actually, they are boasting better quality care with point-of-service mobile devices...
Posted By: soon-exMT on 2005-09-15
In Reply to: The problem is they are trying to standardize that which has too many variables. - see msg
as they (service providers) will have immediate access to all information on a patient throught a "MedChip" rather than have to wait for, you know, "people" (heaven forbid) to get old records, records which have too much information, etc. The system will eventually be world-wide as well, which that will take years and years, I am sure.
This is also to be used not only by doctors, but nurses, physical therapists, anyone who performs a service on a patient. They will have hand-held devices that do everything, document, code, bill.
I realize that will take years, but you can already see the 'growing pains.' Look at all the complaints about MQ. They are losing work because of the speech recognition. All the good, easy, clear dictation is being switched over. This alone seems to be 'weeding' out quite a few MTs.
There are supposedly over 400,000 MTs in the US.
I understand there is no going back, and technology is moving forward and eliminating jobs just as automation did; but excuse me for having some passion. I love this job.
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point-of-care mobile devices - that is a bigger threat...
another excerpt:
It is no longer a question of whether medical transcription will survive. The move away from traditional, free-text medical transcription is inevitable, given the improvements in speech recognition technology and natural language processing; the development of standardized templates through HL7’s CDA (clinical document architecture), ASTM schema, and other similar efforts; XML-based communication; and point-of-care mobile devices that will ultimately facilitate real-time documentation. And it is very clear that real-time, point-of-care documentation by the practitioner will replace transcription! This can already be seen in countries outside the United States that are developing direct entry, interactive, structured text documentation without going through all the evolutionary steps from traditional, free text transcription.
...and regarding the mobile devices (more information)
http://www.intel.com/business/casestudies/mckesson_integrated_digital_hospital.pdf
Ladies: Looks like we should be investing in some of these companies...Intel/McKesson on cutting edge, and VOIP companies (we currently use a VOIP phone)...
If we can not make money in transcription, maybe we should invest in its future?
Quote: "Medical Transcription will change more in the next few years than it has in the last 100."
It is an odd thing, but I actually like typing and will not like it when it is gone.
In a perfect world, the mobile devices will work perfectly..
It will only take a few big money malpractive suits and lawsuits against hospitals for this standardized text and free text to be proven to be inadequate documentation. Do you honestly believe Joint Commission and insurance companies will relax their standards for health care documentation? I could be very wrong, but I'm not throwing in the towel yet.
If it's in your service area, DO NOT GET CRICKET MOBILE (SM)
My BF got it, and it's just horrid. It worked okay the first few days, then began dropping the signal, sometimes up to every 5-6 minutes, and you either have to call to get your signal "refreshed" or go thru the trouble of uninstalling and reinstalling the program.
It's only about $40 per month, but this is apparently one of those "You get what you pay for" situations.
I'm trying to warn everyone I can. We MTs work too hard to have to deal with this kind of aggravation.
Has anyone used Sun Rocket VOIP? If so, how is the voice quality and service? nm
just like quality care for the patient is going out the window-nm
nm
Hospitals do not care about quality, just productivity, and oust their old MTs for others to pay the
this happened to me. I was making 23/hr inhouse plus a shift differential. That was taken from me when they kept nailing me on productivity. I was right there at the line rate, but they wanted more for their buck. My QAs were 99.8, but productivity was average 132/hour over a 6 month period, they wanted 135. Some weeks I was higher, some lower, never the same work reports, etc. Always different doctors and formatting issues. I finally quit, just walked out. Now, they cannot replace 3rd shift. So hospitals inhouse are not all the answer. I have been making more on my own as an IC for several companies. Less aggravation, and when I take the time to research something, not getting "nonproductivity" as being a problem. HEY hospitals, we are only as good as you allow us to be. If your in this profession, your a perfectionist. I hate leaving blanks. Have seen girls turn in reports with 6 or more at this facility and they are praised for their high productivity. WAKE UP HOSPITALS!! This is not how us old MTs were trained.
Through your years of experience you care more about quality I bet than quantity
This happened to me after midcareer that is after about 15 years. I started caring about the patient more than my paycheck. This might have cost me a lot of dough, and I can't afford fancy extras much anymore. But, I can sleep at night knowing I put the right gender of the patient with the difficult ESL dictating. I do not know you, but I just bet that your 1200 is a really good 1200.
I use Verizon mobile and the rule of thumb with mobile broadband is...
