EMRs already in place and working well in larger institutions
Posted By: sm on 2005-09-09
In Reply to: VERY INTERESTING - Cathi
The midsize MTSO I edit for uses an internet-based transcription system. Our programmers re-wrote some of our proprietary software so we could interface with one of our clients' (university hospital) EMR system. What it amounts to for us is that the dictator now dictates only the objective portion of the procedure/op note or followup note. The demographics, history, etc., are already in the record. In other words, what used to be a 150-line job is now less than 50.
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Hey, we could be working for the same place. Been there 2 1/2 months, now get ready for change. nm
While there may be some institutions that do not care about...sm
grammar and punctuation, there are several that do. The MT should verify what is the case with each account/facility for which the transcription is being done. Grammar and punctuation make ALL documents readable.
DocShuttle and EMRs
I'm just trying to find out if anyone has used DocShuttle Word files to merge with clients EMRs? If so, how does this work? Who pays for the interface? Who sets it up? Thank you!
Get a grip - EMRs have nothing to do with
You are a perfect examply of why MTs are losing their jobs. Ignorance in the MT field has become more and more widespread in this country WITHOUT leaving the United States.
Medical institutions are going to feel it as well. They WILL be cutting
dd
Questions about EMRs and transcription integration
Hi everyone! I am trying to understand EMR and where transcriptionists fit in, if at all. I see a lot of TASPs that claim they can be integrated with EMR systems. I have no idea what this means. I've even called them and they can't explain it to me. My impression is that EMRs work like big databases with fields that you fill in with information, but I've never actually seen one so I'm not sure. Do any transcriptionists work on an EMR-type systems or know anything about them?
Thanks for the info.
Dont you think though as thing move in that direction which they already are in EMRs that little by
little jobs will be lost and hospitals will take over more of their transcription work with VR and EMR. I would think that it will be that way.
Search The Deborah Heart and Lung Center, Mayo Clinic or other big institutions for research. nm
/
It's the only place I have ever lived.. Great place to retire or raise a family. Low crime rate e
living is pretty easy here. Low stress..
Do you like the larger font?
/
Yes like the larger font. Thanks.
nn
Probably why the larger Nationals have their own
qq
not MQ, not SS, but see, most larger companies are ALL doing this...
everyone is trying to cut costs...
my question is, when the hospitals cut back on staffing (for example, the entire transcriptions departments, most all ancillary departments, nursing, etc.), the salaries/pay for all these Jobst, where did all that money go?
all I hear is how 'broke' supposedly hospitals are etc etc, but with all these cut-backs, all throughout the country, even in government, WHERE is all the MONEY?
why are we now to want all the savings to go to the heads of these corporations (hospitals are now businesses as well). they do not want to share the earnings anymore with employees, and we are supposed to like it?
benefits no longer have to be supplied by employers, etc, and every chance they get they are now making them contingent with hours worked or production...
well, where is all the money from all the savings?
it does not go to the patients (in the case of hospitals) because they do not even get to have nurses anymore, and are pushed out of the hospital immediately before they are even well.
it does not go to the employees, it does not go to the community, because none of taxes seem to go toward community programs much anymore...
where is the money?
why are we made to feel 'bad' about wanting more in our paychecks?
just not getting it here...I am worth every penny I get, and more, and deserve to have benefits and everything I used to have. rather, I am making less than I did 10 years ago in this business, plus less benefits...
sorry to go on about this...for those who are making tons of money right now, you obviously do not have to worry, but I am old-school, I guess. too much has been taken away from when I started...
10 is smaller not larger than 12, so it would be more than 65 cpl- nm
xx
I think mainly the larger companies have
incentive plans, or the companies that have an unfriendly system so that it is hard to get lines, or horrible dictators so that MTs do the minimum and no more. From what I have seen of the incentives there are a lot of strings attached and a lot of times the company finds a way to get around them, others make the line counts so high that is is near impossible to get the incentives without working 16 hours a day. My company offers incentives if they get in a bind and get too far out of TAT. They pay a 20% for any lines over your normal line count, so that anyone is able to reach the incentive level, just how much depends on how much they are willing to work extra. I am an employee, but the ICs are offered the same incentives. I have worked for other companies that did not offer an incentive until they got in a bind.
I think some companies try to confuse you with an incentive, so that you think you could make more than 7 cpl, but then the incentives aren't that easy to make and you'd have been better offer spending the extra time living instead of working.
Yes, a larger font would be more comfortable. Thx! nm
,
Yes I like it larger..helps my old eyes! nm
nm
Can't please everyone although we try. The majority like the larger font.
