MEDICAL TRANSCRIPTION

HISTORY ON MED TRANSCRIPTION - Units of Competency

 Basic Competencies
- Oldest medical records – ancient Egyptians would  Common Competencies
write their observations on papyrus.  Core Competencies

HANDLING MEDICAL RECORD KEEPING BASIC COMPETENCIES

- Participate in workplace communication
- Handwriting - Work in a team environment
 Time-consuming - Practice career professionalism
- Sound Recording or Taping - Practice occupational health and safety procedures
 Increasing popularity with doctors
- The Doctor typing in their own reports COMMON COMPETENCIES
- Speech to Text Applications - Apply quality standards
 Can be very inaccurate - Perform computer operation

IMPORTANCE TO KEEP MEDICAL RECORDS CORE COMPETENCIES

- Use business technology
- May influence the difference whether the patient will - Use medical terminology to carry out task
live or die - Produce text from audio transcription
- Keep permanently
SKILLS OF A MED TRANSCRIPTION
MEDICAL TRANSCRIPTION - Touch typing skills
- MT English and Medical Terminology Proficiency
- Translating from oral to written form in order to - Listening and Audio Transcription
document patient care and facilitate healthcare - Accuracy – 98-100%
services the record of a person’s - Speed – not <45 words per min
 Medical history
 Diagnosis TOUCH TYPING REQUIREMENTS
 Prognosis
 Outcome - In accordance with the required output
- Accuracy of information is checked and information
GENERAL WORKFLOW is saved in accordance with standard operating
procedure
- (1) Hospitals/Doctors - Appropriate technology and software applications
 Dictate  Transfer  are selected to achieve the requirements of the
- (2) Med Transcriptions Operations tasks
 Receive  Transcribe  Deliver 
- (3) Hospitals/Doctors MT ENGLISH AND MEDICAL TERMINOLOGY
 Receive PROFICIENCY REQUIREMENTS

MEDICAL TRANSCRIPTIONIST EARNINGS - Written and oral instructions using medical

terminology are received, understood, and properly
- 35,000/12months = 2916$ documented
- 2916/3- days = 97$ - Abbreviations for commonly used medical terms and
- 97 x 50.82php = 4929.54 pesos per day associated processes are understood
- Medical terminologies are used correctly I the
MED TRANSCRIPTION NC II QUALIFICATIONS completion of routine tasks
- Medical terminology is spelt correctly and used in
- TESDA Description appropriate context
 Consists of competencies that a person must - Grammar and syntax are appropriate for the
achieve to transcribe dictated recordings intended purpose
made by physician and other health care
professionals and transcribe them into LISTENING AND AUDIO TRANSCRIPTION
medical reports
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- Appropriate hardware and software are selected

- Accuracy of information is checked and information
is saved in accordance with standard operating
procedures
- Appropriate technology and software applications

AUDIO TRANSCRIPTION PERFORMANCE CRITERIA

- Text is produced from transcription with the required

accuracy
- Audio transcription reflected the intended meaning of
the author or physician
- Meaning, spelling, and technical terms are clarified
to ensure accuracy of the text
- Text is produced within designated

LEGALITIES AND ETHICS IN MED TRANSCRIPTION

- HEALTH INSURANCE PORTABILITY AND

ACCOUNTABILITY ACT (HIPAA)
 Created primarily to modernize flow of
healthcare information
 Stipulate how Personally Identifiable
Information maintained by the healthcare and
healthcare insurance industries should be
protected from fraud and theft
 To address limitations on healthcare
insurance coverage – such as portability and
the coverage of individuals with pre-existing
conditions
-
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BAD HABITS CHECKLIST

TOUCH TYPING Bad Habit Correction
Slouching Sit up straight with your
- A method of typing without the use of the sense of feet and well supported
sight or simply feeling the keyboard Reaching too far for the Sit one hand’s length
- Governed by muscle memory through rigorous keyboard or the mouse from the keyboard. Keep
training with the proper typing method Leaning your hand on the Hover your hands over
- Leads to increased typing speed keyboard or the wrist the keyboard: curl your
support fingers slightly
BASICS OF TOUCH TYPING Bending your wrist Keep your forearms and
forward back, left, or right wrists straight and in the
- Positioning neutral position
- Stretching and Resting Pounding the keys Strike keys slightly
- Familiarizing which finger to user per key Looking at the keyboard Position the work stand
- *** Read pages 2-7 of Keyboarding Essentials close to the monitor at
eye level. Keep your eyes
POSTURE on your work
Raising your elbows Keep your arms close to
- Do not slouch your body
- Keep the keyboard flat Raising your shoulders Keep your shoulders
- Center yourself on the J key relaxed with your chest
- The fingers should be positioned on the “home open and wide
key/row” Keying with the wrong Practice with correct
- Home Keys; fingers fingers until you establish
 Left Hand: ASDF the right habit. Your
 Index: F speed will then improve
 Middle: D
 Ring: S
LITERACY SKILLS
 Pinky: A
 Right Hand: JKL;
- Reading
 Index: J
- Writing
 Middle: K
- Thinking
 Ring: L
- Speaking
 Pinky: ;
- Listening
- Thumb Finger = Space Bar
- Keyboarding

CORRECT SITTING POSTURE FOR COMPUTER

CORRECT FINGER MOVEMENTS

- Eyes level with top of monitor

- Press the key with a quick and snappy stroke
- Chin down
- Return to home key after every stroke
- Shoulders down elbows close to the body
- Arms parallel to floor resting on arm support
- Back support for curve in spine
- Feet flat on floor

STRETCHING AND RESTING

- To relieve the tension and reduce the threat of injury,

you should stretch before you start keying.
- You should also take short breaks from keying every
20-30 minutes and stretch.
- Stretch 1: Neck Stretch
- Stretch 4: Downward Wrist …
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