Any MTSOs out there use a server for their transcription workflow?
Posted By: MTSO on 2005-08-02
In Reply to:
I am thinking about going internet with my service. Currently on a call in system and thinking about getting a computer company to set me up on a server and interface the call in system so I can have the transcriptionists work over the internet. If any MTSO currently uses this method, I would love to know if you find it efficient/easy to work with manage, etc. Is it worth investing money in? Thanks in advance.
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Workflow
So, how's the workflow out there generally speaking? I'm going on my 2nd day with no work at all...how about you?
WorkFlow
I see all workflow according to the accounts I am scripted for. The only nice thing about that is that I now how the long the next available dictation is for time management purposes. I wish I did not see the rest of it because from what I can see, there is a lot of cherry picking going on. I hate this!
Amphion workflow
We keep running ourselves out of work! Why don't they stop hiring!
I, too, work for MQ out of one of their CA offices - 7 years now. Steady workflow sm
I wouldn't say I don't run out of work, but maybe 3 times a year I do. Just depends. Around school time beginning I do. May pay is probably above average because the company I worked for that MQ bought paid really well.
I have had absolutely no problems with MQ, though the things I keep hearing and seeing do bother me that I belong to a co. like this. But personally, they've been too good to me.
I guess not all offices are the same, for sure!
Yup ... smaller MTSOs, local MTSOs (sm)
local doctor's offices or clinics! Don't get discouraged!! :)
FTP Server
Can anyone tell me what FTP Server is, and how I can find out what type I have.
Thanks 
FTP Server
Does anyone know who might rent space on an FTP server?
FTP server
I have been using an FTP server since 2001. There was absolutely no cost (as I said above I found the software on a free site as it was new). The FTP server software is located on my computer so a webpage is not needed. They upload to that computer from their office by plugging the recorder in. Once plugged in, it automatically connects to my server and uploads. Not difficult at all.
You are most likely on their server.
either your ISP is not working or MQ server is down.
Call tech support. They may need to reset your ID. Right now I'm on DQS.
My expansions on MQ's server
Conditions at my local MQ ofc have deteriorated to the point where I am ready to throw in the towel and look elsewhere. My question: I am using my own computer. Is it possible to retrieve/print out my Expanders and shortcuts that I made up myself before I leave. I've only worked for MQ, and imagine I've accumulated over 2000 of these shortcuts. I know they are on my hard drive, but I have no program that will enable me to access them. Does anyone know of any such animal? Secondarily, has anyone ever left one MQ ofc for another, or just plain asked to be switched to other accounts. TIA
server issues
I work for a large national and we have servers down, programs down, instand messager down pretty often. And, no we get paid nothing for downtime even when it's the company's fault. Really sucks!
Server problems
We have the same issue on our hospital lines using Citrix. Too many people on and it gets really slow, locks up, and kicks us off. Every time they work on Cerner or Citrix I have problems.
Silly me. It is the server. Still would like
asdf
I don't believe this is a secure server.
Having said that, if you encrypt any files BEFORE uploading to their server, you should be OK. There is a webpage where you can ask specific questions--the link is below.
Call in server
We are looking for a call in system for a couple of doctors. Does anyone know of a place that will rent space on one? or any suggestions?
No coffee yet this morning. You said it was on the server.
On the one hand, if it's on the server and not on your computer, perhaps your supervisor only has it installed to make sure nobody is hacking the system. Maybe your supervisor doesn't even know it's there, but I doubt that. I'd want to be sure it didn't get on my computer, but you sound savvy since you're already running anti-spyware software. How would I feel knowing my supervisor was spying on me? Well, I have nothing to hide. I would never do anything I shouldn't be doing on her server. Then again, I'm not some infant hacker that needs to be monitored. (I'm not a hacker at all, for that matter! LOL Oy....Where's the java?) Most of my former employers used to monitor what we did with our computers with regard to email and the Internet. I have nothing to hide, but if they can't trust me, they can bite me.
Curious about a server as our office is getting one
Is the main reason to get a server to monitor employees on the internet? I know there are bound to be other reasons, but our boss is getting a server for our office and says that is the reason. He's a real jerk, by the way. He didn't even want any of us to have email. He really doesn't want us working in the 21st Century mode and he is a computerophobic! I'm curious as to all the advantages of a company having their own server. He tried to take the internet off my computer because "you are the only one doing transcription (PHI) on the computer" which was bull in itself, but he's afraid of "someone getting into our info" even though we have protection.
