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[H1639]How To Start Medical Practice
by Peter Polack, Pet

Most medical practices now use an electronic practice management (EPM) system. Usually this means some type of proprietary software, something different than the old system of hand-written calendar notes. In the last twenty years, the EPM market has ballooned into a large industry, generating products which run on several platforms.

Unfortunately, however, although these systems are enacted, the vision of the paperless office is not fulfilled. Most practices still store paper records in the old-fashioned way. Some practices are text-driven, such as family practices and internal medicine. Graphical and visually-driven specializations like ophthalmology, however, have given developers trouble and many systems are not ready to go live.

At our practice we had been using an EPM system since '83. The first vendor we were using said that they would not extend technical support after the year 2000. We decided to change to another system before this happened. While the software was good for billing and scheduling, we started to realize that we would need to keep growing in terms of square footage, in order to accommodate the storage of medical records. So, we asked ourselves which would be more cost-efficient in the end: conversion to an EMR system, or continual growing of the space? Our particular practice has five office spaces with records storage at the central main office. We started to consider a scanning solution to assist with the storage problem, still realizing that we'd have to become more efficient while maintaining full access to stored information.

EMR system implementation involves the following expenses:

* technical support
* IT consulting
* infrastructure costs
* computer hardware
* licensed software

Also consider the costs of training staff, and the extra data entry that they will perform to move information over to the new system. In most cases, a practice will use both the new and old systems until a conversion is complete. There could be some tasks duplicated between the two systems.

Our choice came down to a consideration of the necessity to curb the amount of paper records we were accumulating, meanwhile facing new privacy and patient record security proactively.

There are some excellent benefits to EMR, which include:

* enhanced documentation
* remote access
* improved coding and compliance
* better integration
* communication improvements
* measured efficiency

When making our choice, we imagined that we could recover our investment in five years; this calculation was based on savings on estimated office space rental needs. This includes reduced service costs and printing expenses. We are monitoring changes in job efficiency. There are benefits which are difficult to calculate accurately, but we are always measuring our performance and return on investment. There will be an initial investment of both time in expense which should reap benefits in terms of future productivity.

The overall trend seems to look toward a future in which EMR is the standard rule. Insurance providers and government agencies are increasing pressure for standardized medical documentation, and EMR could become obligatory someday. As healthy competition brings down hardware and software costs, even the smaller offices are then able to make the move over to a paperless practice.


There are many reasons why someone would want to become a Medical Transcriptionist. It is an absolutely critical element of quality health care, as every time a patient is seen by his or her physician notes on that visit are placed in the patient's medical records. Accurate transcription of the doctor's dictation is vital in portraying the patient's medical condition, especially if he or she should be referred to a different physician.

Some of the reasons you might consider becoming a transcriptionist are:

1. Medical transcription is a critical and honorable profession.

It's been said that the United States is the best place in the world to be if you are sick. One of the reasons for that is that we have professional transcriptionists entering all of the details of every doctor's visit accurately into a patient's medical records. If we did not have fast, reliable transcriptionists keeping medical records up to date, we would have a great deal of mistakes in health care!

2. There is an ongoing need for true professionals.

According to the U.S. Government Dept. of Labor, there will be a great need for transcriptionists over other occupations through 2016: "Employment of medical transcriptionists is projected to grow 14 percent from 2006 to 2016, faster than the average for all occupations. Demand for medical transcription services will be spurred by a growing and aging population. Older age groups receive proportionately greater numbers of medical tests, treatments, and procedures that require documentation. The current population of medical transcriptionists is aging and retiring. There is a supply and demand problem. The demand for quality transcriptionists is greater than the number of new people entering the field. And guess what? People continue to go to the doctor!

3. There is the potential to work from home, either as an employee or an independent contractor.

The freedom to have a 30-second commute is a powerful lure, but there is more: you also get to set your own hours, pretty much, when you work at home. Like working at 3AM? That's cool...Once you have established yourself in the business with several years of experience, there is no end of opportunities out there for you to work at home; some small doctors group in your town is bound to be in need of help, and you'll find there is probably a fairly large network of independent transcriptionists referring work to each other.

4. There is the potential to build your own business with an income limited only by your willingness to work hard.

You can be your only employee, or you can have a whole "stable" of transcriptionists adding to your income. Some of the largest transcription firms today began as one-person businesses. The more people you have working for you, the less you have to work at transcribing yourself, as you will be taking part of your employees' per-line rate for yourself - or rather, part of the rate you charge the client will be skimmed off the top before you pay your employees. The income potential is really limited only by your ability to bring in new clients and keep a stable of reliable transcriptionists working.

5. The work is absolutely fascinating on a continual basis.

Each report is different from every other, since every patient is different from every other. It's fascinating to see how two people can have ostensibly the same condition, yet their different physical makeups can cause very different symptoms to appear. Since you would probably be in the field for several years, the chances are fairly great that you would migrate from one specialty area to another over time. Boredom will surely be alleviated if you change specialties, with the new terminology, and the new doctors' speaking patterns and idiosyncrasies.
Article Source : Pg. 86

About Author
Both Peter Polack & Pam Lyon are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Peter Polack has sinced written about articles on various topics from Wedding Photography, Computers and The Internet and Information Technology. Peter J. Polack, M.D., F.A.C.S., is founder of emedikon, a medical practice management consulting firm and president of Protodrone, a software development company specializing in medical practice applications. He is managing partner of Ocala Eye, a large. Peter Polack's top article generates over 5400 views. to your Favourites.

Pam Lyon has sinced written about articles on various topics from Education, Work From Home. Pam Lyon is the author of "" -- the real truth about the life of a medical transcriptionist. Pam is a 30-year veteran of the Transc. Pam Lyon's top article generates over 2900 views. to your Favourites.
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