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Ideas for new comp plan - broken promises
Posted: Aug 15, 2012
Since it is obvious the new comp plan isn't done maybe we could give them help and point in the right direction. I would love to hear what everyone thinks, good or bad.
Would you rather get paid hourly or by the line?
How about a shift differential for the weekend?
What about extra money per report for those accounts with multiple carbon copies and tedious demographic screens?
Some companies consider FT and offer benefits at 32 hours, would that be something anyone would be interested in? I know I would.
How about a 12-hour window to complete our 8-hour shift? How about no schedule at all?
I think decreasing us all to 8 and 4 is a death sentence on the industry. It also speaks volumes that there is no respect for experience or knowledge and we truly then are just typers. This company should be the leader and pay what we are worth, not follow what the other companies are doing. I also think the company should be more choosy about who they hire. We all have seen the reports in report lookup. Embarassing.
The line rates have not been increased since we went to employee status in 2006. I am sure all of the corporate people have had raises since then. If the company does not want to raise the line rate what if they would pay out more PTO or bump the benefit rate up to compensate?
I know the company thinks we are disgruntled stupid employees, but we are not. We have great ideas but no one is listening. You know they read the boards.
One more thought - broken promises
[ In Reply To ..]The weekend situation drives me crazy. We need a rotating schedule so people are not stuck every weekend. PTO requests are continually denied on weekends and that is just not fair. Would employees be willing to work every 3rd weekend or every other weekend?
We have enough employees to work every 4th - CRAZY CORP. IDEAS
[ In Reply To ..]And if not... let the work sit there until Monday because we all know how slow Mondays are.
Let the work sit til Monday?? Ever hear of TAT? - nm
[ In Reply To ..]x
history lesson - for you
[ In Reply To ..]This instantaneous TAT is to try to one-up the competition. That is all. Yes, the reports can wait till Monday. Darn near every job I had in my 20 year career allowed a 48 hour TAT on reports, that is until companies tried to buy eachother out in the hopes of shifting all the work to India.
Whatever. When you SIGNED with MM, you signed up for TAT - as they want it. nm
[ In Reply To ..]x
I didnt sign with MM, I signed with TL a hundred years ago - and was thrown into MM
[ In Reply To ..]TAT became a factor last year when the CCMs got bonuses and FAT CATS used it to obtain clients.
Yes, you did sign with MM. As a bought out MT, I know - all must sign MM contract. nm
[ In Reply To ..]x
No, I did not sign an MM contract. - I signed a MQ contract
[ In Reply To ..]back in 2006. That was the last. Then, there was no 100% TAT. I also had just 1 account then, not 40. I also had no ASR and made triple the money I do now.
Dont tell me what I signed.
MM, MQ they are the same thing. When contract changes and you keep - working, you are agreeing to changes. nm
[ In Reply To ..]x
You want to work for MTSO with 48 hour TAT? Give notice - to MM and try to find such a MTSO. nm
[ In Reply To ..]x
I said that is the way it was, until mergers and India - history lession
[ In Reply To ..]Comprehension 101
Exactly right - MT
[ In Reply To ..]I have 20+ years' experience. BEFORE the offshoring and corporate MTSOs under-bidding and low-balling the good companies with Cheaper Rates! and Faster Turnaround! descended, turn-around was NOT 24 hours, especially routine visits. If doctors wanted it quickly, they dictated it stat or hand-wrote it in the chart and dictated later. Simple as that. I should add that I worked in-hospital directly with doctors for an acute care facility (500+ physicians) and REAL stats would be things like transcribed documentation that a patient needed to take with them, emergency surgery, a letter that needed to go out ASAP, etc.
Around ten years ago when these MTSOs changed the industry to corporate/money/business/greed is when this changed because THEY promised it in order to win contracts. Now every MT company has to do the same to compete, and it has become expected.
This was called capitation, implemented in the early 90s - Banshee
[ In Reply To ..]Basically, it is when hospitals and the healthcare system became a 'business' (or shifting of business risk = MORE PROFIT) and no longer as they were originally intended, to help the poor (http://www.naph.org/Homepage-Sections/Explore/History.aspx), or Hospital: It may seem unnecessary to define a "hospital" since everyone knows the nature of a hospital. A hospital began as a charitable institution for the needy, aged, infirm, or young.
'The word "hospital" comes from the Latin "hospes" which refers to either a visitor or the host who receives the visitor. From "hospes" came the Latin "hospitalia", an apartment for strangers or guests, and the medieval Latin "hospitale" and the Old French "hospital." It crossed the Channel in the 14th century and in England began a shift in the 15th century to mean a home for the elderly or infirm or a home for the down-and-out.
"Hospital" only took on its modern meaning as "an institution where sick or injured are given medical or surgical care" in the 16th century. Other terms related to hospital include hospice, hospitality, hospitable, host, hostel and hotel. The Hotel-Dieu, a name often given to a hospital in France during the Middle Ages, is the hotel (of) God.'
