What happened when a clinic I worked for did this - sm
Posted By: nanna on 2009-04-07
In Reply to: EMR decision - stay or wait? - old mt
Mind you, this was when I was working from home, so I never actually met with anyone face to face. However, the clinic I had done for years from home went this route and we never got another transcription request from them again. Not that there were not some problems with the program and they wished they could come back, but because the clinic had spent a ton of money on the program and they HAD to use it no matter what. I had other accounts to switch to, so it was okay for me in the end. If not, I would have definitely been looking for something else. Best of luck to you!
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When worked in clinic, Dr. supplies everything
x
I used Olympus DDS for a clinic and it worked fine.
Not sure what you question is, but the dictation and transcription using this system should be acceptable as any other. I wonder what would be the alternative and how it could be improved. Sounds to me like at 3-months behind, you should do a temporary outsource to get caught up before a needed report not on the records comes back and bites the manager.
Unfortunately, this happened where I worked.
The hospital tells you that to make you feel better that Spheris will hire you. But that doesn't mean you'll get your hospital work. Spheris could shift you to other accounts once you are handed over to them. They may even offshore your hospital where you work.
I don't want to scare you, but this can happen, so even though you currently do 300 lines per hour, you may not get that if they don't put on your familiar accounts.
I know from experience (C-Bay). I have bene in contact with them twice to try and get on to do the hospital account I did for 17 years and they will not comply.
I worked at a naval hospital outpatient clinic--sm
as a salaried employee $28. In 2002 had the opportunity to work at home as an IC for .12/line. In 2003 I was told had to become an employee and dropped to .11/line as the company woudl have to pay taxes/benefits. In 2004 had a raise to .1133. In 2005 that company merged with another and was dropped to .10/line and have had no raise since then. Am at top of pay level in both line rate and salary rate.
Just told the company is buying a new platform that could possibly doudle our production and in turn may affect our line rates even more by raising the daily line requirement. Will have to wait and see about that.
I worked for a big company and this happened to me.....(sm)
I was so afraid of not making enough to pay the bills. I first picked up one part-time second IC account. When I was comfortable with this, I picked up an almost full-time IC position and quit the big company. I now have a third very part-time IC position. Between the three I have never run out of work and all three are very small companies.
This is what works for me.
Exact thing happened to me when I worked at
a local hospital (on site). The manager looked into it but nothing was ever done and it kept happening. I ended up leaving and working at home - so far, so good after about 8 months on the job. If people don't want to do ESLs they shouldn't be MTs.
same thing happened to me - I had worked for a small
local service - the owner decided to sell to - well, you can guess - and they wanted my macros to send overseas. I never did get around to giving them to them.
Same thing happened at the hospital I worked onsite with, yet
the boss definitely knew this was going on because at least on the software we had and yours probably too, the boss can run all kinds of reports, such as what time the jobs came in, in what order, what time they were transcribed, who transcribed etc. You can cross-reference these too and see that a certain person is going way out of order and doing their own thing. The boss most certainly knows this is going on and in my opinion, (having been management myself), was probably fishing to see how much you knew... when she asked or toyed with the issue in your conversation. In my case, the boss knew the person was taking all the ops normals, it was even brought out at a meeting by another gutsy MT but guess who got the brunt of it? The people who were upset by it, and of course the person who spoke up. I am not saying you shouldn't be upset, and I am not saying you aren't right. I am just saying to bide your time and see what happens. Karma will indeed come into play most definitely. And if the boss is sheltering a cheater, well most likely at the right time the cheater and the boss will get it. In our case, I don't know if the person ever got caught because she outlived most of us, LOL, she and the boss were best of friends. But I do believe Karma is still in play even when we aren't there to see it...just hang in there, do what you believe is right and you will be A-OK. Life is too short to worry about anything but the good which will come your way. Good luck!
Worked in clinic for 30 yrs and have tinnitus. I am used to back ground noise, hard to work
:+
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.
You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.
I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare. I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church. It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option. The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ. I finally took my DS out of the program because he stayed sick. You were supposed to keep them off if they had green nasal discharge and I did, but no one else did. Every time I got him well after 2 to 3 days back he would be sick again. Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise.
I worked on that system when I worked there...
The thing that chapped my hide about that TWS was that they designed it so that all the headers of each section of the report were canned and thus you were not paid for them, even though you had to take your hand off the keyboard and mouse down a list of paragraph headers to chose the one you needed. Just racking up more profits for themselves. Ticks me off.
that is what is being worked out, and has been worked on for the last few years already...only
why are we just hearing this now? I know voice recog has been around, but this is entirely different. This will also make coding and billing obsolete.
