yeah, but since capitation, sorry, but how much concern is there
Posted By: EMRMT on 2006-02-01
In Reply to: i have - stephanie
for the patient? Just big business, like Walmart. Push people in, push them out, cut services...
Hospitals now want everything for nothing, and do not want to pay for it, as evidenced by the complete explosion of outsourcing...
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
I would like to believe it but doctors lost their 'power' long ago with capitation and
then the insurance companies starting controlling health care.
I think doctors have always been unhappy with outsourcing but just are not given much of a voice anymore.
the biggest change I noticed happened about 10 years ago when the nurses at the hospital I worked at were trying to go on strike. even though the doctors sided with them and fought alongside them, even wore black arm bands to show solidarity, well, you know the outcome...health care is a business, no longer caring about the individual patient... the nurses (and doctors) lost...
I have even heard doctors screaming with the DRG girls over patients needing care, etc., and the girls denying it...
Thanks for your concern - sm
All of these possibilities have run through my mind too.
In truth, I think the dad was trying to protect her, given the tragedy they have faced in the last year. At least that is the one possibility that I am hoping. That one can be forgiven as compared to other possibilities.
I can't even imagine what must be going through her head. As a mother, I would want to protect my kids too if they had been hurt as she has.
I did a little internet searching on the story he gave me and did find that the accident and deaths really did happen so I don't doubt that at all. I think it's dad trying to do his best and trying to protect her from further hurting but also trying to do the right thing too.
On my steps this morning I found a little bouquet of flowers. I think they may have been from her. Sure, they were picked from my flower beds but... hey, it's a gesture and looks like a little kid put them together.
Again, I'm holding out for putting the best foot forward and try to be a good neighbor.
Everyone deserves a second chance.
Thanks for your concern - sm
I don't think she's going to be a problem.
When my husband and I divorced, my little angels turned into monsters. They were angry, confused, and scared. This little girl lost her mother and her baby brother. They aren't coming back and it's still pretty fresh.
My kids see their dad every other weekend so they know he's still around.
Just try to put yourself in her shoes at that age. Wow, that's a big thing for such a little girl to handle.
I think her dad is doing his best, has her in counseling, has his sister helping him learn to be Mr. Mom, and just trying to be everything to his daughter.
From what I gathered from my conversation with him the day after the puppy incident, he was absent from the home a lot on business before the accident. Said he had no clue what to do after his wife and son were gone. Said he thought he was a dad before but this whole thing opened his eyes to what he was missing.
The guy has moved across state, lost his wife and son, trying to learn all over again to parent his remaining child, and starting a new career so he can spend more time with his daughter.
I think I'm safe with a 10 year old. I'll be more aware of what is going on when she is around but, she's 10. Still a baby to me.
By the way, they have accepted my invitation to dinner Friday night, all three of them.
It's going to be okay.
After my not so nice divorce (husband is now living with the reason for our divorce) I have learned that I really do have more patience than I thought myself capable of. Dealing with the nasty GF of the husband, the husband's betrayal, the kids anger for the separation and then the divorce, and my inital feeling of failure... I could list a million things but, I'm happy now, my kids are happy, I get along well enough with the ex, civil with his girlfriend, heck, this little bump over the puppy is small taters next to the past few years I have had.
I don't plan on saving the girl. I just feel bad for her and I know that her healing is just beginning. Doesn't help if I encourage my kids to alienate her. Not very nice of me as an adult either. Just because of one incident out of 6 months. No, I think she deserves a little understanding, forgiveness, and patience.
Thanks for your concern. sm
I have been in this business 25+ years and have had my own hospital clients for years. I know what happens when administration changes. I appreciate your concern, but believe me, I will be fine.
Why would some be so worried about another's line rate? If it is true concern, it is quite refreshing to see such caring fellow MTs rather than the bitter bunch usually here.
Thanks again, and best of luck to you.
Good luck to you.
no, I do not. thanks for your concern.--nm
nm
Yes, this is a concern.
Can you say which region of the country you are in? I have a feeling when this EMR stuff gets rolling, it's really going to impact MT quickly. My personal physician's group (in Michigan) uses it now for their office notes and has absolutely no need for transcription services.