__________________________________________
~ Personally, in my opinion, I believe the name should be changed. We have no more "hospitals" because bottom line they are businesses, and businesses who are interested in making profit more than helping people. This is evidenced by simply taking Medical Transcription and watching it deteriorate as it has - going to the 'lowest' bidder.
This capitation was planned for years at the hospital I worked at; in fact, we had employee 'around-the-clock' meetings explaining the changes that were coming. Soon after, over 150 employees were let go in 1 day, from all departments and began the outsourcing of ancillary departments. Doctors no longer had a say in patient care, that is probably the worst thing I can see out of it. Every single element of so-called patient care is decided upon by statistics (based on region) and by the DRG Coders, insurance companies. Your care is only dependent upon that, period.
I worked directly for a hospital for 10yrs AND WE HAD - 1hr TAT on H&Ps, 2hr TATs on
[ In Reply To ..]Consultations, 4hr TATs on OP notes, 12hr TATs on discharges.
Work CANNOT SIT UNTIL MONDAY. What good would any workers be they could not meet TAT whether you work for a company or directly for the facility there always has and always will be turn around times. That is extremely important in patient care.
Also stats require 1hr turnaround time. They need those H&Ps in the patients chart or EMR before they can take them to surgery, if no time and its an emergency procedure they hand write one and dictate it later. TAT is extremeley important in this business.
Maybe clinic work can sit till Monday, but not acute care hospital work.
weekend incentive and rotating shifts - broken promises
[ In Reply To ..]If the company offered more for employees to work the weekend the TAT would take care of itself. By allowing for volunteers or rotating weekends the employees would be happier too.
As far as TAT the other poster is correct. We used to get work once a day dumped into the system and had until the next day to get it back. The hospitals don't need it back immediately, they just have been spoiled into thinking they do.
*The hospitals don't need it back immediately*. Who made you - the one who gets to decide when TAT is needed? lol
[ In Reply To ..]x
Obviously only you know it all - huh?
[ In Reply To ..]You are either a suit or are a newbie being brainwashed by a suite as to the "Importance of TAT" and how "Patient care depends on you" garbage.
TAT just became a priority to win clients. It is not as vital as they are shoving in your head. If patient care was so important, why are there SO MANY ERRORS IN THE LOOKUP? Why is there penalization for QA? Why is there a first time right program? Why is it quanity over quality?
None of this matters. You sign contract, you sign up for MM - idea of patient care, whatever that is. nm
[ In Reply To ..]x
go away suit - stop trolling
[ In Reply To ..].
Trolololol - lolol (nm)
[ In Reply To ..]:D
Bought out MT. lololol - nm
[ In Reply To ..]x
Absolutely True - MT
[ In Reply To ..]"TAT just became a priority to win clients."
This is absolutely true. Unfortunately, those who have only been in the MT business as long as these corporate MTSOs have been around don't know this. As I wrote above, I worked 20+ years for a well-known acute care facility with hundreds of doctors so have the experience to see when it changed.
Example: I'm transcribing dictations from last week that were batch uploaded today (not uncommon). If the M*Modal reps posting here that "patient care will be affected if turn-around isn't 24 hours!!!" were correct, then medical staff would be dictating immediately after each and every patient and procedure: HURRY! MUST BE TRANSCRIBED! PATIENT CARE IS AT STAKE! which we all know is not the case. The majority of my accounts dictate at the end of the day or over the course of two or three days.
WRONG - I take it you never worked for a hospital before? - Every work type has a TAT..sm
[ In Reply To ..]TATs go in the order of importance:
H&P = 1 hr.
Consults = 2hrs.
Stats = ASAP, no later than an hour.
OP notes = 4 hrs.
Discharges = 12 hrs.
ERrs = 24 hrs unless its a stat.
Progress notes and other ancillary notes vary depending on the facility. If any of you have ever worked for a hospital, you would know this. All acute care work has a turn around time, that fundamental to patient care.
TAT - CrabbyMT
[ In Reply To ..]There is ABSOLUTELY TAT. Up until a year ago I worked for a hospital as the lead MT for 13 yrs and there were always TATs that became more rigid as the years passed. The physicians even had specific timeframes in which reports had to be dictated. When auditors would show up and charts were pulled at random the TAT was something they looked at. We went from working Mon-Fri to alternate weekends and holidays because of the TAT.
I stopped caring about TAT when they took away our bonus - and gave it to CCM for TAT
[ In Reply To ..]They can shove that TAT!
I am a 16-year sucker for this company and have not had a - raise since 2000!
[ In Reply To ..]I think LOYALTY should stand for something!!!
I deserve to be treated better and have a higher wage than someone just starting here. I deserve more PTO, and a better shift. I also deserve A RAISE!
I like the idea of a 12-hour - window or no schedule
[ In Reply To ..]Also, 32 hours full-time sounds great.
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