Try hospitals and/or clinics-
Posted By: Margaret on 2007-06-15
In Reply to: I would love to work inhouse, but... - newbie MT
I don't know about other places but in at least 3 of the major hospitals in my area they have people work both in house and at home. Everyone works in house to begin with and has to prove themselves before going home. Some people (like me) just prefer working in house, so it works out.
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I wish more hospitals & clinics would get the picture that (sm)
what you have just described is the best and most cost-effective way to get quality transcription. At the hospital where I used to work, MTs are treated like the scum of the earth. The nationals want us, but pay peanuts. By eliminating the middleman and the overhead of having enough office space for MTs, a hospital/clinic can pay the MTs what they're worth, the MTs can afford to keep working for them and stay on for many years, gaining a better knowledge of the doctors and the institution. Both that and having decent pay and a more flexible schedule means happy MTs, and happy MTs will go the extra mile to produce top-level work. It sounds like your employer is ahead-of-the-curve in the way it deals with its transcription needs.
try local hospitals/clinics around you
that still have in-house. My local hospital did this and the education/experience/hands-on help provided was golden. Then go home and work - you will be viewed as a step up if expierience is in-house.
DO NOT pay for mentoring.
good luck getting hospitals/clinics and the med communityto
nm
Any hospitals/clinics hiring home-based employees on an hourly basis? TIA
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Yeah, but hospitals are already largely using VR in hospitals. (nm)
(nm)
Could maybe see clinics going over to
full EMR with doctors documenting, but it would be very hard in hospitals for physicians to do this considering how complicated some dictations are.
Local Clinics
I would seriously try to find work at a local clinic if you're finding it hard to get hired with a National. I also went to a local community college. I didn't take me long to find a very small local MTSO to hire me, thank God they decided to take a chance on me. I now work for a local nephrology clinic. I definitely know though that if I tried to go out on my own, there would be no way I could have done it. Good luck with whatever you decide to do.
Yup and I love my clinics! nm
nm
Try local clinics
Or if you have a small local MTSO, they may be willing to give you a chance. That's how I started. I trained with the MTSO at her office for a couple of weeks and then I started working from home for a local nephrology group and I've been there for the past five years. Try not to get discouraged, although I know that's a hard thing to do.
That is great if you can get the same dictators. I have over 85 and all different clinics. (sm)
That is why I started my own business. It really depends on who you work for and if you get a great account your lucky. I unfortunately wasn't that lucky and after 15 years a GF and I do it locally for doctors. Much less stressful. Glad you can do that!!
I think the MDs that care in their offices or clinics sm
keep their trans in-house. My personal MD does and overseas every last little detail and she is tough! The ones who dont want to mess with it go to a service and let the service take responsibility. So neither will care....IMHO
I would try local doctors and clinics
I only work weekdays and nights only when absolutely necessary, no weekends or holidays either.
Hospital with many smaller satellite clinics associated with it
nm
So true, work for some doctors and clinics also and many are now
jumping on the save lots of money and offshore bandwagon! We just can't win. It's over everyone :(
I am an IC and my accounts are clinics and doctor's offices
So I have weekends off unless the docs dictate late on Friday, in which case I have the choice of working late on Friday or getting the work done over the weekend.
With clinic work, you don't have the constant flow that you have with a hospital. You can't work harder or longer hours to make more money. There is a specific amount of work, and when it's done, that's it. Your income will fluctuate. But if you're willing to put up with that - you can have your weekends off.
ALL of the clinics I work on use SS #s as medical record numbers, and many of them cc to the
patient at their home address, which is conveniently typed at the bottom of the report. Seems pretty straight-forward to us, then why can't the govt figure this out and put a stop to it?
Is this Holiday a major one? Clinics and offices closed?
I guess I am out of it. How big of a holiday is this? All the kids home from school today? Post offices and banks closed? Seems rather quiet work-wise. Wondering if I should start cleaning the house or keep staring at the no jobs to do in my queue.
Thanks!
TO the person who emailed me about their experiences on the multispecialty clinics, etc.
