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The Medical Transcription Coalition (MTC) provides a forum for home-based medical transcriptionists/editors (MT/Es) in Medical Transcription Service Organizations (MTSOs) to improve MTSO conditions in the areas of performance measurement, working conditions, and compensation.

Home-based MTSO workers are often unable to access each other in order to organize for process improvement and collective bargaining within their organizations.   While there are other web sites and organizations that offer forums covering a variety of industry topics, the MTC offers a focused means of organizing through online networking and teleconferencing for the primary purpose of collaborating on strategies to work with employers to improve conditions in MTSOs and/or set up new, ideal MTSOs.  We are not in competition with other MT/E forums and organizations; we dialogue and work with them toward similar goals.

While speech recognition (SR) and electronic health record (EHR) technology has changed the industry, the Bureau of Labor Statistics forecasts only a 3% decline in the need for medical transcriptionists through 2026 due to technology, offshoring outsourcing, and the increased demand for healthcare services.  Healthcare providers are reporting that EHRs are falling short of expectations and they are feeling the increased workload burden placed on them by administrators to pick up documentation and editing that was previously supported by MT/Es (at much higher rates of pay and/or lost time with patients).  

We believe the data demonstrates the efficiencies and economies of continued use of MT/Es for EHR documentation.   

1.  The average rate of dictation (conversational speech) is 120 to 160 words per minute compared to the average rate of typing speeds of 40 words per minute (65 to 75 wpm for professional typists).  

2. Doctors and other providers who are expected to edit their speech recognition will need to re-listen through the entire dictation to pick up potentially critical errors made by the speech recognition engine; errors that will not necessarily be realized and recalled if just reading through text.  In addition, they will need to spend extra time correcting text and reformatting the text into headers and paragraphs and required formats and standards.  They may spend 2-3 times the time they spent dictating to adequately edit their own speech recognition documents.  

Clinical provider typing, clicking, and editing involves highly paid time (compared to an MT/E) that they could be spending in patient care, peer collaboration, research, etc.  There is also a concern that adequate time will not be given for necessary, thorough editing by clinicians, and the accuracy of patient documentation will suffer, putting patient care at risk and creating costly billing errors.  MT/Es provide a valuable check on technology accuracy by catching and correcting errors and flagging inconsistencies and omissions.

Many health care facilities who have implemented speech recognition and EHR technology, who have tried physician-only documentation, are finding the need for extra help.  Some continue or return to use MT/Es.  Some are now hiring medical scribes to aid providers with documentation, a role that is very similar to and adaptable for MT/Es, and some medical scribes continue the use of dictation, transcribed by MT/Es.  When contemplating scribes following physicians for real-time documentation, patient comfort and privacy is a consideration.  The continued use of dictation and MT/Es as behind-the-scenes scribes and/or transcriptionist/editors can be enhanced for improved real-time documentation and reporting, while maintaining patient privacy.   

The MT Coalition provides a means of improving conditions within the current industry and positioning MT/Es for the future.

Membership in the MTC is free.  

In the future, if the members choose to engage in work group regulatory activity, or form bargaining units or cooperatives, at that time fund raising, grants, and/or fees could be established, separate from MTC membership.

MTC members volunteer their personal time and talents which can include backgrounds not only in medical transcription, editing, and quality assurance, but open also to professionals in information technology, healthcare, administration, business, organizational management, MTSO ownership, collective bargaining, law, legislation, standards and licensing, etc.

Take time to register, review the forum topics and contribute your ideas.   Everyone is needed and together we can make a difference! 

Registering:  Registering will allow access to all pages on the site, and all who register will be able to receive updates on MT Coalition activities and progress.  Once your registration request is accepted, you will be invited to complete your profile which will change your status from "registered" to "member", which allows you to comment on forums, and for others to network with you in the future as wanted. The number of members displayed are the number of registered individuals who have completed a profile.  Minimal information is collected, required, and/or displayed as indicated in the profile, and is primarily for the purpose of future groupings by area and interest, and is not released to third parties.  We encourage but do not require registrants to complete a profile to have full membership accessibility to contributing and networking.

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