Archive for September, 2007

Sep 12 2007

Medical Transcription Standard

Published by kitty under Uncategorized

MTIA (Medical Transcription Industry Association) along with AHIMA (American Health Information Management Association) recommends a standard unit of measure for medical transcription of patient medical records. It recommends the visible black character (VBC) measurement standard to be the best document counting method. What was the purpose of having such a standard?

The final goal was to implement a standard for content measurement that the health information management (HIM) practitioners can use to evaluate in-house transcription staff and external transcription service suppliers. The earlier 65-character line standard (also called as the AAMT line) had previously been a standard industry wide unit of measure for content measurement that includes space bar, shift key, bold, underscore, and other keystrokes. With this system the cost for the line/character goes beyond just labor as the cost of the technology is bundled along with domain knowledge and human resources. Thus it became mandatory to develop/choose the best possible Industry standard. The benefits of having such a standard include ease in maintaining service level agreements, better business relationships and having a better tool for evaluation.

According to The MTIA /AHIMA task force among all the different counting methods like ASCII line, the 65-character line, gross line, gross page, per minute pricing, and visible black character (VBC) measurement standards, VBC is the only counting method that can be easily understood, verified, and replicated by all parties in the medical transcription business processes.

Whenever a transcription document is reviewed for quality what are the principles that establish the quality of the documents?

  • The transcribed report should be reviewed against the actual dictation. Reading the report without listening to the dictation does not provide an accurate comparison of the transcription to the dictation.
  • The review should apply industry-specific standards as provided by current resources and references. When evaluating style, punctuation, or grammar, The AAMT Book of Style is the industry standard.
  • The review should encompass attention to risk management issues and the documentation standards of accreditation and healthcare compliance agencies.
  • Accuracy scores (ratings) should be quantified with the use of a numeric calculation that weights varying degrees of error against the length of the report. AAMT recommends the following quality goals: 100% accuracy with respect to critical errors; 98% accuracy with respect to major errors; and 98% accuracy with respect to all errors in the report, including minor errors (see below for definitions of “critical,” “major,” and “minor” errors).
  • The reviewer (or the review process) should provide timely and consistent feedback to the medical transcriptionist in order to eliminate repetition of errors.
  • All measurements, standards, and benchmarks should be disclosed to the medical transcriptionist and should be set forth in written guidelines by the healthcare provider or transcription service.

  • The author of this article is Ricci Mathew of Outsource Strategies International (OSI), a US based company that offers services in Medical Coding, Medical Billing, Medical Transcription for clients across the US.

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    Sep 05 2007

    Brass Monkeys - Facts About Snow and Ice

    Published by kitty under Uncategorized

    The entire planet was once covered in ice around 700 million years ago. This glaciation, so the ’snowball earth’ theory postulates, lasted for 160 million years.

    Some of the largest snowflakes ever recorded fell over England in April 1951 and measured 12.5 cm (5 in) across.

    Snow falls at approximately 2 m/s (6 feet/s), which is about a quarter the speed of rain.

    It is untrue that it can be “too cold” for snow, although the heaviest snowfall tends to occur when the temperature is around zero since the air holds more moisture than it does at much colder temperatures

    A piece of ice, measuring 20 ft across fell to earth in Scotland on 13th August 1849 and is the largest ever recorded piece of ice to fall out of the sky. Had this landed on someone’s head, it would have really hurt.

    A single snowstorm can drop 40 million tons of snow. That’s approximately 160 million snowmen.

    Antarctica has the coldest average annual temperatures, and the lowest temperature ever recorded on earth (-129°F) was at Vostok on July 21, 1983

    Thursday, 13th December 1997 - Snow fell in the Mexican city of Guadalajara for the first time in 118 years.

    Snow permanently tops Mount Kilimanjaro, in Tanzania, despite being only 3 degrees south of the equator. So there will be snow in Africa this Christmas time, but only if you live near the top of a mountain.

    The largest hailstone ever known fell in (or on) the Guangxi region of China in May 1st 1986. It weighed 5kg (11lb)

    2nd June 1975, summer snow fell in Scotland and parts of northern and eastern England, with 2 inches lying at Buxton in the Peak District. I personally remember this event very well as I live close to the Peak District. The snow didn’t last long as the warm summer sun got to work, but still shows how nature occasionally throws up little quirks.

    The Australian Alps commonly have snowfall above 1500m in the winter, but there are no permanent snowfields on the continent, making it unique in this respect.

    The Greenland ice sheet covers 80% of Greenland, and has an average thickness of approximately 5,000 ft. It is 1,570 miles long from north to south and 680 miles wide at its widest point.

    Meanwhile on the opposite side of the earth, the Antarctic ice sheet covers 98% of the continent and holds 61% of all the worlds’ fresh water. The ice sheet averages approximately 1 mile thick.

    It is often said that no two snowflakes are alike. However considering how many snowflakes fall in a single snowstorm (maybe 20 million or more) and the number that fall each year (we’re talking many trillions now) and how many years snow has been falling (my brain is beginning to ache) I would like to meet the person who can prove this!

    Freshly fallen snow can contain as much as 95% air, which makes it such a good insulator. Igloos certainly look cozy.

    So enjoy your snow and ice as we are seeing less of it with the earth’s temperatures slowly climbing. But drive carefully and don’t eat the yellow or red snow (red snow contains an algae which will give you stomach gyp for a couple of days).

