Once, while working for a local hospital
Posted By: kt on 2009-01-14
In Reply to: Conflict of interest working for 2 companies? - Lisa
I was also working PT for the service that the hospital used. The only conditions made for that were that I could not work on my hospital's account as that could be considered a conflict, i.e., less work for the hospital so more was available for the PT job. I have yet to have a problem working for 2 companies. Currently I work for a national company FT and a local company PT. They do not have the same accounts, so therefore no conflict.
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i just started working for a local hospital. sm
They pay for the entire phone bill and internet for an extra line to do their work.
Anyone happier working for a national versus local clinic or hospital? SM
I'm with a national but from time to time, openings come up with areas places. None are in my own town, but would be 30 to 45 minutes away from home. In the case of at least one of these places, you are required to work in-house just to get used to their system, which I understand, but they say it usually takes a year before being set free at home. Now I can understand that if you are a brand new MT, but as far as just getting used to how they do things, that seems excessive. If you meet the criteria sooner, you can go sooner. It worried me about the length of time. That would put me in a bind with little kids and being away from home on certain days after they got off the school bus.
On the flip side, they pay hourly so I might like that, rather than make next to nothing on some days where the dictators are horrible on my current account. On the other hand, on a good day the lines are worthwhile and I'd come out ahead by LPH rather than hourly rate.
So many things to think about...oh, and another biggie...with this local place I'd get health insurance free for myself (not the family, but I have the kids covered on a plan I'm already paying for myself, along with me on the plan, which I could then drop myself from).
Anybody worked both scenarios and decided the national really was better? I actually interviewed here a year ago but didn't have to decide because they offered it to somebody in-house so I never got an offer. I have 3 years of experience but I still worry I would take forever to meet the criteria to work from home. I guess there are a few that have been there over a year and haven't met it. I don't want that to be me.
Local hospital - sm
I loved Medware until they started sending so much of their work to Medware India. I spent my days editing the offshore work. Its incredibly frustrating. It doesn't matter how much feedback you give, the same errors are made. A person cannot go day after day after day doing that without getting down. I made the decision to leave and have been so much happier. I only have to worry about my own quality now. 
Our local hospital...
has closed the entire top floor, and the nursing students from the local college are lucky to get 1 patient for their clinicals. They are asking the older seniority nurses and other personnel to retire early. Another hospital has the healthcare workers down to 32 hours per week. I am in OH, and my area is really bad economy-wise.
Then a small co or a local hospital SM
would be better. You are not going to find an MT service of any size that doesn't have a bunch of ESL dictators. That's just the way it is.
JLG did work for our local hospital when I was there.
They charged us $3.50 a line. I saw the contract. I was shocked. We paid ICs $1.50 a line. And the work was horrible. Everytime they uploaded reports, 2 of us spent most of the day correcting them. After about 6 months, we fired them.
Only when hired by a local hospital - sm
It is a little surprising to hear they want you to do this. I was hired by a local hospital (an hour away) and had to come in for training there - up to 3 months, unless I got the hang of it earlier. Some folks who worked there lived a little farther away (one was 3 hours) but all were within driving distance. So I have been asked - however, I've not been asked for a place as far away as what you described. 
It's just a local hospital account, not a
national. Most of the time I do their acute care work on Chartscript; I just help on radiology in Meditech if they are backlogged. It's not the Meditech Magic version, though. Don't know if that makes a difference.
The local hospital I go to has it....I have to say it is impressive.
I have various scopes done periodically for surveillance, and for the last few years they have handed me a beautifully typed and surprisingly detailed report as soon as I wake up, complete with color photos. I recently asked how it was done so quickly. The nurse said the doc types it using a template.
Often it is better to apply at your local hospital. Many times they
train on-site. The training is invaluable as you can get training on acute care and radiology and you would have a mentor with you all day.
worked 3 yrs, went to work for local hospital nm
nm
Oh boy I will. It is nothing but depressing out there. I applied at our local hospital because I can
hardly stand another day of this disappointment. This business has gone down the tubes!!
I work in-house at a local hospital...
And it's been pretty much famine conditions there, too. We're having to use our VH hours when we're called off for lack of work. I don't know where you're located, but I'm in central California. Perhaps it's a nationwide phenomenon for some reason.
Hang in there. The powers-that-be where I work keep telling us it's just temporary (although I'm preparing for the worst).
~hugs~
I currently spoke with a local hospital and their pay was hourly with an incentive (nm)
x
Actually, my local hospital offered me MUCH less than what I make at my MTSO
By 4 cpl.
I used to make an hourly rate at a local hospital but s/m
The home-based MTs were on a tiered hourly scale depending on how many minutes we typed daily. The in-house MTs were not on this scale and I believe they are the reason we lost our jobs to outsourcing. They made the big bucks and could not even produce 80 minutes of dictation a day. The home MTs had to produce 100 minutes a day to reach the maximum hourly pay.