What was the concern regarding Transform??
\
Overhiring is becoming a big concern.
Frequently, we are asked to get off the account we are working on as there is not enough work to go around, but this is sporadic, yet has been happening a lot lately so I suspect overhiring. If this continues, I may have to find another job, which is a shame because they are good person there but that will not pay my bills.
I think your concern is well founded. sm
I am looking to start re-schooling in the next year to get into a profession that cannot be offshored. Globalism is here to stay, and all jobs that can be used to extend corporation control into the global society will do just that. No sense not paying attention to the handwriting on the wall.
If benefits are a concern...
I would just find an job working from home that offers benefits. My job allows me to make money by the line, and also as long as I work full time, I get benefits. As the other poster, I too like being able to work from home and not deal with traffic getting to work, gas, work clothes, eating out, putting children in childcare, etc. It saves me so much money this way.
Also, I have been doing this for six years, and I haven't known any of the doctors personally.
Benefits are a concern. I am currently
working as an IC, and I am sick of the tax stuff - really wondering if I come out ahead to be honest working that way. I definitely want benefits and have a prospective company interested in hiring me that offers benefits. I have always known the doctors I have worked for. I guess it's sort of a new working situation for me not to know the person I am typing for. I don't know if I would miss that. Do you find it hard to deal with a company who is across country that you can't just drive to at a moment's notice if you have a problem and can't communicate by phone or email with anyone?
Please take this as intended; as concern
Hair colorants can be quite toxic; you may want to research here. I have no affiliation with this site other than I wish to be an educated consumer and I am concerned about what I put in and on my body. Not trying to be preachy. Good luck to you.
http://www.ewg.org/reports/skindeep2/index.php
I understand your concern....
Sheri would like you guys to know this: When the site goes down and is replaced with old posts, then you will know it has been taken over. Please know she is working to get a new site at mtstars.net and it will be working as soon as possible. I do not work for MTStars and am just a poster but know what cybersquatting is. This is real. Be aware that a person has taken hostage the *domain name* for money (extortion) and if she doesn't comply in 12-24 hours, he will take over the site. This is real!
My concern about newbies getting a job -
In response to a previous post on newbies finding a job - I've been typing for almost 15 years and was lucky enough to "learn the right way" from a great mentor, learning all specialties. Editing speech rec jobs is relatively easy when you have the background in all specialties like "us old folks".
At least for right now, I believe speech rec is only as good as the experienced Editor behind it to eyeball and correct any errors. I hate to admit it, but speech rec has made dramatic improvements in its accuracy over the last few years. It's here to stay, it's improving - and surprisingly, the people I work with really enjoy editing.
My concern though is when the old folks like me in the field retire, and many of us are getting close. Newbies need the opportunity to get in the door and gain their experience in all specialties to take over as the older folks leave the field. There needs to be mentors to continue to be available to these newbies to guide them along the way. There are good schools out there, but to "learn it all" you really need to be actively working in the field on a job that gives the opportunity to learn all specialties.
This is my concern as speech recognition becomes more and more successful. We will continue to need quality, seasoned transcriptionists to become quality, well rounded editors in the future.
I've taught completely green people transcription, and I've taken newbies in and guided them along the way. It is satisfying for me because someone took me green 15 years ago and gave me this opportunity, and for that I am eternally grateful. Putting 3 kids through college was a lot easier thanks to my full time job and another part time job I had.
Best of luck to all you newbies out there - if you can get your foot in the door at a local hospital, even working in house to start, its a good place to begin. Gain all the experience you can. I'm not sure working for these big shlock houses, the nationwide transcription companies, is the best place to start - it can be frustrating when you're given all the ESL docs and junk work and try to plug through it.
Good luck newbies - keep on pluggin.
Hear your concern about
the line situation. I use ShortHand and have shortcuts up the kazoo. The only thing Shorthand does for me is save my fingers and hands as I don't see a huge difference in my lines.
In fact since I have gotten really proficient with my macros, my lines in fact have gone down or stayed the same. I thought it was supposed to be a line booster. One can only go so fast and still maintain accuracy and fill in blanks along the way.
