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Management for the ModernMTSO

Who Says Transcription Can’t be Innovative?

All information methods and concepts contained in or disclosed by this document isconfidential and proprietary to Multimodal Technologies Inc. By accepting this material

the recipient agrees that this material as well as the information and concepts containedtherein will be held in confidence and will not be reproduced in whole or in part withoutexpress written permission from Multimodal Technologies, Inc. Client use of M*Modal

tools or information (excluding any services or tools provided to the Client that arecovered under a separate written agreement) is subject to the terms of a legal

agreement between the Client and M*Modal.

Agenda What is transcription and why is it still

relevant? Editing for quality and efficiency The Career-Minded MT Managing for efficiency Transcription Innovation in the World of

Meaningful Use

Company Confidential

What is transcription and why is it stillrelevant? Editing for quality and efficiency The Career-Minded MT Managing for efficiency Transcription Innovation in the World of

Meaningful Use

2

What is Transcription?

3

Electronic Health Record Universe Two opposing needs Enterprise need for

structured andcoded informationcapture Physician’s practical

need for a fast andeasy method forcreating clinical notes.

Company Confidential4

Two opposing needs Enterprise need for

structured andcoded informationcapture Physician’s practical

need for a fast andeasy method forcreating clinical notes.

The Current Situation

Direct Data Entry:Structured andencoded information.

Dictation:Fast and easy,expressive.


Tedious, manual Time-consuming Documentation lacks

expressiveness of naturallanguage

Transcription can be expensive Longer turn-around times Clinical data lost, documents

neither structured nor encoded.

Direct Data Entry:Structured andencoded information.

Lack of interoperability – within and across organizations

Dictation:Fast and easy,expressive.

RealityMedical Transcription is competing with –• Front-end speech recognition• EHR – Direct entry

• Front-end speech rec• Templating• Direct data entry

Hospitals are looking for the most cost-effective solution…


Medical Transcription is competing with –• Front-end speech recognition• EHR – Direct entry

• Front-end speech rec• Templating• Direct data entry

Hospitals are looking for the most cost-effective solution…

6

The Competition

“Front-end” speech recognition• Physician self-edit• “Once and done”• Physician behavior modification

• What do I need to say?• How do I need to say it?• For the fewest edits


“Front-end” speech recognition• Physician self-edit• “Once and done”• Physician behavior modification

• What do I need to say?• How do I need to say it?• For the fewest edits

7

The Doctor’s Reality

“The patient experienced paresthesias”“paresthesias”

“paresthesias”“paresthesias”

“spell that”

“the patient experienced numbness”


“The patient experienced paresthesias”“paresthesias”

“paresthesias”“paresthesias”

“spell that”

“the patient experienced numbness”

8

The Doctor’s Reality


Value of Narrative DictationDoesn’t interfere with the doctor’s day• Where and when he wants to do it• Lots of information in a little bit of time• Comprehensive information• Documents intuition and inclination• Physician behavior modification -

None!


Doesn’t interfere with the doctor’s day• Where and when he wants to do it• Lots of information in a little bit of time• Comprehensive information• Documents intuition and inclination• Physician behavior modification -

None!

10

The “Chart Reader”

“…when Dragon Medical was integratedwith the organization’s EHR, emergencydepartment (ED) transcription costs wentfrom $1.4 million per year to zero.2

2 - Shepherd (July 22nd, 2009) Vive La Voice. For the Record. Vol. 21 No. 14 P. 24Company Confidential

“…when Dragon Medical was integratedwith the organization’s EHR, emergencydepartment (ED) transcription costs wentfrom $1.4 million per year to zero.2

2 - Shepherd (July 22nd, 2009) Vive La Voice. For the Record. Vol. 21 No. 14 P. 2411

The “Scribe”Strategy: Could You Use a Scribe?

Are your patient encounters hampered by incessantcharting and documenting? Perhaps a medical

scribe can help.

By Shirley Grace

http://www.physicianspractice.com/display/article/1462168/1590060


Strategy: Could You Use a Scribe?

