Website for patient choice of where records go
Posted By: Advocate for American Patients on 2007-08-07
In Reply to:
I came up with an idea that I'd like to try and would like your opinions and input. I would like to make a public website listing all the facilities across the U.S. that I can and which ones send records offshore or are affiliated with companies that offshore versus which ones do not. I will need your help.
I personally specifically ask this question (where our records go) when my family or myself see a physician or go to a medical facility and explicitly tell them that I demand our family's records not be sent offshore. Companies that offer both American and offshore are also unacceptable to me, as a patient, because I do not trust them with my records. The medical facilities do comply and prove to me that they have complied when they realize I will change physicians or hospitals if they do not. As a result, they make a point to keep ours inhouse or provide me with the name of the company they use with contact person that does not offshore at all (usually small local MT companies who employ local people).
I'd like to create a public database website for the American consumer to access, with listings of hospitals and physicians nationwide and where their records may be sent, to make the patient public aware that they have a choice regarding their own confidential information.
We The People . . . 
I am contacting an attorney today to make sure that informing American patients of the truth is legal. Ironic that I must do that.
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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.
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.
RE: OFFSHORING OF U.S. PATIENT RECORDS..SM
I think the solution is to send a standardized letter to every major medical facility, as well as the major medical insurance carriers (Aetna, Health America, BC/BS, Medicare and Medicaid), addressing corporate heads and informing them that their doctors' medical records risk being transcribed overseas in a foreign country where HIPAA regulations do not apply and cannot be enforced. Address the big wigs to get their attention because I truly believe many are not aware of what is happening. There are so many U.S. transcription companies who advertise, snag the client, and provide a contract for the doctor or medical facility in no way indicating that they send their dictation overseas, only to have it available first thing in the morning. So what if the time frame is good. If I were a doctor, I would not even consider the risk of sending my patients' personal information to another county and risking the issue of security to save a few dollars. The insurance companies, who pay the insurance claims on office visits, hospitalizations, surgeries, long term care, should be the first to be made aware of this ridiculous situation. Physician practices, hospitals, hospital administrators, and MTSO's need to put a stop to providing services to offshore companies who work for slave wages, takes jobs away from hard working and experienced U.S. MTs, and jeopardize the security of confidential information regarding our U.S. citizens. Let India transcribe their fingers off for their country's citizens. America, quit trying to save a few dollars by jeopardizing our citizen's most private information. This is such a joke!
Fun? Working on patient medical records and
drinking. Ah, to have your ISP addy would be PRICELESS.
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
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.
Their skin is not a choice. To commit sodomy with a man is a choice.
I don't care if they are attracted to men or dogs or goats. I care that they act upon it.
E. It is not my choice to make, it is their choice.
Every job has its pros and cons. The more US MTs we can bring in is that many fewer jobs going overseas. Besides, I like my job.
Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."
Thats just insane.
Not much of a choice is it
Not on VR yet. I have not heard one thing about VR, the checks being sent out or the pay letters. Been here 8 years. Everything I have found out about is off this website and that is pretty sad.
I think if I had a choice
between being beautiful and childish and stupid or being ugly and gruesome in appearance. I'd choose ugly and gruesome any day. You may think that what you are doing is funny, and it may be funny to you, but most of us fail to see the humor.
Bad choice
I work for Transhealth and very bad choice to go work for, take it from me. I have been working there for couple of years and have stayed on for circumstances beyond my control but am planning to leave hopefully by end of this year if not sooner.
It's my choice
If I don't chose to patronize a store, it's MY choice, regardless of the reasons. The person asking the questions asked me where I would shop if I didn't go to Wal-Mart, so I told her. My reasons are my reasons, so bug off.
try First Choice
nm
not by choice
Whether any of us likes it or not, 10% of the population will be gay. I have not seen the movie but intend to see it. I think it would be rather naive to think that a gay cowboy has never existed. While I believe it would not be appropriate for children just as it would not be appropriate for children to see straight adult-theme movies, I don't believe gays are pushing this movie. Whether you or are approve or disapprove of gays, they are a fact of life. While I worked in hospitals in days gone by, many employees were gay and I got to be good friends with many gays. Trust me, from what I have been told by many gays, they would not wish this on any one. Gays are for the most part born this way. I would no more expect a gay person to do something inappropriate in front of me as any of my straight friends.
His choice! nm
nm
First Choice does, too. nm
x
If you had the choice would you....sm
go hourly as a QA Editor or stay production as an MT? I have the chance to take a job as an QA/editor making between around $14+ an hour. I know I could make more as a production MT, but then you have the worry of work flow, ect. I was just wondering for those who made the transition if you like the change or ended up going back production. Thanks.
