EHR Deinstallation Trend Hits Phoenix
Posted By: mtme on 2009-08-06
In Reply to:
Publish Date: 7/30/09 - By Allison Tsai
Source: Medical Economics
Though the Phoenix area has seen a high adoption rate for electronic health records, it also is the first region to experience a “deinstallation” trend, according to a HealthLeaders-InterStudy report.
The trend to cancel EHR contracts, especially prevalent among smaller physician groups, is a result of training, functionality or affordability issues, and highlights the need for an affordable solution, according to the Phoenix Market Overview report.
The rapid adoption of EHR technology in Arizona stems from a 2005 executive order by then-Gov. Janet Napolitano, requiring that all healthcare providers install an EHR by 2010. The top hospital systems in the area, Banner Health and Catholic Healthcare West, along with several others, have installed EHRs, but are struggling with the same financial constraints as the small physician groups. EHRs require a significant financial investment in addition to expensive upgrades, according to the report.
Long-term benefits of the technology include reduced transcription costs, lower chart and file storage expenses and the potential for reduced premiums on malpractice insurance, but in areas like Miami, where the recession is threatening the profitability of hospitals, EHR installation has been slow due to lack of funding for such projects.
Chris Clancy, a market analyst with HealthLeaders-InterStudy, says Phoenix may be the first area to experience the deinstallation trend due to its aggressive adoption of the technology, but will likely not be the last. In addition, physician shortages in Phoenix make it difficult for doctors and staff to carve out time for EHR training, Clancy says.
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Thanks. I have noticed some hits on the job board have over 1000 hits and I am thinking oh my!
:
Phoenix MedCom and Phoenix Transcription in CA are 2 different companies
Phoenix Med is in NY. The posts seem to confuse the two at times.
This is not Phoenix MedCom fromNY...it's Phoenix from California
Phoenix MedCom doesn't pay by gross line.
Do you mean a different Phoenix...Phoenix MedCom doesn't use IM
Maybe a different company?
HITS platform.... sm
Didn't you get a HITS manual with your computer? You should have. It's a very user friendly program, "if" you get to use it. I was trained on HITS and then ended up working on two accounts that didn't use it. I was there a month and all I did was train, train and train. Not for me. I'm not saying that happens to everyone. I'm pretty sure most of their accounts use HITS.
No, but they had 342 hits on their ad, so I'd expect
they took the weekend off and won't contact anyone until later this week.
Hits just mean people looking. I always look,
s
I am and have been on the HITS platform......sm
since I was hired by Healthscribe. I love the HITS platform, and I am being told that Cornerstone is going to be a combination of both HITS/TWS, but as my TL puts on, on steroids. She seems to think it is going to be a great thing. I hope it is as good as she says, because I am really quite comfortable working in HITS.
I tell ya, when it all hits you the fall sm
is going to be much harder! I only hope folks won't be as unfeeling to you as you have been.
Folks do what they have to do to stretch a dollar my dear. It just hasn't hit you yet but it could and it a much bigger way.
It seems that this became a trend
with a lot of companies several years back, with companies beginning to give psychological/personality evaluations to help determine a candidate's suitability for a particular position/company setting, etc. I was not an MT at the time, and have not yet encountered this since becoming an MT. I think it is a bit costly, but for companies who do it, I believe their financial return is expected/gained in less employee turnover and finding a good fit for the company *family*. This began around the time a lot companies started throwing around all the Quality Assurance business (again, not MT/QA, but the whole customer service QA and considering colleagues within the same company as *customers*. The company that I was with at that time was a fairly small company, but they spent a pretty penny on having people come in to conduct several meetings regarding this.
That seems to be the trend
Either payroll is correct and the management is bad, or management is great and payroll sucks.
That seems to be the trend lately sm
However, at MDI, we only have set days that we are to work and we were given the choice of Sun-Thu or Tue-Sat. No set hours, though, just a 24-hour window to get your counts in. Gotta love it!!!!!
ANOTHER NEW TREND
One more thing that has not been mentioned here. I would like to see dictating clinicians be given more mandatory training and subsequent responsibility for the quality of their dictations. It is about time that we stop accepting bad dictation habits as status quo and something that we have to accept as normal. I'm talking here about the usual bad habits, which include, but are not limited to, fast talking, slurred speech, eating while dictating, carrying on unrelated conversations with others while the tape is still running, talking while yawning, talking over background noises, etc., etc. Oh, and one more thing. Inform the dictating clinicians that many of us are long-distance and not familiar with their local geography, nicknames of local doctors, first names of which Dr. Smith or Jones that he or she is referring to, etc..
