The hospital I work has no intention of outsourcing...physicians and administrators want inhouse tra
Posted By: Flmt on 2005-08-08
In Reply to: just curious but did you lose your job at the hospital because of outsourcing or ... - nana
and Medquist hasn't bothered us at all. Our reps are still the same personable guys they have always been.
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Outsourcing is a hospital sending work out to SM
be done by a service (for our purposes, this is a good definition), while OFFSHORING is when a hospital or service sends the work outside the U.S. (like to India, Pakistan, Phillippines, etc.) to be done.
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.
That is true. If the hospital has inhouse
people, then they have first priority on work. If they can do it, then the hospital will not make it available.
When I MT'd inhouse in a hospital medical records dept.,
the hourly pay was around $9/hr. I had plenty of experience too. The lady there who had about 25 years of experience made around $12/hr.... I have no idea why it was so low. That's why I ended up working for a service at home. As low as VR pays, that $9-$12 is starting to sound good though. What a shame this profession is.
Hospital Outsourcing
I took a job at my local hospital at the beginning of the year. Three weeks later, we were told the hospital was going to outsource the work. :(
just curious but did you lose your job at the hospital because of outsourcing or ...
did you decide to go work for Medquist or did the hospital outsource to Medquist and you went to work for them?? I'm just curious because I work in a small hospital, and I'm thinking of changing gears.
Lost job to outsourcing through a large hospital
Just found out my job is over at the end of August. Have worked for MeritCare Hospital in Fargo, ND, for 2 years and they decided to outsource everything. Any great ideas for me?
The setting your own schedule thing varies. For example, physicians who work in the ER may be
independent contractors, rather than employees, if they are moonlighting on weekends or whatever. But notice they are told what hours to work... There's no way to keep a transcription service alive with people working whatever hours they feel like whenever they feel like. That's just not reasonable.
Are there not enough physicians in India to keep work plentiful for their native transcriptionists?
I just can't imagine with India being such a large country that they are not swamped with MT work that can stay in their own country. I have always been curious in this regard. So tired of these large transcription companies using the shortage of U.S. MTs to get away with offshoring our work for slave wages. LET THEM TRANSCRIBE FOR PHYSICIANS IN THEIR OWN COUNTRY AND FOCUS ON THEIR COUNTRY'S HEALTH CARE AND QUIT BOTCHING IMPORTANT MEDICAL RECORDS THAT BELONG TO U.S. CITIZENS WHO HAVE NO IDEA WHO IS PRODUCING THE REPORT.
Perhaps you need to work inhouse somewhere sm
there is communication and lots of it, or quite possibly, none at all. Like when the mangager closes the door to avoid avoid the staff, or doesn't return your voice mails or, better yet, takes a 3 week vacation just when the staff's tempers are burning hot over one issue or another. How about this scenario? You go in to talk with her about an issue you have and the next thing you know, it's all over the office and you are the one at fault? Or, how is this for communication (*&()^&^%&&$-get my drift? My manager was like that with 1/2 of her office staff. Quite a witch-which is why I left. She is still there turning over MTs left and right because of her communication policy. TT is not like that in my books. TT responds to my emails nearly every time. They don't respond to my calls because I never feel the need to call.
Does anyone using these boards work inhouse? - sm
 And if so, where did you search for the job? I've noticed that on the job boards here, it's not only all national companies, but also pretty much the same ones, too. And of course the pay scale is the same old crumbs, as well. Is there any one place that hospitals and clinics go to recruit for experienced MTs, or do you just have to slog through the job-lists on each separate institution's website? There are a few where I'd post my resume tonight if I could, just so they could have it on file, but frequently you can't do that unless they're actively recruiting. Anyway, for me 2008 is hopefully going to mean finding gainful employment again, and any ideas you might have would be greatly appreciated!
Anyone here work inhouse at Stanford University? - sm
Or know someone who does? If so, any comments, pro or con, about working there? I'm moving to that area soon, and was wondering if they're hiring.
guess again, i'm inhouse and my sup would rather send out work to the agency
yep, to meet the TAT she will send it out, even if it means no work for the real hospital employees.
When I worked inhouse, we used Chartscript, now that I work from home for a different company, we
use Docuscribe. In my experience, my line counts were much higher with Chartscript, but I think any program can be told to count lines a certain way, such as weighted lines with Chartscript for difficult dictators, which made your line count higher.
