Has anyone worked on Allscripts EMR system?..sm..
Posted By: Diane on 2008-01-29
In Reply to:
Do doctor offices use at home or in-house transcriptionists when they use Allscripts EMR system?
This is what my client is trying out
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I worked on that system when I worked there...
The thing that chapped my hide about that TWS was that they designed it so that all the headers of each section of the report were canned and thus you were not paid for them, even though you had to take your hand off the keyboard and mouse down a list of paragraph headers to chose the one you needed. Just racking up more profits for themselves. Ticks me off.
Allscripts and QA
I work at a hospital and we use WinScribe along with ChartScript. We are allowed to send a document back to the dictating physician with up to 3 blanks. Then we do pretty much what you do. We copy and paste the problem section into an email and then put the document on hold and then email QA. However, when we do that, the QA team opens the email, listens, takes the document off hold and fixes it and then sends it out. They then cut and past the filled in blanks for the Transcriptionist and email it back so she can see what she missed. We only see the job once and that is when we are finished typing and put it on hold. The QA team does the actual fixing and sending out. I hope this helps. Email me if you have questions if you would like.
What is Allscripts EMR?...sm
While doing my work tonight, I was looking for a patient's name on the patient schedule and noticed it said 4:00 p.m. -- ALLSCRIPTS EMR DEMO. Well this could cut out my job maybe if this clinic goes with this. Does anyone know the particulars on this. I have looked on the website and it does not say whether or not this eliminates the need for transcription. 
AllScripts -- Need someone's advice and help
I'm the manager for an account we just got that utilizes AllScripts/Text Input Utility. We are trying to allocate jobs over to the QA team if a Transcriptionist needs help hearing a blank. However, it is VERY time consuming and confusing. Currently our process is that you have to suspend the job, copy the portion that you have a question on and send it via e-mail to the QA team. Then you exit out of the job and confirm it is incomplete. Then you allocate the job to the QA team. The QA team searches for the e-mail, pulls open the job, listens to it, sends an e-mail back to the transcriptionist and allocates the job back to her. The transcriptionist opens up her e-mail, finds the correct job, and then retrieves her original typing and fixes her blank and completes the job. I am seeing TRIPLE over here and think there has to be an easier way. If you have experience with AllScripts or Text Input Utility / WinScribe, please respond and let me know what you do with these.
Allscripts platform
If you have worked or are working on the Allscripts platform, I would like to hear what you think about it, please. Either here or e-mail me. Thanks.
Meditech is an operating system and Fusion is voice for a dictation system
nm
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.
You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.
I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare. I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church. It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option. The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ. I finally took my DS out of the program because he stayed sick. You were supposed to keep them off if they had green nasal discharge and I did, but no one else did. Every time I got him well after 2 to 3 days back he would be sick again. Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise.
that is what is being worked out, and has been worked on for the last few years already...only
why are we just hearing this now? I know voice recog has been around, but this is entirely different. This will also make coding and billing obsolete.
Don't know why, but it just bothers me that one of our 'own' is the one pushing this...and she is also connected with AAMT. Do they support this, and if so, what is their advice I wonder to the MT?
Perhaps that is one question for their website (I do not subscribe to their mag or credentials...)
Thanks, for the input!
It's the way our system is set up..
We can search to see what work is out there, and we can also search by author and see what work each author has, and even look at completed reports, which is nice when you're stuck. I love my platform.
everyone on DQS (DEP) system
not all accounts are on it yet, but most are
Can you say what system it was? nm
xx
I think it is what system you are using,
that is why I asked you to tell me more. I use eScription and 1 can believe or not but I am amazed at how the ESLs are picked up better than the English. You are using Dictaphone- I have read other posts who are on different VR system and they are not satisfied. I have loads of ESLs on my account but am happy VR is picking up instead of my having to listen to them all and trying to muddle through.
Your system allows this?
The system I work on does not allow me to 'pick' my work. I have a pool of work and it loads into my computer 3 records at a time. I have to take what I get and do what I get. Your system allows you to choose what dictations you want to do? In my opinion, that is not fair to anyone. It should be what pops up gets done by whoever reaches it first.
I would say one last thing to my boss about it, if I were you. I would just tell her that you can sit there and watch what is happening, that this one person is taking the gravy jobs, and for your boss to sit and observe it herself and do something about it. I don't see why any person feels they are better than another, to get an easy income while others struggle. I sure hope it is resolved soon for you.