I know personally that when DD hits the bank, I can take it out right then and thus withdrawals can
It does not take 3-5 days. That just is not so.
As far as it being the MT's fault, it is the MT's fault only for relying on their DD to be there! Sorry, but when DD is supposed to be in there, it is supposed to be in there. I have two bank accounts, one is for bills only and that is the one where the DD hits. If my DD were late, I would incur charges. Luckily I work for a company that pays on time and you can always rely on them to have that money in the bank on time.
Unfortunately, some of you work for the MTSO who apparently cannot do that and apparently there are more than one of them.
They should offer to pay your late charges due to their lack of responsibility. However, when the MT has had this happen once, I would hope they would learn their lesson than to rely on doing it again because apparently the MTSOs that do this have no conscience.
I think it's when a post keeps getting hits after it's already reached a certain # of viewings
s
Have to agree. Tax time hits companies, too.
x
Disturbing trend
Ms. Shapin, I know nothing about your company, nor would I criticize you or your company since I don't work for you. I empathize with your responsiblities as a business owner having been one myself. What is gravely disturbing to me in your post is a glimpse of your mindset about the offshore worker. Your view of the offshore worker is similar to disturbing trends by many other business owners who flock to third world countries where there is no protection for the worker, where there are no labor laws, where there are no standard work ethics. Yes, these people in third world countries are hungry for work. They will work any hours, any days, and be extremely grateful for a few pennies. They have no protection, and until they become tired, and worn down, they will serve their bosses well. One day though, American companies will become so dependent on workers from third world countries. These workers will become more intelligently aware of human rights, that they too, will someday voice their concern for the same things we want here in America - decent pay, job security, the ability to take some reasonable time off from a very, very demanding occupation, benefits, etc. Ms. Shapin, I would be careful about praising a worker from a third world country who is so hungry to rise up from poverty. It serves you well now. You, me, and so many others, have the same human wants and needs. Think about it. If there was more decency from businesses and corporations about workers' rights, ethical practices from all sides, and a fair way to meet the same goal, perhaps you would not be attacked. The American Transcriptionist is just having to fight for every penny these days, fight to have benefits from a job, fight to work decent hours, fight to keep afloat. We all want the same thing. Decency.
Downhill trend
Not that many years ago, only ITs had to supply their own equipment.
It's sad that the large companies expect MTs to foot the bill for all the equipment, especially with the trend of giving MTs less and less of the profit pie.
I mean, when was the last time an MT got a cost of living increase? Or profit sharing payouts? Or any of the other perks of being part of a successful, profitable business?
A carpenter that is self-employed SHOULD pay for his own stuff. An MT who is an EMPLOYEE should not. Simple logic.
Do you think physicians have to buy their own MRI machines? Do you think police officers have to buy their own squad cars?
The transcription profession feels like a sinking ship. I pity people who are only now getting started. The hey day of this profession is long gone. (Sniff. Sigh.)
A trend beginning...
About 6 months ago, Keystrokes and Transtech were the 2 best companies going on...and now 6 months later, we are reading all negative about the both of them. Go figure. It all comes down to finding the right company for you.
So maybe this is the beginning of a new trend - sm
in American Transcription? Turning it back into a REAL job again! If what this site says is true, I'd be surprised if this didn't become the best MT company and most sought-after employer in the Northeast. I know I'd rather have MY records transcribed at a place like that, and not in Bangalore or Manilla. I wish them every success, and that that other MTOSs will follow suit!
A trend emerges
So it seems that those who like VR are the ones who started out in-house and were there for a long time. Then they were switched to VR and made an easy transition. Well, good for them! But that's not most of us and if you jump into a VR account cold, it doesn't go so smooth. Plus you spend as much or more time on it than you would if you had transcribed it yourself. So if VR is the future, then pay me for my time. And not 3 cpl. Otherwise, I will and am finding something else to do and all of my years and expertise will not be utilized as they could have been.
This is the trend for all companies now. sm
Paying substantially less, 50% or so, for pre-transcribed (voice or speech recognition) jobs is now the trend.