Don't know why, but it just bothers me that one of our 'own' is the one pushing this...and she is also connected with AAMT. Do they support this, and if so, what is their advice I wonder to the MT?
Perhaps that is one question for their website (I do not subscribe to their mag or credentials...)
Thanks, for the input!
clinic
yes, it is clinic work
Clinic pay
I'm thinking about doing some doctors clinics. What should I charge. I too will be picking up and delivering. Thanks a bunch!!
I had only clinic exp.
I just applied to companies that seemed good and was hired with no acute care experience. Good luck to you!
Do not know about WP, but I have a clinic--sm
who has WP and I type in word, save document as "rich text format' and they can open it on their end.
I went from FP clinic to OPs sm
hardest darn 4 months of my career! I skipped acute care other work types. In the end, it has been just great. I then went work for a service doing OPs after that (it was all outpatient surgery) for a large teaching hospital. At this point, you can throw me about any OP and I can do it. I learned cardiothoracic surgery this year without much cardiac experience and didn't even find that a problem.
I have a Stedman's Surgical Equipment word book, but if you are a good googler that is almost as good, but can be time consuming if you are not. It would help you to have another MT who knows OP notes to ask questions of as you learn. I did, it helped a lot.
when you say clinic...
Do you have multispecialty clinic experience or is it just a few specialties, multiple docs or 1 doc? That might have something to do with it.
mainly clinic, but
I do have about 4 months of acute care. I know most places like to have 6 months of experience.
Any hiring - ER only - or clinic maybe?
Need a new job! But have only done ER for 12 years. Old single mom with small children and no time to learn new tricks right now LOL! Anyone know of a good company - at-home - that hires for ER only (not Spheris) or clinic work? Would appreciate as much input as you are willing to give. Would especially be pleased if they supply equipment! Thanks!
The gal I shared a clinic with (sm)
went in one day to pick up tapes. She was standing there erasing tapes when one of the docs walked in and started chatting with her. As they were standing there, he handed her his tapes for that day and the day before. They continued to chat and she took those tapes and ran them through the magnet! She looked up at him, he looked down at the magnet, and they both busted out laughing.
Yeah, it sucks, but it isn't the end of the world! Go in first thing Monday morning and tell them what you did.
My old clinic spent (sm)
over $100,000 implementing an EMR system that claims to "replace dictation." Well, they'd have to sell it to doctors who are interested and have time to type in order to replace dictation. If nothing else, it increased my line count because of all the crap I had to add to get the notes uploaded to the system! I'd still be there if I didn't have to move.
Mayo Clinic
They have run that ad in "Advance" for years. I had a friend who applied for it and they told her they were just "making up a list". I don't know if that has changed or not. Also, to work at home, you have to live in the Phoenix area-- no way for me! It used to be nice when I moved there in 1964 with large citrus groves, beautiful clean air, etc., but now with the traffic, high crime, illegal aliens, gangs, road rage, shootings every day, etc., it is just like living in LA. If that appeals to you, go for it, but not me! I have a horse and used to enjoy riding along the canals and cotton fields, etc. Now it is just wall to wall houses about 3 feet apart. I got out of there in 1997 and not a moment too soon!. They are trying to make the rest of Arizona just like it and ruining everything, unfortunately. It used to be a beautiful place, but not any more. Besides, all the Californians are moving here with their money and are pushing housing prices out of sight. 
Anyone know what co has ad for clinic work - sm
on the job seekers board. States you have to have a C phone or be able to re-record but no company name given. Anyone know who this might be? 
Does anyone do PT Clinic Reports?
I have never transcribed these type of reports and may have an opportunity to in the near future. I have over 12 years of multispeciality experience as an IC and am just wondering what the pros/cons might be of the these types of reports.
TIA.
yes, but did you hear that this clinic is now
closed, and nobody knows why? Hmmm... All of their patients are scrambling to fing somewhere to go for medical treatment. Interesting.
Mayo Clinic
I know for a fact that all of the Mayo System clinics here in Minnesota run ads just to collect resumes. They will lie and tell you that the opening has been filled, but I have an insider who tells me what is really going on and you also see the ad continue to run. There are no job openings. Not nice.
I do clinic work for them
/
I think clinic/ ER notes sm
would be a good place to start, either working as an IC/employee for a national or getting your own accounts.
Good luck!
Hospital or Clinic? sm
Will you be doing one work type or several?
If you are to be doing one set work type for a hospital, I would say 14 cpl. More than two work types 16 cpl.
If you are to be doing clinic work I would say anywhere from 10 cpl to 12 cpl.
Let her know that your quote is negotiable based on the work. Don't undersell yourself.