Makes ya wonder what is going on with that?
I can understand that concern. To be honest, I believe
that there will still be lots of opportunity for overtime.
There's going to be a few months of transition and, with any luck, the unhappy MTs will leave and that situation, coupled with constant new accounts coming on board, will generate more work than you're thinking about right now. It will have to be done, period.
There may be some occasions where overtime isn't as readily available but I expect that we will have plenty of times where we have some offer of overtime.
That's my speculation, at least.
Thanks. That is encouraging. My biggest concern is
visiting family at holidays and other times. Do you bring some of your own food or just pick and choose from what is offered? Or do you go "off the lifestyle" and then make up for the damage later?
Bigger concern is your husband!!
Aside from the fact that your husband's friend is a jerk, what is your husband saying about the fact that he will not give you this female's phone # so you can call her back and let her hear a piece of reality here!! It's as if your hubby is saying this is a game here and it's "okay". Does the fact that this lady called him give him some kind of a charge, a little excitement for him? I would question his ethics first, after all, if he's willing to keep this number from you, what else would he think is none of your business? Sorry, but that's the bigger problem.
my concern with VOIP with a C-phone is
how is the voice quality? I would be interested in something like Vonage as I can take that with me and travel.
Thanks for your concern - no internet newbie here
What personal information? MT Registry only requires an e-mail address to register - no other information is required.
The e-mail address I use for any site can easily be dumped. Anybody buying gmail, hotmail or yahoo addresses is wasting their money.
First we have the conspiracy theorist and now a patronizing man acting like all the little women don't know how to protect themselves on the internet.
I actually am on my way out the door, thanks for your concern! but the situation will not change
x
Satellite is not secure so there may be concern for HIPAA
violation. Also satellite downloads are not dependable, sometimes they can be just as slow as dial-up, depends on the weather and how many others are on the server.
The trees are the main concern in a hurricane (sm)
the lake didn't even get close to the house during that supposed "100-year flood" in 1993 (not allison, the other one). We went to the other side of Houston for Rita, came back the next day. It was a mess with limbs all over but no trees down on our property. Next-door neighbor had 3 down. We've decided for the next one, we will stay in the garage and hope no trees fall on the house.
Take concern/questions to MTSO. Ask how line
you are being paid correctly at a certain line rate but if she cannot SHOW you how those figures are arrived at, I would be very leery that she is being less than honest with me. If she knows exactly how she is figuring lines to pay you, she should be able to demonstrate to you how figures are arrived at.
Maybe because of sincere concern for people who once were dedicated?
You probably support illegal immigrants working within the border.
What do you suppose laid off employees do until they get a job? Welfare and foodstamps? Who pays then? What in the world does a country do for its people then provide jobs when it is a 1st world infrastructure?
No holds barred? The man or woman who goes the extra mile for a company and then is dumped on the street - with every attempt made to block unemployment INSURANCE benefit - is only looking at the bottom line.
Believe me, good MTs still can find work but it may take a few months. So, give them some compensation insurance like the contract states. Otherwise, state: Once an MT is no longer needed, Unemployment Insurance will be denied regardless of the situation at hand. Then, I will not take the darn job.
Give me a break.
I appreciate your concern but that would be MY choice - if I wanted to decide to contact them...
of course, if you don't want to name your previous employer, that's up to you. I do appreciate your response.
However, I believe I make my own choices about where I work.
Voice Your Concern about Offshoring - E mail the President - see here
Go to whitehouse.gov/contact or ehow, etc. I did just that today. They invited me to e mail the president - so I did. Not sure he will ever get it but it was a nice friendly letter. I asked him to find out and report how many jobs are being offshored every single day, faster than he can create them. I asked him to try to get specific figures on tax implications and our social security system. No one has ever given out this information, which would probably be a difficult task since the offshoring companies will not fess up to how many jobs really leave the U.S. I figured if any one could find out it would be President Obama himself. As an aside I asked him could it be true that the big banks who received approximately $150 billion dollars of our money actually applied for 20,000 new visas for foreign workers (up 1/3). With our own money?
