Short Stay Summary
Posted By: bwood on 2007-04-25
In Reply to:
For those of you who work in acute care, work type does your facility use for short stay summary? HP or DS?
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Same here. Separate worktype for Short Stay Summary.
x
At least 1 short break every hour and stay away from IM
s
We have a separate work type for Short Stay
Usually the summary looks almost like a DS, but sometimes they start out like an H&P, where they appear to be dictating a combination H&P and DS.
I used Short Keys, not Short hand for Bayscribe, it worked fine.
x
Death summary on someone who...
had died for the same disease as my dad, lymphoma. The summary went through the last month of her life and the hospital stay. At that time, my dad was not in the hospital, but was showing these same signs. So, I knew what was forthcoming for him. And, needless to say, it happened the same way with very few changes. Talk about a tear jerker and a tough one to type.
Discharge summary TAT?
What is the minimum and maximum TAT for discharge summaries have you had?
Death summary
Dr. dictates:
Reason for Death: Incompatibility with life.
Under the summary points
This statement was my favorite, and I do hope a lot of companies read this survey and learn from it!
"Speech-recognition technology is only a transcription tool, and not a transcription replacement. The job involves too much professional intelligence and sense-making ability to have it migrate completely to speech recognition."
I honestly don't think a company should be able to lower our rate of pay because of VR...We are still responsible for sitting and listening and correcting mistakes...although I have been fortunate enough not to have my company have any accounts that use VR yet...but I have a friend and her company is doing VR, and her rate of pay is ridiculous!
Inside gives a summary of cuts about to come
E-mail this page to a friend!
House Passes Budget Bill with Biggest Cuts in Medicaid, Medicare
Cuts $99.3 billion over 10 years - 27% from Medicaid, 23% from Medicare.
Feb. 1, 2006 – It's done. The House has passed and sent to President Bush the budget reconciliation bill that was strongly opposed by most senior citizen advocacy groups and newspaper editorials due to the deep cuts it makes in Medicaid and Medicare. It was a very close vote – 216 to 214. The bill cuts the budget by $38.8 billion over five years – 50 percent of the cuts are in Medicaid and Medicare.
Related Stories
Final House Vote on Budget Bill Could Cut Billions from Senior Programs
Passage expected Wednesday to cut Medicare, Medicaid
Jan. 30, 2006 – The Budget Reconciliation Bill, which many see as making drastic cuts in government programs for senior citizens – Medicaid and Medicare, is expected to hit the House floor on Wednesday for a final vote, the day after the President's State of the Union address. As reported today by the Capitol Hill Watch at KaiserNet.org, the bill will reduce federal spending by $99.3 billion over 10 years, with half of that coming from these senior programs. The Congressional Budget Office analysis says premiums for Medicaid beneficiaries in the bill could cause 110,000 to lose coverage by 2015. Read more...
Senate Budget Chair Calls for More Cuts in Medicare
Republicans to recycle old failed issues in 2006
Jan. 26, 2006 – The Republican chairman of the Senate Budget Committee is calling for more cuts in health care programs in fiscal 2007, which includes Medicare, according to The Daily Health Policy Report by KaiserNetwork.org, which cites CQ Today. The daily news summary says Republicans will also be targeting health care proposals this year, but most are proposals that have failed in the past. Read more...
• Homecare Industry Rallying Support to Kill Reconciliation Act
• Television Campaign to Stop Health Care Cuts for Seniors Launched by AFSCME
• Vote on Budget Set for Feb. 1; Senior Groups Seek to Sway GOP Moderates
The House first passed the bill on Dec. 19, 2005, by a vote of 212-206. It went to the Senate, where it passed by only one vote – 51-50. Due to procedural changes in the Senate, it had to go back to the House for this final vote. There was intensive lobbying by the senior citizen advocates and others since the Senate vote on Dec. 21, 2005, but they came only four votes closer.
The final vote was mostly along party lines, with Republicans supporting the bill and Democrats in opposition.
AARP CEO, Bill Novelli, quickly issued the following statement:
"Last night, in his State of the Union Address, the President said, "Keeping America competitive requires affordable health care. Our government has a responsibility to help provide health care for the poor and the elderly, and we are meeting that responsibility."
"Today the U.S. House of Representatives has turned a cold shoulder to that responsibility by further limiting eligibility for Medicaid, a program that serves the neediest -- the disabled, children, the poor and the elderly. It also approved a provision in its budget that will deny long-term care coverage to those who give money to charities, churches and family members in need.
"Working with our members, AARP will continue the fight to have this ill-conceived policy reversed."
