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Templates from doctors

Posted By: sammypot on 2007-09-26
In Reply to:

Really need your thoughts. One of my doctors has about 50 templates/shells. When doing combined procedures he will tell me to just combine the 2 or 3  or 4 shells he has for the individual procedures without taking out whatever is redundant or conflicting. I have to do that. Several of these individual op reports are 3 pages long, so can end up with a 6-page final report.


On his follow-up notes, he will use a shell and then say "add this to the physical exam" but he does not say what to take out of the standard note.


Many of his op notes have numerous variables. He oftentimes does not tell me which to use and/or which to delete.


For "risks" he will dictate some and then say "and add whatever Dr. X uses."


I am requesting a meeting with him and with the office administrator, but would like to know what you think and what you would do.


Thank you


 


 




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Templates......
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Re: Templates

Yeah really... we get screwed over enough, let us keep SOME things that work to our advantage.


We have templates where I work but - sm
we get paid for all that (no spaces though). They do the templates because is it what the doctors want at the hospital I type for; they all have specific needs. They put in jump markers {} that we jump to using Alt-F (WP 5.1), so it is very easy to get through. On a account of my own I did the same thing on the template I made up for myself for 1 of my docs in MS Word, jump from spot to spot, very easy. If you can save the template and make your own "markers" to jump to, yes, you still have to delete unused ones but boy is it a lot easier.
question about templates.

I have a question about during a physical exam portion, I know what it means to "flush left, sub headings all caps," but what is the other instance of "stacked form". thanks. 


Templates in Meditech
When I worked on Meditech for 15 years, there was something called canned text.  Ask your new employer if there is a way to submit canned text entries and how this works. 
Thank you all!!! i do use templates, but its easier for me to just add the cc on the ones i need as
i put the cc: in autotext and it is working like a charm!! i have never used autotext, just autocorrect and it wasn't working in autocorrect. never knew what autotext was about. thank you so much!!!!!
I have templates for one account that are
n
Creating Templates
I am looking for a way to create a sample report and put ?? in the places where changes would be made, using a control key to jump from ?? to ??    i.e.  This ?? year-old ?? patient.....Blood pressure ??, pulse ??, temperature ??,  ETC. 

Question on templates

Okay, I have a new question.  I'm trying to create a form or template that I can insert information on. How do I create the form with lines so that I am able to insert information on these lines?  Is this possible?


Almost no templates and close to 40 hrs sm
it is all OP notes. Actual my-butt-is-in-the-chair-typing time is 35 hours or so. Shift time is different. I had one day this week when I could not sit for more than 5 hours of my shift total. I had an 8-hour shift and quit after 7 because I could not sit any longer. Lines were 1350 for that day. I remember it as a distracted day, not one where I worked for it.

I often wonder if I were more motivated, if my body didn't hurt when I sit for longer than 1-1/2 at a time, if I could churn out more lines. There is no reason I can't do 30,000 every 2 weeks, except that I can't sit still.
So what if it's with huge templates....
600 lines an hour is 600 lines an hour whether it's straight typing or using templates. I WISH I had huge templates.
Questions about templates, pay, etc.
I work for a company that uses templates.  The work is extremely easy, but for each report we have to subtract the line count that equals the templates...anywhere from 8 to 13 lines depending on the template used.  Over a course of typing this adds up.  The pay is average.  I am wondering if anyone else types on account that do this and what your thoughts are about it.  Do you feel you make up in typing what you have to end up taking away in the end? 
Questions about templates, pay, etc.
I work for a company that uses templates.  The work is extremely easy, but for each report we have to subtract the line count that equals the templates...anywhere from 8 to 13 lines depending on the template used.  Over a course of typing this adds up.  The pay is average.  I am wondering if anyone else types on account that do this and what your thoughts are about it.  Do you feel you make up in typing what you have to end up taking away in the end? 
MPLite templates

Hi,


MPLite templates are Word documents in the TransMP Formats folder whose filename is used to differentiate which templates belong to which clients. All the templates you have for a particular client will show in the Document Information screen.


1. Start with a blank MS Word screen, and create the template you need there. Use the codewords (eg Last? First? MR? DOB? etc) to tell MPLite where you need this information put. Make sure each contains the ? at the end of the codword, and you'll find a complete list of available codewords in the help file in the chapter Formatting Templates. You can use headers / footers and any other formatting features in your templates.


2. Give this template a name in the pattern FacilityInitials_DescriptivePhrase.RTF. You have to save them as RICH TEXT FORMAT in the Save box, and save them INTO the TransMP  Formats folder. The Facility Initials must match what you entered for that when you registered the facility. Keep the descriptive phrase relatively short, eg, CON, FU, XRAY, HP, DC. If this is a template for a hospital or clinic, you can has as many templates for a facility as you like and can differentiate Dr. John Smith's Consultation by use the descriptive phrase CONjs, and Robert Youngs as CONry or CONyoung. (Note it is an underscore _ and not a dash used in the template filename.)


