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Serving Over 20,000 US Medical Transcriptionists

quality versus production

Posted By: tired too on 2005-09-30
In Reply to: 95%++ - Theresa

I would say they are keeping you hostage with this 99% stuff. You should be reading as you go, then spell checking and move on. Try making some more $ that way, then if your quality dips slow down. We all make mistakes, we arenot machines. It sounds like you are afraid to have amistake and itis tying up your hands. Don't you love how these companies work??? They get you one way or the other.


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As a new MT one should not worry about production but quality. A lot of MTs old and new sm
don't take the time to do the work accurately.
Pay versus quality
I understand that experience warrants more pay - however, if working means I take a lower rate, and work up to a higher rate - than I take it - it does not mean I give less of myself - Being a Transcriptionist I take pride in my work and work hard at whatever the rate. Too many jobs going over seas for a much much lower rate than 7 cents a line - if we want to get it back, and / or continue working than you do what you have to for the time being. I have companies that pay me 7.5 and clients that pay me between 7 and 14 - and thank goodness I am busy enough to make a decent living. I am not a prima dona who picks and chooses - I have a responsibility to my family to make money, and a desire to work and maintain a household.

However, I will not work for someone who does not pay at all, bounces checks or disrespects me in any way - but my quality never wans for any reason - that is my reputation on the line not any one else's.

So, yes we should make more money - but if this is what is out there, I will take it.
Quantity versus quality
I did an internship recently at a local hospital in Michigan.  I kept hearing the  supervisor say to the transcriptionists to type faster, type faster.  I could not believe the mistakes in the reports.  When I brought this up to the manager, she would look at the mistakes, and say go on to the next report.  The mistakes were never even fixed.  The worst part was that the manager of the transcription department was the QA, and she wasn't even a medical transcriptionist!!!
Quantity versus quality

If the company wants shoddy work, let them keep outsourcing to foreign countries.  If they get sued, they deserve it.  The office where I work will shortly be sending our work to India and doing away with us.  I saw a few reports from India, and they can't even spell our doctors' names correctly.  Their grammar is awful, not to mention the terminology.   Quality no longer counts, and I no longer want to work for companies that don't care about quality  They can take transcription and India and shove it!


 


 


Hourly pay versus production pay
Are there any of you who made the transition from an hourly paying job to a production-based job?  If so, how did it turn out for you?
I loved being paid for production/quality as opposed to being with the co. since
the beginning of time. And those long timers that I worked with tended to produce the least work and dish out the most criticism. I felt like a work horse and was paid half of what the 10 plus years on the job MTs in-house were. This created hostility, needless to say.
Outsourcing Costs Versus Quality Reports
Sorry to burst your bubble but doctors know when/why they're being outsourced and go along with it, but only for the ones who really care about quality, these individuals then become "appalled."  In the 1990s when medical malpractice suits were at their highest and attorneys saw what a lucrative field this could be, I learned at a monthly transcription meeting that it might become law that not only the doctor but the MT (under homeowner's insurance if based at home) could be sued for "inaccuracies" in a medical report.  That, however, quickly and quietly went away but don't think, for one moment, this still isn't being talked about!  That's why I have always had a hard time trying to figure out how hospital/clinic boards keep on authorizing overseas outsourcing (well it's obvious about the cost savings!) and then crying about all the inaccuracies in sometimes complex medicolegal reports, while still padding their own pockets with bonuses, etc.  If someone has an answer to that, I'd surely like to hear it!              
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
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.  


65 character line versus gross lines versus pay by word

I am checking into other options for transcription.  Can anyone tell me how to compare all of these types of lines & also payment per word?  I know companies use different scales, so I wondered how they compare.  I have been paid on a 65 character line with spaces, but I may be making a change in the future - don't want to get burned.


Thank you in advance!


Question versus gross lines versus 65-character lines....

I have always charged or been paid by 65 or 60 character lines or per letter or space typed, but have never been paid or charged per gross line.


What is the advantage of this?  If I were to charge 11 cents per 65-character line including spaces, what does this figure out to for an average line rate and how do you do this calculation? 


I'm wondering if it is financially beneficial for me to bill by gross line or to keep it the way I have it.  I do know some accounts will only pay per 65-character line, as this was the deal my first own account I recently acquired.  They were adamant on a 65-character line, but didn't specify with or without spaces and I personally would never not charge for spaces.


Thanks for explaining this.  I appreciate it and hope everyone has a speedy day.


Quality is quality whether you are an MT or CEO.

How good is the quality of the performance of your managers or the guys at the top?   Anybody want to evaluate that?   Can they get their raises based on our evaluation of their quality?  