Since the industry giants/leaders do it, I don't see it ever changing.
And why should it? Everyone accepts it and does it. Therefore, they don't have to pay more.
It is sad.
Ex-Spheris MT, HITS is a windows-based application...
you will type in. It is very, very user friendly. Frankly, it is the only aspect I miss about working for Healthscribe/Spheris. Good luck!!
good, let them do all the India work, and take all the hits for law suits...
I wish they would monopolize the India market and totally stick with that...
I also posted an article about this a few weeks back, even with pictures of the offices in India (lot nicer than here).
hope they put all their money into it and then when technology takes all our jobs, they will have nothing.
Medquist, hate it or not, has invested rather in the technology, thereby will be the leaders in that. if I worked there I would train and learn everything I could about working with that technology because that eventually, in my opinion, will drive even Indian MTs into unemployment.
It seems to be the new trend - many companies hiring
inexperienced people or clerks (if you will) to manage MTs. It's definitely now all about money, folks. Never thought I'd see the day where folks would take approximately 10 bucks an hour, be paid salary, and work 60 hrs a week, but they are! You have to hand it to them though, this will definitely build up their resumes for the future. Can you imagine who will be managing the industry in say ten years? For once I AM GLAD I'm old. lol
Their trend is to keep their posts on top over weekends
Their pay is low, so people with a lot of experience never get replies to their applications. They want fresh meat, thus the multiple posts. I think people are figuring out that they aren't all that in the MTSO world. Personally, I would applaud this site for asking them to limit their posts to no more than twice per month, but that would be taking money out of the mouth of the board owners (no offense intended here - business is business and I understand that). It is just getting to the point that seeing these ads are making me stay away from that board and look at jobs on other sites.
The trend is passing of indian MTs as US
I am not saying in this exact case and/or company, but many times over this has happened. Buy up the US based company and use the good US MTs to edit the crap and save big bucks on the Indian MTs. Clients don't know it is happening, but those that inadvertently find out will drop them...sometimes.
Again, not every company has done this but MANY have. I understand the fears, and i would never work for any organization that offshores or supports that in any way.
I'm with you and hoping this is not gonna be the next trend...
I'm a confirmed second shifter for many years and for many reasons and recently started at a different company, doing Sun-Thurs evenings. Long story short, have been there 2 months and frequently run out of work on my Sunday night, and I'm infuriated (and maybe naive, have rarely in 30-odd years run out of work and especially not the first day of my week). Of course that means I have to make the work up, so I do that on my Friday off, though I take care to do it after 3:30. Needless to say, I deeply resent working on my day off. Like you, I say this is sacred and my wrists need it, and I'm a good employee. I'm biding my time to see how this all pans out; I may see if I can negotiate something different if possible. I was one of five new people hired on this account, (hopefully not an overhire, things are fine other than this). Anyway, NO, it just ain't right to in effect force us to compete for jobs in this way.
With over 5 million hits per month to this site, it is quite cumbersome to just pick out the bad
posts, so the entire thread goes. Besides that, generally there are a LOT of posts within a thread that are inappropriate. Please don't think for a moment that I'm only referring to OSI. I am referring to ANY company. I am only asking that posters back up what they are saying with FACTS not innuendo.
There are so many hits on the job board for jobs that I wonder if people are qualified that respond
or just send in a resume if they are not. Would be interesting to hear from some of these companies what type of response they are getting.
And furthermore, you can see this hits a sore spot, this giving people backup accounts and then
you run out of them is also ridiculous. There you sit making less and less money and trying to learn multiple dictators and then guess what, that dries up. Once you know that is what a company is doing, then you go to your alternate plans and never look back. Sooner or later when MTs either decide no more or they get multiple jobs and they have to keep hiring and hiring which impacts their quality I am sure it will settle down. At least, I would hope so although it doesnt seem to be right now. Could be because of sending work offshore not sure. All multiple backup accounts do is make it harder to make money and you have more problems with QA and your own quality because you just keep popping in and out of all these accounts that you really dont get to know that well. Knowing an account well is the best way to go for quality and line count for sure, NOT multiple accounts. All that does is help the MTSO keep the work caught up to the exact MINUTE.
