The most critical part of any system is its interfaces to other systems, and especially, its human interface. Typically, EMR allows three kinds of input, namely, typing, dictation, and point-and-click templates. Most physicians choose dictation over typing and point-and-click templates for reasons of convenience and time efficiencies.

While preference of dictation over typing is obvious, recent technology progress and regulatory compliance pressures make point-and-click templates superior to dictation.

Dictation and Transcription

Medical transcription saves time in comparison to handwritten notes or typing. It intuitively matches the physician's working style, power of personal expression, and it is easy to dictate using a phone, PDA, or Dictaphone. Human transcriber or Voice Recognition systems transcribe the dictation into medical notes.

But transcription has multiple disadvantages:

• Incomplete. If notes are not captured immediately at the point of care, it is too easy to exclude important details.

• Costly Processing. Report generation using unstructured data is much more time consuming and expensive.

• Time delay for Accessibility. It typically takes 12 to 24 hours for chart turnaround.

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IT value chain. The comprehensive nature of EMR consolidates patient's personal and administrative information, health history, prescriptions, treatments, and conditions. Its ability to perform such data aggregation at the point of care elevates its benefit from plain recording of patient encounter to useful decision support system.

The most critical part of any system is its interfaces to other systems, and especially, its human interface. Typically, EMR allows three kinds of input, namely, typing, dictation, and point-and-click templates. Most physicians choose dictation over typing and point-and-click templates for reasons of convenience and time efficiencies.

While preference of dictation over typing is obvious, recent technology progress and regulatory compliance pressures make point-and-click templates superior to dictation.

Dictation and Transcription

Medical transcription saves time in comparison to handwritten notes or typing. It intuitively matches the physician's working style, power of personal expression, and it is easy to dictate using a phone, PDA, or Dictaphone. Human transcriber or Voice Recognition systems transcribe the dictation into medical notes.

But transcription has multiple disadvantages:

• Incomplete. If notes are not captured immediately at the point of care, it is too easy to exclude important details.

• Costly Processing. Report generation using unstructured data is much more time consuming and expensive.

• Time delay for Accessibility. It typically takes 12 to 24 hours for chart turnaround.

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Domain names are how people find your nonprofit on the internet. Determining your domain name is a very important decision. You domain name should be something easy and memorable. Something like www.chicagocatshelter.org is easy to remember and instantly communicates where you are and what you do. Good domain names all have a few things in common:Short Nonprofit Domain Names As a rule of thumb a good charity domain name should not be more than 30 characters. A domain name like www.chicagocatshelter.org is a perfect size. As always, the shorter the nonprofit domain name the easier it is to remember.Describe Your Char
ecially, its human interface. Typically, EMR allows three kinds of input, namely, typing, dictation, and point-and-click templates. Most physicians choose dictation over typing and point-and-click templates for reasons of convenience and time efficiencies.

While preference of dictation over typing is obvious, recent technology progress and regulatory compliance pressures make point-and-click templates superior to dictation.

Dictation and Transcription

Medical transcription saves time in comparison to handwritten notes or typing. It intuitively matches the physician's working style, power of personal expression, and it is easy to dictate using a phone, PDA, or Dictaphone. Human transcriber or Voice Recognition systems transcribe the dictation into medical notes.

But transcription has multiple disadvantages:

• Incomplete. If notes are not captured immediately at the point of care, it is too easy to exclude important details.

• Costly Processing. Report generation using unstructured data is much more time consuming and expensive.

• Time delay for Accessibility. It typically takes 12 to 24 hours for chart turnaround.

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to dictation.

Dictation and Transcription

Medical transcription saves time in comparison to handwritten notes or typing. It intuitively matches the physician's working style, power of personal expression, and it is easy to dictate using a phone, PDA, or Dictaphone. Human transcriber or Voice Recognition systems transcribe the dictation into medical notes.

But transcription has multiple disadvantages:

• Incomplete. If notes are not captured immediately at the point of care, it is too easy to exclude important details.

• Costly Processing. Report generation using unstructured data is much more time consuming and expensive.

• Time delay for Accessibility. It typically takes 12 to 24 hours for chart turnaround.

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A cartoonist, a magician, and a dolphin trainer walk into a bar…Certain job titles seem to ooze fun. But I have a hard time imagining very many jobs that can’t be made fun with just a little bit of effort.My wife Kim and I were in California for a series of speaking engagements. We were able to spend a few days out and about in the San Francisco area before hunkering down and getting some work done in our hotel room. We saw many examples of people who had fairly ordinary (and even mundane) jobs, but who interjected a level of fun into their work.We bought an all-day pass for the cable cars, giving us many oppor
dvantages:
• Incomplete. If notes are not captured immediately at the point of care, it is too easy to exclude important details.

• Costly Processing. Report generation using unstructured data is much more time consuming and expensive.

• Time delay for Accessibility. It typically takes 12 to 24 hours for chart turnaround.

Note incompleteness is the most important disadvantage of dictation and transcription because comprehensive medical notes are key to surviving a post-payment insurance audit.

Point-and-Click Templates

A point-and-click template presents a selection of data elements, a navigation mechanism, and a point-and-click process for capturing patient information. The doctor simply points and clicks selecting appropriate choices while the system fills out a complete record of selections, which makes up the resulting encounter notes. Such a structured approach offers multiple benefits:

1. Consistency. Structured data ensures note completeness and avoids missing important details. It enhances the ability to generate clinically useful reports, such as appointment reminders or disease management.

2. Customization. The doctor specifies the template layout to match precisely the workflow of the practice.

3. Lower Error Rate. Standardization of input precludes errors of omission or spelling.

4. Faster decision-making. Similar observations have similar notes, resulting in consistent decisions.

5. Immediate Accessibility for Processing. Since notes are created within the EMR system, they are available immediately upon completion.

However, point-and-click data entry also has several disadvantages, including

• Complexity. It takes more effort to the notes using point-and-click templates than just writing or dictating.

• Data Entry Time. It may ta