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digital systems

Posted By: Cindi on 2008-06-10
In Reply to: Send me an email - Kyrie

I would go with a DVR and have the docs load it on their computer.  Sounds great!


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I need some advice on digital dictation systems
I am talking to a psychotherapist about possibly doing her transcription.  She does not dictate presently, but is interested in getting started. I am thinking of asking her to go digital, but I don't know the first thing about getting started, what equipment we'll need, etc.  I currently work for a national, so they sent me the PC and footpedal, and that was it. Any advice would be so appreciated.  I don't wanna sound like a dummy when we talk...thanks y'all!
I do tapes and digital. And I was told if I'm not logged into the digital system, they assume I&

BUT she wants me logged into the system by 9:30 a.m.  So I'm confused too.  I've decided that I may come back to her and just say I'm not going to do the tapes anymore.  I hate the tapes anyway.  The voice quality is horrible, it fades in and out.  It takes me twice as long to transcribe their tapes than the digital.


I don't know about other systems.
I use Express Scribe sometimes but I only work on eScription. I know with a connection that slow you aren't going to be able to use EditScript. I think that the only way you are going to be able to get around that, if you are doing strictly QA, is to use EMON and not use EditScript, although I'm not sure you'll be able to get the voice file to download that way either.
I don't know if different VR systems
But, I have been doing VR for only a month, and I have noticed that the system DOES learn. Mistakes that it made before or phrases it didn't pick up before, it is now getting much better. I used to not want to believe it, but now that I have seen it with my own eyes, I know that it will only be a matter of time before it replaces MTs. Since I have over another 30 years in whatever career I choose, I have decided to get out. No sense in going down a road that leads to nowhere.
I have wireless for 3 systems but I believe you
will have to have DSL coming in on a router. From my understanding (and goodness knows I could be wrong) I don't think you can have "wireless" internet without a router from another source. The router is attached to your phone line for DSL and sends out the signal for other wireless adaptors to pickup.

Dictation Systems

I'm looking at going from the good ol' tapes to digital dictation.  What is the best choice for the $$? 


 


Thank you


Dictation systems
Can anyone recommend any good Internet based call in phone systems for doctors to utilize without spending a lot of money on phone line based/computer systems.  Thanks
Reminds me of systems
I've worked on that used Citrix; not being computer savvy, I don't know if they called it a Citrix server or what, but apparently it was a company that they used for some part of the process, and it was not compatible with the software. They I think they had to switch to some other company to speed things up.

That should be about as clear as mud. Sorry.
How about under classification systems in
AAMT BOS(assuming you have this/if not, you can get free through MQ). Hope this helps!
Call-in systems
I've tried out 4 so far. What are the good/bad points of the system you are using?

Thanks!
Are systems capitalized in ROS?
no msg
Some companies' systems are not
compatible with the "new" software, just like a lot do not use Vista. You have to buy what is required to work.
How hard is it to network 2 systems
I would like these 2 systems to talk with each other and have no idea of how to do it?
Systems are not down for long these days.
dd
Call-in phone systems
What is the best call in phone system out there. I do not want call in on tapes though. I appreciate your input. Deb
So right about the Huge Health Systems - sm
in fact, that was 99.9% of the problem at my hospital. Once it got gobbled by a greedy HMO, everything went downhill fast. They got their fancy new campus at the expense of quality medical care and ethical treatment of its employees.

The run-'em-in and run-'em-out style of practicing medicine puts a lot of pressure on the MDs to see patients quickly, but it's SO not thorough! I saw this not only in the rushed, often mistake-filled reports they dictated, but in my own care as well. They lost a lot of their top-notch MDs because they refused to practice that superficial style of 'Mc Medicine'.

When I see all the greed in the HMOs, and the overspending on upper management and not enough on the nuts-and-bolts of what makes a good hospital, it's easy to see that although they're high-on-the-hog right now, alot of those pompous U-no-whats are riding for a BIG fall someday. I hope I'm still around to see it - it'll make my day.
Rosemarie is right on for trained VR systems. SM
You are obviously currently working with a new system that is still learning how to do its job. The first typewriters were undoubtedly really a pain to use, too. The poor clerks of those days must have begged just to be allowed to use their pen and ink as they always had.

My current system isn't as learned/advanced as my last one, so lots of corrections. It's about as much fun as doing QA cleaning up after a pack of new and sloppy MTs. But it's a temporary situation. And my current pay rate reflects the time needed for all those corrections. Does yours?

Over time, though, more and more reports do start coming through in good condition until most of them just require some general cleanup here and there.

