Quality disconnect with SR and EMR point and click
Posted By: mtme on 2009-07-17
In Reply to: I've been with OSI almost a year - OldMT
I am reading here about different companies and how they nit pick over commas, semicolons, etc. Then I am remembering the reports I see coming from front end speech recognition and EMR point and clicks and I am just bowled over at the disconnect I am sensing here. Has anyone seen an unedited speech recognition report or EMR point and click report that hasn't been edited by a qualified MT lately? What a mess! It seems to me that quality is being sacrificed in the name of (fill in the blank here with whatever reason they are eschewing transcription services). I wonder if they will ever look back.
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point and click
What is point and click?
My old pediatrician had point and click EMR.
I would wait in the waiting room anywhere from 30-60 minutes waiting to be seen and then when I finally made it into the exam room with my kid, he would spend more time on the computer than he would with my child. I felt ignored most of the visit.
I can't tell you how many times that computer crashed in the middle of the appointment. Then I had to sit and listen to him complain to the nurses about it and ask them how to fix it (of course, they had no clue, so they all sat around the thing just pressing buttons). After a year of this (my child was in and out frequently due to a chronic illness), I decided enough was enough and started calling around to find a pediatrician that didn't use an EMR.
I love our new doc. I actually get to sit and talk with him during each visit and my child was finally diagnosed properly and has had no health issues since. Makes me wonder if he would have been properly diagnosed at the other clinic if they weren't spending so much time pointing and clicking.
laptop point and click errors
Think I'll go to law school and get rich on the point and click errors in medical reports. My doctor just joined those ranks and when I went in for check, he wanted me to get on an antibiotic, and I agreed. He pointed and clicked to his laptop, sent it to the pharmacist electronically and when I picked up my prescription it was for a seizure medication and not an antibiotic. They both start with a k. I thought the pharmacist made a mistake, but no turned out it was the doctor and his point and click was wrong. He was really upset when I took it back to his office for correction. More and more of this will be happening. Check your meds before taking.
In support of dictation over EMR point and click
From Dr. Murdoch at http://www.emrupdate.com/forums/t/20723.aspx
I feel that the current generation of EMRs are terrible.
Virtually unusable.
and the people that aren't using them are probably right: wait til they get better.
I almost think EMRs are a dead concept.
I think everyone should keep trying but I am left knowing a fax machine is more useful to a doctor than any EMR. Sad but true.
I'll give you an example of how EMRs are failing. A consultant sends me a note (generated by their point and click EMR (which has lots of all normal clicks). The end result is a 3 page monstrosity, filled with text everywhere, very little formatting.
I just realized something .... I AM READING HIS BILLING INFORMATION !!! This is the absurd crap GENERATED FOR HIS BILLING. It is addressed to me .. BUT ITS FOR HIS insurance company !
How little far we have come !
I think dictation is superior to the vast majority of EMR notes.
we will never 'type" yes or no, this is EMR, point & click, the doctors do it...nm
nm
Their quality isn't the point s/m
It's the fact that:
1. It's taking jobs away from American citizens.
2. It's sending the patient's medical records out of the bounds of this country, thereby making our laws for confidentially nonapplicable.
Don't do it. Click on your original post and towards the bottom middle click
on related messages and you'll find lots of stuff, one of it good.
She was wanting to know if the disconnect was
a problem with her cable or with the hospital system. The freezing up is definitely the hospital. All the connection issues is definitely the hospital system and the slowness is the hospital system per their tech.
The C-phone disconnect I believe is a cable issue.
Click on State Boards to the left then click on PA
nm
click on your post and then scroll down a bit and click
on related messages. You'll find posts there and also there have been posts within the last couple of weeks if you'll scroll down.
There is nothing good to say about SoftScript.
click on your post and then click on the related
messages link and you'll find all the bad, but don't think there is any good to be had.
Just click on Play then click on Play again to pause dictation
I'm working in Bayscribe right now and that appears to be the only way to do it.
Play to play
Play again to pause
Play again to start play again
Hope that helps.
They offshore, sound quality not great, quality
of work coming back from India is bad and they don't pay enough for editing it.
you spelled quality qualitily maybe that is why you have quality issues.
Sorry, but even spell check misses stuff. You have to at least be able to spell to do this job. Well, you don't have to know English if you are Indian, but us Americans have to spell!
Quality is quality, and really should have nothing to do with getting new accounts.
MQ isn't scheming against the MTs regarding QA. They just want a quality finished product. Heck, half the slams on this board about MQ are the garbage work the MTs put out. Talk about a no win situation! Getting used to a new account should not lower your quality by any real degree if you are a good MT. Even getting used to new dictators or ESLs. Good MTs still produce quality work, and should not have to fret over QA.
You are only a click away. Wake up!
nm
Click on your own message and
There is an explanation there.
when you click on any message, there is a bar above that says (sm)
report message, chat now, back and home. click chat now and it brings u to a chat room.
