I would rather not respond to your questions, as your tone seems a little angry

• Have any of you editors ever scored anyone at a negative 27% before? - OH MY!!
  • An update and to answer some of these questions... - sm
    • Maybe psych is just not her cup of tea! Maybe she should - ExpMT
      • I would be quick to say psych wasn't her thing if the basic English was a problem for her as well - major headache
        • That should be wasn't a problem for her..see got me all messed up now!! - gonna scream
    • I love psych, and I have experience, too. - Want a quality MT?
      • I have no say in it LOL. I think I am going to take it over. - nm
  • Just curious - Dano
    • But its also not QAs fault. We are not trainers in most companies - we simply QA and correct errors, - MQDocQ
      • Of course you are right sm - Dano
  • QA scoring...sm - Editor
    • I would rather not respond to your questions, as your tone seems a little angry - rather than helpful.
    • I believe the original poster is the one doing the scoring, and she is SHOCKED at how low the score - QA2
      • As a former QA manager, I've done this. - sm
        • Betcha they would sure fire someone for not meeting production! nm - scooterdoo
          • You're right. They do. - nm
        • I've seen this too (sm) - anon
        • Probably the same wimp company I'm with. My title is QA, but I'm not allowed to do my job! - QA2
          • what wimp company are you with and what part of job won't they let you do? - just curious

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I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?


2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)


3. How is a line defined in Cerner?


4. What abbreviation Expanders work with both Meditech and Cerner?


5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).


6. Measuring productivity by minutes of dictation versus typed lines.




1. What would be the minimum minutes required for an 8-hour day?


2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?

Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 

did change when you stopped hearing what you wanted to hear.

My first impression of wrong thinking was your statement of being "employed for a year as an IC."  That is a contradictory statement.  An IC is not employed.  An IC is contracted with.  The IC decides the schedule and the company, if the work is there, agrees to provide said work to the IC on the schedule offered.  The MTSO does have the right to set a turn around deadline because of its contract with its client.  If that IC does not (on several occasions, albeit out of your control) meet those schedules, the MTSO still has a business to run. 

I honestly feel sorry for both of you.  It isn't surprising on the MTSO's part to train someone else while planning your exit.  That is common in most industries.  It sounds like there is a lot more to this story than has been shared here.  I'm sorry that you are in a pinch but at the same time, maybe you have learned something about the business of business.  I hope things get better for you soon.

"Oh, it'll never happen," "It'll never work"

Yep, keep kidding yourself, girl!  

There is a dial-tone when handset is lifted.  Keys do not work to program, dial, ect.  This is the same for 2 different units.  Any suggestions?

HELP

" a good MT should be confident enough with her knowledge and skills to not want or need anyone's pat on the back.  If you can't do a good job without a baby sitter, perhaps you should consider another line of work."

Its a bit silly to judge someone's work based on the fact they just want a little interaction with their supervisor, i've been doing this long enough, and just saying I know my stuff.  One does not have to do with the other!  You guys go far in left field for an insult.

I agree that one can do great things with virtually any expander--even with just casual use it pays for itself within weeks.  I am at the point of relying heavily on SH8 due to arthritis (400% productivity gain, heavily nested WordVBA macros, etc.) and am always eager to learn about other programs, but $150 and no free trial is a hard way to learn.  Anyone know if InstanText can handle "code" (like WordVBA macros) in the Expanders like SH8 can?  Again, thank you all for your thoughtful responses. 

did you not understand...if you respond - you feed the troll - as you can see I reported all posts and 90% of his have been removed....

My mother would not side with me.  I know this for a fact, thats why I keep the responses to myself.  She pretends like she doesnt see it, she is one of those moms in denial about everything.  I'm also afraid she will feel threatened, I don't want that.  Also, the family member I told has a big mouth, and I think some of it may have leaked out because the last time I went over there, I went swimming and I had a towel wrapped around me.  Exact words from my stepfather "Why are you all covered up, do you think there's a pervert here or something?" And he's become very hostile lately.  The whole thing is a mess.  Its sad because my stepfather and I were close in a normal way at one time.  Its like I lost that.   

Since I have never seen your work I would not presume to pass judgment on it.  *IF* your work consistently had gross errors and you were never informed, that says enough about the company you worked for.  In fact, as far as I'm concerned, a company that would ask ANYONE to work free for "months" as you said in a previous post is beyond despicable. It might be possible this is how they are making their money, the profit margin for free work would be pretty good but I would expect they wouldn't last long.

On the otherhand, I've had more years experience than I care to say, so let me tell you I KNOW how bad the baddest ESLs can be.  This actually happened to me:  I worked for a company about 10 years ago when tapes were sent to us at home by UPS.  I consistently got this one ESL who was so bad I said that God Himself couldn't understand him.  I called the office more than once saying I hated sending the reports directly to the hospital because they looked exactly like swiss cheese.  I was told to "just do the best you can and don't worry about it."  Well, one day I got a tape of his dictation and the tape itself was bad, so that work looked more like the whole block of swiss cheese with huge chunks where the tape was nothing but a stretching sound, thus, large chunks of blanks.  I called the office and again was told to "do the best I could" and send it on to the hospital.  Well, the next day I got some more of his tapes and the first thing he said was, "ah dunawa **** ado MA tie."  I translated this to mean, "I don't want **** to do my typing."  I immediately called the office and I admit I was pretty distraught, even considering how bad he was.  Know what I was told?  "The hospital knows how bad he is, their MTs refuse to do him which is why they send him to us and you're the only MT we have who can do him.  Don't worry about it, just send the tapes back and we'll tell them we're not going to do him anymore."  WHAT????  Why the heck didn't they tell the hospital that way before I pulled all my hair out??!!  And this was a large national that has since been gobbled up by MQ.

Don't give up.  Ask an experienced MT to review your work and give you some honest, constructive feedback and then do what it takes.  If you have to pay someone to mentor you for awhile it's a small price to pay for the education you'll get.    Hang in there.