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Hospitals do not care about quality, just productivity, and oust their old MTs for others to pay the

Posted By: Catsnooz on 2007-09-02
In Reply to: MTs use to make a bundle until sm - Terri

this happened to me. I was making 23/hr inhouse plus a shift differential. That was taken from me when they kept nailing me on productivity. I was right there at the line rate, but they wanted more for their buck. My QAs were 99.8, but productivity was average 132/hour over a 6 month period, they wanted 135. Some weeks I was higher, some lower, never the same work reports, etc. Always different doctors and formatting issues. I finally quit, just walked out. Now, they cannot replace 3rd shift. So hospitals inhouse are not all the answer. I have been making more on my own as an IC for several companies. Less aggravation, and when I take the time to research something, not getting "nonproductivity" as being a problem. HEY hospitals, we are only as good as you allow us to be. If your in this profession, your a perfectionist. I hate leaving blanks. Have seen girls turn in reports with 6 or more at this facility and they are praised for their high productivity. WAKE UP HOSPITALS!! This is not how us old MTs were trained.


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Acute care for 5 hospitals. Don't run out, but
z
Do hospitals and MTSOs not care that
we are dealing with people's medical records. Obviously not since they allow ESLs who can't possibly put together a whole sentence dictate patient records. If they can actually put together a sentence, they speak so quietly or with such a thick accent that they can't be understood. I am coming to dislike transcription so very much because of a few doctors who should probably go back to their country of origin to practice medicine. I don't think I will ever go to a physician who is an ESL simply for that reason. If I can't understand what they're saying, I certainly don't want them rendering medical care for me. Sorry about this, but just had to vent before I blow a gasket. I really wish Wal-Mart or McDonald's or scrubbing toilets paid more.
Always more - in less than 8 hours, acute care, ops only, own hospitals. nm
x
just like quality care for the patient is going out the window-nm
nm
Through your years of experience you care more about quality I bet than quantity
This happened to me after midcareer that is after about 15 years. I started caring about the patient more than my paycheck. This might have cost me a lot of dough, and I can't afford fancy extras much anymore. But, I can sleep at night knowing I put the right gender of the patient with the difficult ESL dictating. I do not know you, but I just bet that your 1200 is a really good 1200.
actually, they are boasting better quality care with point-of-service mobile devices...
as they (service providers) will have immediate access to all information on a patient throught a "MedChip" rather than have to wait for, you know, "people" (heaven forbid) to get old records, records which have too much information, etc. The system will eventually be world-wide as well, which that will take years and years, I am sure.

This is also to be used not only by doctors, but nurses, physical therapists, anyone who performs a service on a patient. They will have hand-held devices that do everything, document, code, bill.

I realize that will take years, but you can already see the 'growing pains.' Look at all the complaints about MQ. They are losing work because of the speech recognition. All the good, easy, clear dictation is being switched over. This alone seems to be 'weeding' out quite a few MTs.

There are supposedly over 400,000 MTs in the US.

I understand there is no going back, and technology is moving forward and eliminating jobs just as automation did; but excuse me for having some passion. I love this job.
Oust is a great product!
nm
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
nm
I think that depends on the quality. Do you honestly think there is good quality just throwing every
MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
I thought quality was a given. Speed and quality are not mutually exclusive. sm

I maintain 99% accuracy above on my reports.  However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well.  :-)    I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run.  There are too many interruptions and such when you have other people running in and out, phones ringing, etc. 


I doubt that anyone but me really cares about the lines per hour it takes for me to do a report.  They just want an accurate report in a timely manner.  I take pride in my work, and would never just slop something out for the sake of the almighty buck.   And, as an added incentive, I work for 2 companies, and one of them has my name on each report.  I don't have a problem with it, but I did think it was a bit unusual at first.


Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck.  


Yeah, but hospitals are already largely using VR in hospitals. (nm)
(nm)
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.

The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.

If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.

States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.

Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
productivity
I purchased Shorthand and Jon Knowles program. I have about 500 shorthand entries. During downtime, I add more. I have set hours. I get up like I am going out to work. Shower, put on m/up, comb hair, etc. Make coffee/cereal, and do a few household chores before I sign in at 8:30. I do not move until I have done 25 reports. Take a 15 break, take out some for lunch, type 25 more reports. Eat lunch while I am watching a few mins. of Y/Restless. Look at email..Look at local paper online. Email buddy in Texas. On Mondays, take a few minutes to discuss D/Housewives. Type 20 more rports. Watch 15 minutes of Passions. And for the afternoon stretch, I type until I have about 80-90 reports. If my baby stays with my sister, I will type until I have 100-120 reports. During school year, I might type straight through until I have 40 reports. You just have to stay focus. A few days a month, I take an hour lunch away from home to be around grown people. I have been doing this 7 years and gross about 40,000 yr b/c I also do taxes. You have to stay focuses. I plan on making about 52,000 this year. In between I wash a load of clothes, iron, etc....plan meals. Just stay focused. I get depressed if I have a week paycheck less than a grand.
Productivity

How in the world do you accomplish so many lines.


I am genuinely interested in any advice you might have. I struggle to meet minimums when work is available.


Thanks!


productivity help
I need any advice, tips, cheats that you can offer to get my daily line counts up. I use Instant Text and autocorrect but I still work about 12 hours to get about 900 lines. I'm supposed to be working 8 hours and getting 1080 lines. I am really frustrated...can anybody help, please...
productivity
there is a great book called saving Keystrokes available through Amazon.com. It helped me alot.


Where do you usually talk about productivity?

I don't see a board for increasing productivity.  I usually just post questions on the main board but think I will get more information if I post questions on the board specifically for productivity.


TIA


Can someone help me on productivity board? SM

I didn't know if that board is frequented a lot, but posted a couple questions there.


Thanks so much for your time.


Chickadee


It's like a tic with me. I can't help it. I correct it then. That is BAD for productivity. nm
x
Please help on Productivity board. TIA nm
:+
See productivity board.
//
Productivity Board?
Where the heck did the productivity board go?
That was the best program ever, especially for productivity. sm
That was always my argument against Windows - it slowed everything down, but progress moves on and I was forced to move on.

Now, I can just only remember what a great program that was for what we do.

productivity programs

Our company is currently using Winscribe dictation system, but they did not buy the transcription side of this, which creates a database and templates and saves the work to a file. 


I am looking for productivity program that works the same way that is reasonable.  ADS may be one but I have no feedback on this. 


Any suggestions.


 


Bayscribe productivity.....

For anyone who uses Bayscribe, do you do real well productivity wise on one account and then accomplish absolutely nothing on others?  The short notes, the in and out, in and out business; it takes up so much time, I have just spent over 2 hours with just under 200 lines.   Is anyone else's experience the same?


BayScribe productivity
I have 2 accounts that I work on, and I do seem faster on one of them which is the more difficult one oddly enough. I don't feel like I go in and out a lot. I love the fact that everything is done on 1 screen (demographics, transcription, and copies). Having to toggle through a ton of screens is one of the reasons I left my last company.
Here is a macro from Productivity.com
/
Have you tried productivity talk? You can also
google it. 
Productivity Site
I am fairly new to Instant Text.  However, there is a site at:  http://www.productivitytalk.com/forums/index.php  This site specializes in MT productivity and there are several very experienced people here.  Check it out, you'll be glad you did.
IC productivity question HELP PLEASE
I need some advice please!!! I work for an IC company where I edit reports. My problem is that I cannot see my productivity. The only one that has access to my productivity is the hospital which then returns it to my company and they email me my stats for the entire pay period. I guess what I am wondering is that I am new to the whole IC world and was wondering if I should put my trust into the hospital to give my company my correct stats. I asked my company if there is another way around this and they said no!!!! PLEASE RESPOND WITH YOUR ADVICE GOOD OR BAD!!!
No productivity access
Did you request a copy of the productivity log submitted by the hospital? That is all you have to do if your company did not submit one to you automatically. In addition, keep your own private long with accession numbers and times, anything you would need to support a discrepancy. There are a lot of programs out there that do not support that type of operation, so do not think you are being lied to. Just make sure they are right.
How to increase productivity

The more targeted your glossaries are, the faster you get to your words and phrases. Are you using doctor- or specialty-specific glossaries combined with your own base glossary?


Are you concentrating on phrases rather than on words? The big keystroke savings kick in when you concentrate on the phrases your doctors say all the time.


