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Mediscribes, A Segment Of The Mega Job-Market Determined To Quash All Errors
1. Mediscribes, A Segment Of The Mega Job-Market Determined To
Quash All Errors
Successful Implementation of Six Sigma and ISO Outshines Productivity and Enhances Performance
The recent HIPAA laws in the USA seeking to attend to the consumer (patient in this case) have made for
improved healthcare and the present global scenario of competitive healthcare has been made much
more cost conscious with its affect on the employment market with the increased concern on access to
healthcare and patient privacy.
Mediscribes, a solution provider for this sector, has completely engrossed the concepts coined by Six
Sigma with the two most important facets of medical transcription business viz. turnaround time and
accuracy to come up with a unique solution applicable across the entire business spectrum.
From describing Medical Transcription services and building its business model it goes on to process
mapping in the area of operations, production etc. It simplifies the implementation of Six Sigma and
opines that operational efficiency may be seen in terms of turnaround time (TAT) and Accuracy of files.
After using the six sigma approach the benchmarked improvements are to be sustained through continual
improvements shades of ISO.
The Six Sigma approach has been found applicable to all Medical Transcription operations and critical to
its success are the managerial & team support as well as software support given that no significant
investments are necessary for these improvements which exist in the operations. This approach may be
constrained due to the lack of domain experts. Since this process is usually funded internally, by the
management, it is but appropriate that their representative (usually the CEO) gets a ringside view of this
team effort along the identified milestones. The roles of the team members are clearly identified for the
core processes under the SIPOC method in the fields of implementation, Sales, IT, HR etc.
The critical-to-quality (CTQ) parameters of the core processes are set out with the specifications
identifying the various parameters and the risk factors along with their mitigation are set out. The typical
modes of the core processes are also spelt out. The TAT and Accuracy are sampled and measured as
per the AAMT guidelines. A graphical analysis of TAT and Accuracy levels has been carried out and error
marking has been done using the Kappa method, t-test etc.
The common errors in TAT and Accuracy have been identified and a learning curve has been delineated
in the C&E diagram for TAT and Accuracy levels and a control chart developed as well as the Pareto
analysis carried out too.
All these learning have been condensed into action plans with a solution priority matrix for ease of
application of Six Sigma into the Medical Transcription business. Standard Operating Procedures,
responsibilities etc. have been cod ified in a manual and scorecards too have been developed for
monitoring the key process parameters. The correlation of the results showing the „before‟ and „after‟ SIX
Sigma levels too have shown the positive effects of the Six Sigma approach.