Sick of slow systems that cheat you out of lines!
Posted By: ERMT/OncologyMT2 on 2007-04-11
In Reply to:
 I am just so sick and tired of going to the trouble of testing and listening to recruiters tell you how wonderful the company is to work for only to learn later that the system is slower than molasses, has a sub-rate spell checker and knocks you off after each report you transcribe. I haven’t come across a user friendly platform yet. My current job cheated me out of 63 lines the other week and the new job I just started says in the contract they pay for spaces. I checked the numbers and used my own line counting software – guess what . . . screwed again. Are there any small companies left in the world, which allow you type in Word and pay on time?
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They dont need to cheat now since they have lowered all the lines pay and will probably push like
crazy now to get everything they can on ASR.
I AM SICK, SICK, SICK AND TIRED
Of bad dictators and QA that takes up for them!!!! I am sick to death of:
1. Doc saying paragraph after every sentence.
2. Docs never dictating the first name of doc they are writing to.
3. QA asking us to insert certain sentences in certain places for certain doctors who do not dictate them.
4. Docs wanting their own specific headings but not dictating them.
5. Docs who ramble, never saying period.
6. QA asking us to **fix** their grammer, mistakes, fragmented sentences, and verb tenses and sometimes when we do, we are docked points for **not transcribed as dictated.**
7. QA not wanting anything sent to them, stating **researach medical terms and facilities you are not familiar with.** If they are not there to help us out, what are they doing there????
8. Docs, NPs, and PAs who do not know how to dictate, pronounce, or spell.
9. QA asking us to use BOS, but not knowing it themselves.
10. Doing work I do not get paid for.
Before QA became involved, in years gone by, if a doc's dictation was awful - then that is what he got for transcription and more times than not, they would straighten up and make a better effort. Not now - we or QA has to almost do the dictation for them!! They are the ones with the medical degree - not us. What happened to us just transcribing what is dictated. Why can't they be responsible for what prints out?? If someone could let them know how much trouble their dictation style causes, it would cut my transcription time in half. My list could go on and on. It is a terrible time to be thinking about getting out of the business, but if this crap keeps up - I have to give it some serious consideration. The job just AIN'T what it used to be.  
Slow day for me. Typed two reports in two hours. Anyone else having unusually slow day?
dd
why your men cheat
they cheat because you expect it as "it's in their nature." You must not require more from them. I mean it's like a dog (not being funny). If you expect that they will pee in the house and train them to go out, that is what they will do. If you don't have any standards as to how you want to be treated and what lines they cannot cross, then you will get the bottom of the barrell and be treated badly. You need to have some self-value and make it known from the beginning what is expected and follow through.
I can certainly see why YOUR man would cheat
I certainly would if I was married to you.
Get over the bitterness and GROW THE "H" UP ALREADY!!! 
I'm not trying to cheat either
I just want to be able to eat 2000 calories a day but only have 900 of those calories actually go in my own body and have my husband take the remaining 1100 calories in his body since he's so skinny. Is that cheating?
I know men cheat, its in their nature. I'm just saying
They don't commit either, and when we get cheated on or rejected it hurts and its just difficult. I wish they weren't like that, always wanting to go after something younger, better or sexier, but yes thats the way it goes. Its awful. Women get the short end of the stick in just about everything. I'm not saying there are no good men out there, but for the most part, I just cannot ever trust one or give up my life for one ever again. Its sad. Guys can find committment and love easily but we women have to claw, grip and lose our minds to find it and hold on to it.
can you cheat and make sm
the stuff you want to stay put as a "header", and that way it's unaffected by the centering of the rest of the document?
Or will someone see that and have a problem with it?
I mean, just do that until you can figure out something else, or until someone more brilliant than my good self comes along ;-)
I'll give it some more thought.
If I read this right, you only want PART of this document centered vertically on the page, right? Just a decorative letterhead? I mean, to me, like I said, I'd just set that up as a header and not give it a second thought. If I'm misunderstanding what you are saying, let me know.
HTH :-)
I wouldn't help someone cheat on a test. sm
If she can't pass on her own, how will she do the actual work?
You're a jerk and a cheat. and a disgrace to MT field. nm
..
You are too funny with the MEN CHEAT post. I had to call my
He's working out of state (isn't that just handy?). He was NOT amused because, of course, HE CHEATS! I am not 100% certain, but he's a lying, dishonest, deceitful person whom I have no trust in whatsoever. He REALLY didn't like your solution to the problem...hee, hee. I DID! It does hurt, though, no matter what. MEN DO NOT HAVE TO CHEAT--it is a CHOICE. I don't trust any of them anymore.
don't cheat yourself out a really good experience just because of fear...sm
I went to Africa in January to volunteer in a medical clinic for 18 days. Talk about leaving your comfort zone. There were two nights in particular where I really, really, really wished I wasn't there. But turned out to be a profoundly life changing experience. The word is "feel the fear but do it anyway."
the majority cheat..those who don't usually find the value in being an employee.
tsk, tsk, tsk..teaching your children to lie and cheat..nice..NOT
And the CEOs keep finding new ways to cheat and bonuse themselves.
 while keeping MTs from making any money at all. We are the ones who pay for the bonuses for CEOs, lawsuits and bad business decisions.
Considering past billing problems, why cheat anyone out of even 2 cents? nm
;
Do not cheat you chose to retire earlly deal with it
That is part of the problem everyone wants everything. If you took early retirement, stay retired. Do no try to go around the system or the rules. If everyone pays their full share it is fair. But when you try to cheat hopefully it will come back and bite you as we do not need this . Everyone needs to pay taxes on their income whether it is IC or employee. If everyone pays their share it is fair. You chose early retirement, deal with it.
I am well aware of that - just angry that parents teach their kids to cheat! nm
x
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.
Rosemarie is right on for trained VR systems. SM
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.
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
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
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