Wanna tell that to the local hospital MTs whose....sm

• What does this mean for the MT industry? sm - Worried MT
  • Recent study done... excerpt..see link ... - DJ
  • After reading most of the posts below..sm - passing thru
  • The reports that are transcribed get scanned into - this is what I do.
  • my pediatrician - justme
  • EMR - Lynne
    • Back in the Dictaphone dayz, some docs couldnt even - figure out how to turn them ON.
    • profits - pumpernickel
  • Go search bar and put in the word Staff - Anony
    • Yes, but I think this is being interpreted too broadly. - They said what
  • That means that medical files will be in computer - databases, not paper files.
    • Wanna tell that to the local hospital MTs whose....sm - Hmmm
      • Such gloom and doom. Better head for the bomb shelter. - (I know you've got one!)
      • the hospital I work for already has started to implement this and lessen our work - I agree
        • My hospital does this and - - Amanda
          • but for some it does - right

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even after explaining to them what E&O really meant.  Their previous transcription company had E&O, but that was because they had to have it for their copying services as well and the transcription just fell under it.  I found that Farmers carries it, but it was around $1,500 for a year.  They did have payment plans though too. 

Best of luck!

I think that is pretty standard. Calling by the first name only would be rather confusing. Especially if it is a busy hospital with a waiting room that is always full, like our local hospital.

I have a "questionable behavior" story for you! I went to the walk-in clinic held at our local hospital b/c I was having pain in my pinky finger. The waiting room was packed, as always. I go in, see the doc, and he tells me to go back to the waiting room until they call my name again. After a few mins in the waiting room, he calls my name & I get up thinking he was going to bring me into a room to privately give me my diagnosis. NOPE! The dope says it to me, loudly - not at all in a whispering tone, in the middle of the waiting room for everyone to hear!! He said "I think it is some kind of fungal infection" His actions were not only humiliating, but wrong! It was not an infection, rather a blood clot that developed on my nerve that needed to be removed surgically! Now, that, I think qualifies for a HIPAA violation!!  (Yes I did file a complaint with the Patient Care Rep)

I actually work for a Hospital Transcription Dept. My advice is to ask for the supervisor of transcription or Director as they usually have one or the other.

I actually had a person(who I know was from an outsourcing company from overseas) called and aske me if we were doing any outsourcing. We told her we were not interested, but I actually do send some out to an outsourcing company already. Just wasn't going to do that.

Alot of hospitals around where I live usually are small and have in house transcriptionists. The only reason we have our outsourcing is for people on vacation and when some emergency comes up and we fall short.

Carla

It had its good points and bad points.  The good being it paid better and had better benefits than most outsourcing companies. We had a 4 tier incentive program.  The lowest pay being 0.087 and the highest being 0.10 cpl. You had a choice of working in-house or at home and we were all paid the same either way.   Also, if there was little work or no work you had the choice of using PTO or working in medical records at an hourly rate which gave us a little break from MT and a feel for something else.   

The bad, if you were at home they would pull you in at any time just because.  Also, at home we had a lot of problems with their computer locking up, getting kicked off the VPN, slow moving from one screen to the next etc.  The tech support always blamed it on our ISP.  Also, they always made sure you never moved up to the next pay tier.  Only their favorite ones could do that.  They made excuses of why you cannot move up even though the numbers were there.  The one they used on me was that I took off a day during the last 6 weeks.    They told another girl she walked around in the halls and talked too much to bump to the next level.   However, if you did not get your line count they were all over moving you down.

Employee status w/benefits

$13.50/hr with 0.05 cpl incentive fo anything above 1200 lpd and $2.00 shift differential (for 2nd shift which I will be working)

1000 lpd minimum productivity requirement

Work in the office first month for training and then home with hospital provided computer.

Dictaphone EXText Word Client transcription platform

Is this a decent offer?  I've worked at the same place in the office forever and haven't actually been out there  looking in several years.  I tried working for a national part time at one time because I wanted to be working from home, but couldn't see how someone could make a living on 0.08 cpl without working yourself into an early grave, so I gave up the part time job and kept the full time in office job.  Now I have a new boss who doesn't know her butt from a hole in the ground and I started looking around and came across this current job and before I jump ship, I want to make sure I'm getting a good deal.

The $13.50 seemed kind of low to me given my years of experience (13 years), but because I was at my other job for so long I maxed out pay wise.

This was way back in 1980-81 (age 19) in a pretty small town.  Our local hospital in cooperation with state funding had 3 different programs:  Medical Secretary (note--not transcriptionist) which was an 8-month program, as well as Respiratory Therapist and LPN, which were both 2 years if I recall correctly. 

The cost was about $300 (my parents paid) and included ALL materials (books, paper and pencils) for classes 8 hours per day, M-F, from Sept thru May.  The classes consisted of anatomy/physiology, medical terminology, typing and transcribing, English, accounting, and general office practices, all, in 1 room with about 10-12 students in the entire program. 

The last month was spent doing 1 week of practicum for 4 weeks.  We could pick just about any situation we wanted and as long as there was approval by those "offices," it was all right.  I did 1 week in that hospital's pathology dept (transcribing, charting, answering phones--almost got to see an autopsy but was a burn victim, so couldn't); 1 week in another town's hospital MR dept (spending a day or so in each subsection--MT, coding, filing, etc); 1 week our local area's cancer treatment center (again, in each MR subsection), and the final week at our area's tumor registry.  I felt sorry for the 2 girls in the latter; they had ARTs (don't even know if that still exists as a 2-year associate's degree for "accredited records technician"), and all they did was file cards all day long. 