Basically, it will work whereever your cell phone will work. If your too remote, it may not work, but I do know a lot of campgrounds like KOA offer Wifi, which means you should be able to pick up that signal too. You can always call ahead to the campground etc. I use mine going down the road for the most part but every great while going through the mountains I lose reception.
Point of Care systems
Anyone here had experience with doctors going to Point of Care systems (Pulse)? My doctors are trying this now and I'm wondering if it will be too difficult and time consuming for them. Sure is cutting way back on my work. Thanks. Teri.
Point of Care Systems
It's my own account. They use the Pulse EHR.
Point of Care Program
Hi: I worked for a clinic as the only Transcriptionist with eight full time providers. My clinic opted to go to Point of Care program and I lost my job. I could have stayed working but not as an MT. The "point" of these Point of Care programs is to eliminate the MT job. That was about four years ago. I still hear from friends at the clinic who tell me the docs are not happy with the program, some of them are continually two weeks behind on dictation. It is a lot of extra work for the doctors but they are now stuck with it because of the high cost of investment!! Beware of Point of Care programs. I would go immediately to your supervisor and ask exactly what the plans are and how you as an MT will fit into those plans. It is your job on the line and you have a right to know. Good luck!! Chris
I have children, and paid child care so what is your point?
I am saying this is talked about time after time after time. Now a post saying MTs unskilled, first nonprofessional and now unskilled workers. Talking about wanting to work from home because you want to be a stay at home mother lousy reason to start this job. The post above says it well, you need to concentrate to learn, you have a small baby you need to take care of, something suffers.
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
nm
Like customer service everywhere - people don't care, no self-respect, no respect for.
nm
I think that depends on the quality. Do you honestly think there is good quality just throwing every
MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
I thought quality was a given. Speed and quality are not mutually exclusive. sm
I maintain 99% accuracy above on my reports. However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well. :-) I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run. There are too many interruptions and such when you have other people running in and out, phones ringing, etc.
I doubt that anyone but me really cares about the lines per hour it takes for me to do a report. They just want an accurate report in a timely manner. I take pride in my work, and would never just slop something out for the sake of the almighty buck. And, as an added incentive, I work for 2 companies, and one of them has my name on each report. I don't have a problem with it, but I did think it was a bit unusual at first.
Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck. 
Bud of mine is an almost-blind MT. She uses devices, huge print, magnifcation
s
We have decided to add this to our current service not have a new service. It will be easier to sm
keep track of and will just be a different department.
It looks like we will work out details over the next 6 months, talking with community college program directors as well as a few of the distance-learning course leaders to work on the recruiting end.
We will train current staff to mentor if they would like to do so and want to work in the office.
We are still working on production requirements, goals to set, pay, benefits and other fine details but we have 6 months to get it all in place with three months to pull it together after that with a tentative start date of 09/01/06. We need to build the building as well, although that is already at the blueprint stage in a spot next to our current office.
We did not want to cause flames and bashing by listing the company name as there are always so many negative people on this site, but we are national with over 200 transcriptionists, located outside of Chicago (40 miles west) and have the best team of transcriptionists around!
We will have an "official" announcement after the first of the new year.
Thank you for all of your feedback and suggestions!
I just want to be mobile
I just want to be able to move around the house with a laptop, which I am still looking for a good deal on. I am looking for a 17 inch screen. What is your laptop? Give me the specs please.
Thanks
KC
Mobile...
I have used ATT and with the $60 package you have unlimited use...It worked good for me.
I didn't apply, so that's a moot point. The point I was making is that
she's ranting here about something that doesn't even pertain to most of us. You can't come to a MT message board railing at MTs without getting a response. That's why it's not called MTSOstars. Also, it's unprofessional of a business owner to let her emotions overrule her common sense. As for the newbies, they'll learn. We were all newbies at one time or another. None of us was born perfect, not even the MTSO.
You missed my point. My point wasn't perks but prestige...nm
nm
The point wasn't that it was copyrighted. The point the poster tried to make
:(
Mobile Infirmary sm
Beth, where would you be moving from? I did hear today that Mobile Infirmary bought Knollwood which is also a hospital in the Mobile area. I don't know anything about working there, though. I just accepted a position at Providence Hospital in Mobile and started today.
Mobile transcription
I am really just fishing here. I don't start this itinerate life until February, so I am hoping to here from more people who are out there on the road earning a living.