Are your patient encounters hampered by incessantcharting and documenting? Perhaps a medical

scribe can help.

By Shirley Grace

http://www.physicianspractice.com/display/article/1462168/1590060

12

The “Scribe” “Rather, they allow the physician with whom they work

to shift his focus off of his tablet PC or paper chart to hispatient. Specifically, a scribe is responsible for:”

Patient histories Transcribing exams and orders Documenting procedures Follow – labs and x-rays Recording discharge information

From a doctor, “the scribes are interpreting the interactionbetween the doctor and patient and making decisionsabout what and how to document…”


“Rather, they allow the physician with whom they workto shift his focus off of his tablet PC or paper chart to hispatient. Specifically, a scribe is responsible for:”

Patient histories Transcribing exams and orders Documenting procedures Follow – labs and x-rays Recording discharge information

From a doctor, “the scribes are interpreting the interactionbetween the doctor and patient and making decisionsabout what and how to document…”

13

The CDI Specialist Evolving role… “More important than coding”

“…pharmacology; knowledge of official medical codingguidelines, CMS, and private payer regulations related tothe Inpatient Prospective Payment System; an ability toanalyze and interpret medical record documentation andformulate appropriate physician queries; and an ability tobenchmark and analyze clinical documentation programperformance.”


Evolving role… “More important than coding”

“…pharmacology; knowledge of official medical codingguidelines, CMS, and private payer regulations related tothe Inpatient Prospective Payment System; an ability toanalyze and interpret medical record documentation andformulate appropriate physician queries; and an ability tobenchmark and analyze clinical documentation programperformance.”

14

Value of Narrative DictationCMS reduction in hospital base rates Clinical Documentation Improvement MS-DRG for coding - reimbursement Specificity requires documentation

ICD-10 POA indicators RAC review


CMS reduction in hospital base rates Clinical Documentation Improvement MS-DRG for coding - reimbursement Specificity requires documentation

ICD-10 POA indicators RAC review

15

Transcription and EditingBackend speech recognition plus MT editing• Efficiencies and cost savings• Cost avoidance• Comprehensive and complete documentation• High adoption by physicians


Backend speech recognition plus MT editing• Efficiencies and cost savings• Cost avoidance• Comprehensive and complete documentation• High adoption by physicians

16

At the end of the day…. $$ Talks….

Can human talent combined withtechnology solve the problem?


Where does that leave us?Is backend speech recognition plus MT editing

the answer?• Efficiencies and cost savings• Cost avoidance• Comprehensive and complete documentation• High adoption by physicians• Pricing opportunities

Yes!


Is backend speech recognition plus MT editingthe answer?

• Efficiencies and cost savings• Cost avoidance• Comprehensive and complete documentation• High adoption by physicians• Pricing opportunities

Yes!

18

Throw away everything you thinkyou know…

19

Technology Reality # 1Technology will not compensate for Poor work habits Inefficient management practices Insufficient training Poor quality Illogical pricing practices Unfair MT compensation Weaknesses in the transcription platform


Technology will not compensate for Poor work habits Inefficient management practices Insufficient training Poor quality Illogical pricing practices Unfair MT compensation Weaknesses in the transcription platform

20

Technology Reality # 2Assuming you can use speech recognition to

hire unskilled MTs at lower line rates will Increase head count and expense Decrease quality Increase expenses… Decrease your value proposition

even if “percent productivity increase” betweentyping and editing goes through the ceiling


Assuming you can use speech recognition tohire unskilled MTs at lower line rates will Increase head count and expense Decrease quality Increase expenses… Decrease your value proposition

even if “percent productivity increase” betweentyping and editing goes through the ceiling

21

Technology Reality # 3“Percent productivity gained” is not – The correct metric to use to measure

results of speech recognition. The correct metric to use to determine MT

compensation.

You get paid for increased output, not for ahigh “percent gain” …


“Percent productivity gained” is not – The correct metric to use to measure

results of speech recognition. The correct metric to use to determine MT

compensation.

