Rosemarie is right on for trained VR systems. SM
Posted By: MissIndigo on 2008-04-18
In Reply to: Rosemarie, you probably do not work with Voice Recognition. sm - ES Specialist
You are obviously currently working with a new system that is still learning how to do its job. The first typewriters were undoubtedly really a pain to use, too. The poor clerks of those days must have begged just to be allowed to use their pen and ink as they always had.
My current system isn't as learned/advanced as my last one, so lots of corrections. It's about as much fun as doing QA cleaning up after a pack of new and sloppy MTs. But it's a temporary situation. And my current pay rate reflects the time needed for all those corrections. Does yours?
Over time, though, more and more reports do start coming through in good condition until most of them just require some general cleanup here and there.
Editing does shift emphasis from one skill to another.
I can see how the very fastest of typists might not make more editing than typing--they always speeded the dictation up to match them, and how people with little talent for editing might make less, but most people should do just as well editing as typing and many do make more at it.
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Rosemarie, you probably do not work with Voice Recognition. sm
If you do, you would understand what the MTs are stating here.
The problem is not having the knowledge of medical terms or needing more research. The problem is VR makes many, many errors in sentence structure and grammar. Editing VR is not like editing human MTs.
You should try it before you make a statement like that.
Sometimes it is faster to transcribe the document than to edit the VR output of that document.
Other times, the documents come through VR perfectly. Yes, when that happens you make fast lines; hence, fast money. That is not always the case.
I don't know about other systems.
I use Express Scribe sometimes but I only work on eScription. I know with a connection that slow you aren't going to be able to use EditScript. I think that the only way you are going to be able to get around that, if you are doing strictly QA, is to use EMON and not use EditScript, although I'm not sure you'll be able to get the voice file to download that way either.
I don't know if different VR systems
But, I have been doing VR for only a month, and I have noticed that the system DOES learn. Mistakes that it made before or phrases it didn't pick up before, it is now getting much better. I used to not want to believe it, but now that I have seen it with my own eyes, I know that it will only be a matter of time before it replaces MTs. Since I have over another 30 years in whatever career I choose, I have decided to get out. No sense in going down a road that leads to nowhere.
I have wireless for 3 systems but I believe you
will have to have DSL coming in on a router. From my understanding (and goodness knows I could be wrong) I don't think you can have "wireless" internet without a router from another source. The router is attached to your phone line for DSL and sends out the signal for other wireless adaptors to pickup.
Dictation Systems
I'm looking at going from the good ol' tapes to digital dictation. What is the best choice for the $$?
Thank you
Dictation systems
Can anyone recommend any good Internet based call in phone systems for doctors to utilize without spending a lot of money on phone line based/computer systems. Thanks
Reminds me of systems
I've worked on that used Citrix; not being computer savvy, I don't know if they called it a Citrix server or what, but apparently it was a company that they used for some part of the process, and it was not compatible with the software. They I think they had to switch to some other company to speed things up.
That should be about as clear as mud. Sorry.
How about under classification systems in
AAMT BOS(assuming you have this/if not, you can get free through MQ). Hope this helps!
Call-in systems
I've tried out 4 so far. What are the good/bad points of the system you are using?
Thanks!
digital systems
I would go with a DVR and have the docs load it on their computer. Sounds great!
Are systems capitalized in ROS?
no msg
Some companies' systems are not
compatible with the "new" software, just like a lot do not use Vista. You have to buy what is required to work.
How hard is it to network 2 systems
I would like these 2 systems to talk with each other and have no idea of how to do it?
Systems are not down for long these days.
dd
Call-in phone systems
What is the best call in phone system out there. I do not want call in on tapes though. I appreciate your input. Deb
So right about the Huge Health Systems - sm
in fact, that was 99.9% of the problem at my hospital. Once it got gobbled by a greedy HMO, everything went downhill fast. They got their fancy new campus at the expense of quality medical care and ethical treatment of its employees.
The run-'em-in and run-'em-out style of practicing medicine puts a lot of pressure on the MDs to see patients quickly, but it's SO not thorough! I saw this not only in the rushed, often mistake-filled reports they dictated, but in my own care as well. They lost a lot of their top-notch MDs because they refused to practice that superficial style of 'Mc Medicine'.
When I see all the greed in the HMOs, and the overspending on upper management and not enough on the nuts-and-bolts of what makes a good hospital, it's easy to see that although they're high-on-the-hog right now, alot of those pompous U-no-whats are riding for a BIG fall someday. I hope I'm still around to see it - it'll make my day.
Nuance or OPUS systems
Is anyone out there in transcription land familiar with either of these systems? I'm starting work for a new client (Pathology) and find them inefficient and require too much non-transcription work to look up doctor's names and demographics. I'm wondering if I'm missing "something". Thank you to anyone who can give me a clue. d
voice reginition systems
If you get dragon and have it listen to the dss files that come in will it automatically start typing the doctors dictation or does it have to be the same voice over and over?