In response to Disturbing Trend posted by MTness
Bravo! Where I have no opinion either way about Ms. Shapin or her company, this attitude is what is killing America. Our daily needs cost more because of our hungry politicians and situations created by these type of businesses who feel that off-shore people are grateful for the opportunity to work for an American company who they know is taking advantage of them. I do not know if any of you recall, but a few years ago in a hospital local to our area, one of the Indian doctors shared what the American MTs were making compared to what a relative was making in India. This MT was enraged and threatened to release countless numbers of medical records of American patients on to the internet if her needs were not met. Not much information was given in followup and probably compressed by foreign diplomats. This is one of the major issues of outsourcing.
I agree with you, all we want is the right to survive in OUR OWN COUNTRY.
This seems to be the trend now. I have had to change jobs 3 times this year
due to this very fact. I'm at my third one now, and it is still happening. I've decided to just work 2 jobs. One part time and the other supposedly full time, but it is like a part time. The only reason I am staying at the third is because, I need the insurance, and changing between jobs before the 90 day probation has landed me without insurance, as I have had to change jobs before the 90 days are up.
Transcend's positive posts stay here cause negatives are deleted! That's the trend!
You cannot rely on honest referrals on this board, especially the archives. They are edited and deleted forever. Just as the negative posts on the Transcend forum "magically" disappear once discovered...Don't be so naive, unless you're the one "editing"!
I did notice that one job posting stating exactly that, haven't followed the trend closely, thoug
A to Z in Phoenix? nm
nm
Yes, A to Z in Phoenix
Any info would be helpful. Thanks again.
Phoenix
The company is horrible. They hired me at 8 cents per line. Management sucks. Do not even think about considering working for this company. You will be sorry in the long run............
Does any know about Phoenix? sm
Anybody ever have any experiences good or bad with Phoenix Medical Transcription in California; I think the contact person's name is Susie? Ad says it pays by gross lines. Any info would be appreciated! Thanks in Advance 
PHOENIX MED-COM
I had a bad experience with Phoenix Med-com out of New York. They were extremely pushy, made threats to lower our pay when a group of us could not understand a doctor who had a horrible foreign accent, and told us that we were unprofessional.
PHOENIX MED-COM
My experience was TERRIBLE! They used intimidation, threats, and other hard-nosed tactics to coerce typists in to learning a really bad ESL. When we all could not learn this doc, they threatened to lower our pay and told us we were unprofessional. I would not recommend this company to ANYONE.
Phoenix
Phoenix Medcom uses Emdat - lots of work....visit website at www.phoenixmedcom.com.
Phoenix
Phoenix is a wonderful place to work for! They are really good at giving feedback and they do not get mad if ask questions. Work is almost always available. Pay is ALWAYS on time!!! I would recommend them to all who want to work for a good company!
Phoenix
I have been with Phoenix since they first started. I have worked on all programs that they have, being paid with and without spaces. Everything balances out. They are very proud of the work that is sent out to their clients which is a big plus for a company. They are getting new accounts all the time because of the fact that we produce quality work and this is more work for us. Cannot say enough about this company. You won't be disappointed.
Phoenix
How long does it take to do 600 lines without spaces and is the test indicative of the actual work?
Phoenix
It can take anywhere between 3 to 5 hours, depending on if the system is slow that day, and how rapid you can be filling out the demos. There are some days I get so frustrated because I am a very fast and accurate transcriptionists - use shortcuts, word expanders, etc. but some days no matter how great I push myself I can only get about 167 to 180 lines an hour max. I get so discouraged. Their work is great, so very little ESLs. But I have nothing but good things to say about the company. They are incredibly good people to their associates.
Phoenix
Great company to work for. Solid, steady work. Good accounts and easy doctors. Good pay and bonuses. Send me a PM if you have questions.
Phoenix Med
Phoenix Medcom is a wonderful company to work for. They are very professional, extremely reasonable, have great work, and the people you will work with are committed to top quality. If you have a question, they always get back to you, but for the most part they leave you alone to do your work. Could not ask for more.
Phoenix
Yes, Phoenix pays on the button. I have no complaints about them.
Phoenix
I got Express Scribe to work for their testing and also their work by tweaking some of the settings.
I worked for Phoenix for a few months. I had no complaints other than the fact I hated the Emdat platform, I just couldn't get my speed up. I did love doing all the OPs, and they leave you alone to do the work. The main reason I left was just because of not liking Emdat, but others don'd mind it.
phoenix office
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