Editing does shift emphasis from one skill to another.
I can see how the very fastest of typists might not make more editing than typing--they always speeded the dictation up to match them, and how people with little talent for editing might make less, but most people should do just as well editing as typing and many do make more at it.
Nuance or OPUS systems

Is anyone out there in transcription land familiar with either of these systems?  I'm starting work for a new client (Pathology) and find them inefficient and require too much non-transcription work to look up doctor's names and demographics.  I'm wondering if I'm missing "something".  Thank you to anyone who can give me a clue.    d


voice reginition systems
If you get dragon and have it listen to the dss files that come in will it automatically start typing the doctors dictation or does it have to be the same voice over and over?
Dictation systems - all input welcome

Hi.  Please let me know if I should post this on a different board. The hospital I work for is looking to change dictating/transcribing systems.  We have dictaphone extext and are looking at WinScribe, Escription, or really we are wide open. 


Does anyone know of a good internet resource that compares the pros and cons? 


Would any of you be willing to share your experience, good or bad, with any software you have used? 


Is there a forum or a thread that has already covered this you can direct me to to research?


TIA!


Brinker Information Systems
Has anyone heard of Brinker Information Systems, LLC?  I can't seem to find them on the web or anywhere.  They are based out of Center City, MN.  They have sent me papers to be faxed to them for IC work, but they did not ask me to test for them or anything.  I am leary to send them anything.  If anyone knows anything it would be helpful.
Brinker Information Systems
I am in the same situation. I would like some information too if anybody has some. Thanks
I agree, we train the VR systems and when
they are perfect (maybe this will never happen), then VR replaces us. Duh?
How can this be an incentive for MTs?
Front-end/back-end systems...

"Front-end" SR means that the original dictator's speech is turned into text. "Back-end" SR means that someone listens to the original dictator, redictating and "cleaning up" the original dication.  This "sanitized" redictation is then fed into the SR engine. 


The main disadvantage of "front-end" systems in the healthcare setting is that they must try to adapt to the speech peculiarities of many different dictators, whereas a "back-end" system only has to deal with the speech patterns of one dictator, namely the person who does the redictation.


Back-end dictation adds a layer of human intelligence to the conversion of speech to text because the person redictating presumably catches errors, eliminates hesitations and miscues, squares up ambiguous sentence structures, etc. - things that front-end dictation cannot do or does very poorly.  As such, while the back-end speech engine might still cause some errors that require keyboard correction, there should not be nearly as many as front-end systems produce.  And, a back-end SR application can be less sophisticated than a front-end system because it is not being required to deal with so many vagaries of human speech.  In fact, a back-end SR application does not need artificial intelligence at all, whereas front-end SR really does.


 


 


 


CHS is Community Health Systems
xx
Typing and backwards, what systems do you use?
NM
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.
can't she just do a systems restore to the day before she downloaded it? nm
x
Yes, the icon is in the systems tray. nm
nm
Prison systems in this state use in-house MTs, I am almost certain of.
dd
I don't think the present Voice Systems will improve
I believe it is best not to name names, as others have pointed out in this message board. So, instead, I will simply post the job as listed on MTjobs.com and say that the same person is posting this job as when I was bilked. 'Nuff said.

Voice Systems, LLC
Contact: Cindy Adams
PO Box 72046
Albany, Georgia 31721
voicesystems@mchsi.com
Telephone: NO CALLS, Fax: 877-883-9873

Title of position: Transcriptionist
Experience: 10 years as a transcriptionist.
Location of position: Georgia
At home or company: Work from home
Full or Part time: Full-time position
Type of Transcription: Many types of transcription.
Specialty: Orthopedics
Job Description: 10 years experience with orthopedic operative notes and discharge summaries.
Hardware/Software: High speed internet, Pentium IV computer, XP Pro, Word platform, familiary with VXP player, and typing into hospital system.
Method of sending/receiving dictation: Internet based
Compensation Information: competitive, 65 cpl, IC status only, great opportunity
Date Posted: 2005-10-17 12:49:12


Try opening up ShortHand before log in. Works with other systems like that. nm
s
He is an informations systems analyst at the university here. nm
x
They have always done well by me. I don't trust the computer phone systems. sm
If my computer goes out, them my phone goes out and how will I call them?  I prefer to have my eggs in several baskets.  Computer and TV cable on the same line.  Phone on a land line, Verizon.
You can still buy some computers with the choice of operating systems.
I know for a fact that you can do this on the Dell website, although not all models offer that option. Your best bet is to find someone who can buy a computer that does what you need it do to, no more and no less. That way you can pay for only what you want/need.
Looking for call-in systems with editing and electronic sign.
Do you guys know of any that are good and reasonably priced?  Thanks for the info and if you have other advice I am willing to listen. I have an office that wants a call-in system with the ability to edit online and use an electronic signature if possible. I use DocShuttle right now with handheld recorders and this is new so any help is appreciated.
Sick of slow systems that cheat you out of lines!

