Health Information Management?

• What does HIM mean? This is the - me
  • Health Information Management? - nm
    • That is what I thought, but doesn't fit - me
      • Health Information Management is the (sm) - Z
        • Thanks - OP

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Any information regarding the HRM (Horizon Radiology Management) platform would be greatly appreciated.  Thank you!

specifically identifies the patient, i.e. name, MRN, SSN, account numbers, etc.  As long as all identifying information is removed from a report, it poses no HIPAA violation to keep it on file.  Furthermore, as an employee of the hospital in the medical transcription department and charged with peforming QA, I have legitimate reasons to access a patient's chart.  HIPAA says so.

Go back and read your HIPAA laws again.

If you are going to her to ask questions about software, blanks, format, etc., you are going to the wrong person.  Software issues for the help desk and blanks, format issues for QA.

Team leaders SHOULD just be routing work, seeing that there is adequate staff to do the work, etc.

that is the problem with working at home - there are so many interruptions.  However, you have to remember that this is a real job - you have to commit your time to it.  If you worked outside the home, would you take a day off to help with the kids, would they let you bring the kids to work with you, and would anybody even ask you to do that? 

I know that flexibility is supposed to be a big advantage of this job, but it is only an advantage if you are willing to give up the income.  You have to decide, do you really want to make the money or do you want the flexibility?  If you want the income, then you are going to have to set yourself some hours, just as if you were working outside the home, and use those hours as working time and once those hours are over, then it is time for your family and home life - just as if you were out in "the world" working.

Some places will promote their lead Transcriptionist into management, but that's often a mistake.  Having excellent transcription skills is not the same thing as having mentoring, motivating, planning, budgeting and interpersonal skills in a transcription environment. 

You've had a boss who thought you had potential in these areas.  Do you feel you would enjoy doing those things or would you feel the call of the keyboard?  Would you dislike delegating?  Would you dislike training because it's just faster and easier to do it yourself?  Do you like dealing with people, or do you prefer to deal with data and to be left alone to do your thing?  These are some of the questions to consider because the jobs really are different.

If you are truly tired of the rat race that is production typing and think you really might be interested in management, then check your local junior college or business school for classes on management/supervision.  They might be credit classes or they may be career/life enrichment classes.  They shouldn't be all that expensive, and they should give you a better idea about whether this is the path you want to take.  Employers sometimes look for the RHIT or CMT credential for management personnel.  If you aren't one of those, then proof of study in the management field may be of help to you.

I find that I generally like to read/discuss management techniques more than I like doing them, but it's getting harder and harder to do the production thing.  Maybe I'm ready to try management again.  I think I've learned not to make the same mistakes I made before.  It's thinking about making the new ones that's holding me back!  Best of luck in whichever path you take.

Would you complain to management if you received a VERY snotty reprimand from a QA person who corrected your report with an absolutely incorrect "correction" or would you just ignore it?  I don't want to cause trouble, but I'm very irritated - I'm wondering if management would even care that they have snotty-ass QA people?

I have two IM's that work 4 days each and I average about 4,500 lines per week, 525 or so per day each doctor -- about a 30 minute tape, and when I am doing my monthly schedule I schedule 1.5 hours per day for each doc.  So that it 3 hours for that clinic.  My monthly total is about 20,000 lines and so yours is a little higher but if you have been doing them for a while you should have a lot of Expanders saved, physicals saved, etc to save you time.  I can average 350 to 450 lines per hour with them.  So I would guess that 6  hours per da, 3 hours per doctor is what I would shoot for.   Will the one returning from maternity only work part-time and that is why she is only 4100 lines per month?   But again, I look at my schedule each Saturday morning and schedule out what my averages are for the days coming and figure out my schedule.  ON M-Tu, Thu I work 4 hours morning, pick up and deliver, go to a clinic do EMR's for 2 hours, come home and work 2 hours --  my busy days, but then I have 2 IM's, 2 Surgical Oncologists, 2 GI's, 1 Hand surgeon, 1 plastic surgeon and 1 psychologist.   But total I don't put in more than 38 hours with pick up and delivery times.  My two IM's = 12 hours per week, SO = 6 hours, Plastic/hand = 1.5, Psychologist = 3; EMR = 10 and GI's = 4 or so.    Total monthly lines are probably 40,000 or so without the EMR's as I get paid by hour for that.  You just have to set time aside and stick to a schedule which is easier said than done sometimes but find out how your body works and when you are the most productive.  Work with that rather than trying to make your body productive when it doesn't want to be.   Also, again work with expanders, auto correct, etc.  When I do a physical I bring over the one from last year and add in the changes, saves me a lot as the diagnoses are almost the same.   Good luck.  It isn't easy. 

would conveniently lower the pay to maybe 3/10 of a cent per line - lol.  Can't allow those lowly MTs to make any money.

Why is it that management (no matter what company or situation) always decides what is possible and what is in the best interests of everyone, when the vast majority of them have no clue and have never performed the work?  No wonder the economy has tanked.

would conveniently lower the pay to maybe 3/10 of a cent per line - lol.  Can't allow those lowly MTs to make any money.