I think if you click on the post with
the arrow next to it there is a message inside that tells you where it has been moved. Also, any responses to the original post do not follow it to the new board.
Click on the Link
When I clicked on it, it took me to the Job Bank, and stange as it seems they had that listed as the company name, Fastphalanges. Hopefully the administrator can shed some light.
You should be able to right click on the files in
You could also double click the files. Make sure express scribe is open even though it shoudl automatically open express scribe.
To email them, you have to click on where it says .... SM
NC acute care hospital employee position in blue letters. This will bring up an email screen that you can type in, then send. HTH
When you get to the website, click on sm
skip intro and then the enter keys at the bottom of the screen on the next page, under the blog link. I just did it to make sure I had the steps right :) You can also apply by emailing the recruiter at Apply@KeystrokesMT.com.
If you will click on your post and down near
the bottom click on the blue related messages you'll bring up other posts about them. Just from glancing at them they are not a company that I would work for.
Actually, e-mail is not enclosed, have to click on my name
to send me one (in case you didn't know). Talk soon!!
Click on the "contact us" link at the top...
and then click on the underlined contact us and it will open an e-mail to the recruiter. Yes, they hire part time. Good luck!
QT Medical has a job ad, when you click the link
to learn more it says something about offshore entities need not apply. They offshore big time and there has been an Indian presence in the company for a long time.
I click on the related messages and there
are about a dozen. If you will click on one of those links there are usually several other posts where others have responded to the same questions you are asking. Someone has started a private Transtech board within the last few weeks, but there is tons of stuff about Transtech on MTStars.
Recent info is there too. You can click on
related messages in your original post and pull up most recent info and then can do an archives search too. If you click on the archive posts there are multiple posts within the original post usually.
Of course you want the most current info, but for companies like Transtech or Keystrokes someone asks about these companies several times a week so there is a ton of current information on them.
www.transmdi.com and then click on Contact Us on
x
Click [See Related Messages]
for recent posts.
In Wordscript, go up to the top and click on the icon that looks like
a hand writing on a piece of paper and then select the date or range of dates you want to see. Finally, click on line count. Hope this helps.
If you click on your message, near the bottom you will
see in blue - see related messages or something similar. Click on it and it will show you the most recent posts. You do need to use your own judgement because management posts too and of course their posts are all favorable and basically say the same things, about how the MT wasn't reliable, couldn't do the work, poor quality, etc.
I was viciously attacked a month or so ago. I spoke the truth and the person(s) that posted don't know me to make the statements they did.
I worked for SS and it was the worst place I've ever worked. I won't repeat it here, but it is all well documented in the archives.
Or you could right click and file and "open with"..
and then nselect Express Scribe.
Click link up top called
Then put in your company information. Sorry I don't know anything about TTS, but good luck with your search!
Hope this helps :-)
and if you click on that post asking, you will see response under.
nm
Excellent point, and point in case
look at the charlatan christian in the
Whitehouse who uses religion to push his agenda...
Christian IS as Christian DOES...
I understand your point, my point is why can't MTs and QA work together..
being QA doesn't mean you are above everyone else, you are just an extra set of ears...and why do so many MTs take offense to QA??? That is my point...you made have had bad experiences in the past with QA but not all QA are bad...
go back to my message "In the Know" and click on the
.
That ad is for Intellitype if you click on the More Information link, or whatever it is. nm
s
I should have said click "more". I guess you have figured it out, and you are most welcome.
You have to open a post & click on the name after Posted By to get it to someone's
s
Meditask, LLC. Click the link...has more info. nm
x
Click on her name within her post to send an e-mail. NM
xx
Highlight all the text you want to paste and right click
your mouse. You should get a list of options, one of which is copy. Select copy. Go to the page you want to paste your resume and right click your mouse again. Again you will have options, one of which should be paste. Click paste and there is it. If you right click the second time and you don't get paste, go back through the above steps again and copy again and then try paste.
Click on the see related messages link
at the bottom of your post. Lots of recent info there.
I have the same problem and have to click a couple of times.
x
MSWord 2003 XP sm click link
Ya know what, if you don't have Word and not experienced using it it is best you wait.
The companies usually use parts of Word and mesh it with their own platform and some are a pain to learn., so if trying to learn 2 things, plus all the other stuff, the client, QA and employer preferences to set up report it is just sooo hard for you.
Even instant perfect is not enough. One has to learn each dictator style, and the employers have no monitoring how the dictators DICTATE one little bit, they just don't care, they expect perfection with junk and the dictators certainly do not care, because they can nobody is telling them to clean up their act. Don't mean to discourage, but saying it like it is out there. PLUS, the rates are so low, you can make more at Jack-in-the-Box. Not exaggerating either..
go to their Portal, put FMLA in Search box, click FAQ.
nm
click on the "Related Messages" link in your post sm
and it will bring up recent comments.
Or the voice files may already be there "somewhere" for you to click on and play and you
s
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