The bill would save $99.3 billion over 10 years, with half of that coming from Medicaid and Medicare - 27% from Medicaid and 23% from Medicare.
There's also $1 billion in new spending to extend an income subsidy program for dairy farmers and a reprieve for physicians who had faced a 4 percent cut in Medicare fees, according to the Associated Press.
A major boost to opponents was an estimate issued by the Congressional Budget Office estimating that 45,000 Medicaid beneficiaries would lose their coverage in FY 2010 because of higher premiums in the bill. The CBO report also estimated 65,000 beneficiaries would lose coverage in FY 2015.
Children would account for 60% of the Medicaid beneficiaries who would lose coverage, according to the report.
The report also estimates that 13 million Medicaid beneficiaries would have new or higher copayments for services such as physician visits and hospital care. In addition, 13 million Medicaid beneficiaries would pay more for prescription drugs by 2010, and 20 million would pay more by 2015, the report states.
According to the report, "About 80% of the savings from higher cost-sharing would be due to decreased use of services." The report estimates that 1.3 million Medicaid beneficiaries would have to pay premiums and that 1.6 million would lose benefits, most likely for dental, vision and mental health services.
In addition, the report estimates that 15% of Medicaid long-term care beneficiaries would have their coverage delayed because of additional restrictions on asset transfers.
The asset transfer provisions in the bill would impose punitive new restrictions on the ability of the elderly to transfer assets before qualifying for Medicaid coverage of nursing home care. (Click here to read these provisions.)
Years ago I did a death summary by a GI doc.
I don't think GI docs are used to having patient's die and I don't know if it was his first patient to die not, but he was crying so hard at the end of thedictation it was hard for him to dictate. I think he was in his second year of practice, so around 30. I can't remember he if made a statement or not, but I'll always remember him crying.
Ditto, short ERs or short OPs....short anything! sm
And I especially don't like long OPs, they are the most boring for me, and the doctors pause a lot cause they have to think more. I just want to be done with it! Next!!! ; )
Long short forms vs short short forms
Carla,
A long short form is usually easier to remember. So I would definitely assign the short forms as suggested by Kelli:
SmithCThead
SmithCTabdomen
etc
In most Expander programs you would opt for a short short form as you have to type the whole short form before you can expand.
In Instant Text you don't have to type the whole short form: you type the first two letters of your long short form and then you can type any of the following letters.
So in this case you would type smcth for the first one, smcta, and you may also type smhead, smabd
This is possible when you use the Instant Text marker key to expand. If you use the space bar to expand, you may be better off assigning the initials as suggested in the second response, as you would not be able to "jump ahead".
Marianne
The short of it.....
When management sends you E-mails filled with typos, they are going to you, not to the client. Since you aren't paying management, it doesn't matter if every word they type in their E-mails to you is spelled wrong. See, management's paying you to transcribe error-free reports. Understand now?
PRD short cut help
I have been using the PRD short cut program on an old DOS-based computer in WP51. I have upgraded to Windows XP with WordPerfect X3 and wondered if there is anyway to use the PRD with this program. I have had to use other short cut programs for Word on my XP computer but have recently had to move all my WordPerfect work to my new computer and need a short cut program for it as well. I would sure love to be able to use the PRD. Anyone with any helpful information would be greatly appreciated! Thanks so much!
I do think it's too short but...
the company I work for only gives you 2 days. :(
short msg
My guess is that VIPS like this would have decoy names, and they should.
I agree that AHDI or whatever AAMT wants to be called now is just another thing to watch and not trust. That said, why should anyone want government to be in charge of everything and be trusted to not screw it up? They've shown us already (both parties) how well that's worked, so I'll handle my own "change," thank you.
AHDI is another form of big government making things more difficult for us.
one can short of a six pack! nm
Don't sell yourself short....
I charged docs/clinics 12-14 cents/line 5 years ago. They had no problem with this. Being paid by the hour in Canada at home where I work for a local hospital I make $18.33/hr plus 14% in lieu of benefits plus 4% vacation pay ($21.73 per hour) For contract work MT's in my area charge $25 per hour or 14 cents a line. This is not through MT companies - just for docs asking for extra help and our Physiotherapy Depts that do independent medical assessments contract it out to local MTs. Hope this helps. I'm in Ontario
Don't sell yourself short.
If you think that you need to "lower" your rate because you're not driving and picking up, then charge .10/line; otherwise, I would stick with the .11/line and consider it a "raise" if you get the job. Honestly, if the OM is happy with the quality she'll get at .06/line, then you probably didn't want that account anyway because I have found those OMs are the biggest pains and you're better off without the aggravation. JMO.
