be more energy-efficient (like the Energy Star pledge and standard), or products using solar chargers or other energy saving technologies. It can also mean support of companies that are actively “going green” by increasing recyclable content, removing environmentally harmful substances, using renewable energy in the production cycle, and supporting environmental conservation causes and projects.

Why would companies go green? Because it’s not only the right thing to do, but also because it’s an increasing competitive advantage to be seen as a green company that cares about the environment. Just like a lot of consumers reject pesticides and insist on organically grown food products, more and more consumers insist on buying green, energy-efficient technology from companies that care. It’s good to know that megahits like iPhones and Wii gaming consoles are made by such companies.

What we’re seeing here is really an inevitable, accelerating trend towards smarter, greener and more efficient and conscientious consumption. We all must fight waste and embrace clean, sustainable, renewable energy.

The Truth About Fibromyalgia, Chronic Fatigue Syndrome & Lyme Disease part4

Some oils such as lavender can be sedative and aid with sleep and reduce anxiety. Oil of oregano, which is a popular supplement found in health food stores is essential oil of oregano diluted in vegetable oil. It is almost always necessary to dilute the oils before using them because they are so concentrated. Interestingly, many people with CFS, Lyme Disease, and fibromyalgia are likely to find that some of their symptoms worsen when inhaling the fragrance of the oils. This is often a detoxification reaction.

People with Lyme Disease generally seem to derive greatest benefits from stronger dilutions of essential oil than most aromatherapists typically use. It is important to use care when the oils are utilized in this manner. The oils are processed by the liver and kidneys and may cause liver and kidney problems in extremely high amounts. One should reduce the amount used if there is nausea or discontinue use if there is any allergic reaction. People with these diseases may discover that much of their fatigue, muscle weakness, mental fogginess, and pain can be significantly reduced with regular application of the oils. The oils can be used diluted in vegetable oil for massage of affected areas of the body, and they can be used by the drop in one’s bath water.

They can also be absorbed into the bloodstream via the lungs simply by inhaling their fragrance. The oils also penetrate the blood-brain barrier and may be helpful for neurological issues due to infections or other reasons. Some of the oils can trigger seizures in people prone to them. Some other oils, such as jasmine and ylang-ylang may help people to control seizures. Oil of oregano taken internally as directed can also be helpful in the treatment of Lyme Disease.

Massage can improve oxygenation of body tissues and improve blood circulation as well as reduce pain. If a person has fibromyalgia or CFS due to an infectious disease process, or a person has Lyme Disease, massage should only be used in combination with a therapy that is antibacterial in nature. Otherwise, it is likely to stir up dormant bacteria and stir up symptoms instead of providing symptom relief. Jamu Kuat – When massage is used in combination with a therapy that is antibiotic in nature, it may improve the efficacy of that therapy by bringing bacteria out of hiding in order to be killed. Deep tissue massage may improve the efficacy of treatment with antibiotics, with herbs, with aromatherapy, or with heat. Used on its own, though, it may stir up latent problems in people with these conditions.


College Basketball Betting

It’s about March Madness. The surge of fervor. The rush of triumph. The devastating distress of annihilation. Be that as it may, first groups must play out a full season before being chosen. In the fantastic plan of things, just a modest bunch of the school groups are chosen to the huge move. Most arrive by winning their gathering or the title competition for their meeting. I bring this up, in light of the fact that it’s essential to know. An effective games bettor needs to realize what groups are inspired and what groups are simply making a cursory effort.

It would be a grave error to expect that a group with a normal record is playing to no end. Numerous groups play hard all through the season, since they have a shot at the NCAA competition regardless of the fact that they are low in the meeting. Another deception that slaughters sports bettors is wagering NCAA b-ball like it’s the NBA. You need to recollect that NCAA ball is contained youthful grown-ups, ordinarily 18-21. Most don’t have the capacity to perform at an abnormal state, to think under weight and to meet the challenge at hand despite seemingly insurmountable opposition.

While schools fill their ball groups with the best ability they have accessible, that does not mean the group will have even one better than average player. A few projects out there are out and out terrible. Just a little specimen of players at the school level will be drafted by the NBA. Most are just road balers experiencing their school years. School ball players are more vulnerable to passionate swings than NBA players. Thus, you should pay consideration on any late news and occasions twirling around the group judi online.

For those that don’t definitely know, school ball deals with the spread framework. For instance, suppose you have UCLA playing at Duke and Duke is – 8. You have two alternatives. You can take Duke and lay the 8 focuses, which implies Duke must win by more than 8 for you to win—8 is a tie and just wins on some parlay cards. Your other alternative is to take UCLA and the 8 focuses. For whatever length of time that UCLA win or does not lose by more than 7, you win. In the event that they lose by 8, you tie.

School ball wagering likewise highlights the aggregates line. Not each amusement played will have an aggregates line at each games book. The sums line is the aggregate number of focuses scored by both members at an occasion. For instance, if the aggregates line was 130, you could wager the over or the under. Take the over and you need both groups to consolidate for 130 or more focuses. Take the under and you need both groups to consolidate for 130 or less focuses. Aggregates lines in school b-ball can be both gainful and precarious in the meantime.

School b-ball can be amazingly beneficial. To be a long haul champ, it’s critical that you comprehend the sport of b-ball, as well as the school scene also. Invest energy searching for news and data about the group and players. Is there an outrage at the school? Did the group simply fall off of a supernatural occurrence win? Occasions can swing school b-ball enormously. Players are more well-suited to be swung by feelings. Good fortunes on the hardwood.

Players can become huge celebrities if they perform well during the World Cup

Football is the most well known game on the planet with its amazing stage, the World Cup at regular intervals. A large portion of the world’s players can get to be tremendous big names on the off chance that they perform well amid the World Cup. Fans will traverse the globe just to ensure that they see their most loved group play. This kind of energy can not be copied by some other game anyplace on the planet. Football makes a superb showing with regards to building a wide range of abilities in youthful youngsters. These aptitudes can help them progress in football, different games, and in life when all is said in done.

A portion of the physical aptitudes that football will help youngsters create are pace, speed, parity, continuance, and quality. Football players must have these aptitudes to have the capacity to play the diversion even at a youthful age. Players that build up these helpful aptitudes when they are youthful, have an extraordinary opportunity to bloom into a star further down the road. Likewise a number of these kids will take these abilities and use them in different games also. The aptitudes learned in football can make an interpretation of well into any game. American football players, b-ball players, baseball players, and even hockey players can profit by playing football at bandar bola. One of my most loved b-ball players ever, Hakeem Olajuwon, grew up playing football in Africa. He credited his awesome equalization and coordination to the numerous years playing football. I trust that each tyke ought to grow up playing football, since I feel that it can help them later on in life.

Football can likewise show youngsters numerous life lessons that they can think back on as they become more seasoned. Kids figure out how to cooperate with other people, since they need to speak with their partners in the event that they need to have a shot of winning. Football additionally shows youngsters how to be modest victors and charitable failures, since they need to work through the majority of the feelings that join playing sports. It likewise shows youngsters the estimation of determination and diligent work, in light of the fact that lone the most decided and persevering groups will succeed. These aptitudes that youngsters learn at a youthful age will shape them into the pioneers without bounds.