CUSTOMER: HoustonHSC

MASTER ACCOUNT: Houston HSC OM: Margaret Amato

VERSION: 11.20 CLIENT WEBSITE: https://hcahealthcare.com/home/
SAMPLE SITE: https://houstonhsc.escriptionasp.com/Downloads/Labor/
FIESA ENTRY: Houston HSC

TEXT FORMATTING
AMPERSAND within acronym Do not use & (ampersand). Separate acronyms with "and" (H and P, H and H, etc.)
ALLERGY Statements Uppercase for all allergy statements, positive or negative
CONTRACTIONS Expand all contractions except within direct quotes
DATES Numerics: If Month, Day and Year dictated: mm/dd/yyyy.
HEADINGS Heading, colon, 2 spaces then text on same line
HEADINGS Formatting ALL CAPS
SUBHEADINGS Drop-down format
SUBHEADINGS Formatting ALL CAPS
THE JOINT COMMISSION REQUIRED LIST Required List Only
LISTS Enumerate only if speaker requests, otherwise comma-separated series
NUMERICS
Dimensions Use an "x" with spaces (2 x 3 cm)
Numeric Units Separate the number from its unit with a space (5 mg)
Numeric Ranges Separate with the word "to" (3 to 4 months)
Frequencies Place "x" abutted to number (…oriented x3)
OB/GYN When dictated as abbrev., leave a space (G1 P2)
Vertebral Spaces Separate with a hyphen. Transcribe vertebral spaces literally, using hyphens: "L5-S1", "S1-2"
Roman vs. Arabic
Grades Roman (Grade II/VI murmur)
Stages Roman (Stage II cancer)
Cranial nerves Roman (Cranial nerves II-XII)
Types Arabic (Diabetes mellitus type 2)
PATIENT name Transcribe name as dictated

UPLOAD PROTOCOL
ADDENDUMS Transcribe ADDENDUM as first line of text and pend to customer.
 MLS pend for 1 or more blanks, (MLS to NTS QC) EXCEPTION: Valley and West Houston sites (MLS pend 3 or more
blanks).
BLANKS QC upload directly. Do not pend to customer for blanks. EXCEPTION: Tulane: QC Pend to HSC with 3 or more blanks.
BLANKS Formatting 5 underscores. Example: _____
CARBON Copies (New Contacts) If not in database, add new contact and upload
CARBON Copies (Same Name/Multiple Entries) If multiple entries of same name, add new contact and upload
CARBON Copies (Inaudible) If completely inaudible, add new contact with 5 underscores for First Name and 5 underscores for last name.
INCOMPLETE Dictations Transcribe Dictation Ends Here as last line of text and pend to customer
NO Dictation Type "No Dictation" as first line of text and pend to customer. DO NOT change WT.
Change all discrepancies to blanks and upload. Do NOT Pend. If it will pend due to number of blanks, use 4
RISK Management underscores for discrepant areas.
SIGNING Clinician Pend to customer to verify signing clinician if not dictated
STAT Reports/2 HR < TAT Reports Do not pend STAT or 2 HR or less dictations EXCEPT for demographic issues.
WRONG Worktype Change to correct WT and upload as normal.
CANCELLED Dictation If physician request to “cancel” or “delete” this dictation, pend to customer: HSC_Cancelled Dictation.
WORKTYPES

PLATFORM NOTES
Aging Grid Definition Standard
Physicians may enter MRN versus Acct #, which results in Person, Unknown. Perform search by MRN entered by
physician to identify correct patient (pad zeros as necessary).
Visit ID Selection Tips Do NOT change Visit to a Temp Visit #; leave Visit ID as entered by the physician.
Header Info/Formatting Operative Reports have Mandatory Headings. See MTI for detailed information.
DISCHARGE DATE: If the ADT does not contain a Discharge Date, and the physician dictates one, enter this date in the
Date of Discharge: Procedure Date field. If the physician does not dictate one, leave the Procedure Date field blank.
Normals Format Physician Last_First name_normal name
All physician speaker codes have an alpha-numeric ID. The leading alpha characters correspond to the Facility
Physician Codes and BE Codes (Business Entity) as noted below. Example: Griffin, Glenn DO (DO1069) – Physician on staff at Corpus Christi.
Bayshore – (V)
Clear Lake – (G)
Conroe – (BH)
Corpus Christi – (DO)
Garden Park – (D)
Kingwood – (CD)
 Lakeview – (MF)
Mainland – (E)
Pearland – (L)
Rapides – (ME)
Rio Grande - (HA)
Texas Ortho - (Y)
Tomball - (BT)
Tulane - (MD)
Valley - (VR)
West Houston - (Z)
Woman's of Texas - (F)
Womens&Childrens – (MZ)

PATIENT ADT SELECTION – MRN VS ACCT # Physicians may enter MRN versus Acct #, which results in Person, Unknown.
Utilize the below criteria to perform an MRN search for the correct patient utilizing the number keyed in by the
provider.
 FAQs

QUALITY TEAM NOTES

For any formatting instructions outside of the above,

THE JOINT COMMISSION DANGEROUS ABBREVIATIONS

U (unit) Write "unit"

IU (International Unit) Write "International Unit"
Q.D., QD q.d., qd (daily) Write "daily"
Q.O.D., QOD, q.o.d., qod (every other day) Write "every other day"
Trailing zero (X.0 mg)* (see note below) Write X mg
Lack of leading zero (.X mg) Write 0.X mg
only where required to demonstrate the level of
MS Write "morphine sulfate"
MSO4 and MgSO4 Write "magnesium sulfate"
ug (for microgram) Write "mcg"
h.s., H.S., Q.H.S., q.h.s. Write out "half-strength" or "at bedtime"
T.I.W. (for three times a week) Write "3 times weekly" or "three times weekly"
S.C. or S.Q. (for subcutaneous) Write "Sub-Q", "subQ", or "subcutaneously"
D/C (for discharge or discontinue) Write "discharge" or "discontinue"
cc (for cubic centimeter) Write "mL" for milliliters
A.S., A.D., A.U. (Latin abbreviation for left, right, or both
Write:
ears)"left ear", "right ear" or "both ears"
O.S., O.D., O.U. (Latin abbreviation for left, right, or both
Write:
eyes)
"left eye", right eye" or "both eyes"