CHS is Community Health Systems
Posted By: anon on 2009-04-23
In Reply to: What is CHS? nm - Mt20
xx
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So right about the Huge Health Systems - sm
in fact, that was 99.9% of the problem at my hospital. Once it got gobbled by a greedy HMO, everything went downhill fast. They got their fancy new campus at the expense of quality medical care and ethical treatment of its employees.
The run-'em-in and run-'em-out style of practicing medicine puts a lot of pressure on the MDs to see patients quickly, but it's SO not thorough! I saw this not only in the rushed, often mistake-filled reports they dictated, but in my own care as well. They lost a lot of their top-notch MDs because they refused to practice that superficial style of 'Mc Medicine'.
When I see all the greed in the HMOs, and the overspending on upper management and not enough on the nuts-and-bolts of what makes a good hospital, it's easy to see that although they're high-on-the-hog right now, alot of those pompous U-no-whats are riding for a BIG fall someday. I hope I'm still around to see it - it'll make my day.
SIL says she went through Wellspan Community Health Center. sm
any idea how to call them? i am not finding that exact name info. i did find roseann freundel as a DO student in WV but just pictured and an article. no contact info.
You have to go outside the community....
nm
I also went to a community college
and never had any problems finding a job. In fact, I got my first job at home before I was even finished with school. I took all my classes online and have worked from home for the past 3 years here with my kids. I say go for it!
Community hospitals
Hi. I just recently got outsourced by my local community hospital which I had worked for for 8 years, the third hospital where I've lost my job to outsourcing.
We were paid hourly from $9-$15 hourly. We had to have a minimum line count of 135 an hour based on a 7-hour day, so 980 63-character lines a day was exceeding standard, worked every 4th weekend and rotated holidays. I loved it. Then they outsourced to Spryance and most of the work in the entire Dayton Ohio area went overseas. There are only a few transcriptionists left working for the hospitals.
I don't know about other systems.
I use Express Scribe sometimes but I only work on eScription. I know with a connection that slow you aren't going to be able to use EditScript. I think that the only way you are going to be able to get around that, if you are doing strictly QA, is to use EMON and not use EditScript, although I'm not sure you'll be able to get the voice file to download that way either.
I don't know if different VR systems
But, I have been doing VR for only a month, and I have noticed that the system DOES learn. Mistakes that it made before or phrases it didn't pick up before, it is now getting much better. I used to not want to believe it, but now that I have seen it with my own eyes, I know that it will only be a matter of time before it replaces MTs. Since I have over another 30 years in whatever career I choose, I have decided to get out. No sense in going down a road that leads to nowhere.
Who is to say that these people are pillars of the community?
x
Actually, I live in a rural community sm
and left a hospital where that was very good pay. Starting wages for MT was $8.00 an hour with a 25 cent raise every year if you were lucky. $11.50 would be like gold for the transcriptionists that work there.
Given by a community college? What school is
z
Community near me succesfully fought one off, but sm
that was only because there are about three within ten miles of there. If there are none in your town, I wish you luck.
Santaluces Community HS - Lantana, FL
nm
Your local community college...
It will cost a **** of a lot less, and your education will be just as good. Many will tell you that you only get help in job placement, externship, be ready to work, etc. via Andrews, etc., but that's just not true because they just don't know any better. Besides, that's a great sales pitch/gimmick, isn't it?
In learning this field, you need a classroom setting and hands' on experience/instruction. You'll see exactly what I mean when you get in the thick of it, or even starting out in learning it, for that matter.
I was fortunate with community college
I took courses through my local community college's continuing education program. The instructors were people who worked in the medical field during the day and taught at night. By doing exceptionally well in the classes and being a model student, I was recommended by a couple of the instructors and got a start at the office where one instructor worked before I even finished my transcription class.
Once I got my foot in that first door, I've been working steadily and successfully ever since. I had only a couple of classes under my belt!
The approved schools are probably the best chance for work after graduation, but opportunities can arise wherever you train.
In our increasingly global community, maybe
x
I went through Bellevue Community College
Also the CareerStep program online with once a month meetings if we lived close. Got a Sallie Mae grant. Got hired by MQ right out of school (after testing). Careerstep is one of the best schools and one of the only ones you can get hired straight out of school. I would not really recommend transcription anymore, though. It is not the job it used to be, paywise. Coding is still good pay I hear.