I feel that being paid by production is not such a bad thing because at least the ones who produce get paid for it.
Recently applied at local hospital that paid incentive.
The local hospital here also pays hourly plus incentive. New MTs start at $15 an hour and then anything over 120 lines are paid at an incentive rate with the incentive rate increasing with the more lines you completed.
Love working for my local clinic
I have 4 weeks vacation after I was there for just one year. After 5 years I get five weeks. I get paid hourly so if there's no work, which happens from time to time when all the doctors and the NP I work for are gone, I still get paid. I get all holidays and weekends off, a 401K plan, and profit sharing. I'm sure those working for Nationals make more than I do, but it was important to me that I didn't have to work weekends and/or holidays so it's the perfect fit for me.
Or try working for a local doctor's office in your area as an employee
That's one of the reason I wouldn't/couldn't work for a National MTSO. I wanted a more flexible schedule as far as days off and vacations. I get six paid vacation days and 5 weeks paid vacation. I don't think I could ever find that with a National.
Working for a hospital
Most of the hospitals like for you to be in a certain radius so that you can attend meetings, etc. The last one that I checked out said you had to live in a 50-mile radius. They are out there. Just keep checking.
Actually, it is much like working in the hospital
snarling and ignorant comments. I don't feel like I have left the hospital at all.
Jeannal, were you working for a hospital that
decided to outsource, or did you decide you want to work at home and so you are leaving the hospital?
Working inhouse for hospital, sm
There's 2 of us for 25 staff MTs plus monitoring the outsource vendor. We're both paid salary. Works out pretty well for my budget. Living in Florida, salary range for our jobs I believe is $35K to $39K annually.
I worked for a national company previously, we were paid on production, at about 4 cents per line. It was a horrible way to make a paycheck. Would never go back to that.
Its been my experience, even when working in the hospital sm
that MTs with seniority usually get the worst work because it is the more difficult work and newbies usually cannot handle it. Unfortunately, thats the way it works in this field...the more experience you have, the more likely you are to get the crap work. That work has to get done too!
Probably each company has their own rules, but when I was working in a hospital sm
generally, it was 7a-3p for first, 3p-11p for second, and 11p-7a for third, not including lunch breaks.
Hope this helps. 
I make twice what I made working at a hospital.
And I even work for MedQuist, no less!
12 cpl editing; 18 cpl transcribing - not working for a company, but a hospital. nm
x
I remember working for a hospital on the new IBM word processors - boy
didn't we think we were hot stuff using those!? Then I discovered this little feature on one of the menus called Stored Text and come to find out, you could actually type some text there and then call it back up?!? So I did that with one of our docs who would rip through the physical exam so fast you could barely understand what he was saying BUT he always said the same thing (everyONE had a blood pressure of 120/80) so I typed up his spiel and then called it up and read along with him every time I had one of his reports. Then I figured it was so clever I showed it to the supervisor and was told we can't do that! Because it might lead to errors if you don't type it from scratch every time.
and how about those impact printers! Remember they were so loud you had to actually have a special plastic box to put over them and dampen the noise so they didn't sound like machine guns.
and here's the lil whippersnappers spouting off about ALL the files they have had in their entire CAREER have been .wav files LOL too too funny
Diskriter - Working for the largest hospital system in FL.
The benefits look fabulous! Strict schedule? Good PTO?
Thx!
Curious, can you make more money working for a hospital rather than a clinic?
I've never really did acute care and curious?
I have a friend working in a hospital and she is looking for a company from home as an employee.
Would anyone care to recommend a good company?
You're extremely lucky. I bet there aren't 10 of us out here employed by a hospital, working f
c
There's no comparison in being a hospital employee with benefits working rotating weekend and IC
Initially what made being an IC worth sacrificing benefits was having a flexible schedule. I have read the laws and have done research. An independent contractor is not obligated to a set schedule and this definitely includes holidays and weekends. So what if this is a 24/7 business? How many hospital workers do you know that work every weekend with no benefits?? Nada! I knew student nurses who chose 24 hours every weekend so they could go to school thru the week, but they were compensated quite well at 40 hours with full benefits.
A company may hire a lot of misinformed ICs for Sun-Th and Tues - Sat schedules, but by law they are pushing the envelope. ICs need to remind these companies what the legal definition of an IC is. I'm sure they remember that we don't receive benefits. They want it both ways. If I'm going to be an IC with the only benefit being flexibility, there's no way I'm giving that up!
A national I worked for, which I won't name (squid)tried that on us after taking over our company. They even used scare tactics. We still didn't get on every weekend. There was nothing they could do and they knew it.
that was working for a hospital direct, honestly calibrated line count...