The list of available templates is refreshed when you start a session. So if you create a new template while in a session, cancel the session, and then reset it so the template list is refreshed.


If you have other questions about the templates, please ask.


Best wishes,


Vann Joe Turner


yes if you are doing Radiology with all templates. sm
I've been working on this platform for almost 6 years now, doing all acute care, all worktypes, and my highest monthly lines per hour average is 685. One time I averaged 938 lines per hour, but that was one day with all the same dictator and all the same worktype.

And, my account has been on VR for 5 years now.

So, to answer your question - In my most humble opinion, it is NOT really possible to do 1000 lines per hour every hour or every day and keep the high standard of quality at 99-100%.

Does this work on all templates....sm
I have been trying to figure that one out. How do I keep from having to take my mouse and skip to the next field? I suppose F11 is it. Thanks I will try it.
Question about templates
I am wondering how you make a template so that you can hit F12 to skip to each section.  Thanks!
Are you pulling in templates? If so,
you will have to check and make sure they are set on 100%.
I do ER and do double that. Lots of templates, etc.
xx
Why in the world did you give them the templates?
That was pretty ballsy of them to even ask you to do this.
My client loaded my templates into their EMR and are now doing it themselves
I feel for you. My clients had me turn over all my templates/macros and loaded them into their system and are doing it themselves. This was after dishing out thousands and thousands of dollars in equipment and training additional staff. I was making $7,000 a month and now it is $65 a month if I am lucky.
see, there's the difference . . . some of my templates have 50 lines already in them(sm)
that we have to scroll through.  The patient demo info is a matter of six lines.  The rest is all headings.   I don't mind inputting the patient info, it's the scrolling up and down the page and adjusting the pre-filled headers that takes up so much time.
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Would really appreciate any pointers, or even links/websites where I might be able to find simplified information on how to do this.  I am a little "behind the times" and not very experienced on much besides typing at this point.  I will be changing direction soon and need to update my ways of doing things.


Thank you in advance for any tips or direction. 


Am not real sharp with templates but here is what I do
I do op notes for my derm doctor and they wanted the letter head on each op note and there are all headings on the note.  I make a file for the op note with the letter head on it (centered) and then all the headings.   I do an "insert" file each time I do a new op note after finishing the old one.   Don't know if this is the same or not.  But I find inserting files easier.  I do this with H&P's, consults, etc.  Then I just go through the headings as he dictates and fills in.  This works well when I am doing a combination of chart notes and consults/H&P's or sometimes letters and then he goes onto op notes.   Do not do an "open" do an insert of the file each time you want to do a new letter or OP note in my case.  Of course I am not completely computer savy and so this might not even be what you are talking about. 
Be sure to back up your normal and other templates.

These contact your auto text entries.


Yes, definitely include your templates in your counts. nm
xx
Even with AC, you need to use templates with default fonts so you sm
aren't constantly switching back and forth. Instant Text will work the same way so you don't have to save half a dozen entries just to get the correct font.
Not paying for normal templates
I once did work for a radiologist who felt that we should get  paid less when using normal templates.  My question to him was --do you get paid less for reading a normal study---
Multiple accounts/templates
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If you use WordPerfect (5.2 or a newer one, but I like 5.2) it is a snap. You just use PRD (which utilizes function keys) and you store your documents and templates as usual and then you can "open them up" on the fly. I love this. You just put in the path to that document or template once and it is there forever or until you delete it or change it. With PRD you can have multiple glossaries too if your computer can hold them. The key for me with both Expanders was to be consistent with the way I save things. For instance, all the addresses used for an account (which can be many) I store under ad. So, if I want Dr. Harold Smith I type in adsmith and down underneath all the smiths come up and I choose the one I want to use and their I have it - I do two for each -one in standard form and the other like this: SMITH, HAROLD MD, 1111 FIRST AVENUE, ANYPLACE, ANYSTATE 11111. The other in the form for letters and envelopes. I have a drugs glossary, a surgical equipment glossary, and one for each specialty, sometimes a separate one for a specific doctor. I then use the "include" feature and group them up or mostly I now just use them altogether and I think that glossary (my everyday glossary) has about 8,200 entries or something like that. InstantText is wonderful. Try it if you haven't or, if you have, try to learn more of its features.
Creating Templates in Word

Anyone familiar with creating report templates in Word ? 


If they send you templates in 2007, you won't be able to
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Headers/templates wrong
Anyone else have the problem of the proper headers/templates not coming up and wonder why the proper docs aren't informed and why we have to correct it by clicking and pasting?!
I do not give a lower rate for any templates--I still--sm
have to pull them up and there are usually changes that I have to do. I charge my rate x 3 for envelopes and they supply the envelope. I also charge for cc's--if the name and address are provided. If not, I do not print an envelope for them, the office does.