I went to a local community college
I started working for a small local MTSO.
Local community college nm
x
Everett Community College
online has a transcription course and since it is a community college, should be able to get financial aid. Try that. Google it.
I have wireless for 3 systems but I believe you
will have to have DSL coming in on a router. From my understanding (and goodness knows I could be wrong) I don't think you can have "wireless" internet without a router from another source. The router is attached to your phone line for DSL and sends out the signal for other wireless adaptors to pickup.
Dictation Systems
I'm looking at going from the good ol' tapes to digital dictation. What is the best choice for the $$?
Thank you
Dictation systems
Can anyone recommend any good Internet based call in phone systems for doctors to utilize without spending a lot of money on phone line based/computer systems. Thanks
Reminds me of systems
I've worked on that used Citrix; not being computer savvy, I don't know if they called it a Citrix server or what, but apparently it was a company that they used for some part of the process, and it was not compatible with the software. They I think they had to switch to some other company to speed things up.
That should be about as clear as mud. Sorry.
How about under classification systems in
AAMT BOS(assuming you have this/if not, you can get free through MQ). Hope this helps!
Call-in systems
I've tried out 4 so far. What are the good/bad points of the system you are using?
Thanks!
digital systems
I would go with a DVR and have the docs load it on their computer. Sounds great!
Are systems capitalized in ROS?
no msg
Some companies' systems are not
compatible with the "new" software, just like a lot do not use Vista. You have to buy what is required to work.
I actually borrowed a set from the library at the community college here.
I used them as long as I needed to, then returned them.
Really!!! This is fairly common MT 'net community
can this go on?!!
Check out your local community college -SM
I can't speak for all of them, but the one I went to offered externship programs and job placements for their best and brightest students. An acquaintenance of mine also got her MT training at a local college, and they did the same thing. Be careful, however, of the online courses. They cost a lot of money - much, much more than your local college, and you won't get the hands-on training or be able to get your questions answered in a flash with them as you would in an actual college setting. Also, an associate's degree at a college is much more impressive than admitting you received your training via an online course. That, to me, just sounds so "fly by night." 
suggest finding out if your state is a community
When I divorced the ex, we had just bought a house. We live in a community property state - everything you accrued during the married is pretty much split 50-50. I hired an attorney for $600 !!! He hired a real-property attorney for $350 as he was worried about the house. I gave him the house and the dog and I took the child. It is a joint custody state but I was the primary custodian.
It's worth it to hire a divorce lawyer, and like you said you're only married 2-1/2 years (I was married 12 yrs) and you probably have little to no equity in the house at this point (just like us back then).
Check out cheaper divorce lawyers and see what you can do. Best of luck!
I vote for local community college.
If you attend a community college, it helps to network. If you do on-line training, you won't have the social part of your training. Also, it helps to try and find an on-site position at first to gain the knowledge although since you are already in a clerical position, you probably know more about anatomy and the hospital/medical setting than you even think. I wish you all the best. Another good thing about a local community college is that sometimes they know of great jobs because the teachers are also employed or know of jobs. You will have a certificate of training in an MT program, but a certified MT is done through the AAMT or whatever it is now, and is not worth the money in my opinion. You wind up after paying a few hundred dollars getting to put CMT after your name, but not when you transcribe a report. For example, even CMTs cannot put XXX/xxx, CMT if you catch my drift. 
I graduated from a local community college. sm
Had my first job before graduation but it was in-house with hourly pay and great benefits. Those are very hard to find anymore. I worked in-house for my first 2 years and then went on maternity leave picking up side work through a company for more income. Realized I was tripling my money going from hourly to production by that time, turned in my notice, and never looked back. Been at home ever since. If at all possible, in the beginning I would recommend to anyone to work inhouse even if it is for a transcription company. The value of having other "ears" is definitely not something to take for granted. I also learned as much as I could while getting that hourly pay as time is money when on production. I have to say I probably would not be near as proficient of an MT today had it not been all those hours learning and having another ear around to help out when stuck.
You bring up a point too though that I haven't really thought about before....With all the transcription being outsourced out of the office, it is only going to get much more difficult for anyone to get those breaks and get the required "experience" as a beginner.