Con: Overflow work is cherry-picked from the git-go by the account's inhouse MTs. nm
x
No, I do not think that they have the intention
to let you go. It's only for the 4 weeks you'll be absent.
To be sure assert yourself before you leave and tell them that you are going to resume your job after those 4 weeks.
It may be not the design or the intention
but the person's point was that many platforms are *not* user or production-friendly. Doesn't sound paranoid or like an underacheiver - just legitimately frustrated.
should be administrators, my bad!
:) some other minors errors too because I rely on my abbreviator too much I think...been doing that a lot lately...
To the Administrators
Would you PLEASE delete posts/threads immediately that are nasty and highly inflammatory (like the one on TTS from a few days ago). There seems to be a cycle of totally nasty posts that appear from totally unprofessional people in this profession, and that is not fair to the MTSO or any of us for that matter.
Being upset with an MTSO or a person within the MTSO and stating the facts is one thing, but there have been a lot of just plain nasty things posted here.
Thank you for considering this, and I sincerely hope you do something to take immediate action when nasty things are posted.
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.
I sent them an email asking too because I had no intention of sending
them a resume without knowing what the name of the co was. I am sure they get the message if people write.
YEP - it seems likely the administrators of the website
either through court order or other means - identified GP through posts to the plaintiffs...
SO other posters should realize that you are NEVER anonymous online.
Administrators - What about starting a VR Board
Thanks!
Outsourcing our work!
Great idea - Donna - If we got organized and spread the word as to who to work for that was not doing this to a major degree and let our local medical community be aware of the dangers of the medical records not coming under any privacy laws and the patients response to this - then we could make a difference. If we could only get an organized effort going - I would be more available and willing to help - even if it would mean a trip to Washington DC on my own dime.
Please let me know what kind of efforts I can join to fight this - are there any around Tampa Bay? We should be organized in our fight and bring this up at the local medical association meetings and convince the doctors that a penny saved is not necessarily a penny in the direction of 'best practices' in the end! Please feel free to e-mail me anytime. Let's Roll!!
outsourcing means the work is sent outside the office
so if they do not have an inhouse transcriptionist, they outsource the work to a service or IC. Off shoring is work done somewhere outside U.S. However, most people do not make a distinction between the two. Outsourcing CAN BE offshoring and often is used interchangeably.
That is talking about outsourcing not off-shoring work. NM
NM
My thots exactly. Why not pull some of the work back from outsourcing
and ask us if we want to learn a new platform rather than telling us to take the day off or telling us to adjust schedules to meet the demand (which there is none since I already do that). There is no work and they continue to send work overseas. They continue to put new people on to help and we have even less work. Management is not concerned about the peons, just their own fat paychecks and fun times in the city.
TransTech has lost work somehow, somewhere . . . or outsourcing/offshoring it !
How could Transtech mgmt be so noncaring of their MT's who provide their paychecks for them??? Yet, they care NOT of the MT's get a paycheck or NOT.
Soon to be gone from TT. Not what it was cracked up to be from the beginning.
TransTech has lost work somehow, somewhere . . . or outsourcing/offshoring it !
How could Transtech mgmt be so noncaring of their MT's who provide their paychecks for them??? Yet, they care NOT of the MT's get a paycheck or NOT.
Soon to be gone from TT. Not what it was cracked up to be from the beginning.
Mgmt and those leads/sups who are STEALING our work should add money to the piecework MT's paychecks every pay period that we make less. Oh, boy, you are really good mgmt at TT !!!
The sweet talk from most of your mgmt-type people wore out VERY QUICKLY. What is left from TT for the MT's -- NOTHING but low and no work.
Mgmt, SHARE YOUR PAYCHECKS/GAINS/BONUSES with us lowly *per your opinion of us in reality* MT's who type our fingers off so that you can GET ALL THAT MONEY for YOURSELVES !
Between the outsourcing and overhiring, there is absolutely no work for anyone/anything American, pe
nm
Bottom line is administrators trying to save a buck. Many drs. don't want records going offshore.
:+
Naturopathic physicians
Look up naturopathy and naturopathic physicians via googling, etc., and get a list of them and contact them individually to determine if they need transcription of their reports. Also contact naturopathic medical schools (N.D. = doctor of naturopathy) to find out some resources. You have a great idea; my friends prefer to see N.D.'s rather than M.D.'s. Similar education in the basics.
Ha! Indian physicians used to do MT!
Maybe they still do???
