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Serving Over 20,000 US Medical Transcriptionists

The new Obama Plan for Health Records

Posted By: longtimerMQMT on 2009-01-14
In Reply to:

So, anyone out there --- What do u think this new proposed plan of National Health Records being computerized within 5 years?  What would this mean for MTs.  CNN says it would require thousands of highly skilled Medical Records experts to get it on board.   Any comments?  Is this a good sign for those of us in the Health Documentation career field.  And could it mean tighter control of records going off shore?


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Obama plan
The company I was working for the past 10 years went digital. It just meant that all records were copied into the computer, including transcribed reports, it had no effect on the transcription department. It only affected those in Medical Records seeing as there was no need to have as many people there anymore to make copies of films, records, etc. I hope this is what he is talking about. There are still alot of companies that have not gone this road and use alot of paper records.
By the way, what is Obama's plan to ....sm
address offshoring? I hope he really does do something.
Obama's plan to implement EMR
What do my fellow MTs think about Obama's ambitious plan to implement EMR throughout the US? I had 1 person tell me that means there will not be a need anymore for transcriptionists as physicians/nurses will just input information and create a medical record themselves. Part of me disagrees with this as the work I do is an EMR.
Obama's healthcare plan

Anudder MT, Obama's plan will cost 1 trillion dollars and will only give health care to 16 million people out of the 46 million he keeps talking about. Out of that 46 million, about 15 million aren't even Americans - they're here illegally - and I don't know about you, but I don't want to pay for their healthcare in addition to my own. YOU may be rich, but I'm not, and if that makes me selfish, so be it.


And FYI, in Massachusetts, their mandatory single payer plan was supposed to cost 125 million but 3 years after implementing it, the cost has risen to 800 million. How do you know when a politician is lying? His lips are moving. And I hate to break it to all the Obama fans, but he lied when he said he wanted to rise above politics as usual. He's a Chicago politician, the worst thug of all.


Health records

Where can I locate the AHDI recommendation on length of time for MT business to retain health records?


 


If it's ok with you if your health records
go to some filthy disgusting third-world country, at the expense of your own job and livelihood, be my guest. FYI HIPAA laws are only for this country. they can do whatever they want with your private health records. It's not just fires. The QA sucks, communication barriers suck, economic consequences of MTs who have lost their jobs BECAUSE of greedy Indian MTs,.... List goes on. Go ahead and be a bleeding heart, but don't be surprised when your job security stops beating as well.
I am not sure about the health records part
PO does not have any of my husband's health care records, and he does not use any sort of PO identification number when he goes to the doctor. So I am a little confused by that statement.
Didn't California pass a law that their health records
nm
Health information personnel, medical records, clerical..sigh...nm
s
National Health plan are you kidding.
The US has THE BEST health care in the country. Yea lets go ahead an nationalize it so the doctors have no need to compete to be the best. Btw before you make broad statements about health care. Look at Canada and UK. They have waiting lists for years for cancer treatment. It's like 6-9 months for a hip replacement. NO WAY NOT IN THIS COUNTRY. If you don't like your insurance find another plan....We need to take care of ourselves, not have the government babysit us....
Study found that electronic health records did not boost patient care. sm

Link to article on yahoo news stating that electronic health records fail to improve care, study says.


http://news.yahoo.com/s/nm/records_dc;_ylt=AsT2t1nasUEaoOxgIsyoMUOs0NUE


 


 


Can somone recommend a good health insurance plan for my son who is in college? *sm*
He needed one more class for his bachelor's degree and because he is not considered full-time, he is no longer covered on my plan.  Thanks.
You're confusing the new QA plan with the new pay plan. New pay plan is still completely under wr
Shhhhhhhhhhh....
okay, york hospital said they had delivery records, but no prenatal records. sm
they had no idea who she practiced with or anything like that and of course SIL doesn't know any name other than Freundel. i am also a midwife besides being an MT and in order for me to take her given her bicornuate uterus, i have to have her records. i guess delivery records is better than nothing, LOL, but i have to have her prenatal records. i wonder if there is a clinic there or something that med students rotate through. i couldn't even find ms. freundel on AMA, but she may not be through with her training yet either and that is probably why.
patient records and prisoner records
Does anybody know if our USA prison system is keeping prisoner records in the good old USA, or are those records offshore outsourced too? I am just curious because it seems to me that law enforcement in general does not offshore records, and I was wondering about prisoner records? If anybody knows, please post. Thanks in advance.
I am talking about the QA plan I dont know what the new pay plan is.
:
Obama
Has mentioned numerous times about getting all health records in computer system. I wonder if he is talking about the point and click type? I believe he has mentioned giving funds for getting things going.