After that, we graduated with a "Certified Medical Secretary" certificate and pin.  I've been an MT ever since, working inhouse (both hospitals and service office for 10 years) and now at home for the past 17 years. 

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.

I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 

NATIONALS?

Here is something from an advertisement from a BRITISH COLUMBIA (Canada)

hospital........note the benefits.........(and please note they provide

all equipment)

* medical
* dental
* extended health
* life insurance
* vacation (20 days after 1 year )
* long term disability
* municipal pension plan
* medical services plan

but it ain't Chicago and its one of our "fave" MQ branches...

..http://www.aapa.org/geninfo1.html

excerp from that link:

Q. How is a Physician Assistant educated?

A.  Physician assistants are educated in intensive medical programs accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). The average PA program curriculum runs approximately 26 months. There are currently more than 130 accredited programs.  All PA programs must meet the same ARC-PA standards.

Because of the close working relationship PAs have with physicians, PAs are educated in a medical model designed to complement physician training.  PA students are taught, as are medical students, to diagnose and treat medical problems.

Education consists of classroom and laboratory instruction in the basic medical and behavioral sciences (such as anatomy, pharmacology, pathophysiology, clinical medicine, and physical diagnosis), followed by clinical rotations in internal medicine, family medicine, surgery, pediatrics, obstetrics and gynecology, emergency medicine, and geriatric medicine.

A PA's education doesn't stop after graduation, though.  PAs are required to take ongoing continuing medical education classes and be retested on their clinical skills on a regular basis.  A number of postgraduate PA programs have also been established to provide practicing PAs with advanced education in medical specialties.

Q. What are the prerequisites for applying to a PA program?

A.  PA programs look for students who have a desire to study, work hard, and to be of service to their community.  Most physician assistant programs require applicants to have previous health care experienceand some college education. The typical applicant already has a bachelor's degree and approximately 4 years of health care experience. Commonly nurses, EMTs, and paramedics apply to PA programs. Check with PA educational programs of interest to you for a list of their prerequisites.

and now a word about medical assistants..what nerve thinking you are  PA when you have not been trained...sheesh

http://stats.bls.gov/oco/ocos164.htm

Training, Other Qualifications, and Advancement	[About this section]	Back to Top

Most employers prefer graduates of formal programs in medical assisting. Such programs are offered in vocational-technical high schools, postsecondary vocational schools, and community and junior colleges. Postsecondary programs usually last either 1 year, resulting in a certificate or diploma, or 2 years, resulting in an associate degree. Courses cover anatomy, physiology, and medical terminology, as well as typing, transcription, recordkeeping, accounting, and insurance processing. Students learn laboratory techniques, clinical and diagnostic procedures, pharmaceutical principles, the administration of medications, and first aid. They study office practices, patient relations, medical law, and ethics. Accredited programs include an internship that provides practical experience in physicians’ offices, hospitals, or other health care facilities.

Both the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and the Accrediting Bureau of Health Education Schools (ABHES) accredit programs in medical assisting. In 2005, there were over 500 medical assisting programs accredited by CAAHEP and about 170 accredited by ABHES. The Committee on Accreditation for Ophthalmic Medical Personnel approved 17 programs in ophthalmic medical assisting and 2 programs in ophthalmic clinical assisting.

Formal training in medical assisting, while generally preferred, is not always required. Some medical assistants are trained on the job, although this practice is less common than in the past. Applicants usually need a high school diploma or the equivalent. Recommended high school courses include mathematics, health, biology, typing, bookkeeping, computers, and office skills. Volunteer experience in the health care field also is helpful.

Although medical assistants are not licensed, some States require them to take a test or a course before they can perform certain tasks, such as taking x rays or giving injections.

Employers prefer to hire experienced workers or certified applicants who have passed a national examination, indicating that the medical assistant meets certain standards of competence. The American Association of Medical Assistants awards the Certified Medical Assistant credential; American Medical Technologists awards the Registered Medical Assistant credential; the American Society of Podiatric Medical Assistants awards the Podiatric Medical Assistant, Certified credential; and the Joint Commission on Allied Health Personnel in Ophthalmology awards credentials at three levels: Certified Ophthalmic Assistant; Certified Ophthalmic Technician; and Certified Ophthalmic Medical Technologist.

Medical assistants deal with the public; therefore, they must be neat and well groomed and have a courteous, pleasant manner. Medical assistants must be able to put patients at ease and explain physicians’ instructions. They must respect the confidential nature of medical information. Clinical duties require a reasonable level of manual dexterity and visual acuity.

Medical assistants may be able to advance to office manager. They may qualify for a variety of administrative support occupations or may teach medical assisting. With additional education, some enter other health occupations, such as nursing and medical technology.

Employment	[About this section]	Back to Top

Medical assistants held about 387,000 jobs in 2004. About 6 out of 10 worked in offices of physicians; about 14 percent worked in public and private hospitals, including inpatient and outpatient facilities; and 11 percent worked in offices of other health practitioners, such as chiropractors, optometrists, and podiatrists. The rest worked mostly in outpatient care centers, public and private educational services, other ambulatory health care services, State and local government agencies, employment services, medical and diagnostic laboratories, and nursing care facilities.

Go on the Atkins diet, and I'm sure your PCP will okay this. You'll lose weight like crazy and your cholesterol will take a major nose dive. 

Do yourself a favor - go by the book and read it - then go on the eating plan.  You'll be happy you did, and the energy you get will be enormous.

Sign me ------> a person who never met a diet she liked until she went on Atkins and liked the results even better!