11 cpl, easy, easy dictators on a pull up a number, type/type, save and repeat system.
those days have been discussed on this board before, and those days, unfortunately, are over.
It's a buyers market.
Diskriter off off offshores - and on some hospital accounts - they have not informed the hospital
x
Jewish is the main hospital, St. Mary's is another hospital under their management. (nm)
x
First for hospital, then outsourced still on same hospital work
and believe it or not, the hospital was so much easier. Had worked at the hospital for 11 years before they outsourced and then worked another 3+ years for the company they outsourced to. What a difference! The company had so many rules and regulations you could hardly keep up with them all, thousands of them, on the same account, mind you. The higher ups would not leave you alone, constant IMs about any and all. I have gotten to the age where I do not need all that and walked the other week. Have scheduled testing with another hospital for this month. Hope I make the cut, love the hospital work 1000 times more than a company.
Go Local
I would not consider editing unless the pay reflected my experience as an MT. Editors spend a lot of time cleaning up the garbage.
I think you have to go local for that.
I don't know of any that pay hourly for MT work. Many do for QA work, but not for MT.
I know around here many of the local hospitals do that, but it's usually MTs that have been with their hospital for a certain period of time. They don't hire from outside to work at home.
Also look at local
While most local comapanies have an onsite group they will sometimes hire people who have worked out of their homes for years. If you are moving from Transcend submit your resume to local recruiters and find out if there is a temp agency in your area that does transcription based companies. A local physician group still uses me per diem and while they have onsite if I need to they also support offsite - it saves them some money because they don't have to support your equipment!
Just be aware, VR is the wave of the future. My guess is that in 10-20 years everything will be run through VR and nothing will be transcribed from scratch...of course if we all stand together and demand more money than they are currently offering the market will eventually succumb :)
Ditto.. Over 13 years experience working in hospitals doing all types of reports, currently working
for a national etc.. and Spheris told me I didnt have the qualifications. What cracked me up was the hospital I was working at at the time contracted some of our work out to them.. What a joke..I was good enough to work for a hospital and gave them work, yet not qualified enough for them. What is wrong with this picture.
I know...it's sad..I used to love it at MQ when we had a local
office but everything has changed so and I just HAVE to make more money! Good luck to all MQers looking elsewhere!
local offices
what is the best way in getting starting for working for local doctors? Get business cards made up, show them a resume? I have often thought about this and afraid to take the leap. is this reliable work? I'm sure they can let you go whenever they want but I guess that's the case anywhere. please, any info would help.
I agree - go local. (nm)
.
Local Hosptials in GA
Greetings
I reside in ATL and wondering if by chance if anyone knew who handles the transcription for Atlanta Medical Center, Grady Hospital, St. Josephs Hospital and any other local hospital here. I seem to can't get anywhere by calling. I am a newbie and is not having the best of luck with MTSOs right now. Any help would be very much so appreciated. Thank you.
I had a local MTSO try to do that to me...
...I was ready to sign the contracts after meeting with them in person, until I heard I'd have to pay a one-time nonrefundable charge due lump sum for $600.00 for the FTP software. To add further insult to injury, they also advised me they didn't pay for spaces and required me to transcribe a minimum of 1200 lpd.
I couldn't run out of there fast enough.
What would I do with their FTP software if I quit? It would be useless to me, and I'd have paid for it.
I steer clear of companies asking me to pay for use of their software, I'd suggest you do the same.
Call your local DOL
You are entitled to minimum wage if you are an employee. So make sure you are punching a time clock or otherwise keeping track of your hours and your pay.
You can also file for partial unemployment.
That s/b local OR 800#. no text
gourdie - do you have a local - sm
news station that exposes these type of injustices? they love the david vs goliath type of stories...
Our two local hospitals do just that.
Management is at the hospital. MTs have a choice to work at their medical records departments or work remotely from home. Benefits are excellent. Health insurance rates are very reasonable. Pay is hourly - guess what, always on time. They are always offering CPR classes free, movie tickets and group travel plans at discounts. ACTUALLY GIVE RAISES.
I would love to see all hospitals go back to this. More personal employment, keep it local, smaller group of docs that we actually might know, not as much BS as working for an MTSO. I think this gives the MT back their feeling of being a professional and the hospitals treat us fairly, like an employee and no BS about OT and line rates. Enough already with the greedy MTSOs who can't seem to get their act together with their overhiring, then low work, no work, then begging for help if you stay and most everyone else leaves.
MQ same situation. No pay for working holidays, no pay for working weekends nothing. Now noone works
much anymore and so they jerk the work out of the accounts to some place that throws it back with a lot of bad bad quality. This is the NE region. I dont know what the others are doing.
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