We have no choice...
Sally, I appreciate your post and what you have to say. However, if you want to work from home and the nationals will not pay more for your services, what exactly are you to do? If you have advice for me, I would sure like to hear it. I have over 20 years of experience in this field. When I started in 1984, I made 10 cents per line; I now make 9 cents per line. Times have changed for us, and not for the better. I would love to hear others' comments on this issue as well. And, yes, we are definitely worth more!
Job choice
You will have 2 days off a week, you will see your kids then. In the meantime, they will get to spend evenings with their Dad while you work. Looks like a win/win to me.
Also, you'll be modeling ambition, hard work, and motivation to your 3 kids - pretty great mothering in my opinion.
if I had a choice
I'd take your place over theirs any day, Hayseed, including the pig! Grass and manure beats asphalt and exhaust any day! They have a house. You have a home.
I would say that you really have no choice.
errors. I would present it as a probationary period. I would cut the rate, and then once the proofing need not be done, then up the rate. If you have to proof after 5 years, then you are defeating your purpose no doubt. Good luck.
Everyone here has a choice and I see
people would rather sit and wait for work and be almost in poverty so they can spend time with their child. Oh, yeh, makes a lot of sense to me. I said nothing about fancy home but I was able to take my children on really nice vacations and years later am thanked for those times. There is nothing wrong in having goals in life and working hard to get them. I am so thankful I have an excellent work ethic. I noticed you MTmom was one who wrote they were just sitting there waiting for work. Have fun
Given my choice
What I would like to see is my tax dollars redirected from black holes like Iraq and directed to health care. Or maybe taken away from some of the pork projects to pay for it. Would I personally be willing to pay another $50/check to have insurance (which is all your 10% tax increase amounts to)? You bet your sweet petootie, I would. It's still a much better deal than my MTSO is offering at $400/month.
As to wait times, I used to have Kaiser...wait times for non-emergent consults and procedures were easily 6-8 weeks. Not as bad as Canada but not the pie-in-the-sky spontaneous that you would like to imply.
Transolutions is a bad choice!!
x
not her mother's choice
Glitter eyemakeup? False eyelashes? What channel are you watching? Maybe you should put on a pair of glasses, and maybe then you would have seen her crying. I think the arubans investigation stinks and so does their goverment.YOUR THE LOON, NOT BETH TWITTY.
Nice choice!! :)) ........
I make my kids sing some Temptations when I have them prisoner in the car.  Ball of Confusion ... 
Sophie's Choice. sm
I only have one grown child, but asking me my fav Beatles song is like asking Sophie to pick one child to live or die. I love Something (Harrison), Imagine (Lennon), Yesterday (McCartney), and Let it Be - Lennon and McCartney. That would be my Sophie's choice, Let It Be - I have had to apply that concept in my life.
Dateless by choice ...sm
I'll take bored over miserable anytime!!! If you're seriously looking for a relationship or even just a date, the odds of her showing up at your front door are slim to none... and you're certainly not going to find any romance here. There are many dating websites where you can get to know someone from your area. Try match.com.
She is in this situation by her own choice.
puh-leeze
Well, we don't have a choice when we visit...
It is an offer my husband's company is making. I live in Houston, so 100 degree weather is nothing new to me. I love the summer and I love the beach, so none of those reasons would keep me away. I am looking quite forward to it to be honest. It is beautiful there, at least the area we will be living in.
Been there, doing that, wish I had made a better choice.
My personal experience with the good captain has also been unsettling. I have been with them for almost a year and it has been bad for half of that. Man am I tired of bounced checks, late checks, no work, and ridiculous reasoning. I have been appling with other companies but have not found anything yet. Good luck and lets hope the ship doesn't sink until we get off!!!
Tough choice, for sure.
Are you married? If so, does your husband's income pay the bills? If that is the case, then I would tell you without hesitation to go to Andrews. The mentorship might be a good option if you feel confident they will teach you enough to make you employable at other companies and not just their own. An Andrews education would ensure you employability with many different companies and would secure your future in a way that mentorship may not. Again, this depends on the company doing the mentoring and I have no information on this particular company so I can't speak to that. I do know that Andrews graduates are work-ready and that Andrews will help facilitate job placement as well. (I have no affiliation with Andrews, for the record. I am an MTSO that hires and fires and just know from experience that Andrews graduates are always well-trained.)