    Mark Boardman BSc dip.hyp is a leading author and expert on the weather. for more information about cold weather and snow and ice, go and browse these sites.

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    Sep 01 2007

    Life and Work of Coleridge

    Published by kitty under Uncategorized

    The Life and Work of the Great S.T Coleridge

    S.T Coleridge, a great poet and visionary, was born at Ottery St. Mary Devonshire, on October 21,1772.His father was a man of great learning but also had some eccentric kinds of tastes. He was the vicar and headmaster of the Kings’ School there. He let his son, Coleridge, learn the mysteries of Astronomy and also initiated him to go through a course of desultory reading. His father died in 1781,leaving him to go as sizar to Christ Hospital.

    He formed a friendship there with Elia (Charles Lamb), and early distinguished himself for his attractive personality, versatility, disposition and youthful enthusiasm. In 1791 he went to the Christ College, Cambridge, and became an ardent republican. In conjunction with Southey he became engrossed in a communistic scheme for the amelioration of his fellow men.

    In 1794 he left the college and left it without taking a degree. And if we examine the history of literature, then we shall find that these degrees do not effect the learning and observations and the practical experiences of such born visionaries and, perhaps, this is the reason why Shakespeare also was not that much learned, worldly, but even then he ruled over the sky of literature.

    His life in the years 1795-1809:

    Soon after leaving Cambridge he married Sarah Frickers, a sister of Southey’s wife. His republican ardour had very much cooled down up till now.The Coleridges first settled down at Clevedon and thereafter at Nether Stowey,Somerset, where he formed an intimate and beneficial, both for literature and Coleridge, with William Wordsworth, and came under the wholesome influence and charm of the great poet and his sister. The few months spent with Wordsworth were the best of his life and the best era for literature also. His domestic troubles had not yet commenced. His poetic imagination was at the height and it was very much ready to be used to produce some great pieces of literature. His creative power and creative words were very much oozing out of the brain of his. And that is why all the best work he did belongs to this very period. In 1798 appeared the famous “Lyrical Ballads” to which he contributed ‘The Ancient Mariner’.

    About this time he was rendered financially independent through the help and kindness of some friends, and that is the reason why he started a tour through Germany with Words-worth. German philosophy and literature fascinated and impressed him very much. He, perhaps, was the first English poet and man of letters completely to imbibe the German thought of the day, and subject the mind of his contemporaries to its influence.

    His life in the years 1800-1806:

    On his return to England Coleridge aimlessly moved from place to place. During an illness some time before, he had started taking opium. The habit gradually grew upon him till its shadow darkened the remainder of his life. The days of his literary achievements were over now; he was simply planning and never executing. He always planned to do something but never tried to bring that plan of his into reality and it was never on ground.

    But even then he had a nice power of speech. And that is why partly through the persuasion of his friends and partly due to eke and earn out his living, he started a series of lectures on Shakespeare and Milton. With his powerful imagination and insight and creativity and through the felicitous use of language he always kept his audience enthralled. His health was gradually failing, and he resolved to try the effect of some hot climates. In this context he reached Malta in April 1804, and was very well received and was given a warm welcome by the English colony there. Later he was appointed as the Public Secretary of Malta and its dependencies. It is another proof of his remarkable versatility that he proved a thorough man of affairs and made his mark as a secretary. The climate also suited him. But cut off from friends and congenial intellectual environment, he found his life unbearable.

    This is a realistic phenomenon for the reason that such kind of sensitive persons can’t even think of just making money and leave there creative work. They can live without bread but they cannot live without Creative work.

    His life in the years 1816-1834:

    All the time, he had been living in virtual separation from his wife and children. His friends were anxious that he should regain those exceptional powers which he had frittered away in dreams and fragements. He was, therefore, placed in the house of a surgeon, Mr. Gillman, under whose kind protection and treatment he passed the rest of his life. During several lucid intervals he still gave proof of his great poetic power, subtle knowledge of psychology and fine critical grasp of thought. “Youth and Age” and the charming songs in “Zaploya” and “Law Sermons” belong to this period. He retained his hold over the minds of his contemporaries. His reputation and fascinating gift of talk still brought young devotees of learning to his surgeon’s residence in High gate. Till his death in 1834 he never lost the poetic frenzy of his eye or the dreamy grace of his melodious speech.

    S.T Coleridge’s Poetry:

    We shall take the works of Coleridge point vise:
    I>Earlier works of Coleridge:

    1>Poems on various subjects–1796(written in artificial manner)
    2>Political Sonnets
    3>The Song of the Pixies–1793
    4>The Lines of Autumnal Evenings; Lewti–1794
    5>Religious Musings–1794-96

    II>Other works:

    1>The Lyrical Ballads
    2>The Lime tree bower
    3>Frost at Midnight
    4>Fears in Solitude–1797-98

    III>Masterpieces:

    1> The Ancient Mariner
    2> Christable
    3> Kubla Khan

    IV>A work after the masterpieces:

    1> Dejection an Ode
    2> love and Hope

    Coleridge’s dramas:

    1>The Fall of Robesopierre–1794
    2>Zaploya–1817 (a parody of The Winter’s Tale)

    Coleridge’s Literary Criticism:

    His literary criticism is all in the “Biographia literaria” and it is a loose autobiographical work which includes various and different subjects.

    The resource of my article is the biography of Coleridge and many other books.

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