Sending Transcribed Notes

February 1, 2008

We have an EMR. If a provider dictates to send a copy of his notes to another provider, whether it be a referring or primary doctor, should we wait until the dictating provider signs off on the note, or can the transcriptionist go ahead and forward the note after it is transcribed? Or can this all be provider-specific?

Question: We have an EMR. If a provider dictates to send a copy of his notes to another provider, whether it be a referring or primary doctor, should we wait until the dictating provider signs off on the note, or can the transcriptionist go ahead and forward the note after it is transcribed? Or can this all be provider-specific?

Answer: The dictating physician should always review the transcription and sign it, confirming its accuracy before sending it on. Of course, if you can find a way to get the provider to create his own notes in the EMR, there would be no need to wait for transcription.