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work out an indexing system that works for you and copy (almost) every report into it.

Posted By: Susan on 2008-05-12
In Reply to: Any op report MT pros out there? (sm) - Ops

while Ops offer lot of challenges -- that's a good thing, imho, REALLY ...


I keep my op stored in WORD sorted by


(1) client


(2) specialty (general surgeon, ortho, plastic, podiatrics, ENT, GYN, GI , urology, neurosurgery etc) .... and then in word folders


(3) within speciality, within client I name individual reports like this:


470 hernia vental simple


470 hernia umbilical


470 small bowel resection 


=========================================================


470 would be that doctor's id number -- the file holding 470's reports would be named with doctor's last name 


=========================================================


works for me, although I do usually do big time "indexing" until I've gota bunch of copied reports.


=========================================================


It's really important to NOT consider these NORMALS until you are more familiar with the dictator ... however... this is worthwhile ANYWAY because the joy of OPs is that most doctors say pretty much the same thing in 80% of their reports ... sometimes more. Gastroenterology and GYN  are excellent "easy money" most of the time but you MUST pay attention and change every difference ...


 


All these saved reports need to be updated when you review your QA ... those phrases that doctor mumbled yesterday are probably mumbled 24/7/365 ... follow up and record this information.


=========================================================


I use Emedicine for my go-to for a lot of things... while they don't have op reports they are stellar at terminology and spelling, hyphens, and capitalization as far as I can tell.


One of the fabulous things about op reports is usually NO MEDICATION LOOKUPS!!!! (although you will spend time finding out the latest heart stents, hip replacemetn component marketing  names, etc. ) Most medical device manufacturers have "pretty good" web sites -- use them, rather than relative Google popularity wrt spelling, caps, etc.


Good luck -- there is a learning curve but imho it is more than worth it -- Surgeons understand that their dictation is in essence their "BILL" when it comes to Medicare and insurance -- they have a vested interest in it being intelligible and complete ... they may talk really fast but most of the time, if you have samples, you will find they are saying variations of the "same thing" using the same words/terminology. 


Oh, and OP pay better.


Sincerely, good luck.!




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