Hospital with many smaller satellite clinics associated with it
Posted By: nm on 2005-12-06
In Reply to: Amphion and ESL's? - funsize
nm
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Hi! Went through a similar thing at a smaller community hospital....sm
in the state...all the same set-up as you stated, but the coders, who shared our office, were also the darlings of the hospital and were treated differently. When pressed for an answer, the head of HIM said that between us, the coders were seen differently because they were responsible for bringing lots and lots of money into the hospital, their coding "properly" translated in to billing, which translated into $$$ for the hospital...all the while, the coders, in part, depended on back-up from our department when trying to decide which code was most appropriate. Since your working conditions would be changing if you are sent home, I think it is entirely reasonable and very intelligent to ask them for a new job description, I always love to have things in writing for future reference. You sound like a very productive MT, so don't worry...I didn't have to worry about speech recognition at this hospital cutting down on pay, but is there an HIM head whom you could all have a small meeting with to clarify these questions? It would be nice to put your mind at ease. Hope it all works out and you have the best of BOTH worlds, Granny!
Would definitely not go satellite. Most use DSL or cable, some with reimburse partial $$, satellite
x
Transcend, although they said my satellite was too slow, they do allow satellite with some accts. nm
nm
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
Could maybe see clinics going over to
full EMR with doctors documenting, but it would be very hard in hospitals for physicians to do this considering how complicated some dictations are.
Try hospitals and/or clinics-
I don't know about other places but in at least 3 of the major hospitals in my area they have people work both in house and at home. Everyone works in house to begin with and has to prove themselves before going home. Some people (like me) just prefer working in house, so it works out.
Local Clinics
I would seriously try to find work at a local clinic if you're finding it hard to get hired with a National. I also went to a local community college. I didn't take me long to find a very small local MTSO to hire me, thank God they decided to take a chance on me. I now work for a local nephrology clinic. I definitely know though that if I tried to go out on my own, there would be no way I could have done it. Good luck with whatever you decide to do.
Yup and I love my clinics! nm
nm
Try local clinics
Or if you have a small local MTSO, they may be willing to give you a chance. That's how I started. I trained with the MTSO at her office for a couple of weeks and then I started working from home for a local nephrology group and I've been there for the past five years. Try not to get discouraged, although I know that's a hard thing to do.
That is great if you can get the same dictators. I have over 85 and all different clinics. (sm)
That is why I started my own business. It really depends on who you work for and if you get a great account your lucky. I unfortunately wasn't that lucky and after 15 years a GF and I do it locally for doctors. Much less stressful. Glad you can do that!!
I wish more hospitals & clinics would get the picture that (sm)
what you have just described is the best and most cost-effective way to get quality transcription. At the hospital where I used to work, MTs are treated like the scum of the earth. The nationals want us, but pay peanuts. By eliminating the middleman and the overhead of having enough office space for MTs, a hospital/clinic can pay the MTs what they're worth, the MTs can afford to keep working for them and stay on for many years, gaining a better knowledge of the doctors and the institution. Both that and having decent pay and a more flexible schedule means happy MTs, and happy MTs will go the extra mile to produce top-level work. It sounds like your employer is ahead-of-the-curve in the way it deals with its transcription needs.
I think the MDs that care in their offices or clinics sm
keep their trans in-house. My personal MD does and overseas every last little detail and she is tough! The ones who dont want to mess with it go to a service and let the service take responsibility. So neither will care....IMHO
try local hospitals/clinics around you
that still have in-house. My local hospital did this and the education/experience/hands-on help provided was golden. Then go home and work - you will be viewed as a step up if expierience is in-house.
DO NOT pay for mentoring.
I would try local doctors and clinics
I only work weekdays and nights only when absolutely necessary, no weekends or holidays either.
So true, work for some doctors and clinics also and many are now
jumping on the save lots of money and offshore bandwagon! We just can't win. It's over everyone :(
I am an IC and my accounts are clinics and doctor's offices
So I have weekends off unless the docs dictate late on Friday, in which case I have the choice of working late on Friday or getting the work done over the weekend.
With clinic work, you don't have the constant flow that you have with a hospital. You can't work harder or longer hours to make more money. There is a specific amount of work, and when it's done, that's it. Your income will fluctuate. But if you're willing to put up with that - you can have your weekends off.
ALL of the clinics I work on use SS #s as medical record numbers, and many of them cc to the
patient at their home address, which is conveniently typed at the bottom of the report. Seems pretty straight-forward to us, then why can't the govt figure this out and put a stop to it?
Is this Holiday a major one? Clinics and offices closed?
I guess I am out of it. How big of a holiday is this? All the kids home from school today? Post offices and banks closed? Seems rather quiet work-wise. Wondering if I should start cleaning the house or keep staring at the no jobs to do in my queue.
Thanks!
TO the person who emailed me about their experiences on the multispecialty clinics, etc.
I tried twice to respond to your email and help but it keeps coming back undeliverable.
??
good luck getting hospitals/clinics and the med communityto
nm
Yes, I always have the notes. One time, it was an entire day worth of clinics except for one!
How did they just get one note and not the rest? There have been a couple of times when the doctor just didn't dictate on that particular patient, but most of the time I typed the notes, printed and delivered the notes, and then they say they never go them! And I always have them on my PC and backed up on CD.
I used to think smaller was better
I took a job with a small MTSO who offshores.... they added to my responsibilities w/o extra pay and THEN had the gonads to cut my pay. They said "sorry" but we are a small company and making some adjustments. I'm like dumbfounded.