Why is it that management (no matter what company or situation) always decides what is possible and what is in the best interests of everyone, when the vast majority of them have no clue and have never performed the work?  They also never think to consult the person who actually performs the work and get some very valuable input.  No wonder the economy has finally tanked.

When people are sick they are sick.  If anything, in these very bad economic times with many more daily without insurance, people who finally go for medical care are much sicker because they  have not been able to afford health care that they could afford if they had insurance.  Therefore, does it not stand to reason that MORE and not FEWER patients would be admitted because by the time they see a physician they are likely in need of hospitalization whereas a trip to the doctor's office might have been sufficient earlier.  I personally know quite a few who fit into this category.

As for doctors taking vacations....is this something they just started doing?  Never affected record documentation before.  Usually doesn't even affect any work load.  Doc #1 takes a vacation (might be a slow down with HIS dictation for a week or so.)  Doc #2 takes a vacation and Doc #1 has returned.  He is playing catch-up for dictation and seeing patients.  Doc #3 goes and Doc #2 returns.  Get it?

As for the "excuses" from Q.A. they are passing out what they are told to pass out by management, nothing more and nothing less.  Maybe as my young granddaughter tells me..."Meme you need to quit drinking so many diet Cokes, they make you get forgetful."  I dunno, maybe she has a point and maybe MT Management and Q.A. are all drinking too many diet Cokes...or maybe they ought to drink a few more.  They are playing some of you folks for fools.

When people are sick they are sick.  If anything, in these very bad economic times with many more daily without insurance, people who finally go for medical care are much sicker because they  have not been able to afford health care that they could afford if they had insurance.  Therefore, does it not stand to reason that MORE and not FEWER patients would be admitted because by the time they see a physician they are likely in need of hospitalization whereas a trip to the doctor's office might have been sufficient earlier.  I personally know quite a few who fit into this category.

As for doctors taking vacations....is this something they just started doing?  Never affected record documentation before.  Usually doesn't even affect any work load.  Doc #1 takes a vacation (might be a slow down with HIS dictation for a week or so.)  Doc #2 takes a vacation and Doc #1 has returned.  He is playing catch-up for dictation and seeing patients.  Doc #3 goes and Doc #2 returns.  Get it?

As for the "excuses" from Q.A. they are passing out what they are told to pass out by management, nothing more and nothing less.  Maybe as my young granddaughter tells me..."Meme you need to quit drinking so many diet Cokes, they make you get forgetful."  I dunno, maybe she has a point and maybe MT Management and Q.A. are all drinking too many diet Cokes...or maybe they ought to drink a few more.  They are playing some of you folks for fools.

When people are sick they are sick.  If anything, in these very bad economic times with many more daily without insurance, people who finally go for medical care are much sicker because they  have not been able to afford health care that they could afford if they had insurance.  Therefore, does it not stand to reason that MORE and not FEWER patients would be admitted because by the time they see a physician they are likely in need of hospitalization whereas a trip to the doctor's office might have been sufficient earlier.  I personally know quite a few who fit into this category.

As for doctors taking vacations....is this something they just started doing?  Never affected record documentation before.  Usually doesn't even affect any work load.  Doc #1 takes a vacation (might be a slow down with HIS dictation for a week or so.)  Doc #2 takes a vacation and Doc #1 has returned.  He is playing catch-up for dictation and seeing patients.  Doc #3 goes and Doc #2 returns.  Get it?

As for the "excuses" from Q.A. they are passing out what they are told to pass out by management, nothing more and nothing less.  Maybe as my young granddaughter tells me..."Meme you need to quit drinking so many diet Cokes, they make you get forgetful."  I dunno, maybe she has a point and maybe MT Management and Q.A. are all drinking too many diet Cokes...or maybe they ought to drink a few more.  They are playing some of you folks for fools.

When people are sick they are sick.  If anything, in these very bad economic times with many more daily without insurance, people who finally go for medical care are much sicker because they  have not been able to afford health care that they could afford if they had insurance.  Therefore, does it not stand to reason that MORE and not FEWER patients would be admitted because by the time they see a physician they are likely in need of hospitalization whereas a trip to the doctor's office might have been sufficient earlier.  I personally know quite a few who fit into this category.

As for doctors taking vacations....is this something they just started doing?  Never affected record documentation before.  Usually doesn't even affect any work load.  Doc #1 takes a vacation (might be a slow down with HIS dictation for a week or so.)  Doc #2 takes a vacation and Doc #1 has returned.  He is playing catch-up for dictation and seeing patients.  Doc #3 goes and Doc #2 returns.  Get it?

As for the "excuses" from Q.A. they are passing out what they are told to pass out by management, nothing more and nothing less.  Maybe as my young granddaughter tells me..."Meme you need to quit drinking so many diet Cokes, they make you get forgetful."  I dunno, maybe she has a point and maybe MT Management and Q.A. are all drinking too many diet Cokes...or maybe they ought to drink a few more.  They are playing some of you folks for fools.