Mobile Transcription
Interesting question! I own a small MTSO that is essentially a family business. My Dad is retired, but does sales and bookkeeping for me. My Mom is retiring August 1st, and she is planning on getting back into transcription, working for me. They own a big RV and are planning on being "snowbirds" - living in Arizona for at least 3 months of the year. The place they are going to is a big RV community which has WiFi internet, so they can both work remotely. I am also an avid camper, so we've been looking into remote internet options.
We explored the different satellite options, but it was very expensive initially for the equipment and the setup at each stop seemed kind of complicated. The other problem was the upload/download speed - I can see why many services won't hire someone with satellite service. We ended up going with Verizon Broadband access - anywhere I can get a cell phone signal I can get internet. The speed isn't the greatest, but it works for us.
What I've found is if you work for a company that requires you to be logged on to the internet the whole time you are working, this option won't really work because of the connection speed. However, we use a product called DocShuttle by Bytescribe that allows my staff to download the audio and disconnect, type the reports, and then connect and upload the documents. It works great for that - I even have an employee who lives in the country where there is only dial-up available, and she works just fine like this.
It can be done - I've worked while camping several times this way.....
Mobile transcription
I have just heard from one person so far, and she just did this for about 6 months. I will keep in touch.
Mobile transcription
I'm a fairly new MT, and my husband and I are going to start living in our RV and traveling around the country moving about every 3 months. Is there anyone out there doing something similar? I'd love to hear from you.
Mobile homes are many here in NC, and
they are not a good deal, IMO. Every tornado heads straight for them like they are magnetized, and they seem to burn down a lot. Now I had a townhouse that I lived in for 11 years, and I made quite a nice profit due to the fact they were attractive, had a bit of land and nice landscaping, and were in a good location. I think I paid $85,000, and sold it for $119,000 11 years later. Not bad for a townhouse.
I am mobile with a laptop and use a....sm
Microsoft Elite keyboard. Many years ago I started transcribing with my keyboard in my lap. This has served me very well and is the only way I work now, even at home at my desk. Ergononically, it is great with no stress on arms, neck etc. Just be sure you have the computer at the right height. Sometimes I have to put a few books under my laptop depending on the height of the chair I am sitting in. I love being mobile!
Mobile internet
I need to go mobile with my laptop so I can work away from home. Anybody else out there who does this? Any suggestions. Good carriers? Any advice greatly appreciated. Thanks. 
Okay, I decided to try mobile
wireless internet through Verizon. I currently have a Verizon cell and have no problem with reception in my home, so I'm hoping this is a go. I also have a 30-day trial period, so I'll know for sure if I have any glitches.
What I don't understand is this lingo about voice files, etc. I'm on the Bayscribe platform, so any info would be greatly appreciated. Please "dumb it down" for me, as I am not a PC person. The lady that signed me up told me that the limit is 5 GB and that that generally means about 35,000 web pages a month. How does this correlate to voice files? Do I even use voice files on Bayscribe? I'm assuming so since I have an audio player.
At least I know if this doesn't work out, I can cancel and not lose anything. Then I'll have to sign up for satellite, which is about $300 upfront and $60 to $90 per month for service. I'm keeping my fingers crossed that Verizon will work for me.
Thanks for any info.
That's not my point. My point is previous owner hired
nm
Mobile Infirmary Medical Ctr
Have applied for a full-time MT job at Mobile (AL) Infirmary Medical Center. Has anyone experience working for them? I would appreciate any information, as this would involve a move for me. Thanks in advance--
Mobile Infirmary Hospital
I don't know much about Medical Records except that they have a BIG turnover. Always hiring. Say a little a prayer before you except, it may be that it works out great for you.