Your other option would be to have his office print the envelope. My ink cartridge runs about 25-30$ depending on where I get them, and can get very expensive depending on the amount you will be printing each week.

I also do not take anything off my rate. I have figured how much I have to charge in order to make a profit and do not vary from that. If he gets you to drop your rate below your profit margin, guess how long it will take for him to spread the word to his friends that you will come down on your rates??
What is your typing speed and do you use a lot of templates or have repetition?
??
i just put my templates in autocorrect and name them as like hxmacro, etc. seems easier to me. nm
;
Anyone familiar with making MS Word templates?
I am trying to make a bookmark field, one that will take the text that I type in the first time and copy it to another location further in the document. The problem is that the font size is different in the second location. It changes from 12 pt font to 10 pt font and the copied text is not changing to the correct font. I hope that makes sense. Any ideas?


This is why you should use templates with default font settings. sm
You create documents from one template that uses Arial and one that uses Times New Roman. When you create an AutoText entry in either one, you can use it in docs created by either template because you used the default font. Your entry will always expand in the font used if you just open Word and manually change the font and start typing because you didn't use the default. Hope that makes sense.
Templates raising line count ok?
I have a doc who wants to start using templates with many "much-repeated" phrases already typed in.  The template could be rather lengthy for new patients, not so much for rechecks.  That's fine with me, but it is causing my line count to go way up and I'm not sure that they will be willing to pay this much of an increase once they see just how much it is.  Do I let them make the call, bring it to their attention or keep quiet?  I just don't want to start depending on the extra money and have it jerked away suddenly when they "come to their senses."  Any input is greatly appreciated!!!  Thanks!
Should add.....now I need to get other things backed up, i.e., expanders, templates, etc. nm
xx
normals, templates, shorthand programs, etc
I was reading an earlier post that refers to companies making adjustments in our line counts because we are using these word expanders.  I have been wondering about that because even using as many as I possibly can, it seems like it does no good. I do about as many lines as I would normally do just typing the darn things out.  How are they making these adjustments, does anybody know and is it legal? Seems we have no standard anymore as to how lines are counted and companies are doing whatever the heck they want to us.
Make sure you are looking in "All Active Templates."

I work for a company that uses templates and we get paid for them. nm
x
Why I had to put templates in AutoText and "Active Words"...sm
I just left a company where I had been for a while using their web-based platform. The platform was called Scribe and was Word based. However when it was linked with IT, it literally took forever for some of the Expanders to print out. I would also get misspelled words like "CCCHIEF COMMMPLAINT." I could honestly type faster than it took to wait on the longer expanders to appear. That's why I resorted to putting them into AutoText. After hours of research, I did finally figure out how to create jump codes in Bayscribe now. I'm really considering storing my actual templates into Active Words though. If I should happen to be put onto another platform, I'll have access to anything I put in Active Words. Universal is the way I would describe it in that it doesn't matter what program you are in, (email, forums, IMs, Word, etc.) it will expand your short-cuts and templates. It doesn't just expand either. I can type in "samp" and press the F8 key and it will pull up a folder that I have in My Documents where I keep any sample reports I need to see. You can also assign trigger words to take you directly to a particular web site. It's amazing! I just wish it hadn't taken me this long to discover it! I'm on a free 60-day trial, but I plan on purchasing it.
Why I had to put templates in AutoText and "Active Words"...sm
I just left a company where I had been for a while using their web-based platform. The platform was called Scribe and was Word based. However when it was linked with IT, it literally took forever for some of the Expanders to print out. I would also get misspelled words like "CCCHIEF COMMMPLAINT." I could honestly type faster than it took to wait on the longer expanders to appear. That's why I resorted to putting them into AutoText. After hours of research, I did finally figure out how to create jump codes in Bayscribe now. I'm really considering storing my actual templates into Active Words though. If I should happen to be put onto another platform, I'll have access to anything I put in Active Words. Universal is the way I would describe it in that it doesn't matter what program you are in, (email, forums, IMs, Word, etc.) it will expand your short-cuts and templates. It doesn't just expand either. I can type in "samp" and press the F8 key and it will pull up a folder that I have in My Documents where I keep any sample reports I need to see. You can also assign trigger words to take you directly to a particular web site. It's amazing! I just wish it hadn't taken me this long to discover it! I'm on a free 60-day trial, but I plan on purchasing it.
Today I got very lucky...made $50 in an hour with OP templates. nm

in the future, there will be no more dictation...only formatted templates...see inside
it is called point-of-service, or something similar - where a doctor sits next to you, and enters all your info into a palm-size computer. No need for dictation, eventually no need for billing. it will all be done at the time of service.

this is the website and below is the person overseeing it's fruition:

http://www.mohca.org/standardsbodies.php3

Claudia Tessier
Executive Director, MoHCA