Its just an unwritten rule and common sense; you better home Amphion is not watching - sm

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before I posted and waited until not only after the press release but after the details came out. We were carefully briefed early on on the details of what was and wasn't okay.

My daughter is going out of her skin waiting to hear.  She loves history and current events at school, particularly the mock elections, etc.  I just think it is a wonderful opportunity to give her this early in life. I hope it makes a huge impression if she gets to go as far as the importance of exercising her right to vote, etc.

I think maybe my first month or so of doing MT I would actually try to look up stuff as I came to it.  It doesn't take long to figure out that is the WORST way to do it.

It is not already implemented at many facilities, yet at others it is; thus, the desire to implement it universally.  Below is an excerpt from Wiki regarding EMR.  This should clear things up for you.  Also, spend a few moments reading the second paragraph.  It clearly explains that EMR is an electronic medical record, and the means of achieving that final electronic state are many, some of which include templates, VR and traditional transcription.  So, tell me again, EMR automatically means a point-and-click system?

As of 2006^[update], adoption of EMRs and other health information technology, such as computer physician order entry (CPOE), has been minimal in the United States, in spite of studies showing revenue gains after implementation.^[2] Fewer than 10% of American hospitals have implemented health information technology,^[3] while a mere 16% of primary care physicians use EHRs.^[4] The vast majority of healthcare transactions in the United States still take place on paper, a system that has remained unchanged since the 1950s. The healthcare industry spends only 2% of gross revenues on information technology, which is meager compared to other information intensive industries such as finance, which spend upwards of 10%

Pricing for EMR systems is highly dependent on each practice's unique needs. Because every medical practice has distinct requirements, systems usually need to be custom tailored. This is due to the majority of EMR systems being based on templates that are initially general in scope. In many cases, these templates can then be customized in co-operation with the vendor/developer to better fit data entry based on a medical specialty, environment or other specified needs. There are also EMR systems available that do not use templates for data entry and therefore can be easily personalized by each individual user. Alternative data entry methods include concept processing, voice recognition, and transcription.

hire her if I was in that position and would fire her if she was already hired.  If she sees nothing wrong when mentioning what accounts a company has then that is a HUGE problem.  It doesn't matter if nothing negative was said, if account specifics weren't mentioned, it is just COMMON SENSE and an unwritten rule that you don't tell what accounts a certain company has. 

wondering

Yep, I knew it was advice, and I appreciate ALL points of view as it gives me perspective.  8-)  I've been reading the boards for a while now, and I realized that I'd get the good, the bad, and the ugly, and that's okay! 

However, I specifically asked for advice about how to do it rather than whether to do it, though, as I've already decided to defy the odds and give it a go. 

Enjoyed the NCLB reference, by the way! 

pser = the patient was seen in the emergency room

wwd= the wound was dressed

Just two tiny examples. People need to learn to use their Expander programs. I'd be making like $10 per hour without mine. I also work in a job where I do the work type I do best. That's very important. I would imagine (don't know for sure) that H&Ps and DSs have the most lines (I work on a gross line count) but you have to think more, look up more, and type more to get those lines.

I have everything magicked in there. That's the way I like it, that's the only way I will work.

That's what I was taught.  Everyone is in the same boat and has to take the bad with the good.  Refusing to do the hard stuff makes it worse for the other MTs on that account, and they will not appreciate it.  Until the problem doctors go poof and disappear, nobody has the right to say they can shove all the bad jobs onto the next MT because THEY are here to make money (everyone is, and someone has to type it).  And there is such a thing as Karma - one day you might log on to find ALL the work is the dictator you dread, because all the MTs that came on before you felt entitled to leave the crap work for YOU.  You really won't make any money on that shift, as opposed to doing a few bad jobs each shift.  So type them as you get them, like the rest of us. 

If everyone got together and went to management about the problem guy, that's one thing (and yes, we all feel this way about at least one doctor).  Deciding you don't have to do it because you don't want to is quite another, and often grounds for disciplinary action.  Work is often just that, hard work, and with time and practice it becomes easier.  Nobody promised you a rose garden, challenges are what this job entails.

you set your own line rate.  However, we all know that NONE of the MTSOs hiring IC MTs allow us to set our own rate.  They "offer" a rate, and we accept if it's OK.

I worked for a real cheapo doctor when I first started out.  He paid hourly and kept riding my backside to type faster because he only wanted to pay for the actual time dictated instead of the time it took to transcribe.  More than once I told him that it takes an average of 3:1 typing to talking ratio to get it done.  It worked out to be $.03 per line.  I dropped him like a bad habit.  He bounced through a few other transcriptionists who all quit on him before he wound up having to pay to outsource to a service.

I use an "f" after any abbreviation that I want to expand.  I just use the standard abbreviation plus f, so I do not forget what they are.  My ShortHand is full of things like this.

ex: cbcf  tcpf  tshf

Works for me!

Hmm...I thought that that was already in effect, that no US Govt transcription contracts could go overseas/be outsourced - at least the V.A. has that standard in place...

...requires a covered entity to make "reasonable efforts to limit use, disclosure of, and requests for PHI to the minimum necessary to accomplish the intended purpose."  The only AHA-approved HIPAA training program, HIPAA Academy, specifically states in its training materials that HIPAA intends that personal information be limited to document headers unless absolutely required   I will quote page 4-56:

"In practice, we expect the minimum-necessary requirement to lead to compartmentalization of the medical record so that one portion of the record (the body of the report) may be readily disclosed for one purpose without compromising the privacy of the entire record."

By limiting PHI to headers, reports can easily be redacted of personal information; when the PHI is scattered throughout the reports, this information cannot be redacted.

....reboot!

That will take care of about 95% of problems.

If you have two identical toolbars, then you may need to go to View, then Toolbars, and then Customize (way down at the bottom of the list). On the Toolbars tab, see what is checked.

If both Standard and Formatting are checked, this is where you may have your duplicate. Try unchecking either one of those and see if that puts your toolbar back the way you want it.

If that doesn't work, come back and we'll try again!