I tried twice to respond to your email and help but it keeps coming back undeliverable.
??
Yes, I always have the notes. One time, it was an entire day worth of clinics except for one!
How did they just get one note and not the rest? There have been a couple of times when the doctor just didn't dictate on that particular patient, but most of the time I typed the notes, printed and delivered the notes, and then they say they never go them! And I always have them on my PC and backed up on CD.
I'm just putting my clinics on digital too, check out enclosed links - sm
http://www.hthengineering.com/sst2.html
http://www.hthengineering.com/pdf/DigitalGuide.pdf
I have 2 clinics still on tapes, love'em! Also work for a national. Like that too. nm
nm
Check around your local area for clinics or transcription companies
That's what I did. I first started out working for a very small MTSO and worked at their office for a couple of weeks and then they moved me home and I started working on a single speciality account. I'm still working for the office after 5 years (altough the MTSO closed her business).
p.s. my clinics give me Bday gifts and bake stuff for me! I'm a skinny single girl and I guess th
nm
Most hospitals have ......
contracted their work out to the national service, a practice I hope comes full circle eventually and hospitals reopen their own departments in the name of confidentiality and quality control. I only know of 2 hospitals out of about 8 in my area that have their own department (I work for one of them). It is by far the best MT job there is, or that I have ever had. I am at home, but a regular employee. The hospital is only 20 min from my house (we have to live local). I have worked for the big nationals and saw nothing but a decline in pay. Now I get regular raises, good hourly pay, production incentive pay, benefits, and vacation time. I wish more MTs could find my situation. I have hopes for the future once the industry figures out that they are cutting off their nose in spite of their face.
Do All Hospitals
In Tennessee pay that well? I have been considering moving to Tennessee to try to get away from the hurricanes.
VA Hospitals
I did the VA Hospital dictation here in Portland and it was all contracted out to companies, no employees. But you might contact your local VA Hospital but if it is as an employee 95% chance you will have to go into work and not do it at home, if it is at home it will be as an IC and no benefits. Just what I know about it. If you think your ESL's are bad at a regular hospital, this is worse as there is a lot of ESL's there on their rotation and they could care less how they dictate as they are only there for 6 to 8 weeks. Changes that often.
The hospitals are not going to get
dial into. They'd be better off hiring MTs and paying benefits than doing that. And if you dial directly into the hospital, instead of into the MTSO's dictation system, then the MTSO has no say in 800 lines. The truth is, hospitals usually do not want to just turn all of their dictation over to a service and they certainly aren't going to pay for long distance incoming calls in addition to what they pay the service.
just sometimes it is the hospitals...
they are actually told to hold back dictation at times, due to costs. sometimes the hospitals sneak around and try other services, or voice recognition.
in the future, there will not even be any voice dictation...just templates where information is added, like data entry...
Not that many hospitals.......
still have their own dept. That's how Medquist and Spheris and all those huge nationals exist... They have whole hospital accounts. Out of the 3 large hospitals in my vicinity, only 1 still has their own department. I trolled their website for months before I found an opening, but I eventually got in. Some hospitals don't have their MTs at home, mine does. It all depends. Most hospitals have a website, so fine the one you're interested in and check out their job opportunities, and then check it almost every day and if they do have a dept, they'll eventually have an opening.
Well - believe it. Hospitals pay that. I can tell you
at least hospitals in the Philadelphia area pay up to 24 cpl. MQ charges 23 cpl. I have one small department of a hospital at 17 cpl. It is out there - pull your head out of the sand and go looking.
I wonder if hospitals know
There are American transcription companies opening up here in the US that actually work for companies in India? I had a job offer from an American company and they let it slip that they were actually getting paid by Focus Infomatics. I thought about this and what an idea! You open up a company in the states, the facilities think they are getting American work, then you actually have the work done overseas.....hmmmmm
hospitals
do hospitals now go by minutes instead of lines in regards to productivity? if so, what is the usual they are asking for an 8 hour day?
thanx!
