New add-on services are being offered by medical transcription companies, which include documenting physician narrations within an EMR application that is in use by a healthcare facility. The transcription companies offer the service through multimodal platforms, which include setting up a Virtual Private Network (VPN) with an existing Electronic Medical Record application in use by the healthcare facility. The technical team of the company in coordination with the IT staff of the clinic enables the secure HIPAA compliant VPN connectivity, and using a secure password the medical transcribers can login and document the physician narrations read into the centralized voice recording system. If the EMR application that is in use by a healthcare facility allows for Local Area Network (LAN) connectivity, the transcription companies set it up in a similar manner as the VPN. The EMR applications that are web-based, meaning a browser based login are amongst the least complicated, in as so far as the technicalities are concerned. The medical transcribers log into the EMR application website and access the physician dictations to document them. There are innumerous EMR applications available to healthcare facilities, some of which are specialty specific, and consist of forms or templates that are relevant to the practice. The transcription companies have trained medical transcribers that are able to document the specialty reports using the forms or templates built within these applications. In most of the EMR applications the built-in voice recognition software has been a big disappointment, because physicians do not want to loose their valuable time in training the software to recognize their voice, even after the training process some physicians have quality issues, such as misspells of medical terms and procedures, in the automated reports. Many healthcare facilities are in fact are keen to partner with medical transcription companies that are able to provide the service through VPN, LAN or Web-Based logins. The high costs of running an in-house transcription division is one of the main reasons, healthcare facilities are looking at other alternatives. Each in-house medical transcriber costs the healthcare facility $ 14 to $ 15 an hour, and added to that are other overheads such as transcription hardware/software, and this cost the clinics 35¢ to 38¢ for documenting a 65 character line. The medical transcription companies on the other hand are able to provide the service at just 8.5¢ to 9.5¢, so the difference in costs is one of the major reasons for the facilities to look for viable alternatives, after all the health care reforms are all about lowering costs in the health care industry. Medical transcription services Medical transcription companies
Telecommunications software is a type of software package that assists in facilitating electronic communications especially those processes that may require audio transmission too. Telecommunication solutions can be of varying kinds that can range from being simple software used by an end user to something more complex that can manage the functioning of complete networks. Telecommunication software developers create a range of different solutions that can encompass wireless application development and mobile solutions too. At one level, telecommunication solutions aid the development of basic software that assist the local telephone switch to receive and send signals and on the other end it even helps in creating software for wireless application development. The functions performed by telecommunication solutions can be both basic as well as something quite intrinsic. Telecommunication solutions are being outsourced to a country like India where experienced telecommunication software developers use their expertise to create a range of software solutions. The outsourced company offers a range of services that include development of telecommunication software solutions, testing, implementing, and maintenance of the software solutions that have been developed. Advantage of Outsourcing Telecommunication Software Recently a number of clients choose to outsource their telecommunication software development to Indian companies where professional telecommunication software developers work on various different technologies to develop customized solutions. There are quite a number of benefits attached to outsourcing wireless application development and mobile solutions to an outsourced company: The need for software solutions are increasing steadily and therefore the demand to create customized telecommunication solutions have also raised. Outsourcing it to companies is a good idea because they have a team of telecommunication software developers that can provide quality service. Costing is an important aspect and outsourcing telecommunication solutions make it possible to get quality and customized solutions at a reasonable cost. A company does not need to hire dedicated resources to create application development and telecommunication solutions. A company can either provide turn-key solutions or even offer assistance in terms of only doing maintenance, implementing or simply testing the viability and functionality of a particular software solution package. One point of contact is available to handle all kinds of service issues instead of dealing with third party or any mediator in between. It is not possible to always hire a person for various different platforms, but one can easily get work done on any platform through an outsourced company because they have professionals trained and experienced in various different technologies and platforms. Author has been written many articles on telecommunication and wireless application development and provides information about iphone development, windows applications and blackberry applications development