For every system set up, there is a way around it..
our system recently changed to allow only ONE job to be seen and worked on at a time, which they thought would stop the cherry picking, but it has not. There is a web site where we can still view what is coming next and down the line. The cherry pickers just wait, PERHAPs doing a little job here and there, and then as soon as a very large one comes up, snap. it is gone! I hate this way of things. I certainly wish that all accounts were "assigned" accounts. Much more fair to all transcriptionists. but that is just my opinion!!!
EMR System
I just got back from a meeting at my employer's office. They've been implementing EMR and expect most of it to be up and running by March. They haven't come right out and told us (the other transcriptionis), but we may be without a job, although they haven't really said too much. Supposedly they may still need us because there are some doctors that are set in their ways and won't use it.
What system do you use? NM
b
The problem is with our system.
As a Caucasion I do feel shame for what my ancestors have done to people of other races, especially to Native Americans. However, I cannot go back in time and fix that. The problem now is not that people want to come here, the problem is the gravy train our government allows outsiders that do come here. This is in no way good for the citizens of this country, no matter their original nationality. If I wanted to become a citizen of another country, the first thing I would expect to have to do is to learn the language. The powers that be have had a global economy as part of the agenda, and now we have it. This did not start with the current administration. I do not know if there is anything that can be done to help the situation at this point. The powers that be have what they want. If you are big business, then you can trade with anyone in any country who has the money. If this is what they wanted, at least they could level the playing field so that we could financially compete with those who are being given a free ride.
Then she'd get back on the system with
This is so-and-so, and I got disconnected AGAIN.
Call-in system
I have an internet based digital call in system with 4 ports. It is very simple to use. The doctor calls in and then the work is on the server, you load it with Express Scribe and do your work........If you want another transcriptionist to get work, then you just put in their e-mail address along with your doctor's key and it will automatically forward to the transcriptionist, while you still have a copy of the voice file to be able to double check the work. I bought mine through RT King.
abcdz system
Could you please explain?
Yep, but its the Dictaphone system...
My hospital rad account decided to "upgrade" their system which supposedly would take half an hour - its now 6 hours and counting - and the docs haven't been able to dictate since noon - boy R we in for a backlog tomorrow!
Can't you log onto MQ's system and find that out?
I don't know about anyone else, but I would never stay with a company that didn't have enough work to keep me busy.
To sm, don't do it! Someone will call you and ask why you are off the system!
nm
Where can I get this vacuum system? NM
x
DOS based system
Has anyone ever worked for a company that is DOS based? I started a new job today, and their system is in DOS. To me it is really old-school, but I guess I will just have to learn.
Can you use the DOS system with Windows XP?nm
x
You can't explain it. Our system we have
set up, like I said before, does not help the people who really need it half the time. The people who can afford to build on the beach and build mansions at that, should have to rebuild themselves.
My point though is that not everyone can get out. Not everyone has that opportunity. I got so tired of hearing about it was the people's fault in New Orleans because they should have left. What do people not understand about not being able to leave if you have no vehicle? It is their local government's fault for not using the buses they had on hand.
Cerner is a pie system for MTs...(sm)
A hospital I used to work for went to Cerner about a year before I left. It was very nice for the MTs compared to the dinosaur system we had before it. The front office and billing I cannot say were so happy about it..and expect alot of headaches throughout your department until they get used to it. But as far as the MT side of it..it was great. LOVED the lil "sticky notes" you could enter on a document to bring something to the rad's attention before they could sign it off. 
About system restore, sorry about that
nm
Our problem is...system will
Therefore, we are not able to edit anything because we can't get in.
DocQScribe system help
Anyone use ShortHand and docuscribe together? With my old company i was using Word and shorthand. I had a macro set up to take me from blank to blank. I am lost on this new system. Any ideas on how to set this up? Thanks in advance!
Dawnrey
Do you use a digital system
How does it work on the clients end and on your end. How much did it cost?
Dictatphone System
I have an Enterprise Express that I would like to sell! If interested, please email me!