You get paid for increased output, not for ahigh “percent gain” …

22

Technology Reality # 4The highest producing MTs will see lower

productivity PERCENT gains.BUT - Keeping highest producing typists out of

speech does not benefit you It does not benefit the MT Who does it benefit? Why are most case studies for inhouse

MTs?


The highest producing MTs will see lowerproductivity PERCENT gains.

BUT - Keeping highest producing typists out of

speech does not benefit you It does not benefit the MT Who does it benefit? Why are most case studies for inhouse

MTs?

23

Technology Reality # 5Global workforce do not compare – Productivity for MTs expected to deliver to

the customer to Productivity for MTs expected to send to

QA What benefit is a 200% gain for work – Requiring 3 levels of QA? That results in quality or TAT penalties? That results in lost business?


Global workforce do not compare – Productivity for MTs expected to deliver to

the customer to Productivity for MTs expected to send to

QA What benefit is a 200% gain for work – Requiring 3 levels of QA? That results in quality or TAT penalties? That results in lost business?

24

From a Physician at RSNA..after reviewing draft text produced by

M*Modal’s front-end speech using an un-trained profile…

“this is better than what I’m getting from<unnamed MTSO> MTs…”

If you are not delivering quality, none ofthe other arguments matter.


..after reviewing draft text produced byM*Modal’s front-end speech using an un-trained profile…

“this is better than what I’m getting from<unnamed MTSO> MTs…”

If you are not delivering quality, none ofthe other arguments matter.

25

Technology Reality # 6High productivity means nothing if utilization

(how much of your total volume you areediting) is low

Where is the “sweet spot”?


High productivity means nothing if utilization(how much of your total volume you areediting) is low

Where is the “sweet spot”?

26

Technology Reality # 7

Don’t lose your best MTs! Without them, you’re just a commodity


Commoditization“I’ll do the same thing cheaper” vs“I’ll add value to your documentation”

Given a choice, would you pay more toone electric company than to another? Who cares about the electric company as

long as the lights are on? You all know which companies(y) will

survive if you all become the electriccompany.


“I’ll do the same thing cheaper” vs“I’ll add value to your documentation”

Given a choice, would you pay more toone electric company than to another? Who cares about the electric company as

long as the lights are on? You all know which companies(y) will

survive if you all become the electriccompany.

28

Technology Reality # 8Speech recognition will never be perfect.

Never. No matter how well “the engine learns”

and how many times MTs make everycorrection If speech recognition could be perfect,

there would be no more medicaltranscription


Speech recognition will never be perfect.Never. No matter how well “the engine learns”

and how many times MTs make everycorrection If speech recognition could be perfect,

there would be no more medicaltranscription

29

Technology Reality # 9It is incorrect to measure effectiveness of

speech recognition by using a “wordaccuracy” score. A draft that is 100% word accurate can

require a lot of editing! Ask any MT –

“Would you feel comfortable delivering a100% verbatim accurate document?”


It is incorrect to measure effectiveness ofspeech recognition by using a “wordaccuracy” score. A draft that is 100% word accurate can

require a lot of editing! Ask any MT –

“Would you feel comfortable delivering a100% verbatim accurate document?”

30

Technology Reality # 10Errors in final documents are not the result

of speech recognition! These are MT errors. Addressing quality problems by removing

work from speech recognition is silly! If an MT typing from scratch produces

errors, do you remove the work fromtranscription?


Errors in final documents are not the resultof speech recognition! These are MT errors. Addressing quality problems by removing

work from speech recognition is silly! If an MT typing from scratch produces

errors, do you remove the work fromtranscription?

31

Technology Reality # 11Willingness to fulfill every individual

preference for format and style is not adifferentiation point! If your value proposition is providing

custom formats, you will customers to thenext company to offer the same at a lowerprice. Anyone can manipulate document format. Not everyone understands how to deliver

valuable documentation.


Willingness to fulfill every individualpreference for format and style is not adifferentiation point! If your value proposition is providing

custom formats, you will customers to thenext company to offer the same at a lowerprice. Anyone can manipulate document format. Not everyone understands how to deliver

valuable documentation.