Maybe we should write to him to explain it can be done now with our electronic files and that we certianly don't need to use our jobs.? Anyone know how to actually get through to him?
Barack Obama
//
im sorry, you think Obama cares about MTs?
yea, right. im sure all the politicians do, but newsflash Obama as a president is NOT healthy for small businesses

bottom l ine there needs to be a standardized MT industry, but nobody steps up to the plate to create it. The general public has no idea you think? You think they'd like it if their medical records were being done overseas? not so sure most would... they just dont KNOW it. who fights for us anyway?
Since Mr. Obama is so wonderful -


that's why Obama is the most logical choice
x
I've already decided on Obama ----- sm
His opponents and detractors keep saying he's "inexperienced". Yeah, and look what "experienced" politicians have brought to the table in the last few decades.

New ideas are good.
Youth is good.

I think it's time for a new way of doing things in this country, not the same ol'. It's a new world, with new problems (such as the plight of American MTs and other workers), and maybe he'll bring some relief (or at least some new ideas on how to get it) for the dwindling middle class, which has been carrying the weight and finances of this country on its shoulders for too many years.

Time to stop letting our country get s*****d by India, Mexico, Asia, and others. And I think he has the ability to say "no" to these countries without starting a war with them.

Sometimes "inexperience" is a refreshing change.

That's 1 reason why I voted for Obama -
stay in this business is if the tax breaks are ended and the loopholes closed for companies that outsource what used to be good American jobs. Ending offshoring entirely would be nice, but I doubt it'll happen. But it should cost less for companies to hire American workers at a decent, livable wage, than it does to send it offshore. Offshoring should be something they do in a pinch, not as a standard practice. Yeah, so what if they're making more money the way they're doing it now. Doesn't make it right. They're greedy and they're un-American when they put thousands of hard-working American MT's in the poorhouse, or out of a job.
Obama's new task force
Maybe if all of us posted something here about medical transcription jobs being sent overseas, it could help? I'm not exactly sure if this would be the right place, but I think I'm going to write something about it. Have a nice weekend! :)

http://www.whitehouse.gov/strongmiddleclass/
That is What I am asking Obama-here's my letter to him (long)

Dear President Obama:

How's the new job?  Keeping busy?  Financial security?  I'll bet.  Are the American people keeping the mortgage on the White House up to date?  Great.  Kids have everything they need?  Wonderful.  The American dream.

Me?  I lost another job to offshoring - AGAIN!  It's funny, I can't seem to find any concrete figures on just how many U.S. jobs are offshored.  There are only estimations by different agencies and economists.  The Population Reference Bureau stated in October 2008 that it was nearly impossible to get an accurate scale and scope on this, but they estimated about 30 million U.S. jobs are offshored and increasing as I write this.  Nothing about the tax implications.  Does the government know?  See what you can find out.  I imagine definite figures are a difficult task since the companies do not seem to want to fess up about just what percentage they are offshoring.  You stated you were going to eliminate big tax cuts on these companies doing the offshoring.  When did you say that was going to happen?  Mr. President, I don't think they care.  Just this last quarter they have increased the offshoring significantly due to that very fact.  Is there a Plan B, because jobs are leaving the U.S. faster than you can create them.  Did you take that into account in your stimulus package?

Now about we the people and that stimulus package.  I read that these big banks who received stimulus payments of about $150 million actually requested 20,000 new visas for foreign workers (up one-third).  That is not going to happen, is it?  With our own money?  See what you can find out.  We the people have always stimulated the economy, worked hard, and paid taxes.  You know, the American dream.  Now our jobs are being given to foreign workers who do none of those things.  What gives?  What impact does the loss of tax dollars and funding toward social security have on this country?  No one seems to know.  See what you can find out about that too.  These figures must be astonishing.  If that is not a drain on the system, then the people in line for unemployment income certainly is.  The stimulus money is not going to trickle down to us.  You see what they are doing with it.  The best stimulus package you could give we the people is to save our jobs NOW so we can return to stimulating the economy.  We can not spend what we do not have, right?  Wouldn't this go a long way toward economic recovery?    See what you can find out.

While you are checking on these astonishing figures, let me give you mine.  The pretty simple fact is that my unemployment income is only going to be 50% of what I was making and only for a period of about 6 months.  Now you know companies are not hiring, right?  That would mean that in approximately 3 months something in my budget is going to have to be cut; food, health insurance, heat, the mortgage.  Which would you choose? 

We the people look forward to hearing from you on how we can just simply get back to work.  No bonuses thank you, just our jobs.  You know, the American dream. 

Jobless in the USA


P.S.  Mr. President, I know this was way before your time but no one told me.  Did bin Laden win back in 2001?  See what you kind find out about that too.


Not just Obama, send to all your representatives
x
Obama GUTTING Our Profession!