...that would be 'great' system! :) nm
s
It depends on how the system is set up...sm
I have worked on several different Meditech systems. They are all different. Margins are different. How the lines and/or characters are counted are different. One system counts gross lines, one system counts all lines blank lines included, one system counts just characters. Some count the headers, some don't. I currently work on two systems and when I copied and put into word, one system was right on and the other had a descrepancy I though might be the header.
lanier system sm
Please help. Our Transcriptionist left abruptly, and we are needing to acess the files to pull a medical report. We have the job in que, but we are not able to get any further. Can someone walk us through getting this thing typed.
HELP!!! Just bought new system
any ideas?
DocShuttle System
How user friendly in the DocShuttle System? Any info. would be appreciated. How would you compare DocShuttle to DocQScribe or Webcorrect??
don't you also need the call in system with this? nm
???
Get yourself a system...most important..
With Autocorrect, you have to remember everything! So I had to come up with a system that I would remember them. I use the letter *J* for anything that ends in *tion* or *sion,* the letter *Z* for endings with *ize* or *ization*, *x* for words that start with prefix of *ex*, for capitalizing abbreviations, such as HPI that you want to capitalize in a sentence, would be *xhpi.* I use *U* as in uhpi to bring up History of Physical Illness when needed in a sentence, as *HPI* will come up all caps for headings. I also have a system that I will use the first two letters of two words if I have already used the first letters of two words, such as *cp* for chest pain, *chpr* for chemistry profile. If those first two letters are used for something, I go to the first three letters of the first word and the first two letters of the second word. Also will use maybe the first four or five letters of a word. Also, have phrases, such as *sdnh* for she does not have, *shnos* for she has not seen, and just a lot of those types of things. Saves a lot of time. Also have, of course, what the docs constantly say, their little phrases they use all of the time. However, I do forget I have some of these things in there, and have to keep refreshing myself as with about 5000 abbreviations, it gets wicked!! But it really helps to have a system that helps you to remember what you have in there.
New system blues
We recently had a computer upgrade at the hospital where I work and we are having multiple issues. We are using Word 2003 in conjunction with Dictaphone Enterprise Express. First, does anyone know how to load the medical dictionary into the spell checker so that it pulls words from that dictionary? The spell check is stopping on almost every medical word and driving us all crazy! Secondly, the command CTRL+shift+spacebar is not keeping words together like it used to on our old system. Anybody have any clues as to why? Also, if you create a macro it will work fine until you sign off of word client, and when you sign back on, its gone. Any help would be appreciated...it has been a long 2 weeks! TIA.
I looked into that, but I need a system that will...
automatically route work to my MTs.
Thank you for the suggestion though!
I wonder if you can use System Restore
to recover that document. That worked for me once.
DVI system question
Does anyone know where I can get a manual for my DVI system type LFH 4020/80D? I cannot find mine and I am not sure where to get a replacement. I need to program it for a second clinic and am not sure how. 
Thanks,
Mariah
call-in system
How many clients do you have? IOW, how many doctors would be calling in at any given time? If you just need a one-line call-in unit, Philips makes a decent one that is relatively inexpensive, as call-in systems go. Only one doc can call in at a time, though. If you need something bigger than that, maybe look at Straight Talk. Sometimes you can even find those on Ebay
Call In System
Thank you! It will be approx 8 physical therapists calling in at one time. Thank you for your input.
call in system
Hi,
I use Idigital call in system from transcriptiongear.com. Very reasonable and you can buy packages which charge less for more minutes that are used. So, you have to estimate the first month, then can purchase different packages depending on your need. My docs love it.
Cindi
It depends a LOT on your system...sm
If your QA score is calculated based on errors per line instead of errors per number of characters, the formula is probably similar to this:
Number of error points divided by number of lines, subtract from 1, multiply by 100.
For instance, if a critical error is worth 2 points and a noncritical error is worth 1 point, the formula would be thus:
Number of error points for 2 critical and 7 noncritical: 11
Number of 65-character lines, rounded up to a whole number: 40,178 / 65 = 618.
Error points divided by lines: 11 / 618 = 0.018
Subtract from 1: 1 - 0.018 = 0.982
Multiply by 100: 0.982 x 100 = 98.2
depends on the system
the hospital I worked for prior 7 worked however on my account now it rewinds it in increments so I either use the pedal by holding down teh rewind pedal which only takes a few second or I can keep hitting 7.
Good luck
Short-cut system
Try PRD - I used to use it with WordPerfect and it was the best Expander I have ever used.
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