32

Technology Reality # 12You will not see the same results when

speech recognition is kept invisible as youdo when processes are changed toaccommodate speech Do not pay your MTs the same line rates

for the two scenarios Do not charge your customers the same

line rates for these two scenarios.


You will not see the same results whenspeech recognition is kept invisible as youdo when processes are changed toaccommodate speech Do not pay your MTs the same line rates

for the two scenarios Do not charge your customers the same

line rates for these two scenarios.

33

Technology Reality # 13“You get what you say” - “type what you

hear” is not “standardization” or“optimization” for documentation! It is optimization for the speech

recognition technology! It is the furthest thing there is from useful

standards that will drive quality,compliance, and usability.


“You get what you say” - “type what youhear” is not “standardization” or“optimization” for documentation! It is optimization for the speech

recognition technology! It is the furthest thing there is from useful

standards that will drive quality,compliance, and usability.

34

Technology Reality # 14 Know what your customer wants Know what you want to sell Price accordingly Pay MTs accordingly

Every other industry in the worldunderstands this concept!


Know what your customer wants Know what you want to sell Price accordingly Pay MTs accordingly

Every other industry in the worldunderstands this concept!

35

Would you charge the same to sell a Jetta asyou would for this?


What is your Value Prop?


Managing for Efficiency

38

Productivity Analysis

Optimal Account ImplementationStrong Performance ManagementStrong Workforce Management

Physician and HIM best practicesStandard requirementsTiered Pay Structure

80%

>100%

>90%

Verbatim Editing


Basic SR ImplementationTechnical implementationMinimal trainingAccount conversion

3 - 6 months experience (FT – PT)Basic Performance managementBasic workforce management

Optimal Account ImplementationStrong Performance ManagementStrong Workforce Management

25%

50%

Hospital versus the Service Employee versus IC FT versus PT

Enforced schedule vs “Oprah Effect” Training versus “throw it over the fence” Management versus 100 MTs/supervisor Requirements changed to accommodate

speech vs invisibility Doctors forced to accept change vs

invisible to doctors


Employee versus IC FT versus PT

Enforced schedule vs “Oprah Effect” Training versus “throw it over the fence” Management versus 100 MTs/supervisor Requirements changed to accommodate

speech vs invisibility Doctors forced to accept change vs

invisible to doctors

40

Platform factors…Is productivity lost to: Poor audio Slow downloads Slow patient lookups Manual ADT matching Manual template – WT matching Lack of productivity and reference tools – Reference materials and spellcheckers Text expansion


Is productivity lost to: Poor audio Slow downloads Slow patient lookups Manual ADT matching Manual template – WT matching Lack of productivity and reference tools – Reference materials and spellcheckers Text expansion

41

Balancing Efficiency and RequirementsDictationPractices

No changefor doctors

Prod

uctiv

ity

Proc

ess

Leve

l


Prod

uctiv

ity

Proc

ess

Leve

l

Workforce Management

WorkforceManagement

Output –not “%Gain”

Editing –Typing

distribution

HeadcountImpact

Output – not “% Gain”

Editing – Typing distribution 75% rule

Use productive typists

FTE/PTE work assignment

Total efficiency – Headcount impact Gap analysis Assign editing to highproducers


WorkforceManagement

Editing –Typing

distribution

FTE/PTEwork

assignment

GapAnalysis

Output – not “% Gain”

Editing – Typing distribution 75% rule

Use productive typists

FTE/PTE work assignment

Total efficiency – Headcount impact Gap analysis Assign editing to highproducers

The Career-Minded MT Professionalism Remote workers Scheduling Productivity based pay The Independent Contractor The “Avon-lady MT” I’m not budging

Compensation Training and education Credentialing


Professionalism Remote workers Scheduling Productivity based pay The Independent Contractor The “Avon-lady MT” I’m not budging

Compensation Training and education Credentialing

44

Measuring Success

Increased % gain is only one metric to be monitored! Increased OUTPUT = organizational efficiencies!