Dictation systems - all input welcome
Hi. Please let me know if I should post this on a different board. The hospital I work for is looking to change dictating/transcribing systems. We have dictaphone extext and are looking at WinScribe, Escription, or really we are wide open.
Does anyone know of a good internet resource that compares the pros and cons?
Would any of you be willing to share your experience, good or bad, with any software you have used?
Is there a forum or a thread that has already covered this you can direct me to to research?
TIA!
Brinker Information Systems
Has anyone heard of Brinker Information Systems, LLC? I can't seem to find them on the web or anywhere. They are based out of Center City, MN. They have sent me papers to be faxed to them for IC work, but they did not ask me to test for them or anything. I am leary to send them anything. If anyone knows anything it would be helpful.
Brinker Information Systems
I am in the same situation. I would like some information too if anybody has some. Thanks
I agree, we train the VR systems and when
they are perfect (maybe this will never happen), then VR replaces us. Duh?
How can this be an incentive for MTs?
Front-end/back-end systems...
"Front-end" SR means that the original dictator's speech is turned into text. "Back-end" SR means that someone listens to the original dictator, redictating and "cleaning up" the original dication. This "sanitized" redictation is then fed into the SR engine.
The main disadvantage of "front-end" systems in the healthcare setting is that they must try to adapt to the speech peculiarities of many different dictators, whereas a "back-end" system only has to deal with the speech patterns of one dictator, namely the person who does the redictation.
Back-end dictation adds a layer of human intelligence to the conversion of speech to text because the person redictating presumably catches errors, eliminates hesitations and miscues, squares up ambiguous sentence structures, etc. - things that front-end dictation cannot do or does very poorly. As such, while the back-end speech engine might still cause some errors that require keyboard correction, there should not be nearly as many as front-end systems produce. And, a back-end SR application can be less sophisticated than a front-end system because it is not being required to deal with so many vagaries of human speech. In fact, a back-end SR application does not need artificial intelligence at all, whereas front-end SR really does.
CHS is Community Health Systems
xx
Typing and backwards, what systems do you use?
NM
Point of Care systems
Anyone here had experience with doctors going to Point of Care systems (Pulse)? My doctors are trying this now and I'm wondering if it will be too difficult and time consuming for them. Sure is cutting way back on my work. Thanks. Teri.
Point of Care Systems
It's my own account. They use the Pulse EHR.
can't she just do a systems restore to the day before she downloaded it? nm
x
Yes, the icon is in the systems tray. nm
nm
thats exactly why I did this. I trained sm
in a hospital when I first started in 1979 but as soon as I could I went home to work. I tried the hospital "thing again" for about five years but I hated it. I just needed the insurance at the time. I prefer being at home not dealing with the politics and the back-biting. I don't think there is anything wrong with that at all. I figure I am secure enough in myself to ignore the comments about how we at home don't have to work, can do what we want, etc. etc. Anyone who has done this knows better anyway!
They still have to be trained how to
QA/grade, give proper feedback, use the QA software, etc., because as I said, it's a completely different job. When having an opening for a QA, why not take applications from internal MTs, if any are interested which is rare because MTing pays better, as well as taking applications from experienced QAs? I don't have a problem with that, only when they hire exclusively from within, forcing experienced QAs to MT again & work their way to QA again. That's just SILLY.
LOL, I trained on the job also in the
early 1980s. As for hospitals, some are taking their transcription back. A MAJOR hospital chain in my town used the Q, but at the end of the contrast 2 years ago, they totally took all their transcription back and hired in-house and at-home MTs (one of my friends works for them).
Prison systems in this state use in-house MTs, I am almost certain of.
dd
I don't think the present Voice Systems will improve
I believe it is best not to name names, as others have pointed out in this message board. So, instead, I will simply post the job as listed on MTjobs.com and say that the same person is posting this job as when I was bilked. 'Nuff said.
Voice Systems, LLC
Contact: Cindy Adams
PO Box 72046
Albany, Georgia 31721
voicesystems@mchsi.com
Telephone: NO CALLS, Fax: 877-883-9873
Title of position: Transcriptionist
Experience: 10 years as a transcriptionist.
Location of position: Georgia
At home or company: Work from home
Full or Part time: Full-time position
Type of Transcription: Many types of transcription.
Specialty: Orthopedics
Job Description: 10 years experience with orthopedic operative notes and discharge summaries.
Hardware/Software: High speed internet, Pentium IV computer, XP Pro, Word platform, familiary with VXP player, and typing into hospital system.
Method of sending/receiving dictation: Internet based
Compensation Information: competitive, 65 cpl, IC status only, great opportunity
Date Posted: 2005-10-17 12:49:12
Try opening up ShortHand before log in. Works with other systems like that. nm
s
He is an informations systems analyst at the university here. nm
x
They have always done well by me. I don't trust the computer phone systems. sm
If my computer goes out, them my phone goes out and how will I call them? I prefer to have my eggs in several baskets. Computer and TV cable on the same line. Phone on a land line, Verizon.