Mobile home buying
Shop around for repossessed homes. I have a double-wide Palm Harbor that we picked up for about 60% of book. Yes, they do depreciate like cars, and some brands hold value better than others. Palm Harbor and Patriot seem to have the slowest depreciation rate, and do have pretty good records for storm survival (always remember, they have earned the term Tornado Bait honestly!) Our home was barely lived in, with very little evidence of wear, and a great price. Try to look for a repo-only lot - they are usually run directly by the mortgage company and if you have good credit, a good deal can be made, especially if they have had the home back for a while. They can also show you homes alreay set up in parks, or on lots of 1/2 to 1 acre or even more, and if you like the location, won't even have to wait for moving and set-up. Make sure they are able to demonstrate that the heat and air work properly, even if they are lot-set in a temporary sales lot. Don't know about AZ, but in Texas they do have to have certain warranties for roofs, appliances, etc. for at least 90 days. New home dealerships often have some repos, but they are usually dogs to make you want the new ones. Shop around, take as much time as possible (we stayed in contact with the repo dealer we brought from for about a year, and he called when he got in what he knew we were looking for) and you can find a deal, especially if you have great credit. We are way more happy with the mobile home we bought when we remember how little we gave for it. Stay away from Fleetwood, Shulte and SOUTHERN ENERGY (run-don't walk-away), unless they just give you one, then be prepared for problems anyway. I am running on, aren't I? I just wish someone had steered me this direction in the first place. 21st Century Mortgage Company is a good lender for mobile homes. There are not many companies out there who still do trailers, but you can find them if you look. Hope this helps. Contact me if you want more info.
My advice if you do buy your own is to get a laptop so you can be mobile. nm
.
Lots of people are mobile.
Be sure that you're using a secured wireless network/hot spot. Your laptop should have the wireless card already installed, unless you're using an old model. Try Google search for VPN to learn more.
Most importantly--make sure it is allowed by your company!!
Sprint Mobile Broadband sm
I have been using this service for the last 3 months or so and would never go back to dial-up. However, be aware that there is a 5GB limit per month with any of the $60/month data plans offered by Sprint (starting next month), AT&T, and Verizon. I have been checking my usage, and even with downloading a ton of songs for my son's MP3 player, work, and occasional youtube type stuff, I am averaging about 3.5GB for the month. Also, check what service has the best coverage for your area. I went with Sprint because of the unlimited package they had at the time, but since that is going away, there is no difference to me in carriers except their coverage area. If you have any questions, please feel free to e-mail me, and I can give you the website where I purchased my equipment. They have incredible customer service and even helped me get my modem switched out when it broke (my fault but I had the total protection plan on it, only $7 per month and well worth it).
Anybody use verizon mobile broadband?
Can you tell me anything about it? My dad is thinking about getting it and I wondered if I could use it at the campground they go to, but wasn't sure how it worked. Is there a limit to how much you can be online? Any info is greatly appreciated! TIA!
is this with a mobile home company by chance? nm
:
I agree. I used to finance mobile homes.
However, they had to be on a permanent foundation with the wheels removed, and the interest rate was scary.
Dragon Naturally Speaking v 8 Mobile
Is anyone using Dragon Naturally Speaking v 8 Mobile to download digital dictation from a recorder and convert into a transcribed document? I saw where it claims to be able to take digital dictation from a recorder and automatically convert it to a typed document.
Mobile Infimary Medical Center
It depends on what department you are going into. Are you Medical Records MT? or Radiolgy MT?
using desktop computer mobile as a laptop
Anyone have an idea about using a desktop computer as a laptop? I am wanting to take a roadtrip and I had a laptop that has a cracked monitor screen that I used a Belkin wireless internet PCI card in the side of it with WiFi internet connection. Is there a way to use my physical harddrive and establish the same wireless internet connection with WiFi? I do not have the same port that the laptop has on my harddrive that the Belkin wireless card fit into, but is there another card that plugs into the desktop harddrive that will have the same effect? Thank you all.
Mobile PC card - no router required.
here is the section on Cingular's web site. Sprint also has one.
http://business.cingular.com/businesscenter/solutions/wireless-laptop/modem-cards.jsp
Mobile broadband 5GB limit with ALL carriers
I signed up with Sprint last year when it was unlimited, and starting in July 2008, they put a cap of 5GB, which is what all the other carriers had done also. That said, if you are using the connection mainly for work, the cap should not be a problem. I downloaded a program that keeps track of my usage as well as use the Sprint site to check it occasionally. You can't be downloading tons of MP3s or watching a lot of youtube or other video things during each month, but it doesn't have to be completely avoided either.
Cingular and T-Mobile advertise prepaid plans.
nm
Questions - Working with Mobile Broadband Access
Hi ..
I need to set up to work away from home and am considering mobile broadband wireless.
I would appreciate any information ya'll could give me - I know nothing about it, other than most service is 60.00/month ... specifically, what carriers and how much time does it get you?
Thanks so much! I have verified the major carriers provide coverage in the area I will need to be in.
Merry Christmas!
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.
The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.
If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.
States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.
Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
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