FACT!!MTE 2 with a 50% gain will produce450,000 more lines over the course ofa year than MTE 1 with a 125% gain!!!

Output versus “% Gained”


Productivity Reality Test


RT = how many minutes does it take to type/edit oneminute of audio?• RT of “1” means editing as fast as the doctor speaks

Normals – Pay Impact


Implementation Valuable Implementation Meaningful Documentation Useful Documentation Partnership Be the expert What does the provider need – not what

do they want?


Valuable Implementation Meaningful Documentation Useful Documentation Partnership Be the expert What does the provider need – not what

do they want?

49

Document Elements


Meaningful DocumentationOld Ways• Sacrifice content for

productivity• “You get what you say”

Or• Customization• Invisible service

provider• Focus on print format• Reactive to complaints

Old Ways• Sacrifice content for




New Way Standards based on

usefulness Expert service

provider Know the HIM! Focus on content Proactive to needs



















51

Standard ContentWhat content is required in each document

type for –• Patient care• Coding and billing and revenue cycle tasks• Compliance

• CMS• Pay for performance• Quality improvement – PQRI


What content is required in each documenttype for –

• Patient care• Coding and billing and revenue cycle tasks• Compliance

• CMS• Pay for performance• Quality improvement – PQRI

52

Service Level Options Lowest Cost Line Optimal Cost Reduction

Meaningful Clinical Document Useful clinical documentation EMR readiness Useful documentation

Premium Service Retention of demanding difficult customer Customization Keeping speech invisible


Lowest Cost Line Optimal Cost Reduction

Meaningful Clinical Document Useful clinical documentation EMR readiness Useful documentation

Premium Service Retention of demanding difficult customer Customization Keeping speech invisible

53 M*Modal Proprietary and Confidential

Lowest Cost Line Attract the low-cost seeking customer Retain the high-priced existing customer Financial incentives to hospital Driven by draft quality

Hospital requirements changed toaccommodate Transcription “as dictated” Most accurate drafts Highest productivity

Involved at typing stage if possibleCompany Confidential

Attract the low-cost seeking customer Retain the high-priced existing customer Financial incentives to hospital Driven by draft quality

Hospital requirements changed toaccommodate Transcription “as dictated” Most accurate drafts Highest productivity

Involved at typing stage if possible54 M*Modal Proprietary and Confidential

Meaningful Clinical Document Standards based on useful content Highest quality for patient care Compliance CMS JCAHO

Ease of use for healthcare providers Physicians HIM Risk management

EMR readiness The Health Story Content requirements CDA4CDT HL7 CDA


Standards based on useful content Highest quality for patient care Compliance CMS JCAHO

Ease of use for healthcare providers Physicians HIM Risk management

EMR readiness The Health Story Content requirements CDA4CDT HL7 CDA

M*Modal Proprietary and Confidential

Premium Service Offering Keep the demanding customer Speech invisible to hospital Customized requirements Expectations for productivity adjusted Optimal account implementation including DMs to the work type and physician level Rendering automation

Requires highest level of MTE skill Appropriate MT compensation Appropriate hospital billing


Keep the demanding customer Speech invisible to hospital Customized requirements Expectations for productivity adjusted Optimal account implementation including DMs to the work type and physician level Rendering automation

Requires highest level of MTE skill Appropriate MT compensation Appropriate hospital billing

56 M*Modal Proprietary and Confidential

Premium Service OfferingCost Impact High-cost implementation Customization = Lower productivity Higher transcription production costs Higher implementation cost

Lowest productivity benefit High-range line rates for MT Value proposition Invisible to healthcare provider Satisfy demanding physicians


Cost Impact High-cost implementation Customization = Lower productivity Higher transcription production costs Higher implementation cost

Lowest productivity benefit High-range line rates for MT Value proposition Invisible to healthcare provider Satisfy demanding physicians

57

Speech Technology and PricingWarning! Beware of demands for customization at

the price of a low-cost line Don’t provide a Cadillac for the price of a

bicycle

Educate customers about what they arepaying for Would they rather pay for – Physician specific preference Meaningful Clinical Documents


Warning! Beware of demands for customization at

the price of a low-cost line Don’t provide a Cadillac for the price of a

bicycle

Educate customers about what they arepaying for Would they rather pay for – Physician specific preference Meaningful Clinical Documents

58

Transcription and the HIMRe-connect with your HIM roots! What are the documents used for? Are they used for coding? If not, why? What works? What’s missing? “What can I do to make this document

more useful?”