Do you think it's more from the Meditech software or the server? (sm)
Thanks for the information! I went to the Meditech website, and of course they act like it's the quickest thing since greased lightening.
By archiac functions, do you mean it doesn't use a mouse? May I ask what company you are using it with? I'd be happy using ShortHand, but I would also want to load other programs unless it is already loaded up with everything. I may return to acute care, and if I do I'll want speed and tools, so I don't want to jump aboard the wrong ship.
They are stored on both the local server you..
work from as well as on the hard drive in your PC. You "should" be able to access it when you sign in with your ExText UserID on another PC...however, I have seen it happen to people before..either in the process of switching PCs and/or even just a glitch in the local server that causes a loss on their end of the file, it is always best to save a copy of your entire .esp file to a disc. If you use it regularly it probably has a ton of entries and you would be very sorry to lose them all, takes forever and a day it seems to re-enter everything. (Been there, done that)
Deleting files from FTP server
The company I work for uses an FTP server. I am supposed to delete the files I pull after I upload them so another MT wont do them. No matter what I try I cannot get the files to delete. When I right click on them, there is no option to delete in the drop-down. I have also tried highlighting the file(s) and pressing delete on my computer. Neither one of these works. These are the 2 ways my QA said to do it, but it just wont work. Any suggestions?
Thanks :)
There is a difference between SOFTWARE and SERVER.
Software is the computer program which interfaces between your computer and the off-site computer that "holds" the voice files and documents. The off-site is called a server and secure space is not usually free--you will have to pay some sort of usage fee for uploads/downloads, usually based on the either the space or bandwidth used.
There are other free sites like www.xdrive.com or www.box.net but they do not require the use of FTP software to upload/download. Box allows 1GB but does not appear to be secure; Xdrive allows 5GB and claims to use 128-bit encryption.
Hope you find this helpful.
P.S. If you've never connected to this server before sm
there is a lot of info you will need...your MTSO will have to supply that.
It may just be the server...I have been running slow
for the past week or so and it is the server located at the hospital. I try to work when the traffic is not as heavy with dictators and transcribers.....Lots faster then.
Do I need both a client and a server for this to work?
I am a little confused. I get how FTP works, but not sure what I need to do to make it work...if that makes any sense.
they can set how fast/slow the server is s/m
I talked to someone in tech support one night and told him that the server had to be clogged or something and asked if they could reset the server or something. I was only making 70 lph. He said well I can turn your speed up. I was like ?what? He said we turn everyone's down so they dont clog up the server to keep everyone running smoothly. I had to call every night for them to change it and I eventually just quit.
I thought that was just wrong. I never could get past my expected production.
Server issue question
Do those of you who work for MTSOs have much trouble with connection loss or other technical issues? Just wondering how common it is.
Are you wanting an FTP server or just user software?
nm
Please post the name of the free server that you're using.
It would be helpful to both this poster and other who may be looking. Is it some kind of a secret that you can't share or what?
There is a cost involved to have FTP server space.
If you have your own webpage, there is FTP space available to you, although it may be limited. Additional space can be had for an additional cost.
My experience has been that the doc's office doesn't want to/care to understand or work with FTP so I found an easier solution using a secure web site.
Bottom line, make it as easy and user-friendly as possible so that you can "sell" this doc (and possibly other accounts) on using this method.
As an aside, the digital quality is superior to the tape quality.
You would have to leave the emails on the server and dl them to both computers.
thats easy.
That happens sometimes..probably temporary problem with your mail server (NM)
x
Not a problem if working on secure server
My company uploads/downloads work from a secure server, not an open Internet connection (as in web browser). Work does not travel over Internet, but directly from me to server to client and vice versa. Records are not kept on my computer, but the server. If that is the case with your setup, I'd think it would not matter if you are typing in New York or Timbuktu.
Bare amount of work for two days. They say the server is down.
Thank goodness I have a PT job or I'd be a mental case. This is not a good time to not be making an income, when the economy is in such a vulnerable state. I have just disconnected my second telephone line. Now, am going to buy a cord of wood to keep warm this winter as I doubt I'll be able to heat the house with natural gas from what they are describing the bills to be like ($800-$1000 per month).
Due to constant increase in traffic and server load
Due to constant increase in traffic and server load, we are performing a major server upgrade.
We are trying our best to keep this transition smooth, but you MAY experience accessibility problems to the MTStars.com site from Oct 6th to Oct 10th, 2005.
We apologize for any inconvenience.