I asked him how his stimulus package was supposed to work. I have always stimulated the economy, worked, and paid taxes. Now my job has been given to a foreign worker who does not pay taxes. What gives? If that is not on a drain on the system, then the lines for unemployment income are. I mentioned that the stimulus checks handed out were never going to trickle down to the average American citizen. Look what they are doing with it. The best stimulus he could give us is to save our jobs. We can't spend what we don't have. I also congratulated him on his new job, financial security, the American people keeping the mortgage up to date on the White House, and that his kids certainly seem to have everything they need. Keep up the good work and get back to me on those huge figures. Oh, and I gave him my figures, unemployment at 50% of your earnings for 6 months.
Your e mail can be one sentence or up to 5,000 words. Can you imagine the President receiving e mails from 300-500 MTs in one week. Do it.
If insurance is your primary concern, then Trans Tech may not be an option for you.
The family insurance is horrid, over $1200 a month I believe, and the single coverage would have cost me $300 a month. I had to pass on the job due to this. I would be working just for the insurance.
Maybe I misunderstood the OP's concern. Pardon if my response doesn't pertain. nm
x
Not to discourage you, my concern would be if you can find someone to hire you. Good luck. I agree
nm
Yeah, yeah, that should be "your work..."
Yeah, baby, yeah.
We are here for the long haul.
Oh, yeah!
I understand where you're coming from. The respect is just not there anymore. Everyone in this business has heard for years about how voice recognition and EMRs are going to replace us all, which I just don't buy. I work for a national on a difficult account with many ESLs, and it generates lots of work. Every summer we have problems keeping up with turnaround but the management has yet to come up with a solution that actually works consistently. I suspect it's a combination of MTs having kids home from school during the day now, vacations being taken, and people not working their schedules, but most of all I think it's just plain burnout - we deserve to enjoy the summer too. Last summer I worked so much to the point that I think I did substantial damage, and my body just cannot take it anymore (been at it for about 20 years, the last 10 years of it steady). The powers that be fail to understand that we are not machines! 
Oh yeah
Or when you are trying to sleep and in your mind you are dictating to yourself..i.e., and the patient..yada, yada, yada, happens to me all the time, especially if I have had a long stressful-difficult dictation day, LOL..Of even if Im day dreaming, sometimes I find myself falling into dictation mode, repeating dictating I have transcribed, or close to it..Yeow!!
Yeah.
intromission changed to interim admission. LOL
yeah right.
dream on.
Yeah - sm
Diskriter. If you have 3+ years experience and want full time work, brand new benefits and line incentive - send your resume to them.
yeah, right, sure he is.
u
Yeah, right
Saying it doesn't make it so. You are probably QA'd by people in India. What a crock.
Yeah, sure.
Uh-huh
That makes complete sense (not).
Oh, yeah.
I cheated on the soup, too, by buying a box of premade at the health food store. They've got such neat stuff there.
yeah, me too, and it's not
Yeah, well--
That's why this country is going down the toilet. Between the corporate greed and being overrun by the illegals, how long do you think it will last? The CEOs now don't care-- they are too busy counting their money and buying those expensive cars, yachts, and their third and fourth homes, etc. They have what I call the "Marie Antoinette" syndrome-- "Let them eat cake". They have theirs-- so the h*** with the rest of us!
yeah...
You are full of it. You aren't an MTSO. No place has a "crew" that is "all friendly and kind." They work at home, so how would you know what they are like? Even the rudest person can be nice for 2 minutes while talking on the phone to the boss.
Oh yeah!!
LOL - good going MQLover - like your style!
Yeah, you ask how old I am, but
the person who responded to me is the one who said it first. Of course, come down on the person who likes workings for MQ. How predictable. Go take a shower and maybe the water will make you grow a real thought.
yeah right, 60K w/MQ...
Yeah, please don't.
This is fun to listen to.
Yeah, I am.
I didn't say anything perverted. You are stuck on this molestor kick.
Yeah you.
I am not constipated and I know you aren't. I guess your laxatives worked to help you lose weight. Now, go cut your bangs in the morning.
Yeah, I'm 47...
and I STILL haven't developed those skills (that's why I'm an MT)!
|
