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

EPIC replacing us - NorCalMT

Posted: Feb 04, 2010

Here is an interesting site for information on EPIC and the MT: http://www.healthinformaticsforum.com/forum/topics/2068976:Topic:7668

Really? - stillmting

[ In Reply To ..]
I don't read that from this one person's OPINION at all.

The list of advantages and disadvantages are questionable at best.

But the truth is, our job is CHANGING. Will we be replaced 100%? Likely at some point, but not today nor tomorrow.

Just as doctors can no longer write hand-written notes in charts, progress has meant transcription and now point and click templates, have evolved the profession.

MTs have had to become editors of VR and you either learn it or leave because it's not going to go away.

I worked with a firm whose primary function was to take medical data and datamine it for illnesses, meds, etc for doctors and insurance companies. This is where the EMR is going to take us and it means the data must be accessible. But this does not mean transcription will not be the venue for making it so.

You can cry wolf (generic you) or you can make yourself familiar with how to keep yourself valuable and marketable... it CAN be done.

Actually this is replacing some of us -- YES --TODAY! - forcedout

[ In Reply To ..]
This is actually happening now. I used to work as an MT for a large teaching hospital. We had a staff meeting in December for them to tell us (a group of more than 50 MTs) that the hospital has now gone to this system. They are requiring any doctor or health care provided affiliated with the hospital, or the universities that are associated with the hospital's teaching program, to use this system. We were told that the MT staff will dwindle down to about 3 or 4 MTs mainly for document QA purposes, 1 support staff person and 1 supervisor over the next 4 years, and that we should start now to look for jobs elsewhere.

I was the first to jump ship because I was the newest one hired, having only worked there for 6 years--yes, you read that right--6 years and still the newest hire. We were told that the lowest on seniority would be the first to go, no matter that I had the highest scores on QA and did a high volume of production each day. I started working for one of the big MTSOs. Of course, it is not nearly as good as my hospital job was, but I knew eventually I would be forced out of the hospital, and I wanted to still have a job. Right now, I am looking for another part-time job to supplement my income just so I can make close to what I used to make at the hospital.

It will only be a matter of time before all hospitals will be using this type of system and the providers will probably be forced to use it in those cases, as well; otherwise, it won't catch on and the hospitals will have compliance problems with government requirements for EMRs.

If it can happen to me, it can happen to all of us, so, YES, it has already started today and will continue tomorrow.

There is no EMR federal mandate - Hoax

[ In Reply To ..]
It is a hoax by EMR vendors to make providers believe that congress passed some kind of law. It didn't and there is no federal mandate. When I get a chance to tell doctors, their eyebrows shoot up and they get angry that they have been sold a bill of goods.

Well, yes there is.... - ...depending on definition

[ In Reply To ..]
Technically, it is a "goal" to be completely converted to EMR by 2014, and there are incentives in each year through 2014 to aid in and encourage the conversion.

HOWEVER, beginning in 2015, the incentives are dropped and providers who haven't converted will be PENALIZED in their reimbursements.

So, yes, technically you could say there's not a "mandate" in a legal sense, but the penalty in fact does create a mandate, and that's how the healthcare community commonly talks about it - as a mandate, assuming you want full reimbursement for your services!

YOU are the one who is misinforming the physician unless you say "There's no mandate in the sense that someone will shut you down, BUT you'll pay a penalty out of your reimbursements if you don't convert." Of course, the physician will then likely reply "Sure sounds like a mandate to me!" - and he'll be right.

Here's the problem with the theory - NorCalMT

[ In Reply To ..]
If our jobs are on the verge of extinction, why this prediction by the Bureau of Labor Statistics, December 2008, that employment of medical transcriptionists is projected to grow 14 percent from 2006 to 2016, faster than the average for all occupations? Demand will be spurred by growing & aging population; increasing demand for standardized records should result in rapid employment growth in physicians' offices, especially in large group practices. Hospitals may adopt more technology, we just don't know yet.

There are never any guarantees in life; out of millions of MTs employed everywhere, not just USA, how many are losing jobs because of EPIC, technology, etc?

It's an interesting debate for sure. I work as IC and doing straight transcription, radiology. Pay is a bit higher pay than standard. Until I get the boot, I'm hopeful (after 37 years). :)

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