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


If you are one of the chosen....Please Please read post - thank u


Posted: Mar 08, 2012

I do not mean to insult or assume those who are "chosen" are not able to articulate crucial concerns, or in fact, care about the systemic denegration of MT professsion......howeverrrrrrrr...if you want a few talking points..please feel free to read below:

Incentive:  I feel the biggest issue is no incentive plan for a PRODUCTION job.  This absolutely goes against every corporate principle to increase productivity, be it commissionable sales (as I am sure account executives are receiving) or the production/piece meal work MTs provide.  A sound, inspiring incentive program would be the quickest way to not only clear house of MTs who just are not up to this job (sorry newbies or just plan lazy..and I include myselve in the latter...), but in the end would save this company major $$ on benefits, payroll taxes, etc by reducing the number of MTs required to produce work.

Time Clock/Schedule:  The most morale depleting function of my job is clocking in, in my own living room.  YES! Schedules are important, but we are professional MLS and if we are not producing work during the hours we have agreed to work, then it is simple, fire us!  But to spend time and money on figuring out ways how many keystrokes we do in an hour vs how often we are pee'ing or watching Judge Judy is not cost-effective and counter-productive as it severely depletes our morale. 

LPH Minimums:   LPH minimums should be a $$ amount and not production amount thereby factoring in ASR and straight typing.  MT is required to make so much per day to accomplish minimum, and with my new incentive plan, this would, again naturally weed out MTs who are able to produce from those who just cannot produce.  Again, give a decent incentive program and this would take care of itself. 

Top Heavy Management:  This company has so many middle managers running around and still manages to isolate and have very little contact with their work force.  If there is a CCM and QA, and assisstant CCM, or whatever assigned to a number of MTs, there definitely needs to be a real time accesibility availability, by instant messaging.  Having to stop, access MQcentral, send an email, and then have to exit as MQcentral is time-limited and then go back in throughout the day to see if your email has been answered is a completely antiquated way to stay in touch with your team.  I would expect more from this so-called high tech company. 

QA and 99% accuracy:  To require 99% accuracy is in a word humanly impossible.  To achieve 99% accuracy 100% of the time is just not possible and puts such a strain and emotional toll, especially if you are QA'd, fall below the 99%..and I am talking in the 98% or above, and have to go through weekly  QAs and are warned, another failure will result in further action (i.e. dismissal).  On top of which, 0.25 is deducted for "a"s instead of "the".  And finally, depending on who your QA person happens to be, is completely subjective.  This is a Set Up To Fail practice.  98% is certainly accetpable and further if an MT fails, the report itself should be looked at closely..was it dictator effect?  Was it because we are encouraged to turn the ASR up to supersonic and therefore are more likely to miss an "of" or a "the."  Further I am not speaking to sloppy, lazy, or blatently wrong medical information, but the minutiae that should not be the cost of a job!!!!

And further on QAing, the fact of looking at old reports for comparison (a huge help which I really appreciate) is in fact so time consuming, it is simply not worth it.  AGain real time accesibility without having to stop what you are doing, access another web site, filling in all data, when it should populate and go through reams of reports.  I would not mind having to go through the different reports to find the reference I need, if I did not have to take minutes to access the site in the first place.  Again  antequated and counter productive. 

And finally...ACCEPT that the US MT is still a viable and much needed part of this company.  Until the EMR is finally accepted as a mish-mash of point and click non-sequitors that nobody really cares about..then the actual MLS is important and should be treated as such.  Remind them...Nobody who is on the suite side in this "town meeting..come to Jesus seminar" could sit down and expertly edit a report or egads straight type it, but I am pretty sure most of us are college-educated and could be up to speed on the VR/EMR side very quickly. 

 

 

 

I strongly agree with every word of your post!!! - Kiki

[ In Reply To ..]
I think most of us here do, too.

But the people who need to see this aren't going to unless it is send directly to them. I'm pretty sure they won't give a hoot though.

Oh, I have read below and see what you mean by "chosen"-- - Kiki

[ In Reply To ..]
One of the ones chosen for that webcast. I really hope those who were the "lucky" chosen ones, apparently chosen randomly according to my CCM, will bring up all of the issues you have here. CCM says not everyone was chosen yet....but 300 out of thousands isn't too many. Maybe better if everyone who sees this post re-words it a little and sends one to their CCM and all upper management. I say this kind of skeptically (?) but hey, better than doing nothing at all I guess.

I disagree with the LPH minimum versus pay. - dnr

[ In Reply To ..]
I'm sure many are in the same boat as I am. The ASR is so so so very very very bad, that, although I make the LPH, some pay periods I end up getting supplemental pay because of the amount of time I spend formatting, punctuating, correcting the ASR, and 98% of what I get is ASR. Every once in a blue moon I get an ASR output that is as they promised, but that is usually not in my usual accounts.

the only reason I suggest $$ minimum is actually in the end to - protect the MT.. SM

[ In Reply To ..]
I don't mean for them to set the $$ so high it is impossible to reach. I am very positive that those MTs that will need to be supplemented to make up for BELOW MINIMUM WAGE will sadly be replaced. I know that is harsh and I am sorry for that. I work on ASR all day and I honestly can easily do 150 LPH. I see a lot of complaining about ASR on this board, but in my experience, while it certaily is no way in hell 40% faster, it is an excellent MT tool, not the body replacement THEY had hoped for..but I certainly like ASR. Yes..there are the reports that are from hell, but honestly I think it does very well.

