Joseph,

We have several doctors that are near retirement. 
They have not had to interact with a computer, and
they don't plan to start.

We currently are a paper chart based office.  My VistA
is primarily a place to archive progress notes --
though I hope to make a neat program available to
others that might want to take advantage of options. 
For example, I am hoping to save about $12,000 a year
in transcription by using voice recognition directly
into CPRS.

Currently, after the transcriptionist types up the
text, it is printed and presented to the doctor either
as a batch for review, or it is put onto the chart for
review then or later.  I think that the best option
will be for the doctor's nurse to batch sign and print
the notes.  If some want to use CPRS the way it is
designed, then they will have that options.

Kevin



--- Joseph Dal Molin <[EMAIL PROTECTED]> wrote:

> Kevin,
> 
> Could you describe the doctor's reluctance in more
> detail....if I 
> understand the work flow the doc's dictate a
> note...it gets typed and 
> the doc needs to sign it for it to be seen....so
> what they are resisting 
> is keying in their electronic signatures repeatedly
> for a batch of 
> transcribed notes...is this a case of
> keyboardphobia?  It will be 
> helpful to know what doc's don't like about using
> VistA as much as what 
> they like....thank you for bringing this to our
> attention.
> 
> Are they still reviewing the transcription for
> accuracy and how are they 
> doing this? Perhaps integrating a finger print
> scanner or smart card for 
> capturing a signature would be a good alternative.
> 
> Joseph
> 
> Kevin Toppenberg wrote:
> > I need some help.  I have been stuck on this one
> point
> > for several days.
> > 
> > The doctors at my group are not willing to sit at
> a
> > computer and sign their notes electronically.  And
> > notes are not visible to others unless they are
> > signed. 
> 
> 
>
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