More about productivity at the link below. I hope it will give you some quick tips.


Marianne


Try Productivity Talk.
Google it, and then search on autocorrect. There should be some tips there on how.

I know how to do it; but I'm on shift right now and can't take the time to walk you through it; sorry. If you haven't figured it out by this afternoon, post again, and I'll see if I can help with more detail then.
Go to Harrie's Productivity web site. There

are wonderful ideas there for every expander, and a lot of help with other programs like word and WP as well.


Your company cannot tell if you use an expander.  You have already set your mind to the idea that you cannot because that would not be verbatim, so you need to have a litle bit of an attitude adjustment, too.   It makes no difference if Dr. Jones dictates:  "The patient was taken to the operating room", it is still the same phrase and I can type that using 5 characters and it comes out the same.  Or I can use 4  characters and have it say "the patient was brought to the operating room".  I am an extremely high producer, doing approximately 400 lph on a very difficult account, verbatim, with 95% ESLs.  But the phrases, instruments, and anatomy all stay the same.  I just make modifications in my Shorthand to accommodate the differences.  And no, I cannot memorize my shortcuts, but I do utilize about 3 different systems for shortcuts, and have about 22,000 words and phrases in there. 


 


Did I just dream there was a productivity board here now?
x
Productivity board post
Please view post on productivity board re: SH back up from technologically challenged.
Is there anything on the Productivity or Technical board?

productivity for speech files

does anyone have any pointers that can help my productivity with voice files.  Voice recognition board not working and productivity board says go to main board.  Help if you can.


Thanks


Productivity per hour confuses me...? sm
Companies always ask about my 'lines per hour'.  What the heck is average?  I type 90 wpm.  Took a normal report once, counted the lines, did all the calculations with time and what-not to try and come up with a 'per hour' quota but I came up with 800+ or something and that seems crazy. Unless that sounds possible, anyone know the typical average for lines per hour?
knowledge increases productivity
My productivity is up and down. I have found that with doctors and report-types that I am use to typing my productivity is higher, with new docs and new/rarely typed report a lot lower. I think only knowledge can increase your productivity, when you can anticipate what the doc will say next because you have a true knowledge of what you are typing. (please excuse typos.. I am on a quick break)
well, the more you do ops, the more you'll increase productivity
nm
I just checked my lifetime IT productivity sm
which is about four years, and it says 2.63 characters per keystroke.  For the first year or so I was not using it to it's fullest potential so who knows.  I haven't worked yet tonight, but I might come back with some of tonight's stats if I remember.
Looking for tips for increasing my productivity on SR.

I fairly new to SR.  I've been MT'ing for 16 years.  I was wondering if there are any secrets to increasing production.  I use Dictaphone SR.  Basically, when I get into the report I do a quick read through and correct any formatting that needs to be done, i.e. bold and capitalize headings, put in paragraphs, numbered lists, etc.  Then I listen to the report from start to finish, editing as a I go along.


I was just wondering is there a faster way to get through a report.  I'm not sure if the Dictaphone SR report quality will improve over time, but right now it requires an extensive amount of editing and correction.  Sometimes it would be quicker to type the darn report!


You are the classic example of the lost productivity due to BOS. nm
x
But it's not the BOS itself that causes productivity loss, it's the improper (sm)
application of what's in it. The BOS is a set of "guidelines," not hard and fast rules, unless the body (whether that be MT, MTSO/service, or client) using it decides to take it as the ultimate authority and demanding obedience. The BOS itself is constantly saying that they are guidelines and recommendations, for the most part, and that client preference will (and should) override it in many cases.

I hate the AHDI, and I'm not all that fond of the BOS, but let's blame the organization itself, not the style guide. It's no better or worse than the other style guides out there (e.g., "Do's and Don'ts").

It's the idiotic application that causes the BOS issues.
We need a Expander/Productivity forum

With all of the talk about expanders, autocorrect, autotext, and productivity we could use a forum for that on mtstars.



Do any of your platforms have shortcuts for productivity...
my company had used our system so short of time they didn't even know how it worked!
I always figure if they don't care about their dictation, they probably don't care about their
nm
Dont care how many languages you took. Care
x
Great information. Maybe you need a productivity forum?
nn