Very interesting! I liked it! right Girl will Destroy Game without any questions: http://www.nature.

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    • Lots of good info Ace...Thanks. NM - Lynn
      • A very friendly site. Have a nice day! Lose Chips is very good Circle: http://www.intuitor.com/movie - Jeffrey Adams
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I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?


2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)


3. How is a line defined in Cerner?


4. What abbreviation Expanders work with both Meditech and Cerner?


5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).


6. Measuring productivity by minutes of dictation versus typed lines.




1. What would be the minimum minutes required for an 8-hour day?


2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?

Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 

NM

People generally don't talk about how happy they are on a regular basis. They tend to want to talk to others when something is bothering them, and focus more on the negative. So I guess it makes sense that you don't see a lot of posts that say "Ladeedah, how I love my job and what a stupendous day it is in the transcription world today!" The job is just a means to a happier life, not the definition of a happy life.

Personally, I feel honored that I am in this profession.  Not because of the money or the skill and intelligence that it requires, but primarily because it allows me to be home with my daughter instead of shipping her off to daycare every day for some stranger to screw up. That is why I will deal with the lack of raises, crappy dictators, periodic lack of work, mgmt that is too overworked to care, etc. To be with my baby all the time and still bring in a paycheck, however meager it may be.

you think the whole world is Disneyized. You think the male buck stands over the baby deer and protects it, on his wife's behalf. You think Simba's daddy looks for him when lost. Nature is nasty and completely insensitive to feelings. The law is survival of the fittest. Even daddy seals come in and slaughter babies when they find out a rival fathered them. But go on...dream on your pretty little dreams. I notice the only babies ever really championed for are the cute fuzzy ones...go cuddle a rattlesnake, why doncha!

oh and ps I was not original poster who put this controversy on the board, now was I?

Even when its not asked for.  Maybe some people like to surround themselves with nonsense and chaos, where as I like peace and quiet!  I think people who like working with other people are either pretending or just plain crazy! 

I've just not had much luck with any service and the one I spoke about above was the worst.  That was early in my career and I felt like I was pretty close friends with the supervisor and then to be treated the way I was treated, really just hurt.  Ever since then, I've distanced myself in my work life.  Business is business.

I will say, though, that I am a loyal person.  If I'm treated fairly, I will give 110%.  I think that's what happening these days in the MT world.  MTs aren't getting treated very fair and there are just bad feelings everywhere.  You're constantly waiting for the other shoe to drop.  If a job offer is too good to be true, then it probable is too good to be true.  And now everyone is playing cover your behind and making sure contracts cover everything.  I just think MTs need to play hardball like the big companies.  If you are working as an IC, you should have a ready made contract for whatever service you contract with.  Why should you be the only one signing rights away?

I've also had the opportunity to read the contract between a big service and one of their hospital clients.  The line rate that this particular service charged was mind boggling.  I don't feel bad about stealing accounts away from services like that.