BO's "stimulus" (StealFromUs is more like it!) will disseminate tons of taxpayer dollars so that doctors will go completely electronic in their recordkeeping (including transcription, not just billing), and the company of George Bush's first cousin, Jonathan Bush (CEO of Athenahealth), is cashing in.  Of course, Bush is ecstatic about what Obama is doing (both parties answer to the same puppetmasters, after all, so at the end of the day Bush and Obama aren't too far apart when it comes to the big picture anyway).

 

So some of you who are so mesmerized with BO, please explain how gutting our profession will "create jobs."      

 

This simultaneously destroys our livelihood while ensuring another transfer of wealth from the taxpayers to the elites/their cronies.  So what else is new?!

 

Don't forget that Obama is Cheney's cousin, so they are all more "connected" than you think.

  

VIDEO ("Obama Turning Doctors Digital):


 

Athenahealth's home page:


 

Details:


For your information, I voted for Obama already last week, but..
I don't know what politics has to do with my post. I only posted that I greatly increased my personal line rate per hour with sitting my butt down and actually doing my work and not finding other little things to do.

Yes, there are days when I want to pull my hair out with my ESLs and there are days when everything flows just fine. I am in the same boat as everyone else as an MT. And the things you are mentioning are beyond your control - I was increasing my line count with the one thing that is within my control - staying seated and typing.
Yes! Today the Obama head economist said...sm
no more tax loopholes for companies that outsource American jobs. Now Congress just has to pass the bill!
GOT A RESPONSE ON THE LETTER TO OBAMA FROM 1 NEWSPAPER - Not Sure What to Do

It is just a small town paper, asking some general questions about outsourcing/offshoring, pay, types of businesses, etc.  I told him I could not tell him what I actually do for a living or name my company.  Can he find that out? 


I also sent the letter to the Washington Post, Fox News, NY Times, Associates Press, 60 Minutes, and USA Today.  I inserted in the letter about uncertain figures that by my calculation, the number of jobs offshored would be more or less the equivalent to the total population in 3 states in the U.S. 


What will I do if they find out who I am and who I worked for?  Can I be sued?


Once President-Elect Obama is in office, we'll
in the last 15+ years to make our voices heard. He, too, wants to tax the crap out of companies that offshore American work, which is as it SHOULD BE! Why should America be ENCOURAGING companies to offshore?

India was one of the few (if any) countries in the world who was not happy to see Obama get elected, and precisely because of his views on offshoring , and taxing the companies that do it. He will be getting his ducks in a row and formulating his agenda in the first months of office, and that is the time to be sure that all members of our government who can be reached by phone, letter, or email, should be given specific feedback on how offshoring medical records is hurting US, as well as patients, and the rest of the country.
Please! This is called progress and it was in effect long before Obama came into office.
Try being a freethinker for once and stop following whatever someone else tells you based on supposed "facts."
I just sent Bill O'Reilly a copy of letter I sent to President Obama. Anyone who can, email him
while the topic is fresh from his recent show. I do think Bill O'Reilly can at least get this offshoring debate out there, and right now we need publicity and basic facts to reach the viewers.
Yes, you can get the records. sm
First of all, let me say congratulations on getting out of a bad situation. I've been there and done that, and I know that it's not easy. Everyone seems to think that it's just an automatic response to leave, and no one seems to understand why a spouse would stay after something like that, but unless they've been there themselves, they just don't understand how hard it is. So {{big hugs}} to you and stay strong.

Now, as far as the records... yes, they are public and you can request them. You need to know the names of the towns/cities where he's lived and where he may have been charged before, and then simply call the court clerk there to request any and all documents.

As far as him having scratched himself to try to show you were the aggressor, I wouldn't even worry about it. That's a common tactic that abusers use to try to shift the blame. It won't work. He's not as slick as he thinks he is.... anyone who's dealt with abusers before knows that this is a pretty common trick that they use.

Please, stay strong and keep yourself safe. I've been there, and I know it's not easy. You were with this person because you loved them, and that doesn't just magically disappear once they hit you. It would be much easier if it did. Try to prepare yourself for the inevitable crying, apologizing, swearing he'll get help, etc. It can all be very believable and convincing, but trust yourself and your instincts, and if you need to talk, I'm here.
Can top that... in my mom's records
the pt is a 52 yo woman of "advanced age"... it put about 10 years on her when she read it... I don't think she would have been near as upset with the doctor if he had performed the wrong surgery as she was about that one....LOL
Even if ALL records are on EMR, there will
still be a need for MTs. For facilities not on VR the reports still have to be typed and the ones doing VR need editors. An EMR does not mean there is no need for MTs, just means that the records will be computerized for easier access.
I have also gotten my records for sm
hospitalizations for a chronic illness (all 64 admissions) and the records are a mess. But its not with BOS errors, it is with gross medical errors!!!!!