You can still buy some computers with the choice of operating systems.
I know for a fact that you can do this on the Dell website, although not all models offer that option. Your best bet is to find someone who can buy a computer that does what you need it do to, no more and no less. That way you can pay for only what you want/need.
I need some advice on digital dictation systems
I am talking to a psychotherapist about possibly doing her transcription. She does not dictate presently, but is interested in getting started. I am thinking of asking her to go digital, but I don't know the first thing about getting started, what equipment we'll need, etc. I currently work for a national, so they sent me the PC and footpedal, and that was it. Any advice would be so appreciated. I don't wanna sound like a dummy when we talk...thanks y'all!
I'm 36, been doing this 26 years, trained on the job.. nm
.
50, trained by VA OJT in 1988.sm
Started out doing autopsy reports, then went to "the typing pool" (acute MT) as we used to be called, came home in 1995, been here since.
Honestly, they need to be trained.
Mine had the same mentality when we first got together. I refused to do it. If he scattered dirty laundry, I left it there. If he didn't put his dishes in the sink, they sat out. I'm not anyone's slave. Also, if they expect the woment to work, they need to share in the housework, child care, and finances.
they seem to be trained to dictate that way.
I worked at a hospital that had a podiatric residency program, and the residents were often required to do the dictation for operations performed by others. Obviously the long format wasn't something the resident made up on his own, it was something they had been trained to do. Other doctors tend to stumble into dictation without much in the way of instruction.
You weren't trained
You weren't trained, which is why you couldn't earn a living doing MT. A lot of people make that mistake, think they just sit down at a computer and type what they hear, then they wonder why they can't make any money. I'm sure if you had gone to school to learn MT, you would have been great at it. After all, you didn't teach yourself to become an RN, right?
My son was three when he was potty trained.
I did similar things.
I don't know if you are already doing this or not, but the best thing I have found to potty train my kids is.....stop buying diapers/pull-ups. If you run out and you don't buy anymore then you really don't have a choice but to be consistent. Having nine pair of underwear on hand is what is recommended.
You can by the the toilet targets online for 5.95. They ARE helpful in making it a game. I always used the whole "Daddy is a big boy, don't you want to be like Daddy?" (works sometimes)
Make it a routine. Go every so often (timer), use the bathroom, flush the toilet, shut the lid, wash your hands, turn the light off, get your reward. Be consistent.
I have four girls and only one boy and my girls were trained by 2 years old with EASE - boys are much more difficult, mine anyway.
trained fingers
Makes me think of what it is like for your fingers to "know" a telephone number but for the life of me I couldn't tell you what it is--I'd have to dial it for you.
Not true....I trained 3 ...sm
from scratch. All were very good, probably better than me! I was just starting out on my own and had reached the point I needed help. Taught them one at a time. Just set them up right next to me and gave them the easiest stuff I had. We both worked at the same time, and I was right there to answer questions and listen when they had trouble.
Trained someone by proofing (sm)
She listened to every report, word for word, and she is now one of the best MT's I know. That would be an excellent way to train.
How long do they have to be trained?
I work for MQ, and I think their VR stinks. It's been going for at least 3 years (though I think longer), and it still slows me down. You literally have to change every he to she or she to he and little things like that through the entire report that really slows me down. The funny thing is, it usually gets the medical terminology correct but everything else wrong.
I was trained for 4 years at a
vocational technical high school and learned transcription for 4 years straight, 4 hours a day at least. I then went on to transcribe when I graduated for a lawyer, and then into the medical field I went. That was 25 years ago. We learned shorthand, accounting, typing, biology, among many, many other things.
Please don't assume that I went to what you call one of these transcription schools because I did not. I don't have to explain to you that I had 17 years of on-site training with physicians. I learned straight from the dictator, so don't go there. AHDI has brainwashed these new people entering this field with their silliness and money grubbing paws.
Okay, so I'm simply stating that to question someone's education for a job that they may make 20 grand a year of their lucky is just downright ignorant and nasty. I make way more than that but only because I've been at it a while and have my own accounts and I'm not bragging at all; I'm just saying.
Whether you want to believe it or not, the ER reports were done through medical records as well as the basic four. I know because I worked there in many different departments and did the transcription. We had a separate entity for radiology and for the cardiology department. Everyone's situation is different and not all worked at the one hospital you did for one lousy year where ever that may be in the US.
We all have our stories, but my main concern is the post regarding questioning this poster's education. Get over yourself! 
Looking for call-in systems with editing and electronic sign.
Do you guys know of any that are good and reasonably priced? Thanks for the info and if you have other advice I am willing to listen. I have an office that wants a call-in system with the ability to edit online and use an electronic signature if possible. I use DocShuttle right now with handheld recorders and this is new so any help is appreciated.
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