Let's see now.  Which CEOs were named in lawsuit?  F for quality.  How many managers do we need to give us stupid pep talks?   F for managers.  QA this post MQ and all other nationals who decide they reward us on "quality"   Look in the mirror and fix yourself.


what is your quality like?
.
Oh, the quality! Well now we know.
x
quality
I totally agree with you. There should be some kind of feedback on how you are doing. Not only for mistakes, but also if you are doing a really fine job. I know when am not real sure of something, or if I did do something wrong, I really do want to know. How else do you learn? I know too, that when someone notices a job well done and lets me know, it makes me want to strive for that "perfection", and it just plain feels good. I think the circumstance has become if nobody says anything, then it's ok, kind of leaves you in the dark. Just always remember, everything you type becomes a legal document. I'm sure you do a good job.
I can't believe the quality.
This year I had to subcontract out because I have too much work to handle, and frankly, I can't believe the appalling quality I am getting from transcriptionists with 10+ years of experience. To put it bluntly, it's shameful. I pay 11 cpl to my transcriptionists but after a year of searching, testing, and training, I have only found 2 that are actually worth it. My doctors are so easy. They are clear, they repeat everything, and there are no ESLs, but these people just don't read directions, don't proofread their work (when they clearly need to), and don't have even the basics of grammar down.

It wouldn't surprise me at all if doctors that have switched from an over-priced American company to an offshore firm didn't notice any difference in quality at all.

I know this isn't going to be a popular view but it is the truth, and I can tell you I was just as shocked to learn this as anybody.
98% quality
Hi peers,

Can someone describe me how to calculate 98% accuracy. Any description or link would be appreciated. Thx!
quality, etc.
Case in Point ~
with a union, we could at last demand to stop being treated like cattle and/or factory piece workers. What in the heck has happened to hourly salary!!??? How about straight salary? These records are, after all, LEGAL DOCUMENTS. When we are forced to type at the speed of sound instead of making the production of the highest quality possible documents our top priority, this demeans our profession.
UNION...UNION...UNION...UNION
better pay is better quality/less pay=less quality
nm
I just took one and know I did not do well, quality is not
an issue with me, but knowing I am timed my fingers just don't work.
should be quality - should have had an ESL MT do this for me
so sorry!
Just enough to cut into my production. nm
:+
production
Don't "P" off your coordinator! lol
production
 I have been transcribing for over a year now and I STILL cannot produce 1200 lines a day.  Sometimes I have to work 8 hours to do 900.  What is my problem?  My account manager says most transcriptionists can do 1200 lines in 6 hours.  Please tell me how you do it!!!  I have developed a good Expander vocabulary...
production
There are a lot of variables in this issue.  I know when I have op notes or certain ESL dictators and lots of discharge summaries, my line count drops tremendously.  If I have ER notes which I love, I can do a lot more.  What are your report types?
production
I have two accts that i can type at least 500 lines per hour!
Production QA
I was looking into a QA/editor position being paid per line.  (5 cpl)  Does anyone have any suggestions on whether to look into this more?  I've been a Transcriptionist for 10 years and I am interested in a different position than typing now.  Any advice would be very helpful.  From what I understand (??) it is US-based MTs with 100% read throughs on average ESL accounts.
production pay

I'm sure with your 15+ years of experience and your speed you will do very well pay-wise.  Be sure your internet research skills are honed and this will make you even more successful.  You may want to try and find an account that is all cardiology or all operative notes if you really want to hit the ground running.  Good luck to you! 


Please try doing more ops. Your production SM
will increase because the doctors dictate faster and some will say the same thing over and over. You can make samples of their standard reports.

Speaking of samples, can your supervisor send you some? Ask to be sent specific op reports such as ob and ortho. Those are the ones the doctors say the same stuff all the time. Try mastering one specialty at a time.

You will be doing yourself a favor by learning to do more report types.

I know this isn't answering your original question, but I would really like to encourage you to try them. I know you can do it! :)
I am on production too s/m

does anyone ever think of that?  Everyone keeps saying we are paid to fill in their work, but does anyone ever consider that I get paid by how many jobs I do in a day?  Filling in 20 blanks on 1 report versus filling in 1 blank on 20 reports makes a difference to me.  Nobody ever thinks a lot of us get paid just like you do, by how much work we produce.