I think the so-called standardization should be that these places hire MTs that know what the heck they are doing. The hospitals and clients can figure out their own account specifics. I have hired plenty of MTs in my career and no way would I turn a good MT away who knows their "medical stuff" but doesn't know the specifics of the BOS! Thats like cutting off your nose to spite your face which is what htese companies are doing. I think they are more worried about the BOS because the people doing the hiring now dont' even know how to do MT themselves. I guess the only thing they can relate to and know anything about is that doggone BOS!
Doctor's records
When a physician retires or otherwise closes his practice, he must offer his patients the opportunity to pick up a copy of their records, which he may or may not charge for photocopying.  The original records must be kept by the physician for a period of 7 years after the practice closes.
Digital Records - SM
Most come with software and a docking station and software.  He would need to dock the recorder and transfer the files to you, either via e-mail or send them to a secure FTP site. If you order it through Transcription Gear, it comes with really cool software, including a player for you.
It's not so much as my records personally....
it's the idea of a large group of United States records being sent because if they can find a way to use it against our country, they will.
What do you mean, prisoner records? (sm)
Most medical records are handwritten. All records having to do with crime, time served, etc., are computerized. Many states have web sites that allow you to access the records and see if people are still in or released. What would there be to offshore?

Records for working as an IC?

I have been fortunate enough to work at only one place now for 7 years and be happy, BUT things have not been the greatest lately.  I am considering taking a position with another company part time, but it would be an IC position.


My question is, are there any special records I have to keep for tax purposes and so forth working as an IC?  I know I am responsible for my own taxes, right?


Any advice or info is appreciated.  I have never worked as an IC before, so I feel a little green on this topic.


and this is how our records are transcribed =(
x
Illegal records
I worked for a hospital years ago and sometimes the dictation did not come through our system correctly even though the doc knew he dictated it. We had several docs who absolutely REFUSED to re-dictate, stating they dictated once and that was it. Several times, I personally had charts out of the hospital (which would scare me now to do this) at my boss' request and made up or gleaned from the chart the discharge summary. This was an orthopedic doc that I also worked for, by the way, so I practically knew what he was going to say before he said it. Several of us did quite a few charts like this as some of the docs WOULD NOT, absolutely WOULD NOT re-dictate and we needed the discharge summary and/or op report in the report. Scary or not, we did it. Don't know as I would do it now, though.
School records
My husband works at a school, and I can verify that school records are legally confidential, just like medical records. Only authorized personnel have access. I do not ever remember giving family history information, but schools now are required to have a nurse on staff who handles any medications the child is on, etc. I do know schools are required to provide physical therapy and speech therapy if a student needs it, as my child has cerebral palsy and had to have PT. The school was required to either provide it there or provide transportation to a facility where she could receive it. I thought this was a bit ridiculous because I thought that was my responsibility, but I guess the state feels like some chldren would not receive the help they need otherwise.
Old patient records

Does anyone know when you no longer have an account what do you do with the old records.  Can they be deleted because they are no longer your account or do you have to save them in case the account ever needs them?  All their notes over the years have either been printed and delivered or emailed to them and I don't keep them past a year.


Old patient records
When I closed up my accounts, I always gave the reports I saved on CDs back to the clinics. After all, I didn't need them any longer.
It's horrible, all old records mean nothing sm
Our docs' private practice uses this now. As patients we asked where our old records were as no more charts and we both had very serious illnesses. Told they are in the basement should they have to refer but were asking questions they should have known the answers to. It was as if we never existed on the face of the earth to them after 18 years. I'm disgusted, it's like your past history means nothing to them. I would like to slap them but I can't. Jeesh, what next? The pharmacy now connects electronically to them and we were told not to call for Rx anymore, just call the pharmacy. The pharmacy said it could take up to a week. We have to call and remind them to check their computer as we are waiting for a refill okay. Robotic! Electronic supermarket checkouts, Rx's, digital phones, no people. Even the casino uses paper tickets now instead of money coming out. It sure goes in as money though! And if it ever does come out in a ticket, you have to go to another "machine" to get the money. Don't gamble but once or twice a year and just a sign of the times, everywhere you go, no people - just robotic machines. Surgery included! Detachment from people!
Just because the records go overseas
does not mean the laws are being broken. Granted, they cannot be enforced, however, if the company doing the overseas transcription does not follow the guidelines, then something might be done. However, unless there are specific cases, you cannot say laws are being broken. I am sure their contracts state they have to abide by our laws.
medical records on the net
I think this drive to put medical records on the net will ultimately put us all out of work.
Are old records from AAMT available??? sm
Silly question but 18 yrs as CMT, tons of CME's (overly done) and president of local chapter for years. Was that all for nothing?? Hate to even ask!