My short story
Somebody removed themselves from the picture before someone in the extended family tried something with me and if they had spoken up there is a chance I would not have that horrible memory now. I yelled loud and clear so that no one else had to go through what I did. I don't care how old he is, unless you are clearly mistaking his actions - which I doubt - then something is wrong. This is probably easier from you to step away but if you read or found out that he had tried this with a 7, 8, 16 or 20 year old or even someone else or he had with his daughters -- could you then live with yourself. At least tell your mother the reason why and if she choses to put her head in the sand, so be it but you told someone. If you have questions about what you feel or think is happening talk to someone but do something.
I'd get up and kick my dog if I got that. I like short SM
little tonsillectomies and stuff. :) Keeps me awake.
I have Short Hand. Never used the others -sm
You can install ShortHand on multiple PCs. I like it. You can actually have one shortcut for a few things (found that really, really useful). You do have to pick from the list which one you want, but I'd rather be accurate even if it might slow me down a little. It has drawbacks too though. If you forgot to put -ed on the end of a word for instance, and you go back and do that and if ed is one of your shortcuts, it will expand when you don't want it to. You can save your personal shortcut dictionary (which is nice for backup) and install it along with the program on other PCs. You can also convert an old PRD dictionary from WP if you had one and possibly others too.
It works with anything windows and you can have multiple dictionaries for multiple jobs or facilities that might have different rules.
life is too short
Just chalk it up to your value system being different from your value system. Nothing dumb about it. I have seen the same happen.
Life is too short
to let these kind of games drag you down. You know what you contributed and "she" knows you are the one who provided the original data. She will have to live with her dishonest type of manipulation. You cannot change her, you can only change how you react to her.
Keep doing a terrific job for your own satisfaction. The only person you need to "oneup" is yourself. Set goals to outdo yourself and know that the better you do, the more satisfying your job will be. It takes 2 people to play the game. I suggest you bow out of the game and it takes away the fun for the other person.
I have been there too. It will happen anywhere you work if you "play the game." The choice is yours. I hope this helps. I only mean it in a supportive way.
Short message for you........sm
I do many things, am an MTSO for 10 years who just now had to get an occupational license because the city I live in now demands home offices to have one, now had to send off to the county with copies of OL to get county license...I'm an IC for 10 years and also do some weekends for a national...
where do these people get their info from, that all ICs are *prima donnas* - N_O_T......WOW....the narrow-minded and ill-informed......surround us.....unfortunately..... 
You know you're short when...
My boyfried recently bought me a new office chair for my birthday. I was very happy as I desperately needed one. The funny thing is that even with the chair all the way down, my feet wouldn't touch the floor...LOL. My toes touched the floor, and I could still manage to push the foot pedal, but it was killing my knees after sitting for long periods from the stress of my legs just "hanging" there. So, my boyfriend build me a very nice platform that is about 4-inches high that sits under my desk. My feet rest on it as well as the pedal. I'm 5'3". I know I'm no amazon, but I didn't think I was THAT short...LOL. Guess I was wrong.
depends but usually short
If I have a short attention span that day, short reports keep me awake. If they're long, I tend to lose focus and get tired.
The reports are usually short
I have done both acute care and Radiology. Radiology by report usually works out to more money in your pocket. Since I switched to radiology I never want to go back to acute care. My line rate stayed the same, but I make 50% more money!! I agree, Stedman's Radiology is wonderful. You can get it on CD and keep it open while you work...quicker to look things up.
short hand
I've been using it for about two years and love it! Good luck to you.
Short-cut system
Try PRD - I used to use it with WordPerfect and it was the best Expander I have ever used.
short response
Where in my message did I say that the test should be "used?" I simply provided a couple of links for reference.
And I feel you are being rather judgmental. Simply because something is not difficult for you does not mean it is not difficult for another individual.
The short and sweet of it, you get what you pay for.
p
Boy, how short sighted you are.
I think you are the one who does not understand too well. You say unless you are laid up in bed unable to move then you work and take care of your family, but since when is being laid out the only disability that would prevent one from performing their daily activities? True depression is a disability and sometimes something a person might battle their whole life. It is easy for you to say, just put your big girl panties on and deal with it when you obviously have never had to overcome this disability. Maybe you need to educate yourself a little more before you speak out about things you obviously know nothing about.
Unfortunately, attitudes like yours are what have held some people back from accepting their problem and getting treatment for it. Mental illness is a disease, not something the OP could turn off and on when she wanted, not laziness and just as debilitating as "being laid up in bed."
And you might not have called her a crack head directly, but the slap in the face was just the same by comparing the two.