Bharatbook added a new report on “Top 10 Companies in Spain Telecommunications Industry: IT Spending Predictor 2009″ which gives the profiles of top 10 telecommunications companies in Spain. Top 10 Companies in Spain Telecommunications Industry: IT Spending Predictor 2009 This databook provides insight into the top 10 companies in Spain telecommunications industry in terms of their estimated IT spend.( http://www.bharatbook.com/detail.asp?id=130240&rt=Top-10-Companies-in-Spain-Telecommunications-Industry-IT-Spending-Predictor-2009.html )Scope * The top 10 companies in this sector and geography in terms of IT spending* A breakdown of the estimated IT budget by technology for each of the top 10 companies* A breakdown of the estimated IT budget by channel for each of the top 10 companies Highlights * The top 10 companies in Spain telecommunications industry in terms of estimated IT spending spent the largest portion of their IT budgets on hardware, a segment that accounted for about 34% of the IT budgets among these firms. This was followed by spending on software and services. * Among the top 10 companies, a major portion of IT spending is allocated to internal IT. External services include product vendors, local resellers, telcos, systems integrators and specialist outsourcers. Internal IT alone accounted for approximately 38% of the total estimated IT spending by these companies. Reasons to Purchase * Understand the IT budget breakdown in various organization types and identify notable areas of allocation* Build lists of organizations with top IT expenditure in your target markets* Leverage IT spending pattern information to tailor account targeting based on company demographics To know more and to buy a copy of your report feel free to visit : http://www.bharatbook.com/detail.asp?id=130234&rt=Shipbuilding-Industry-in-China-2010.html Or Contact us at : Bharat Book BureauTel: +91 22 27578668Fax: +91 22 27579131Email: info@bharatbook.com Website: www.bharatbook.com Blog: http://bharatbookresearch.blogspot.com Follow us on twitter: http://twitter.com/3bbharatbook We are the leading information aggregator, facilitates and supports the business information needs. With over 115,000 reports, you can get instant access and insights on the studies in yo for market research , corporate / strategic planning by providing the latest information in the form of reports, journals, magazines and databases on varied industries like automotive, oil and gas, shipping, textiles, pharmaceuticals, energy, banking, finance, insurance, risk management, country intelligence, consumer & durable goods, chemical and more ur areas of interest. Contact us at +91 22 27578668 / 27579438 or email info@bharatbook.com or our website www.bharatbook.com
Every business needs bandwidth solutions of some sort. For many businesses that require large amounts of bandwidth finding just the right solution….from a cost and application standpoint….can be a confusing process. It doesn’t have to be if you understand what to base your decision on. Like anything in information technology, it really depends on how you will utilize this infrastructure. It certainly doesn’t make sense to provision high capacity transport links if you will use them for a small fraction of the day or the traffic doesn’t warrant it. I think one of the hardest things about this arena is that many times the people requesting the bandwidth are confused about what bandwidth really is. There’s a misnomer that bandwidth automatically equals speed. “Well my application is slow, I need more bandwidth”. Many times if a study is done on exactly what your needs are, it turns out to be a very different story from the initial conversation. With a plethora of technologies out there for WAN and Metro services, wired or wireless customers can choose to subscribe to always on, dedicated access methods or go for a most cost effective model with somewhat “shared” topologies like Multi-Protocol Label Switching. The idea here is that you have options and each solution can satisfy any number of requirements. There’s never been a better time in the industry for choices. The best option is the cheapest one that works. Dark Fiber and Metro Ethernet, if an option, should usually be looked at first to establish a price for negotiating. I think you should focus on negotiating techniques that work to bring these bandwidths within affordable reach. No matter how much bandwidth you are using, you will get a better deal for it at a major Network Access Point (NAP) where you have more bidders for your business, and from which you can easily shift carriers, set up failovers and redundancy, etc.. Every high end user needs their own boxes to shape traffic at the NAP, and they need them in two different racks connected to two different carriers. Accept the hit of that and you’ll quickly see that the ten to thirty thousand dollars a typical urban company requires to get two boxes into a NAP (admittedly on a single dark fiber route) pays for itself in bandwidth charges in pretty much a single year. Even just to PLAN to do it and show your spreadsheet to your carrier, a project that might cost five grand to do right, will result in more than that much per year off your bill. Think of it like any other high end purchase. You demonstrate that you’re not a pushover, that you have options, that you understand the options and how to increase the number of options, and you bargain based on the bottom line of the cheapest solution you can find. When they tell you it will “cost too much to have your own boxes and dark fiber to the NAP”, you snap back the lowest number you can justify, call it “insurance”, and rule it out as a cost factor. When they tell you “we can monitor boxes far better than you can”, leverage that into quality of service guarantees in the contract with real dollar penalties for failures or slowdowns. When they tell you “our facility is state of the art”, GO THERE and count up the number of non-bulletproof windows and visible insecure perches that someone can shoot the servers from, grab the corded phone and walk over to the rack, pulling it right out of the wall and looking astonished: “how am I supposed to give someone instructions over the phone? They can’t even walk to the rack! You expect them to scribble it down while cradling the phone in their neck and then go over to the box and do what I said?!?!?!?” Basically, you must point out every deficiency in their facility or service and refuse to acknowledge that your own home-built solution would have any inadequacies, or that the competitors all have the same problems. In a high end negotiation, you must have NO mercy. By the way, once you’ve got a contract with your carrier, you must be very nice to them, in total contrast to the way you leveraged like mad in the first negotiation. Don’t nickel-and-dime them after you’ve agreed on terms, don’t let your bandwidth payments get late. These people hold your crown jewels. As mean as you are to the salespeople, be that nice to the geeks. Technologically, you should consider Storage Area Networks (SAN) if you have multiple locations in the same city, and the use of SAN links over IP which is increasingly common. Basically, the entire city becomes a vast RAID hard drive. You should also understand some of the good business reasons to adopt very high bandwidth such as reducing the number of over-the-Internet transactions which slow things down and may compromise security in favour of internal intranet transactions. Also, having as few layers of software as possible between the hard drive and the user is a major plus. Also consider the price difference between Sonet equipment versus Ethernet. These days layer-3 ethernet switches are more and more capable for usage as a router. While Sonet traditionally is quite expensive vs Ethernet (especialy for the hardware)…. dark