Smaller
Left big national for smaller company in October and I LOVE it! They actually know me!
I'm just putting my clinics on digital too, check out enclosed links - sm
http://www.hthengineering.com/sst2.html
http://www.hthengineering.com/pdf/DigitalGuide.pdf
I have 2 clinics still on tapes, love'em! Also work for a national. Like that too. nm
nm
Check around your local area for clinics or transcription companies
That's what I did. I first started out working for a very small MTSO and worked at their office for a couple of weeks and then they moved me home and I started working on a single speciality account. I'm still working for the office after 5 years (altough the MTSO closed her business).
No, it is not w/ Medquist. It is w/ a smaller co. nm
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$18.5K two smaller nationals. nm
x
I would, but they ran out all the smaller businesses here. nm
..
10 is smaller not larger than 12, so it would be more than 65 cpl- nm
xx
Smaller companies that pay better...
If you guys know any names of smaller/mid sized companies that pay much better and are better all around, PLEASE give out some names - it's really hard to know which ones are the good ones unless we have word of mouth! Please :)
smaller MTSO
I once worked for a very small MTSO in their office. They were in a suite. But they were located in a metropolitan area, very busy. At the end of my second week of employment with them, the CEO walked by the office I was working in and conveniently said VERY LOUDLY that a "certain medical center" (account I was solely working on) owed the company over $30,000. This was before I received my first paycheck. I was stunned. How's that for shock value? I received my check in a timely fashion and it did not bounce. However, CEO was sure to let me know of HIS SITUATION.
Smaller nationals are way to go...
It seems you get treated like dirt by the large nationals, i.e., Medquist, Spheris, no communication, etc. Many experienced MTs have gone the way of smaller national companies simply because of the better communication among employer and employee, more warmth among the company, etc. Spheris tries to give off this impression they are a warm company much thanks to the CEO, but the organization itself is not a good employer to work for.
I want to look into Smaller Nationals.
I am hoping to get some names of some good Small National companys to work for.
Thanks in advance for your help!
Many smaller companies - to name a few... sm
Health Information Partners, TTS, OSI, there are many many others.
regarding smaller font
I will type in any size font that they want, use what ever margins that they want but when I do my line count I change the document back to Courier 12 and use my usual margins. I tell them up front that my charge per line is on Courier 12 with 1" margins on sides. No one has every questioned me for this. They can have as many characters they want on a line in whatever font that they want but not for my line count. Saves me on my sticky paper and so I don't care. But have been doing this for years and am very upfront about what my definition of a line is and yes I do gross lines.
it is usually because they used it in a smaller screen
Open it up, click on the large square in the upper right hand corner next to the X for closing it, so that it is enlarged. Then close it, and it should open to the full screen the next time. Most all software will open in the same size that it was closed in the last time. Hope this helps.
Maybe a smaller company would be a better fit. sm
I know many MTs need health benefits, but if you can swing it, try the smaller or medium size companies. Most likely you will have the same account and dictators every day.
Keep looking, but find a smaller company.
The smaller ones have better accounts, useful macros and expansions, decent line rates, nice supervisors/owners, but probably IC with no benefits. I don't care about that as long as I can crank out the lines in a small amount of time.
Yep, she needed something that was smaller than the cigarette.
For sure!!!!
USA Type, smaller companies...sm
the larger nationals suck big time, they ALL stink IMHO. I have NOT found one good national since YOG. Transhealth is okay, but it takes forever to get started with them, AND...lots of awful ESLs, but the sound quality was good, but I didn't stay. too many different docs, I am too old and tired for that and working on complicated platforms, Give me an MTSO who uses plain old word or WP and wav files.
Kathryn looked a little smaller????
x
I want an ergo keyboard but I cannot seem to get used to the smaller (sm)
shift key on the righthand side of the keyboard. I keep hitting the keys beside or below it. Do you eventually get used to it? Right now I am looking at the Goldtouch and the Kinesis Maxium. Would appreciate anyone's input.
making the font smaller
does change the line count for those of us who are paid on a gross line. On a character count line, there is no difference.
Any hospitals/clinics hiring home-based employees on an hourly basis? TIA
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Yes, but you'll probably need to find a smaller MTSO.
Put your resume in the MTstars resume database specifically stating what you're looking for. The smaller MTSOs usually don't put ads in because they don't want to be bombarded with hundreds of resumes. If you leave your info, they'll come to you. I had three independent contractor "p.r.n." or "very part-time positions" this past summer, so the positions are out there. Then I figured since I was already putting in 30 hours between the three, why not just work 20+ hours as an employee? So I am. Good luck with it!
On my Google page, everything is lots smaller than it was and
it is too spread out for everything to fit on 1 page, so basically you have to look at the right side and then move over to see the left.Any ideas on how I can get this straightened out? Thanks!
I think a lot of the private practice docs like smaller ones.
They like the personal attention they get.
If you work for a smaller MTSO, it is rare that
they offshore. I work for a small one FT and another one as an IC, and there has never been talk of them offshoring. A lot of the smaller MTSOs don't.
Ctr + or - to make bigger and smaller. : ) No Message
Ctr + (bigger) Ctr - (smaller) ... just in case you open the message. : )
*If it does not work at first, click on the page and then try again.
Wonderful, got it--I see now it does work here too to make things smaller
thank you, very kind of you to tell me. I've made eveything on this page smaller now. Muy bien. Happy typing.
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