All hospitals are different. Concerning
your "past," if it has been exspunged from your record, then basically it never happened. This happened to my BFs son and his attorney told him that since his record was exspunged, nothing ever took place, so he does not have to mention it on any job application. You might want to call your local court house or your attorney on that particular question.
I would say go ahead and apply. Good luck.
All hospitals are different. when I sm
first started, ERs did their own stuff too. But as the years went on, ER combined with the MR departments and was considered part of acute care. It is not as detailed but you get some of the same language in an abbreviated from by doing ERs, even some OP reports. I don't like ERs either though simply because the docs are usually in a hurry and they are motor mouths. I do think though that MTs now should consider ERs as part of acute care especially if they don't like ERs.
Some MT companies do split them up though and hire folks for just ERs.
SM hospitals
It's been years since I have heard of any hospital that has ANYbody working in-house.
What hospitals?? I'm soooo there
No, even the hospitals don't want to hire new MTs.
Doctors don't want to hire newbies. In office, at home, it doesn't matter. It's not about being a stay at home mommy, as you are so assuming and generalizing yourself. Everyone wants to hire experienced workers, but nobody is willing to train them. As I said, every other industry in the country trains their workers. MT seems to be the only one where people are expected to walk into it knowing everything. It's not an assumption; it's an observation. Just because my experience and observations are different than yours does not make me wrong. You're not the know all, end all to the MT world. I do have business management experience and education, so don't dismiss my observation as lacking just because it doesn't match yours.
Hospitals being sued
Seems to me the hospitals must not be very worried about being sued or they would require fluency in the English language as a pre-requisite for staff privileges. Secondly, any doctor who doesn't read what he signs pretty much deserves what he gets. Transcriptionists make mistakes....so do doctors. Thirdly, maybe hospitals should re-think how their work is contracted out. Far fewer problems when transcription was done in house.
i am sure you are aware that there are still hospitals out there
that have not yet adopted these rules. I type for one major hospital that still wants the patient's name typed in the report. Another still wants cc instead of mL. Had this person tested and changed it to the "correct" form, who is to say that she wouldn't have gotten marked off for changed verbatim. Nervous MT2, hang in there, and if you test again make sure you ask up front whether they want you to follow BOS or type it verbatim that way you know ahead of time.
but what percentage of hospitals allow that?
From what I've been reading ... the home-based service MT is averaging 8 cpl, for those dictators which make you run screaming from the room. And, I don't forsee things improving. Then again, some are lucky enough to make a line rate worthy of their skills, without worry about the dictators from Hades.
This is a bit out of date: http://www.bls.gov/oco/pdf/ocos271.pdf
My nearby hospitals pay around $10 as well (sm)
I make 22-25$/hr at home. I live in an area where average pay is low, but likewise cost of living is reasonable.
I miss the hospitals too.
But things are so different there now that the online companies exist. It changed the way transcription is handled in most places. When I went back to working for a hospital last year, the supervisor wanted a certain amount of lines per day versus minutes per day like the old days. It was an outrageous number and with no Expander or medical speller or anything.
Hospitals oursourcing
HIPPA is all about smoke and mirrors, designed to keep the masses feeling "secure." If the powers that be were concerned about privacy and the state of the world, they would have built that provision right in there from the beginning, but powerful special interest groups designed HIPPA and left out this all important factor. I personally know hospitals that directly outsource overseas, and maybe, just maybe it may have to do with the fact that the owners (doctors) are foreigners living in this country and have colleagues in India. Wheh I questioned an administration about HIPPA and what they were doing, I was told, "Not to worry, they take the same precautions and follow protocols we do here for HIPPA." I say, yeah, but who can see from here what potential dangers lurk overseas, especially with so much concern of volatility in those areas of the world. Terrorists live in India, Pakistan, the Phillipines, etc. and all it would take is a nasty vendetta against our nation and POFF!!! There goes our medical records! Now we have to be concerned that the United Nations may take over the supervision of the internet!!
Nationals: Sometimes the hospitals have their own MTs sm
and pull the MTSO off the account when work is low to keep the hospital employees busy. This probably happens more often than one might think these days. IMHO
You have 911. There are local hospitals
with free nurse referral lines. That's just for starters.