If you simply cannot afford to give up the job you have now and you can't work the mentorship around your current job, you still might be able to study with Andrews and work that around your current job since I believe with Andrews, you can work at your own pace. M-Tec is another good school that I believe also allows you to work at your own pace.
Good luck to you!
a bad career choice
As an IC I make the choice whether or not....(sm)
to accept 5, 6, or 7 cpl. I personally will not work for that, but there are many MTs who must in order to pay their bills. I started off five years ago making more than I am now due the changes with India and such. When I am looking for a job, I have to weed through the low offers, but still I have never received an offer or negotiated a rate higher than 8 point something to start off in the last three years. The higher pay is just not there (at least for me with my five years of experience).
I think it's the Weapon of Choice - sm
video he did that makes me think of him as "sexy."
which means it was her CHOICE
nm
Everyone is telling her she has no choice
because if her employer says "jump", she should say "how high". What was she supposed to do when they said work from home, say "No". She was just criticized on an earlier post for standing up for herself and telling her employer no. There are many on this site that have to be "right" about everything. Contradiction is not "right".
I like Quick Look. My second choice would
be Drake and Drake.
A couple of good sites are drugs dot com and prescribing reference dot com.
You can't post the links here, which is why I typed it the way I did.
I currently have a 2003 electronic version of QuickLook and with the above references I haven't felt the need to upgrade.
Which choice to make??
I need anyone's advice on my situation! I was a MT for 10 years and then I left my IC job to take a job at a children's hospital as a unit secretary. I left my IC job because the practice I was typing for were switching over to EMR and after reading about EMR I figured that my job would be eliminated. To play it safe I got a different job that had actual job security!! The problem is I have three kids whom I see for 45 minutes a day in the morning before I drop them off at school. I work the 3-11 shift at the hospital so I am not home when they come home. My husband on the other hand is. The practice that I left has not implemented the EMR yet will in the next month or two. I have been contacted by them to see if I would like to come back and type. I am very tempted by this because that would mean I would be able to see my kids more. On the other hand, I am back to where I was with no job security. I've been told by the manager of the transcription department that the EMR will not impact the amount of transcription but I know that the EMR can impact transcription if the docs use the templates that will allow them to type in their own reports. But this is a big practice with docs who dictate very long reports so I can't imagine them typing in their own reports or even using VR because they tried that in the past as well and that was not very successful. Any advice on what to do? Should I go back home where I will be happy with the kids again but unsure if my job will be secure or should I stay where I am at and maybe try to get a different shift? I love to type but I also love knowing that my job is secure! I would love any advice you all might have. Thanks for listening!
Quitting was the right choice!
Ya know, IC work seemed to be a great idea back when but from what I have read and heard, it's no longer a good route to go. Your little scenario really confirms that in my mind. You are better off just signing on with a company and trying to get a "right fit" with one of them. That's crazy, "you get paid when I get paid." Don't go there again.
Yep I made the choice
I would much rather be "an indian than a chief" Being in this biz for almost 30 years, I could have chosen to "hunt accounts", etc., but I chose not to do so -- not out of fear of failure, but of having a life outside of MT and knowing first hand how the corporate world can be. I can schedule my day now, to take phone calls, IMs etc and believe me -- today has been heck with the storm we are having and friend in a panic mode, but I can stil work and not ignore her on top of not having to have a work wardrobe, worry about gas, tolls, etc.
Getting CMT is a personal choice. Obviously...sm
for you it's not your cup of tea, but that shouldn't deter someone else from sitting for the exam. For what it's worth, it's not 36 hours, it's actually 30 hours - ALL of which is very educational. If one works at home, the education alone is worth a lot. I make more than 1 penny per line as a CMT, but that's of no consequence to me - I keep it updated as a matter of pride. That's not to say that experience doesn't always help, but I know a lot of MTs with that much experience that have no clue about how to be a good quality MT. That said, CMT doesn't always guarantee quality, either, but it does help IMO.
Second-shifter by choice
One good thing about working second shift (done it for the past 30+ years) is you very rarely ever run out of work. It looks to me like dayshifters have to compete with each other for the work daily. And you can have that flex stuff, I just want to work my straight 8-hour, 5-day routine every week and clock out. I'd hate to have to sign in and out all day, what a bummer, which is what it looks like happens where I work.
IMO, their choice to use or not use, no matter
x
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!
She was an adult, not her mother's choice
Obviously there is enough evidence to hold at least 1 suspect as he is still being held! What about him? Poor him huh? You are exactly the kind of person who talks one way, but given the problem being placed on your doorstep, you would cry and complain just like the rest of them. If it were your child, you be just as angry and scared and frustrated as she is.
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