Re-connect with your HIM roots! What are the documents used for? Are they used for coding? If not, why? What works? What’s missing? “What can I do to make this document

more useful?”

59

Coding – ICD-9-MWanted – more documentation! 3 – 5 digit codes Additional digits add specificity “unspecified” is bad Severity indicators - resource consumption CC – Complications and Co-morbidity MCC – Major CC

MS-DRG


Wanted – more documentation! 3 – 5 digit codes Additional digits add specificity “unspecified” is bad Severity indicators - resource consumption CC – Complications and Co-morbidity MCC – Major CC

MS-DRG

60

Coding – ICD-10And even more documentation! ~ 5x the number of codes Lots more specificity required


The CDI SpecialistThe value of complete, comprehensive

information…How can transcription help? “ICD-9-CM Coding Essentials: What every

CDI Specialist needs to know” CCDS credential Focus on documentation affecting the DRG

(diagnosis Related Group) and payment


The value of complete, comprehensiveinformation…

How can transcription help? “ICD-9-CM Coding Essentials: What every

CDI Specialist needs to know” CCDS credential Focus on documentation affecting the DRG

(diagnosis Related Group) and payment

62

Training

63

Performance Management

EffectiveTraining

WeeklyMentoring

FinalDocumentQuality

• Monitor final quality

• Effective training

• Ongoing Mentoring

• Basic editing skills

• Can your MTEs quickly –• Create sections/subsections• Create numbered lists• Replace incorrect text• Insert text


Performance

Management

WeeklyMentoring

Most-CommonEdits

KeyboardShortcuts

FinalDocumentQuality

• Monitor final quality

• Effective training

• Ongoing Mentoring

• Basic editing skills

• Can your MTEs quickly –• Create sections/subsections• Create numbered lists• Replace incorrect text• Insert text

Training and MentoringProvide sufficient initial training• 16 hours in 8 or 4-hour incrementsProvide ongoing feedback and mentoring• 2 hours per week for 4 – 8 weeksProvide feedback on skills• Proficiency reportsProvide feedback on MT quality• Continual QA assessment• Email “Tip of the Day”


Provide sufficient initial training• 16 hours in 8 or 4-hour incrementsProvide ongoing feedback and mentoring• 2 hours per week for 4 – 8 weeksProvide feedback on skills• Proficiency reportsProvide feedback on MT quality• Continual QA assessment• Email “Tip of the Day”

65

MT ResponsibilitiesProduce a Quality Document Always comes firstAccept that you will make edits Speech recognition is not perfectEdit efficiently Learn to make edits quickly


Produce a Quality Document Always comes firstAccept that you will make edits Speech recognition is not perfectEdit efficiently Learn to make edits quickly

66

A New MindsetEditing is more than learning keyboard

shortcuts…

An MTE must: Overcome “the power of suggestion” Attend to a bi-directional flow of

information

efficiency


Editing is more than learning keyboardshortcuts…

An MTE must: Overcome “the power of suggestion” Attend to a bi-directional flow of

information

67

efficiency

Exercise 1How many F's does the followingpassage contain?

Finished files are the resultof years of scientific study

combined with the experience of years.


How many F's does the followingpassage contain?


combined with the experience of years.

68

Exercise 1How many F’s did you count?

Did you get 3? If so, you missed a few.

There are actually six F’s in the passage…don’t forget to count the of’s.


combined with the experience of years.Company Confidential

How many F’s did you count?

Did you get 3? If so, you missed a few.

There are actually six F’s in the passage…don’t forget to count the of’s.


combined with the experience of years.69

Exercise 1Read the following sign. Are you sure you

read what you thought?