You just take the cake for stupidity with your original question and now your silly offended replies.
Hospitals Using Outsourcing
Really not so unusual for all hospitals in one city to contract out transcription. Little Rock, AR for example where I used to live, did just that, save for one hospital (Baptist), so I moved east to Memphis, because I could not stand working out of my home to land a hospital job to work in. Cost-cutting measures you know.
that would be because MDs/hospitals adore.nm
.
in hospitals it seems always ASAP - SM
I work rad (employee) in a hospital, and they are always ALWAYS working to improve TAT. From the time the exam is done to complete dictation, they want 3-4 hours. That means if your doc delays the dictation, they want transcription NOW because the doc took so long.
However, in the situation you describe, checking back in 1-2 hours should not matter that much. You should just let them know the deal - they probably know how that radiologist is as much (or better) than you. Maybe they/he could call or email when he is done?
My hospital has a contract with a sister hospital to do their radiology - they have radiologists that do this exact same thing. We told them when our staffing is available. If they do not dictate during that time, then their reports are delayed -- no question. they have to deal with it.
Doing it yourself, your situation is different, of course, but hopefully they would work with you to let you know when the work is available so that you don't have to be "on call" for them.
As far as line rates, I can't say an average. I have another rad account that I do at $.15/line, but this is 3 days a week for a mobile service (TAT is 1-3 DAYS here...) I would charge more if they needed it "now", especially if they wouldn't work with me as to when "now" might be!
Long answer - hope it helps.
Feel free to email with any more questions if you want.
Hospitals in town
I hear sometimes that there are still hospitals doing their dictations with their own transcriptionists, and I'm lucky that I found one through their website... but wondering, just how do you find out who does the hospitals in your city? No one ever advertises in the newspapers anymore and most hospital websites have nothing about transcription. I live in a pretty big city with lots of hospitals and clinics and outpatient surgeries. Surely they're not all outsourced to the Big Greedies.
rural hospitals
If this is an extra job I would certainly make it worth my while. I worked at small hosp. for 5 yrs that did not want to work us from home. Kept saying they could not but I knew better. Eventually I went off on my own and have been home since. We had 3 FT. They hired 2 in my place and 1 PT for wknds. I type at night now to catch them up. They still had 1 PT and 4 FT, but I charge them 15 cpl. I clear in 5-8 hours what they all 4 do in 1 day, literally. Still did not want to put me or others at home. Want me to drive 45 miles 1 way to type, after I've pulled my reg. 8. Now what I do, whether they know it or not, I dial up on my C-phone into thier system and type at home, save it to disc (they monitor email + HIPPA) drive over for about an hour and transfer work into thier system. So if they have a phone in line you might check with them about on call stuff being typed at home, especially if this is stat work. It will certainly get back to them quicker. This is just fear of the unknown. This same hosp. has now, instead of firing those not doing work and hiring a good worker or paying them OT will pay me double the amount. They have also moved the weekend girl to FT and are letting a file clerk/PT IC do the weekend x-rays and still want me to help. That's 5 full time typist and 2 PT for a 43 bed hosp. Thier may reason was not to put thier network on home computers, which they all ready do. Won't give me network access but have given it to the weekend girl. Plus they are paying a consultant out the wazoo to tell them why this is not working!
If you are going to be on call, make sure you have set days or hours that you will be on call and that you are compensated. Don't let them just pay you for the work you do. Your time is worth money also. In other words don't sit home all day 3 nights a week waiting for a phone call and get paid for 1 hours. I have done this in the past where I worked and was on call on weekends for x-rays. There might be 1 or 21 or none. I got paid by the hour. If there were none I got paid for 1 hour for showing up. Ask an x-ray tech or someone who gets on call pay. They get a flat rate for being on call and then they get paid for the individual call.
Why would hospitals have a list of
transcription companies, doesn't make sense. If you want your own clients you should come up with a brochure to send to local doctors/clinics. A doctor may ask in medical records who does their medical transcription, but it isn't the roll of the hospital to provide them with a list of providers.
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