Might try clinic work ... seem to be less there. Otherwise
x
Clinic vs Hospital
I have noticed that it does worse with clinic notes than hospital notes. If I sit still for an hour I can average 600+ lines an hour but I get bored. My line count for all my escription accounts together average around 3000 a day, with about 25% of that being straight typing.
I also found my thumbs got very sore using soley keys so I prefer to use my mouse some.
Why only work clinic
and not in acute care? Do you feel you cannot do the hospital work or ? If you start off in the 4s, it helps you to be able to work just about any job relating to transcription but you might fear, do you?
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now. I've only done acute care for a few months but I think it is much easier. Of course, my old clinic had every type of doctor known to man lol.
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report. hospital reports should never have an actual name but instead just have * the patient *. hipaa rules.
If the clinic does procedures or is SM
accredited by the Joint Commission on Accreditation of HEALTHCARE Organizations, they have to comply.
My work is clinic also
My work is clinic notes, psych reports, surgery letter and consults also and I have had the same doctors for 7 to 18 years. But I still pay me IC's 8 to 9 cpl even though I can personally do 400 to 600 lines per hour and they can make $40 an hour on the psych reports. I also will not boost my rates sky high to my docs because we make a decent living due to shortcuts, templates, etc. But no way would I ever start anyone out at 6 cpl or even 7 cpl, though of course maybe I should and rake in the money myself. And on the other hand, I pay well but I still have had to look deep and hard to find those that will work for that amount and be mainly depedable so I can keep the accounts. They only wanted to work Tu, half of Weds and perhaps Thurs depends. I used to have 3 IC's and now have one after a doctor died and one retired and I keep the majority of the accounts because I could not find anyone that was dependable and thought it didn't matter if a report was 24 hours late, or the report was just half done, etc. And if the doctor requested things to be done a certain way we did it, mom and dad capitalized we do it because he signs the checks. So I can only imagine handling 10 IC's and trying to have enough work and yet have enough coverage when you needed it. Too much for me.
Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).
I appreciate your response and the boost.
Clinic notes
Mostly clinic notes from my experience:
S - subjective
O - objective
A - assessment
P - plan
Need ER or Clinic Work
Does anyone know of a reputable company who is hiring for ER or clinic work and pays fairly well? I've just about had it with Medquist and my 23 different accounts.
Thanks much,
Brenda
ER/Clinic Work
Check out Diskriter, they are hiring for ER. Check out www.mtjobs.com for a long list of companies hiring.
Clinic notes
I have always done acute care. If you get a good line rate, could you make good money doing cardiology clinic notes. I was not sure since you have letters too.
I do clinic notes...sm
Clinic notes are a lot easier to do. The letters are very easy. If you have good rate of pay then you should make as much money. I do general surgery clinic notes and letters. The only problem I have with clinic notes is you will run out of work. It is according to if it just that one clinic or not you work on. But they can only see so many patients in a day. And if they do surgeries to then they aren't always in the office to see patients all day. So I don't always have enough work. But to remedy that I have another job too. So if I run out on one I work on the other. But if you have plenty of work there is no reason to me you couldn't make good money. My problem is just having enough work.
I do clinic notes also
I love them. They are very easy and I have a lot of normals that I use. I don't have any problems keeping busy with work. The doctor's I work for sometimes see 50 patients a day total. And I don't worry about having no work because I'm an employee and if there's no work I still get paid.
Acute vs. Clinic
I cut my teeth on acute care - real baptism by fire - and by comparison clinic would have been an easier start for me working from home, but I'm glad for the experience. Acute is so much more technical that, if you're willing to do it on production, you should be prepared for the income hit that can come with the learning curve. If you can go in-house to get the experience, I'd suggest that. However, if you want to continue from home, keep knocking - with your years of clinic experience, I'm sure someone will give you an opportunity.
Clinic work
Why would you want to start over? Go through the job ads on this board and other boards and send resumes to all those companies that were offering clinic work in the past. You will probably need to send out lots of resumes to get any response at all. Many companies will not respond. By searching on Google you will find lots of companies and lists with companies, and then just send out your resume to a large number. Some of these will respond, even if it takes a few weeks. It might take several weeks to find a new job, but just hang in there and don't give up.
Well said! I went from clinic to hospital. sm
There's a learning curve, but I sure hope I don't ever have to type clinic notes again! ZZZZZZZZZZZzzzzzz!
I do clinic work and what they do...sm
is the company I am an IC for individually assigns MTs work. It is not in a pool. I get work that comes in on Friday evenings, and I usually do it Sunday because since the clinic is closed through the weekend it isn't due until Monday. But the workload is usually much heavier on weekends because the doctors are trying to dictate things they didn't want to dictate during the week. So I would say I do more work on weekends.
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