Back in the early days of MT offshoring (10 years ago) I was, briefly, one of the early editors for the big offshoring company in MD. According to the CEO of the company at a small group meeting I attended, the Indian MTs were mostly/all male physicians who could apparently make more $$$ doing MT for the U.S. than they could practicing medicine in India. I thought it was sort of unethical as I'm sure there is no great surplus of physicians there. But I guess that's capitalism.
Incidentally, they were TERRIBLE transcriptionists. Their transcriptions went through two layers of Indian QA before getting to us and I still rarely had time to correct all the mistakes.
Of course it's possible that everything has changed there since then.
Have you heard what physicians are saying?
Even docs themselves are saying that they have to double or triple-book appointments now just to meet the rising costs and overhead. How is that not effecting patient care? I may not have ever had a doc that walked out of a surgery halfway through, but I have had a doc actually say to me when I asked about diabetes education, 'Just don't eat a lot of carbs.' I had just been diagnosed with type 2 DM and had all sorts of questions, but he was in too much of a hurry because he had a waiting room full of people. He didn't even tell me what medication he was giving me, just said I could pick it up at the desk and got angry when I pushed for answers. Is that quality?
You have to have transcribed for 10 different physicians within the last 5 years. sm
Heard this from a friend who recently applied with them.
Physicians First Transcription Service
Has anyone heard of this company? I know that they are located in Streetsboro, Ohio but I just wanted some of your feelings on this company before I applied.
Thank you,
Cheryl
Physicians Transcription Service
I worked for them for about 2 years. Just call and talk with the owner. She is very upfront and won't sugar coat anything. She (Cheryl Roudybush) was very good to me.
I was also told need to look up referring physicians
Was never told of any raise off of QA only that where they are located they can't charge as much to the clients... yeah, okay, I believe that! NOT!
How well does eScription do on heavy ESL physicians?
Also, how long after using this platform did you find yourself doubling in your productivity? Anything you could provide would be greatly appreciated.
Like I said - it depends who you work for. I work for a hospital at home - not a company. nm
x
NJPR is in NJ, not NY, stands for North Jersey Physicians Review I believe,
try googling for a web page, I am quite sure they have one, you can the info and I think a phone number there to call.
There is NO Medical Record keeping in India for hospitals/physicians.
//
When I was an inhouse MT, I used to use -
the 'flu', rather than go into detail about whatever personal issue was causing me to need a short-notice day off. After all, everyone knows what the flu is, and how contagious it is, and they don't want you to give it to THEM.
inhouse MT
I would take it. I have been working 25 years at my inhouse job and only getting $14 so that sounds pretty good starting out.
As ICs at the hospital I used to work at ...
you got a contract for 2500 minutes monthly at $1.50 a minute. All minutes past 2500 in the month were $1.75.
Same here, no hospital work.....:(
Bills to pay and no work....
Hospital work
I do think spring breaks are playing a part in this. I work a few independent accounts and half of my docs are out this week. I also think the situation is made worse because of the services overhiring due to ridiculously promised turn around times. In the case of the account I work on for a service, the client expects and contracted for H&Ps guaranteed back in 2 hours, but on the other hand, no guarantee from them regarding the volume of business. A win-win situation for all but the MT.
hospital work
I was working for a group of hospitals managed by one company. Therefore, I had about 300 different doctors to transcribe for. Other than radiology, you never knew who would be coming up next. It really is just a matter of what you get used to.
Hospital work
I'm in Georgia - don't know if this is the Tri-State you are talking about, but would like to apply. Would you mind emailing me with info?
Hospital work - sm
Come on people - do your foot work and search. These positions are out there, you just need to search.
Cooper Hospital in NJ was looking for at home MTs for Radiology - don't know if that was filled.
Baptist Health in Texas hires @home MTs.
The one in GA has been filled.
The hospital I work for
I am not sure what it means for us yet. I did work for an MTSO part-time for 6 months. The hospital had better pay and a much better benefit package. Another benefit is that I am familiar with the territory. I don't have to google every nursing home, hospital, doctor's clinics, doctors name in the area as I am familair with them and their specialities. I hope that makes sense.
Hospitals can be unsteady. I have worked for 2 different ones. The first one was going to shut down but that didn't happen, then it was going to merge with another hospital, that did not happen but it gave us a great scare a few times. The same thing with the one I am working at now. It was going to merge with another hospital. They opened a surgery center and that took away some of our work. Now they wre saying they are going to go to VR. It is not here yet but they are seriously talking about it.
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