How hard is it to network 2 systems
I would like these 2 systems to talk with each other and have no idea of how to do it?
Systems are not down for long these days.
dd
Call-in phone systems
What is the best call in phone system out there. I do not want call in on tapes though. I appreciate your input. Deb
Rosemarie is right on for trained VR systems. SM
You are obviously currently working with a new system that is still learning how to do its job. The first typewriters were undoubtedly really a pain to use, too. The poor clerks of those days must have begged just to be allowed to use their pen and ink as they always had.
My current system isn't as learned/advanced as my last one, so lots of corrections. It's about as much fun as doing QA cleaning up after a pack of new and sloppy MTs. But it's a temporary situation. And my current pay rate reflects the time needed for all those corrections. Does yours?
Over time, though, more and more reports do start coming through in good condition until most of them just require some general cleanup here and there.
Editing does shift emphasis from one skill to another.
I can see how the very fastest of typists might not make more editing than typing--they always speeded the dictation up to match them, and how people with little talent for editing might make less, but most people should do just as well editing as typing and many do make more at it.
Nuance or OPUS systems
Is anyone out there in transcription land familiar with either of these systems? I'm starting work for a new client (Pathology) and find them inefficient and require too much non-transcription work to look up doctor's names and demographics. I'm wondering if I'm missing "something". Thank you to anyone who can give me a clue. d
voice reginition systems
If you get dragon and have it listen to the dss files that come in will it automatically start typing the doctors dictation or does it have to be the same voice over and over?
Dictation systems - all input welcome
Hi. Please let me know if I should post this on a different board. The hospital I work for is looking to change dictating/transcribing systems. We have dictaphone extext and are looking at WinScribe, Escription, or really we are wide open.
Does anyone know of a good internet resource that compares the pros and cons?
Would any of you be willing to share your experience, good or bad, with any software you have used?
Is there a forum or a thread that has already covered this you can direct me to to research?
TIA!
Brinker Information Systems
Has anyone heard of Brinker Information Systems, LLC? I can't seem to find them on the web or anywhere. They are based out of Center City, MN. They have sent me papers to be faxed to them for IC work, but they did not ask me to test for them or anything. I am leary to send them anything. If anyone knows anything it would be helpful.
Brinker Information Systems
I am in the same situation. I would like some information too if anybody has some. Thanks
I agree, we train the VR systems and when
they are perfect (maybe this will never happen), then VR replaces us. Duh?
How can this be an incentive for MTs?
Front-end/back-end systems...
"Front-end" SR means that the original dictator's speech is turned into text. "Back-end" SR means that someone listens to the original dictator, redictating and "cleaning up" the original dication. This "sanitized" redictation is then fed into the SR engine.
The main disadvantage of "front-end" systems in the healthcare setting is that they must try to adapt to the speech peculiarities of many different dictators, whereas a "back-end" system only has to deal with the speech patterns of one dictator, namely the person who does the redictation.
Back-end dictation adds a layer of human intelligence to the conversion of speech to text because the person redictating presumably catches errors, eliminates hesitations and miscues, squares up ambiguous sentence structures, etc. - things that front-end dictation cannot do or does very poorly. As such, while the back-end speech engine might still cause some errors that require keyboard correction, there should not be nearly as many as front-end systems produce. And, a back-end SR application can be less sophisticated than a front-end system because it is not being required to deal with so many vagaries of human speech. In fact, a back-end SR application does not need artificial intelligence at all, whereas front-end SR really does.
Typing and backwards, what systems do you use?
NM
Point of Care systems
Anyone here had experience with doctors going to Point of Care systems (Pulse)? My doctors are trying this now and I'm wondering if it will be too difficult and time consuming for them. Sure is cutting way back on my work. Thanks. Teri.
Point of Care Systems
It's my own account. They use the Pulse EHR.
can't she just do a systems restore to the day before she downloaded it? nm
x
Yes, the icon is in the systems tray. nm
nm
This lady is well know in the MT community and is a long term MT. I understand
your skepticism, but that is not the case with this gal. She has been straightforward from the very beginning and I have practically her entire background. I would ask that we leave skepticism out of the picture and try to help this family out.
Thank you,
Sheri
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