MTStars Support Team
Webmaster@MTStars.com
I believe so. If "backend" means I'm cleaning up what comes out of the voice server.
x
You cannot download files via your c-phone. You will dial into the dictation server SM
with the C-phone and transcribe live. Do you know what kind of transcription platform you are typing in?
Download FTP SERVER software (it can be found free). Then have the docs
upload their files to YOUR server. There is no cost to you or the doc to do this. Someone does have to pay for the recorder, which I have chosen to do for 2 docs. The other one purchases his own when needed (twice in 7 years). One picks up files on FTP server. The other 2 still want theirs printed. Since they are not in same city, I mail them via snail mail and they are happy with that. I also do fax any stat reports to them at no charge simply because I have unlimited long distance.
that is the same thing that was happening on this board too, not a virus, server problem. that's
if you check your vault - there is probably nothing in there.
The article is old but bares all. the woman did devious things that brought the house down on her and she lost this site.
Now she pulled her junk on Google and she is in trouble with them...so stirs up trouble here.
you can ignor it or research her through all other MT boards. Not quite a legend, must say.
How common are server issues and other technical problems that result in downtime? (sm)
Do you get compensated for your downtime? I'm thinking of going to work for a national, but I've heard there are a lot of technical issues at these bigger companies. True?
Our Meditech connects through a Citrix server, and kicks us off, freezes up, doesn't allow log on
If the system has a lot of users on, then it lags. You hit the keys but the letters don't appear right away. Try doing the backspace key with that. It does not have a word Expander and only certain ones will work with it. ShortHand does but some of the others do not. It has archaic functions. The patient demographics are entered separately from the body of the report, so you don't get paid for those lines. It takes multiple key strokes to make font changes, etc.
But other than that, it is fine LOL
I agree, sounds like a server problem with your employer. I helped with the switch over when SM
we installed EXText where I worked and I learned that there are a certain number of channels or ports per server, meaning on one server an allotted number of dictators and transcribers can connect to the server at one time. The more channels in use, the harder the server works, and that will slow connection speed.
I also learned that if all channels are in use, any other would be users trying to connect are sort of placed in a holding pattern waiting for an open channel and that can cause hiccups in the server as well, i.e. disconnections, lock ups.
We were told by the IT department that although we may have 20+ channels available for use, we shouldn't schedule 20 MTs to be on at the same time just because we can. We have to consider the dictators who need access, etc.
So basically your employer may have too many trying to connect at the same time and the server just can't handle it. You might ask the other MTs if they are experiencing similar difficulties and if they are, then its a better bet that it is a serve problem.
Agree, verbatim transcription equals poor quality transcription.
x
Know AIM transcription system, never heard of Hull transcription. Are you sure
you are not thinking about DHull who is a recruiter for MDI-FL? They use the AIM system.
MTSOs
You are not wrong but in my opinion, you are giving them too much credit. The reason why they don't do what you ask is because most of them are not concerned with making your life easier; rather, they are more concerned with figuring out more ways to cheat you and to make your life more difficult. Then when you get disgusted and quit, they will just get somebody else in a very short time to replace you because you are very expendable. And it goes on and on in the same vicious cycle.
MTSOs
You know, there has to be a market between the dastardly corporate MTSOs and small transcription companies. It seems to me that if a talented, aggressive MT with a good business sense could find a way to create a "team" approach to the transcription business, perhaps one could find that niche and sell "team transcription" to good accounts that the MTSOs screw up and have cheated. After all, you have to believe that with the scandals in the transcription corporations - over billing, sending work over seas without informing the client, a lot of trust is lost by some of these unsatisfied accounts. I say, find a way to market to those clients in a "team group" and find the right price, somewhere a little lower than the MTSO charges and go after those accounts aggressively in a group. There is a market there you know.
more than most other MTSOs pay.
it is not kosher to share on public forums what a company pays.
I would not think many MTSOs would want to
x
No, it's not just the MTSOs (sm)
The actual doctors don't want to pay more than minimum wage for transcription either. As an independent, I've had doctors balk at 12 cpl (which is BELOW what the MTSOs are getting, believe me) and I've lost business because I wouldn't take $6 an hour or what equated to 7 cents a line.
So where am I at? Making peanuts working for MTSOs who are getting 15+ cents per line as a middleman for these same kinds of physician while I'm making a paltry 7-8 cpl. It's a no-win situation.
Help for new MTSOs? sm
I have questions about proposals, equipment, and what to charge in order to get started. Are there any web sites out there to help me in this? I have books that I have read, but they go over the basics of start-up MT services.
You should run this by the MTSOs and
see what they think.
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