Does anyone know how to make the text larger in Word?? TIA
nm
larger text in Word - start by
to preview and select what suits you best. Toolbar should be showing at top of screen, pull down where is says what font type is in there. Otherwise, you can to either go to Tools to select the "formatting" toolbar, or go to View, then Font. Since my old eyes are going, I also choose the option to increase my page view to 150% (also on the toolbar at the top of your screen displaying some kind of number) by dropping down the menu (use the arrow next to it) and select the % that suits you best. Hope this helps.
Making text larger in Word
Ctrl+A to select all text, choose font size from format menu. Also make sure view is at 100%.
Yeah, we just moved and got a larger house...
so we have brought the dogs in the house now. I love having them with us and I know they are loving it, but the hair is just horrible. They are labs too, so they need lots of attention.
I connect a larger screen - having two desktops is nice. sm
Just got my laptop cooler with its built-in USB hub, so I am adding other things.
Of course, the greatest thing you can do is take your job on impromptu vacations and not have to worry about approval from the boss.
keyboard shortcut/make letters larger
Somewhere I saw a simple keyboard shortcut that would make the letters in a program appear larger without changing the font size. I have a program I have to access at work and the letters are hard to read, but I'm not allowed to change the size. Does anyone know about this? Thanks!
If starting with a larger service, yes, you'll get training... sm
...sometimes one day, sometimes 2, 3, or more days, depending upon how much depth they go into. You should get account specifics for your account(s), as well as their expectations as to style, procedures, etc.
Of course, the depth and quality of the training can vary, both with the company and with the trainer (and, to some extent, can be determined by the others in your training sessions and how much instruction they need).
If starting with a smaller MTSO, I have no idea what to expect; but, with a larger company/national, there's usually a couple of days plus a period in which you're on 100% QA so they can monitor your output and let you know what you may be doing that needs changing, etc.
The position varies from place to place..
Sometimes you end up doing VR, which can be really easy or a real pain. Sometimes you end up simply editing files and all is good. Other times, you end up with more job responsibilities and hours than you ever wanted. All in all better than typing LOL.
Softer touch, clicky, yet larger size keyboard.
Don't know if you'll see this, but you may want to try the "cloned" IBM keyboard by the company I mentioned previously. It is the same size & layout as the IBM, "clicky", and yet there was a subtle difference in the "touch". I felt it "was" a "softer" touch compared to the original IBM. Wish I could offer a better explanation, but it's such an "individual" thing that it's hard to describe. What is comfortable for me may not be for you. I have the one I bought from them years ago boxed up for repair, so I'm just recalling this from memory. Haven't used it in quite a while, but do remember I did get comfortable with it in the interim without my IBM keyboard.
Oh - the memories - I'll never forget the "mag card" & how the part-time worker at night never failed to wipe out the "negatives" I had stored on "certain labeled" cards everytime she worked at my desk :o)
Well - if I do run across another keyboard I think you might be interested in, I'll address it to you as "me" & hope you'll see it.
I don't work for one of the larger nationals, but a good-sized national and
in 5 years the hospital system has been down twice and my company wasn't able to pull work and the company's system was down once for a hurricane and once the power was out for part of a day. I never went a full day without work.
I think maybe some of the nationals are poorly managed and they use "server down" as an excuse for no work. For a company that depends on their servers for their livelihood I don't believe they actually have the much down time. I don't think most companies pay for downtime.
Most larger drug stores carry a selection of OTC braces and will order others, too. nm
s
You get more working the evening or night shifts and working w/o benefits. And producing like a mad
,
Ditto....granted I am not working much these days, but am currently trying out a new way of working
when I do work which seems to be helping. I am timing myself and keeping a log of how long it takes to to type however many minutes. I am averaging anywhere from 13-18 minutes of dictation an hour now doing this. Granted the time fluctuates between who I am typing, and if I have to look up names, addresses, etc., just depends on the division I am doing at the time. But work that used to take me 3 hours to do is now taking me under 2 hours, I am also trying to put in more macros as I go along, which slows me down initially but pays off in the long run of course. I was working "all the time" before but took forever to get done since I was not applying myself. This new "attitude" has helped me a lot. My goal, in the Fall, is to do 90 minutes a day consistently at 6 hours, and then maybe get up to 120 minutes a day at 8 hours, still while having at least half of the day free (do 60 minutes at night, and the other 60 by Noon). Thereby doing 1200-1400 lines a day. I have never really buckled down and done more than 8000 lines per pay period, so it will be a nice change. Maybe you can do something like that and have a specific knock off time as was suggested below. 
