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Still struggling with required LPH. sm - E5 platform, ready to give up.

Posted: Dec 09, 2013

Have been on E5 for a year and unable maintain 186 lph. This is the first time in my 20+ years as an MT that it has been so hard to reach the required lines. Today I forced myself to sit in the chair and moved only to go to the bathroom a couple times, and a 1-minute stretch every hour (timed). Still only managed about 170 lph. The audio is pretty bad on my accounts, but still never had a problem with lines with poor audio at prior jobs. I do tend to double-listen now when there is a hitch in the voice to make sure "an" or "the" is or is not dictated, thanks to Fiesa. I do use loads of expansions. I noticed on our team's metrics, very few are above 190, and quite of few of them have critical/major errors. I do not want to sacrifice accuracy for production, but am reaching that point because I need to make a living (only household income). Any ideas on increasing production?

To clarify on the accuracy comment, sm - E5 platform, ready to give up.

[ In Reply To ..]
Oy, I meant to forgo spending too much time on those tiny words that do not affect patient care. Of course I would also be careful on dosages and lab values, etc. Has been a very long day.

Still struggling - busymt

[ In Reply To ..]
Don't be so hard on yourself. I've been on Enterprise for 5 years and there are days I can't get above 165. I do average around 190-200 but I honestly think it's only because I'm used to the accts. I've been slammed with major errors as well. I do know that not taking breaks will not help and will only exhaust you. If you're using Shorthand or whatever expansion software, you might reach out to the loop on your accts and see if there are any entries that might help you and take advantage of using any normal you can find. If you haven't reached the incentive yet, that may be a blessing in disguise because it is much harder to swallow not getting it when you have consistently been able to achieve it. Hang in there.

Still struggling... - busymt

[ In Reply To ..]
Forgot to add that it helps if you go through an ISR report and fix things like formatting and obvious changes that need to be made so you don't have to stop while you're listening to the audio. I've also been putting a report in temp that has blanks and when I get it back, I usually can fill them in and find errors I didn't catch the first time. Unfortunately it's time consuming but at least you can catch errors that won't be projected into those wonderful ALERT! emails we get.

Thank you, busymt. sm - Ready to give up.

[ In Reply To ..]
Appreciate the kind words and tips. I was just so determined to reach a good lph yesterday and so disappointed with the actual result, felt hopelessly incompetent actually. Never felt like before. Things do look a tiny bit brighter today. BTW, I am truly impressed with your high lph. I will give your ideas a try, since they seem to work well for you. Thanks again.

You're welcome, but - busymt57

[ In Reply To ..]
I have struggled just like you, especially lately. I've been on Enterprise for 5-1/2 years and never thought my lph would go down instead of up, but that's the way it goes. If you want to e-mail me, I would be glad to give you my work email and help you that way too. Who knows, we may be on the same accounts. BTW You are not incompetent. The way things are done now is pushing those of us out that actually care.

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