ILOVE

PARIS IN THETHE

SPRINGTIME


ILOVE

PARIS IN THETHE

SPRINGTIME

Exercise 1Read the following sign. Are you sure you

read what you thought?

ABIRD

IN THETHE HAND


ABIRD

IN THETHE HAND

Human vs Machine “thinking”“The patient’s mother brings him in

today after referral from hispediatrician.”

“She says he has had several earinfections in the last year and he thinkshe might need to have tubes placed.”


“The patient’s mother brings him intoday after referral from hispediatrician.”

“She says he has had several earinfections in the last year and he thinkshe might need to have tubes placed.”

72

Human vs Machine “thinking”

“May I see your pen”


“May I see your pen”

73

Expectations1. There WILL be edits!!2. Quality will improve, but only to a certain

extent3. Variables to quality

1. Use of incorrect IDs2. Audio or voice quality3. Doctor's dictation habits4. Disorganized dictation5. Background noise6. Highly customized account instructions


1. There WILL be edits!!2. Quality will improve, but only to a certain

extent3. Variables to quality

1. Use of incorrect IDs2. Audio or voice quality3. Doctor's dictation habits4. Disorganized dictation5. Background noise6. Highly customized account instructions

74

“Draft” text as a tool Consider the “pre-edit” Use the context Use previously dictated terms to fill in

blanks Use the draft to research unfamiliar terms

When in doubt – look it up!…..Never assume the draft is correct!


Consider the “pre-edit” Use the context Use previously dictated terms to fill in

blanks Use the draft to research unfamiliar terms

When in doubt – look it up!…..Never assume the draft is correct!

75

Proficiency toolsWhat is a Keyboard Shortcut? Navigational – move from here to there Editing – Make changes and corrections Rearrange and replace Move and manipulate

Application – Command and control


What is a Keyboard Shortcut? Navigational – move from here to there Editing – Make changes and corrections Rearrange and replace Move and manipulate

Application – Command and control

76

Skill Impact


The Basics Home End UP/DOWN Arrow Right/Left Arrow


The “Helper” KeysCONTROL Makes the action BIGGER One word instead of one character One paragraph instead of one line End/Beginning of document instead of

End/Beginning of line

SHIFT Selects or “highlights” the text Prepares you to take action Delete or type-over Move or Copy


CONTROL Makes the action BIGGER One word instead of one character One paragraph instead of one line End/Beginning of document instead of

End/Beginning of line

SHIFT Selects or “highlights” the text Prepares you to take action Delete or type-over Move or Copy

79

More Shortcut BasicsApplication Shortcuts – Switching from one application to the next Saving your work Opening a new window

Shortcuts – Alt+Tab CTRL+N CTRL+S


Application Shortcuts – Switching from one application to the next Saving your work Opening a new window

Shortcuts – Alt+Tab CTRL+N CTRL+S

80

The OOPS Keys! CTRL+Z: Un-do (woohoo!) CTRL+Y: Re-do F7: Spellcheck


Editing Practice


How would you –• Delete the red words?• Replace the purple phrases?• Change letters in the green words?

Participate!Volunteer –• Meetings• Discussions• Voluntary training

ListenAsk questionsLearn from those with positive messagesSpeak up


Volunteer –• Meetings• Discussions• Voluntary training

ListenAsk questionsLearn from those with positive messagesSpeak up

83

PracticeTake every opportunity• Sharpen editing skills –

• Attention to detail

• Practice shortcuts


Patience!

Give yourself a break!


Persevere!

Remember the lesson of your first difficultdictator…


Positive!• Avoid the nay-sayers• Surround yourself with those determined

to succeed• You CAN do this!


Step Away from the Mouse….

….And let’s get started!


More information Always Understanding – MT Editing

http://mmodal.wordpress.com

Management for the Modern MTSO

http://mmodal2.wordpress.com


Always Understanding – MT Editing

http://mmodal.wordpress.com

Management for the Modern MTSO

http://mmodal2.wordpress.com

89

Questions?

90