PLATFORM QUESTIONS...

• PLATFORM QUESTIONS... - kath
  • Apparently your computer programs are - sm
  • Yes, and I swear I've gotten viruses - from using platforms and also

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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! 

If a MTSO advertises that the MT works in MS Word and sends dictation by FTP, does this usually mean there will be no demographic/doctor database and the demographics will not be autopopulated?

I got into a mess with a small company (got out real quickly too).  I was required to print out daily email copies of the doctors' office patient schedules (which were barely legible) and type in all information.  I spent more time hunting for the correct patient through pages and pages of these schedules.  Then I had about 25 pages worth of doctor's names that I would have to go through to find the attending, referring, etc.  A total waste of time as I didn’t get paid for that. 

I wish MTSO would give more information as to what platform they use (if any).  Proprietary software is such a generic, totally useless description.  Would they buy a new car that listed, "Car has gasoline operated motor?" 

And for Pete's sakes, why so secretive about the pay?  Give a ballpark figure.  Just say, pay is between 7-12 cpl depending on skill, testing, etc. Tell me if you pay for spaces, headers, etc.  It would save them time because I wouldn’t even apply for a 7 cpl job. 

Before I spend an hour or two testing, I need more information from a company to be sure it is compatible for my needs.  If the MTSO would spend a little time on their website detailing their platform, how they send/receive files, pay rates,  how line rate is determined (spaces/no spaces) employee/IC/SE status, minimal line count, whether work pools consist of 100s of doctors, or smaller pools with 25-50 doctors etc.   Having all this information on their website would save them time and the MTs time.   Phoenix Medcom has a really good layout describing pretty much everything an MT would want to know before testing with them.  I am just tired of testing with a company and then finding out the job wasn’t exactly suited to my needs. 

I've been working for MTSOs for years now, using their templates which sometimes cause productivity problems (macro issues, etc). I'm wondering if productivity is increased when working on a structured platform, such as one that a national company provides for its transcriptionists?  I've never used a platform, but it would seem that all one needs to do is straight type onto the screen and the platform program takes care of margins, page breaks, etc?

Any thoughts (as well as companies who are hiring who use platforms) would be appreciated.  Thanks

I am bored, and trying to get aquanited to the boards, so I am posting a little spree here. 

What platform do you use?  I use Extext by Dictaphone.  Like it so far.

I started on a new platform about two weeks ago and am finding it HORRIBLE!

I normally get between 130-170 lph, depending on dictators.  Today I worked four hours and had 200 lines

It is a word-based platform.  To put in a QA marker you put in spaces, highlight them change screens, use the mouse (no shortcut keys) click add, save, and then back to your screen.  To remove a QA marker, you have to change screens, use mouse click on QA marker number, and then click delete...  You also have to do this to look up or edit doctors, patient info...

In all honesty from anyone who has worked on such a platform, WILL I GET FAST ENOUGH TO KEEP MY CHILDREN FROM STARVING?

Thanks in advance

Is anyone familiar with a platform called Medquist Cquence?  The service I work for has a client who uses this.  I am having a particularly difficult time learning this system.  Would you care to share what you think of it.  Is it worth the time spent in learning it, and once you do learn it, do you get a decent line count?

TIA

I have used Dictaphone when I was working for a smaller company and did like it, but now I am out on my own and have an office that uses Word and a wav pedal and I email the work to them. I like this way too. I have heard that people do like Dictaphone as a platform, but I am unsure of the cost.. I use Express scribe to download the files and my wav pedal. Express scribe is free so I do like that there is no cost to me on that end.

I can't see who's working, can't see how much work there is, just keep going until I run out.