Here is the long and short of it
Most of the time gross line comes out pretty darn close to 65 characters unless you do addresses and a lot of numbered lists. If you uses lists, you may lose out. If not you will probably gain a little. You will really have to evaluate how your notes are normally set up.
Personally, after being somewhere for 3 years and doing a good job, I would expect a lot more that 8 cents per line gross or otherise. Just me.
short vent.....sm
Please, Dr. resident, Get A Kleenex. I've never heard so much sniffling and outright snorting in one report. I'm sorry you have a cold or allergies, but holy cow, doc, you're gonna suck the phone up your nose! 
Thanks for letting me vent.
Short cuts
Ctrl U - underline
Ctrl A - blocks all
Ctrl S - saves
Ctrl X - deletes
Ctrl C- copies
Ctrl V - pastes
. . . and my favorite Ctrl Z - brings back something you accidental delete.
I hardly ever use my mouse as it breaks my rhythm and slows me down. If I think of anymore I will send them your way. Did you know that if you hold down your Ctrl key and use the arrows you can move around a document that way?
The short cut keys help.
You move around the document much more quickly. The short cut keys for the header, ccs, template, etc are key. I'm not a huge fan of the alt+K but I still try to use it. I also use just my autocorrect for expanders.
Life is too short....
don't sell your peace of mind and health for a few bucks - you can never buy it back at any price once it's gone. Take care of yourself.
short-cuts
I've lost my short-cuts...could I have hit a key on my keyboard? Thanks!!
SHORT HAND
I have never used Instatext, but I have used ShortHand for 10+ years and love it. It is versitile, easy to use and I can use it in every system I work in. I have used it in Meditech, Citrix, Star, and all worked well. AND I was able to convert my FlashForward to it and my autocorrect to it.
I have had it as short as 4 hours on QA sm
And no, that is not fishy a bit. For me, 3 days would be a very long time. It just depends.
Short-cut keys
Do you all use your mouse much? What short-cut keys do you find the most helpful? I am trying to cut wasted time where I can and think maybe I can pick up something new from you.
Don't sell yourself short
Hiring seems to have slowed down quite a bit over the past couple of months (from what I've seen). I have four years in and have been looking for a second company and I can't even find one right now. I know four years is nothing compared to most, but still. I could take my pick in companies this past spring/summer...this always happens though. There will always be a slow down depending on the time of year.
Give it some time, you will find a company THAT PAYS.
Good Luck!!
It turned out to be short, so
I typed it without my footpedal. My Gear Player box is no longer open to drag the windows media file into.
Now I'm having trouble formating Word. They want the margins changed to 2.54 cm (not inches), and I type it in like the instructions tell me, and save, but of course Word ignores me. Grr.
It turned out to be short, so
I typed it without my footpedal. My Gear Player box is no longer open to drag the windows media file into.
Thank goodness it was short. It was also not a medical report. Instead it sounded like a radio show with two speakers talking, but it was clear and easy.
short cut program
Hello:
I am using Shorthand. I seem to have problems saving entries into the dictionary. I have tried to get onto the board at the ShortHand site, but cannot. The problem with the entries seems to be that I can use them for 2 or 3 days, and then I cannot make them work any more and cannot find them on the list. Also, entries I have made 4 to 5 weeks ago sometimes disappear (on large group of docs rotating through their various office locations).
Any suggestions as to
1. How I should save my dictionary entries? I press OK to get out of the entry box;
2. I hit "save" at the top of the shorthand screen when I make an entry;
3. How can I get onto the Shorthand productivity board?
Thank you.
javascript:editor_insertHTML('text','');
Thank you.
Happy Holidays.
Short Cut for Windows
Does anyone know if the word list from Short Cut for Windows is transferable to Shorthand? Thanks in advance.
32 days until Spring!!!
OK.. short and sweet... TAKE A PILL !! nm
.
At least now you won't have to complain when they short you next month.
nm
I love fall but it is too short. nm
s
Almost 20 years with a short relapse.
If you get the urge to light up, do whatever it takes to put it off, don't think of it as not smoking, just keep putting it off. The longer you keep putting it off, the farther apart the urges become. You can do it. You really can.
When I first quit, I decided to crochet an afghan to have something to do with my hands. You can look at that afghan now and still tell which end I started on. The stitches are so tight and close together, you can tell I must have been gritting my teeth as I did it. By the time I was done, the stitches loosened up and so did I.
After quitting for almost 10 years, I started smoking 1 or 2 on the weekends (yes, beer was involved). Then it was 3 or 4, then 5 or 6. I found out I was pregnant, put them down, and haven't smoked another since. That was almost 12 years ago. Best of luck!!
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