I am sorry if that is not everybody's experience, though.

Do you think - 150lph

[ In Reply To ..]
is good? I can type over 200 lph.
No..my point was to the previous message who indicated she would not like - $$ minimum because she gets make-up pay
[ In Reply To ..]
and I further elaborated how I felt ASR was, for me, a wonderful tool. I easily average 300-400 LPH with ASR, but with straight typing, I also easily averaged 300-350 lph, so again, not seeing the 40% increase to make up for the 40% cut in pay.
If I was averaging 300 LPH ASR, I would be thrilled. - dnr
[ In Reply To ..]
I wish I could spend a day on your accounts to see how they compare.

Do you listen to every word of the report or skim through?

TIA - looking for any tips. If I did 300 LMP I could afford my bills better.
Not me - still a paycut
[ In Reply To ..]
I would need 400. The other poster would need 600-700. ASR is a joke. I think we can pretty much say that you can get the same with ASR as you do typing, few exceptions of course. This means your pay gets cut in half. People who do ASR will be working for free soon.
300 LPH ASR is still a wage cut from straight typing for me, but at least it would be something. - dnr
[ In Reply To ..]
I at least need a few crumbs thrown my way rather than the powder from the bottom of the cereal box - speaking metaphorically.
I absoultely agree, to make what I made before on ASR, I would need to do - a minimum of 600 lph or 4800 lines per day. NM
[ In Reply To ..]
x
I need to absolutely clarify...that is sitting down and doing nothing but - ASRing for 1 hour. I cannot do that for 8 hours s
[ In Reply To ..]
I am sorry, I did not mean to mislead. If was turning in 2400 to 3200 lines per day (which is still pay cut BTW as back in the day I easily made $28 to $32 hour), I would be a little more satisfied too, but the fact is I get up a lot and get distracted. However, when I sit down and do nothing but work for 1 solid hour, I never get less than 350 lph. I think it is more realistic over the course of an 8 hour day factoring in all the downtime I do about 250 lph.
Gottcha - so sorry - nm
[ In Reply To ..]
x

150 lph does not equal minimum wage. - You gotta do more than 150 lph

[ In Reply To ..]
You have to at least average like 160 or more to make minimum wage for my state. So thats really not a good reason to ask them to put in place a dollar amount.

That idea is just a bad concept to me because there are so many other factors that come into play here and until those things are addressed, putting a dollar amount in place would only make matters worse.

And I personally cannot afford to be "lazy" or slow, this is my only income so Im by no means what someone said "dead weight". I think anyone working for a living is working to pay their bills and hence not just here for the fun of or here to be sitting around wasting time.
I have to do 200 lph to get minimum wage. - dnr
[ In Reply To ..]
Minimum wage will barely pay the rent where I live. I am now being a grounds keeper/pet sitter in exchange for rent and utilities.
In the same boat - Solidarnosc
[ In Reply To ..]
Same here, live in a high minimum wage state and would have to do 200 lph of ASR to make minimum wage. And at that, the minimum wage in this state is still about $3.50/hour below a living wage.

Tell them to fix the way work is routed. - The biggest complaint I hear is

[ In Reply To ..]
Folks working on 15 to 20 accounts per day. They need to fix that and narrow it down to maybe 5 accounts at the most.

Anything more than that causes the MT to lose money, makes the client unhappy because there is the potential for errors and in the long run will cost the company money.

If they could fix that, a lot of other problems will fall into place, hence productivity will go up, less errors, more money for the MTs because they are working consistently on familiar accounts affording the opportunity to use templates and expansions etc.

But please no dollar amount, I prefer the lph method. There are too many things that can impact amount of money made per day and implenting a flat dollar amount per day or pay-period, could really hurt the MT.

I am one of the 'chosen' ones, so I really appreciate - hopeful

[ In Reply To ..]
all input anyone can post. I don't plan to sit by quietly! I definitely plan on giving them a strong opinion about their 'boost initiate'. They can't seem to get it through their heads that every mouse/cursor movement is a signal that ASR output was wrong. I know all the shortcuts and we should be trusted to figure out how to use them to best advantage. They are cracking the whip on the wrong people. They should be cracking the whip on the ASR programmers.

Been typing all day, not sraight typing, but ASR - quality has been pretty bad today for ASR reports

[ In Reply To ..]
So bad that it was quicker for me to just start typing the report. Did'nt hit F11 though, but should have. Just typed it at ASR rate.

I had to take a break for a while. Maybe it'll get better when I punch back in. Some docs it does really good with and others really poor.

Seems today I got all the docs that it struggles with.


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