Hold my hand??? sm

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IMO, until the old docs retire, they will use EMR and transcribed reports hand-in-hand.  There is no reason to totally go away from dictation, since typed reports can (and probably are already) be added to the EMR system.   

Starting in 2011 when the big roll-out starts, until 2015 when Medicare/Medicaid penalties go into effect for any doctors not using EMR, there should be no dramatic change in the number of MT jobs.  After 2015, I believe that as Transcriptionists retire, those jobs will simply not be replaced.  It may mean medical transcription schools will have fewer people to train starting in 2015 because of the decline in NEW transcription positions, but current Medical Transcriptionists should be able to retire from this field, if they want to.  JUST MY OPINION. 

Here is an interesting article giving the pros and cons of both EMR and transcription from a doctor's point of view. 

emrhealthinformatics   dot   co   dot    cc 

www.emrhealthinformatics   dot    co.cc 

Most of us don't have much choice where to buy our water, natural gas or electricity. But hospitals can shop around until they get the transcription on the cheap.  And some well-thought-of MTSOs are losing accounts that have been totally satisfied with the work, because some other MTSO promises the client pie in the sky, 99.9% accuracy, 1-hour TAT at a real bargain price.  Might take the hospital quite a while to discover you should *love the one you're with*. 

Some of us have had an experience with deregulation of public utilities in our areas.  A small natural gas provider offers cheap rates on gas, using the big company's transmission system.  You sign up, then within a month or two the little company *discovers* it can't afford to sell the gas at those rates and has to raise its prices.  Sounded like a good deal at the time, but getting un-signed up and back with the company you never should have dropped is a real hassle. 

Not unlike what happens when a hospital gets courted by a new MTSO and finds that the price is nice but the quality stinks, because it is either bad VR, or offshore outsourced.  Have you ever noticed that a client hospital gets super picky about QA issues that never were a problem before?  This is how they justify breaking a contract before it's up, to go with the cheaper company. 

the number of times I haven't helped out when they have gotten backlogged, usually without being asked with never a thank you, but an e-mail or phone call asking me to do extra the next day and then the next.   I've always pulled my share and then some.  I don't care about a gift or even a card, but if I do my 40 hours/committed line that should be enough.   They aren't paying me when there isn't any work.  

Ultimately it comes down to they don't care if I'm sick or I have a life or not, they just want the lines done.  They didn't used to be that way, or at least they would offer incentives, which they rarely do now.   I can't stand threats about losing accounts.  If isn't my fault if they lose it.   If another MT is not doing her share don't ask me to pick up the slack. 

you may need it later.

Came to know from A VERY RELIABLE SOURCE that ***** ******** is working as QA for ****** ********(MBS Millenium Business Services).

See more info about MBS here:

http://forum.mtstars.com/main/v/1/102475.html

scheduled hours unless the work is slow. Then you can flex, but you need to make up your time later. 

One weekend per month is required.

Don't be putting down people who like to do VR. I did straight typing for over 15 years and I am making the same, if not more, doing VR now. I was not a very slow typist, and quality is my first priority. I've been doing VR for almost a year now and love it. What makes it easy for me is I never really relied on Expanders to up my line rate since my hospital didn't really allow them, except for autocorrect. I didn't have an Expander until 6 years ago. Doing VR, I can't use the expander I did finally learn, but it's no big deal.

Like some other posters stated, it depends on who else is doing the reports whether or not VR is easy or hard.  Some days, my reports are easy, other days tough. It's the same when doing straight typing. Some dictators are easy, other are tough.

I don't think VR is really made for large companies with hundreds of transcriptionists. It's made for the smaller companies that all conform to the same verbiage.

If you're good/fast/quality-oriented with straight typing without expanders, then VR would be good for you. If you rely on an expander to get those lines, you will have a problem in the beginning, but if you're flexible, it will pan out.

Don't down people because they like VR. You know what they say......try it. You may like it.

What I have found: 

When I try to search for companies that commonly go by acronyms (for example OSi or UST), I do not get any hits at all even though I can see that they were just discussed a few inches down the page (I still want to see if there is any other information available from previous posts).  If I search for US Transcription – all the results have the word transcription but not UST or US Transcription. 

It seems to me that the search word has to be at least 4 characters or it will not find anything.  Is that correct, or am I just doing something wrong?

Thank you in advance for your assistance. 

it has nothing to do with free speech but it MIGHT have something to do with defammation of character or slander, whichever is appropriate.