fiber and ethernet solutions from carriers are getting broad industry support. Although I do favor Sonet for its better debuging capablities, error counters, alarms etc. Ethernet in wide area environments seems to do the jobs as well. Ethernet would save you the need to buy a decent router able to terminate Sonet and give you the choice to go with a decent layer-3 switch. Another option is 10GigE WAN PHY…..it still has all the advantages of Sonet combined with Ethernet, gives you the ability to use cheaper layer-3 switches, looks for the carrier as a normal Sonet service and works over long distances. To look at the tradeoffs, you’ll have to start by finding out what is available at your end user location. Within North America, the alternatives include ATM OC-3/12/48, SONET (and Next Generation SONET) probably more likely OC-12/48/192, and Metro Ethernet at 100 Mbps (a little slower than OC-3), 1 Gbps (about OC-24) and 10 Gbps (OC-192). Things that aren’t available need not be considered. What are the availability requirements? If you are thinking of SONET, find out if it will come to your premises as a star or ring or dual ring. Metro Ethernet might be faster but not necessarily physically diverse. Sometimes, you can be creative and use a short free-space link to get access to a physically diverse medium. For more background and insights I suggest reading “WAN Survival Guide” and “Building Service Provider Networks” by Howard Berkowitz. Both are excellent resources. I have worked with many customers to design infrastructure solutions that incorporate high-end DWDM or CWDM connections between datacenters. Now, this is a business solution and the common user would never dream of having a connection such as this, available to them. Other customers that I work with will incorporate leased lined anywhere from a T1 to OC3. Those connections are very much sized for purpose with a percentage of growth factored in. The practice that I go through is to evaluate need. What are you trying to accomplish? Is it transactional based or are you replicating data for DR? Are you simply connecting two or more remote offices for the purpose of a Citrix solution? Each of these questions will result in different answers when all is said and done. Remeber that redundancy is ALWAYS a factor in business oriented solutions. Especially as it pertains to data replication and DR/HA failover to “hot” datacenters. We are starting to see more and more of this type of configuration. I have a few customers that are fortunate enough to have multi-ring DWDM infrastructures to make their valuable data available in the unfortunate event of a disaster. As corny as it sounds, I have to say that your ultimate solution depends on the intended usage of that bandwidth. I would also say that there really is no generalized “ideal” bandwidth solution. It all comes down to intent and budget. With today’s technology in WAN (TCP/IP/FC/FCIP/IFCP) acceleration (Juniper, Riverbed, Cisco), you can transfer vast amounts of data in a smaller pipe. It really is cool technology but still requires cost justification to implement. Whatever you decide….do your homework….be prepared….negotiate….then install and enjoy. Michael is the owner of FreedomFire Communications including DS3-Bandwidth.com. Michael also authors Broadband Nation with the latest broadband news, tips, insights, and ramblings.
Small telecommunications businesses face many hurdles in trying to compete in the marketplace with the big telecom giants. While your small telecom company can offer your local customers better and more personalized services than the big telecom companies can, there are many barriers to getting your message out there and growing your market share. Just as the old adage about getting a job without experience goes, it is hard to grow your business when you need all of your working capital just to run your business day to day. While the telecom giants can call up their banker and get a loan, it isn’t as easy for your small business to do. For hundreds of years companies have been utilizing the value of their assets as collateral for borrowing money. Your distant relative who owned a small grocery store may have used his inventory and property value as collateral for borrowing money to add onto his building or replace his antiquated refrigerators. As a small telecommunications business you may want to take a similar action in order to grow your business and service offerings. As you may have experienced, most of the major financing companies out there just plain do not understand how telecommunications businesses work. Unless you are AT&T, or another large telecommunications company, with a monthly billings total of over 5 million dollars, most typical business finance resources are not that interested in talking to you. It isn’t that they are not interested in your business and its success; they just simply do not understand how telecom billings work. As a small business owner, a potential lender may ask you to make a personal guarantee or sign a recourse agreement in order to obtain funding. This can be a scary proposition and place you personally at a risk level you may not be comfortable with. If you come to this point with a lender then it is time to move on and look for a better alternative. One alternative available in telecom financing is factoring. Factoring is the process whereby your company can borrow money against its receivables. Traditional factor rates however can be high, because lenders balk at the way telecommunication company’s bill, and the relatively small amounts of each individual billing. If you are able to locate a lender who will give you a discount, because they understand the uniqueness of telecom financing, factoring can be a good option to explore. Another alternative you might consider for your telecom funding needs is an asset based solution. By securing your funding with your contracts, equipment or other assets, you can borrow against them and use the additional capital to expand your business. Asset based solutions can be a bit easier to find, and cheaper than trying to do a receivables factor. A third alternative to explore is the idea of an investment capital cash infusion. If you are open to using investment capital this can be a wonderful way to grow your business. While telecom funding can be hard to find, there are options open to small telecom businesses. By considering all of your options and selecting the one which fits your business the best, you can be well on your way to growing and expanding your business. Thermo Credit LLC provides asset based solutions and works with partner companies to offer loans, lines of credit, and capital investment. We are rich in telecom funding experience. We can offer insight beyond strictly business financing resources. Learn more at http://www.thermocredit.com.