Working holidays? Out shopping in stores where someone IS working
that holiday you refuse to work? Grocery stores, food joints & seems any store is open on holidays and you expect them to be fully staffed, so why shouldn't we?
Yes, I took off for the first time on Christmas day, in 18 years and it was great, but I worked Christmas eve and this whole past weekend.
Someone has to do it!
working IN A HOSPITAL is different than working at home.
Someone can steal you identity from the internet if they want to. Why would you go to the time and trouble to jeopardize a job that requires some level of skill to steal someone's identity or medical records? You could get a job as a retail clerk and get info easier than going through the testing required to become an MT.
Somehow working at home translates into not really working
My in-laws are the worst. Whenever they plan something last minute and my husband says that I had to work, they say, "but she works at home!". When I one time mentioned I had a "schedule" and basically punch a clock and work full time, I don't think they believed me. They will sometimes call mid-day during the week if they are in the area to see if I want to go for lunch, etc! The best is, my husband doesn't make all that much money, so where is it coming from, the money fairy? I am ready to strangle someone! So I know how you feel and I'm sorry it upset you. You are not alone.
I daydream about NOT working while I'm working.
There are so many other things I need and want to get done. I've been working way too hard lately, and summer is just slipping by again. Well, I'm outty.
You, well you have obviously put ME in my place
with that little lecture. Since youd didn't say anything meaningful to respond to in all that bandwidth, I won't respond to any of the content of what you said.
But just for your information, your little tyrade had no affect on the reality of what is going to happen, so get over it and get used to it.
I saw that place on TV (sm)
a lot of celebrities own there!
It is most definitely not OUR place to be
making phone calls or turning people in. The doctors and nurses are trained to do it as part of their job. If they suspect abuse, drug seeking, whatever, it is up to THEM, not us.
know your place sm
Student Rule #1: Keep your thoughts to yourself when ti comes to CEOs and your opinions. "I read a post by the CEO and felt the need to comment."
I see this is not the place to be
People are right when I have been told - not many nice people in this field. My first week coming on here to look for help and talk to other was this past week and you know what, you can have it. I will look for other places to figure out my problems with work and I suggest you look for help with your personality problems as my work problems do not require nearly the attention your personality does. Good bye and thanks for nothing.
I am not sure if you tried this place..
Did you happen to go into your closet and look for a reference book only to find the administrator of this forum smelling her finger?
I have never been to a place that does that and
would not shop at one.
Not every place is like that at all.
Not very believable.
Why is the cat outside in the first place?
x
I think 2nd place gets..........nm
.
then that's what you should have said in the first place.
x
And this place does?
This place makes no sense to me. People are mean here. I love cafemt. Makes the job fun.
33 yrs, 9-10 at same place.
x
If you get $ from this place, they sm
will not touch you with a 10-foot pole. I've been in this situation and you will be a no-rehire.
I think I used to be an IC for the same place.
I liked working there, but no time off allowed. One day an MT co-worker of mine got a headache and got in trouble for calling out that day even though she gave plenty of notice early in the morning and they had all day to distribute the work. This is when often-times there was no work at all. I left because after hearing that, I realized I would not be a true IC. Why, as an IC you are supposed to make your own schedule aren't you? And if something comes up isn't it true that you are allowed flexibility? They say it is a small company and everyone is expected to be there for them when the hospital decides to send in the overflow, yet with no notice to the IC. It was too confusing, in may ways worse than employee when at least you know when you are expected to work. Not an IC job at all. Sorry for your experience, but I and many others I know have had the same experience.
not if you get it from the right place
I have bought 2 refurbished computers & both were screaming deals.
I got my desktop from the Dell online outlet & am using it as we speak. I got my laptop from Costco.com & I also still use it every day for personal stuff. They are both going on 5 yrs since my purchase and worked perfectly when I got them & still do. They both cost about half of what brand-new ones would have cost.
Most times "factory-refurbished" means that you also get a manufacturer's warranty -- but not always. I got 1-year warranties on both of mine; Dell also offered an extended warranty purchase at the time I ordered it, which I did get. Some of theirs are refurbished, some are "scratch & dent" or "open box" - which means customer return, but virtually new.
Costco offers a 1-year warranty also. They don't always have a huge number in stock so you may have to keep checking until they have what you want. There are some online sites selling refurbished computers but most have only a 3-month warranty.
I think both sites take trade-ins as well.
Mine are both getting a little old feature-wise, but still work well enough for my purposes, so I suppose I will drive both until the wheels fall off.
d.
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