Production
How long does it take to get up to 1200 lines?  I've been reading the posts on cafemt.com and I can't believe some of those people get 2000 lines.  How do they do that?  Any suggestions would be great.  thanks.
production...
i average 12-1400 L/day but that is on a 6-7 hr workday. I do acute care, lots of chunk-type expanders, very few 'normals', mostly decent dictators. On days with more diffi dictators, too many short reports, etc, its good if i average 170/lph. i'm not that fast but i get up to 260 lph at times, yet average 200/lph. i've been at this several decades, but take more time than many (probably) to research something or verify accuracy too. i take lots of breaks too, so it stretches my day out. On the other hand, i have, in my years, seen some extremely fast typists, and people who can stay put in the chair a long time. if you have the knowledge, stay put and build momentum and are naturally fast, i can see being able to do 2000-2500 a day with quality. but maybe you burn out or stress your arm nerves too much in a shorter time.
Production/Pay
Okay, you might have some good points but how come the majority of us, who loved our jobs and made great $$ on any and all of our accts are having the exact same problems, the exact same worries at the same time? 
Production
500 lines an hour are 12.5 pages! A page has usually 40 lines.
There are people who cannot even read so fast.
I bet all is Expanders and mormals.

LOT more to MT than just production. sm

Maybe you worked at one of those very rare places where they compensated a MT for her knowledge and expertise and not just her production.   


Also regarding production
None of us can compare ourselves anyway because there are so many factors involved in determining how many lines get done. Within my own accounts, mine vary up to 70 lph, and I swear I am working harder on the slow days!!
VR Production
Does anyone consistently edit 450 lines per hour on EXT VR? That is what I need to do to keep my salary the same and so far I am not even up to 300 lines per hour. Any suggestions to improve my line count would be much appreciated. Thanks!
Much better for me on production

I worked in house for about four months last year and went back home.  Hated the office politics crap, but I made significantly more per hour at home than I did in the office.  I was considered a newbie and so wasn't paid as much  hourly as the women who had been doing it for years.  Because I'm MUCH faster than they are, though, I make more than they do working from my home.


It all depends on your line rate and your speed, and what you think good money is.


Why is it only for SEs? If its really quality they want it should apply to

Quality is quality whether an employee or not.


QA is Quality Assurance, QC is
Quality Control, for what that is worth
Bad quality dictation
What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out.  Is this normal? Left lines in every report.  ??? Help?
Can you tell us who this is with the bad sound quality? nm
s
The other will be cheaper but no quality
x
The quality of the dictators is SM

pretty bad overall--even the Americans.  I would say with most national services, the accounts are about 75% ESL (30% terrible ESL), 20% fast Americans who don't care and 5% really good gravy dictators.


This is for acute care dictation--large hospitals.  Another problem is there are so many dictators in 1 facility that you hardly ever get the same ones day after day.


I think in QA you are seeing the low quality of MTs, not dictators sm
If I were you (and I admit I did QA for awhile and hated it, for so many more mistakes than the blanks they had sent to QA for) I would go back to MT. There is lots of money to be made, especially when you become familiar with dictators and accounts. I wouldn't do QA for anything. $15 an hour for QA versus $35 an our for MT. Go back to MT.
quality vs wages

While I do agree that there is a vast majority of MTs who are of extremely poor quality, there also are very high-quality, well-seasoned MTs like myself who are tired of making the same wages we made 10-15 years ago.  If there is such a discrepancy in our work quality and ethics, these corporations (who, by the way, are not slacking at all in their 6-figure income pockets!!!!) should pay MTs based on quality and experience, not just experience alone. 


IS ANYONE OUT THERE BESIDES ME INTERESTED IN FORMING A NATIONAL MT UNION SO WE CAN GET BACK THE DIGNITY WE HAVE LOST?


I remain,


tired


sound quality

I'm totally with you!  I used a Lanier station for the first 15 years of my career and the sound quality was superb compared to the internet dictation.  One thing you might try, if you have not already, is to make sure your speakers have a tone dial.  Lots of these companies provide speakers that only have a volume dial or they want you to plug right in to the PC but there is no tone setting on the voice program.  Turning the tone to high helps un-muffle the sound.  Good luck!


 


Quanity/Quality
Yeh tell me about it!!! Produce more reports if you want more$$$ but don't make any mistakes or you don't get incentive. This way they get out of having to give raises or pay more money, putting the responsibility back on the MT. Its all our fault right? Its BS!
quantity vs quality
Hey y'all, it's a buyers market out there. There a tremedous demand for transcriptionists. Just move on. Things are going to continue to change quickly in transcription over the next few years. Everybody hates change, but try to embrace it for a while, it'll put you in the catbird seat.
quality vs wages
YOU'VE JUST VALIDATED MY INITIAL COMMENT....

THAT'S EXACTLY WHY WE NEED A UNION!!!!!