I am just so sick and tired of going to the trouble of testing and listening to recruiters tell you how wonderful the company is to work for only to learn later that the system is slower than molasses, has a sub-rate spell checker and knocks you off after each report you transcribe.  I haven’t come across a user friendly platform yet.  My current job cheated me out of 63 lines the other week and the new job I just started says in the contract they pay for spaces.  I checked the numbers and used my own line counting software – guess what . . . screwed again.  Are there any small companies left in the world, which allow you type in Word and pay on time? 


Most Dictaphone stuff is proprietary and won't work with other systems.
If there's an adapter out there, I'm not aware of it. Hope you can return your purchase.
MTSOs who work with call-in dictating systems. See inside.

If you work with a call in system, would you be willing to share if you like it/don't like it, how your transcriptionists acess their work (internet or through the call in system), where did you buy your system and is it efficient, etc.  Thanks.


Ditto on Voice Systems. I have a friend who worked for them and ended up being owed .... SM
way more than $1000 when the first company went bankrupt. Also I had applied but decided not to take the job, and the MTSO literally begged me to come to work for them. I'm sure glad I didn't. Maybe this present company they've started will be better, but so far, it doesn't sound like it.
C-phone used to call in to dictating systems to receive work. A special phone. nm
nm
I think you can dial into most systems that require C-phone without having a C-phone nm
.
Digital
I am brain dead also, since I've been away from the "job" due to husband's illness. I do not see any replies on here. Please forward any good info to my E-mail. Appreciate it. Turn your back around here and technology changes, zap!
Going digital

Hi,


I read your post and was wondering if I could get in this thread?  I don't have my own accts yet, I work for a small national and a large national.  However, I am seriously thinking about getting my own accts.  Before I go looking, I thought it would be good idea to have a digital system in mind and ready to set up. 


One idea that I have seen that I found really interesting was in the Transcription Gear Catalog.  There is a 2 page spread about their idigital system.  This is a toll free dictation ASP, very similar to what the nationals have, I would think.  With this system, you pay for the minutes that you will use during the month.  Has anyone else used this type of system?  Any thoughts about it?


digital
I have two different setups for digital.  I have an internet based call in system, which allows me to set up Transcriptionist to receive the work directly to their systems using Express scribe and I also have a doctor who uses a handheld digital recorder that he uploads in the evenings and sends the work to me through Magic Vortex......There are several great companies for you to check out.  RTKING,  JAY VANCE,  START STOP TRANSCRIPTION are a few good places to start with.   There are also other options for sending and receiving work,  such as FTP sites, Hypersend, Magic Vortex and many more.
Going Digital
I switched to my 5 accounts to digital using Jay Vance with Vance Digital in March. I absolutely LOVE it! Wish I would have done this 5 years ago! e-mail me with any questions.
digital sm
How on earth do you print to the docs? Do you both have to have the same WP program and do you supply them with a printer? The offices I worked with were too lazy to even take the tape out of the tape recorder, "not their job" so I gave up on asking them to do "anything at all" as they were so lazy. By the way, thanks for sharing, not too many are willing to do this; would rather play their hand close to their chest. You are a wonder! Thank you!
digital
I'm doing digital for my client and it's wonderful--no more traffic jams. They use Olympus handheld dictation devices. We use hushmail to upload the dictation and transcribed reports so they are encrypted and HIPPA compliant. It's fairly inexpensive -- I believe $30 a year. One nice thing about that you can be anyway to pick up your files as long as you have internet access. I've often taken my laptop with me on vacation to cover emergency work. Not that I want to work on vacation, but it makes the client feel better knowing you can access the work.
If you want to go digital this is what I did
Purchased DocShuttle Admin ($300) and DocShuttle Client for myself ($99), had doctor purchase DocShuttle Dictator ($99) and an Olympus recorder ($129). Rented FTP site (about $45/yr).  Set up DocShuttle so once dictator docks the recorder, it takes file from recorder and erases recorder, imports into DocShuttle, goes to ftp site, posts new dictation, pulls off old.  You may want to go to Bytescribe's site though and see if the program they have for doing it by email would work for you. If you are the only MT and they are the only client, then do it by email. Email me if you need any further clarifications.
digital
i went with transcriptiongear.com and have been very happy. you can email me with questions.