A community of 30,000 US Transcriptionist serving Medical Transcription Industry

My recent experience with EMR......... - Kiki

Posted: Feb 13, 2010

I have been having to go to numerous doctor visits as of late because I got an inner ear infection complete with vertigo/severe anxiety/nausea. The doctors that I have seen are using EMR. I don't know if they are happy about this or not, but myself, as a patient (not even to mention as an MT) AM NOT. I noticed the appointment took a lot longer than it should have because the doctors were sitting there typing their notes on the computer and seemed more interested in getting it done than listening to me. On more than one occasion, I'd ask a question only to have the doc say, "oh, just a moment, let me finish typing this before I forget." And most were NOT fast typists by any means. I kinda "jokingly" said at one time when the wait was particularly long, "wouldn't this appointment take much less time if a transcriptionist did that for you." And she totally agreed and said she had no choice in the matter and did not like it but had to get used to it. I said it seemed like it was wasting valuable time. I didn't mention I was an MT (didn't want to go down that road and make her feel uncomfortable) but I did say I thought it was counterproductive and that I'm sure she could see more patients and I wouldn't have to wait in here so long.....she just apologized, as she thought that mainly I was upset at the wait time for myself, which was true, but also upset about the threat to my JOB. Sigh..........

so agree - EMR

[ In Reply To ..]
I took my son to the cardiologist a few weeks ago because of hypertension (he is only 19) and a few other signs and symptoms, and the nurse couldn't add "headaches" to the chief complaint!!! I do not like EMR. It takes too long and is not accurate enough!!

My doc uses it too - Ima MT

[ In Reply To ..]
And it has never extended my wait. In fact, when I go in the medical assistant calls me into the room, takes my vitals and enters them, reviews my medications and flags anything I say needs refilled. Within moments, the doc comes in, quickly looks over the past notes, we discuss whatever needs discussed. She inputs some data. Clicks a few buttons and my Rx are immediately sent to the pharmacy and are available for pick-up on my way home. I don't see this as a threat to my job, but I do see it as a welcome connection in my healthcare. Especially, when a few days after my last Dr visit, I ended up in the ER and no one had to give them a bunch of history because they were able to access my record and get the major pertinent information. It's change and doctors/practitioners will get better and your wait will be less.

Thanks for that point of view......I guess - Kiki

[ In Reply To ..]
I can see that this CAN eventually be a good thing. I do think it will reduce the need for MTs but not significantly, as I surely don't see docs dictating their surgeries and other complicated procedures that way.

And the main good thing is better, more coordinated patient care--I just hope the docs are taking speed keyboarding classes! :)

Doctors will all get used to it, and be happy that they have much less to dictate. - ..

[ In Reply To ..]
nm

..............especially the ESLs - EMR

[ In Reply To ..]
nm

Mine does, too. I could drag myself in with a broken leg, - and she"d ask me what the visit was for.

[ In Reply To ..]
nm

I woulda said, "Here - let ME type that for you.... - Im an MT". nm

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No, now it is the other way around, THEY type and point an click it instead of us, - EMR

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don't you understand?

It is over for the majority of MTs, even VR is already outdated.

Don't you see it, because VR was NOT successful and it did not keep the promises made to the clients AND the MTs.

Now the clients do it themselves, they had it with all these wrong promises, made to them and the MTs.

Umm - dont you understand I was kidding? - Tongue-In-Cheek

[ In Reply To ..]
Think about it: Suppose the doc was in a major hurry, with lots of other patients waiting, and she had said, "Okay, I'll dictate it and you type it".

???? Wouldn't it be ironic that suddenly here was an MT doing it the REALLY old-fashioned way, as they did before dictaphones were invented? Or even better, hand-written using shorthand ????

sure, you were kidding, but that's the reality! It's gallow-humor - EMR

[ In Reply To ..]
nm

EMR brings also down the MTSOs: No MTs, no MTSOs - EMR

[ In Reply To ..]
nm

Gallows humour fits MT quite well, dont you think? - Kick That Bucket

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your "assumptions" are ridiculous, because you are going backward, - lol!

[ In Reply To ..]
against the flow. This will never happen! All the young doctors are computer savvy, no handwritten notes, no shorthand, no typwriter, no carbon copies, etc... From what time do you originate? Sorry, but....???

She isn't even allowed to dictate it to her patient. What are you talking about?

The doctor (modern!) would have said, "No, thanks, I am a fast learner, soon I will be good at it, better than you. This new technology is really interesting, I want to get familiar with it! Thsi is the future. Now, what is the reason of your visit??"

This is what I had said, were I a doctor.

There are people who do not know when to let go.

Some people never get it!

"Assumptions"? I dont know where you get that, I - assumed NOTHING - just messing around.

[ In Reply To ..]
I was just having a little mental vision of suddenly being sent back in time because of a doc's inability to keep up with her patient load because of "technology" (EMR). Ever watch most docs type? Hunt-and-peck City.

Have a nice day - ?

[ In Reply To ..]
nm

The doctors have been lied to - by point and dlick EMR vendors

[ In Reply To ..]
Next time you see your doctor, ask her if she knows that there is NO FEDERAL MANDATE to implement EMR and especially no mandate for point and click. Most providers already have EHR in the form of a word document. That should be enough. All this fancy template stuff just wastes times and they know it.

This is so not true - missymt

[ In Reply To ..]
Do you think doctors are so stupid that they'd just take the word of a vendor? Do you think the AMA has not made them ALL very aware of the incentives (and that's what it is) for doing so and for the mandate that will be coming?

Many offices have been able to stay open and keep their office staff because of point and click. Yeah, sucks to be the MT who may or may not be getting the work any longer, but yanno what? THINGS CHANGE. And our gig is changing.

EMR is going to change things on several fronts, and it should. Afterall, none of us bitched when doctors quit writing their notes, did we?

I have 3 accounts who use EMR - and they still dictate plenty

[ In Reply To ..]

I don't mind when my personal doctor uses EMR during my visit. I don't allow him to do it while I am talking, and that was accomplished by simply stopping talking when he turned his attention from me to the computer. He had to stop and turn his attention back to me before I would continue. It only took a couple of times doing that before he got the hint.

Now he has the nurse stay in the room and she does the inputting while he does the doctoring.

Will they all use EMR? - luvzminis

[ In Reply To ..]
Just wondering if all docs will begin to use EMR? I just applied for an MT position at a VERY small hospital nearby, and was told they are just starting with EMR and "won't need many MTs at all."
To give you the idea of the size of this town, think of Andy Griffith's "Mayberry." Yup--tiny town.

Don't you guys envision a time in the not-too-distant future when they will... - cindyoh

[ In Reply To ..]
pretty much be able to do away with whatever clerical help they don't need by combining jobs? This is happening not just with us as transcribers - jobs duties are being combined in many fields and some kind of keyboarding on the job will be a given and no surprise. The younger people don't seem to have a problem with it and are constantly fiddling with little keyboards and twittering. I don't see any of this as improving what I call "the system." It just evolves and changes but does not necessarily get better in all respects. Especially when it puts so many people out of work and the options seem limited. We need more industry in this country that doesn't have anything to do with making cars, for instance. Just my 2 cents.

EMR Experience from a patient POV - mondaybrain

[ In Reply To ..]
My sentiments EXACTLY Kiki! Poor customer service in my opinion. I'll keep looking for another Dr. office that does not use it. I ask before I interview them now.

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