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

TT-IMEDX and EPIC rollout - Sandy

Posted: Feb 04, 2015

This was mentioned in a thread about no work coming in so I did a little research.
Source: MD Anderson web page. Search: for "EPIC" brought this...

Chris Belmont is the Chief Information Officer at the University of Texas MD Anderson Cancer Center. Chris has over 30 years healthcare IT experience from various positions in IT leadership, sales and consulting with Siemens, Healthlink and IBM. Chris is now leading MD Anderson through a system wide Epic, EMR rollout.

Apparently the decision to use EPEC EMR was made last May 2014.

For other MT/Editors who have suddenly seen no work, I recommend you Google the client name, go to their Web site and search "EPIC.

TT-IMEDX and EPIC - Daisy

[ In Reply To ..]
This is exactly what I think...EPIC is a ruse. I think they shipped the work to India and are just telling us this to "appease" us. I am not satisfied. Letter writing campaign here I come! I lost my secondary account this week also. The person yesterday who said they were told EPIC rolled out February 1st...well my oncology account in Texas with manager initials AD suddenly lost most of their work LAST Monday, January 26th, not February 1st. Different accounts, I'm sure, as the manager stated in that post did not have the initials AD. We are all being told it's EPIC? Ha. Epic fraud from IMEDX, more like! Or maybe I should just give up and stop trying to be an MT of 25 years...Dang it.

Not fraud as source is the client - Sandy

[ In Reply To ..]
I hear your frustration. We are in the same boat. I'm just furious that we were given no notice before this happened, or AFTER it happened!!!

Not following. So it is or it isn't Epic? And AD is a manager? - News to me.

[ In Reply To ..]
nm

TT-IMEDX and EPIC - Daisy

[ In Reply To ..]
I see your point and you make a good one. But don't you think EPIC has been available and working for them since closer to the time of the decision, like a few months after May? How long does it take to prepare for EPIC? I have read, though, that if a healthcare system does not have a meaningful EHR by 2015 that their Medicare reimbursements are reduced by 1%, so that may have something to do with the timing. I admit I am biased towards blaming the MTSO due to past history, but it could be coincidental. But you must admit that it is weird that several accounts from TT/IMEDX have lost work at the same time.

EPIC - You've been used - Winston

[ In Reply To ..]
In order for EPIC to work (Dragon), each of the doctor's voices need to be "trained" and that's what you all have been doing... training the dragon to take your job. They speak, you type... once the computer "learns" the vernacular and accents of the individuals, there is no need for you to exist anymore... the machines are taking over.

So how is EPIC - any better than what we have already been training

[ In Reply To ..]
We've been training speech for 10 years now and there are still a huge percentage of dictating professionals that it cannot understand. How is all of a sudden EPIC the beat all/end all of recognition with only Dragon that takes away whole accounts?

I guess I'm confused?

Epic is all about templates and doctors entering - the info themselves

[ In Reply To ..]
There is still some dictation that can be done with Epic if the clinician chooses, but my hospital system's transcription was reduced by 70% when we completed our Epic rollover.

Epic is all about templates - we all know those doctors who say the exact same thing for the PE and ROS - now they just pull down that template that has been modified for them. The vitals, etc. are automatically entered when the nurse takes them, etc.

The notes that I've seen from the physicians who enter their own info are horrible and really hard to read. They're full of abbreviations and in some cases typos, but that is minor in the grand scheme of things.

Epic isn't just about reducing transcription costs. It's about an integrated medical record that covers the patient from beginning to end and the records are accessible to anyone who has access to the system.

Gotcha. - That makes way more sense.

[ In Reply To ..]
I thought that is what EPIC was, but from the previous poster, they made it sound like it was not and that we had completely trained the EPIC system, which I actually thought was a much more comprehensive system, more like you describe.

Thank you for the clarification.

That is not how it is trained to the doctor. - Informaticist

[ In Reply To ..]
Sorry, but that is incorrect. What you do does not train the system to each individual doctor. The doctor himself trains the system to his voice, then begins dictating.

Your editing only trains SR in general, but does not train to individuals.

EPIC - lisa

[ In Reply To ..]
It has been over 5 years ago that my RN friend, turned IT EPIC friend told me that within 10 years our industry would be gone. She installed all the EPIC software for each doctor at our local hospital. Not long after, the other hospital where I lived went with EPIC too. It took them a little longer than predicted to get it up and going, but there are no local transcriptionists left where I live. I went back to work in an office almost 2 years ago now. And I had no notice from 3 doctors I worked for when this happened, just a "we won't need you after this week". My sympathy to everyone involved.

thoughtless horrible way to be treated (NM) - sorry for you

[ In Reply To ..]
.

EPIC Rollout - TTMT

[ In Reply To ..]
Just Saturday there was an email sent because the WM account was overflowing, and they asked for volunteers to help cover the account. What is the likelihood that the client decided to use EPIC by Tuesday AND was able to implement it that fast? What is the likelihood that MOST of the accounts would suddenly disappear on the same exact day using this new rollout system? For as long as I've been an MT (almost 10 years), I've never seen a system be that foolproof and efficient that all of the work could be successfully transferred in that one day or that ALL of the doctors are competent enough to make it work the first time around. Most of them can't get a plain dictation right. So they are competent enough to use a new system, even if it's supposed to be simpler? If the TX account was intending to implement EPIC last May, why didn't they start rolling it out sooner instead of threatening to find another vendor when we couldn't keep up with TAT. So no matter what they are telling us, none of it makes ANY sense. I would venture to guess that IMX was slowly shifting this work to India, and when they felt the Indians were trained sufficiently, bam the work disappears from multiple accounts. They just chose to tell us it is because of EPIC. Otherwise, why not just be honest in the first place and transition us into backup accounts as we go along so that when the work dwindled on those accounts we still had sufficient work!

Is anyone going to be - filing for UE for this?

[ In Reply To ..]
I had 3 accounts now completely empty of work. Honestly I'm hoping this will be the kick in the @$$ I need to get the **expletive deleted** godawful mess once and for all!

You are talking about a different account - Sandy

[ In Reply To ..]
I posted the client that I confirmed was starting EPIC in my original post, MD Anderson, not WM. I have no idea why the other clients are not submitting work. I doubt MDA would agree to post on their Web site that they are starting EPIC just so IMEX could ship it to India.

I think these MTSOs should take a lesson from ICs on what to include in their contracts, i.e. 30 days notice! Or did they have the notice and just never tell us?

EPIC Rollout - TTMT

[ In Reply To ..]
I mentioned WM because I received the exact same email for both accounts. I wouldn't be surprised if the same message was sent for other accounts, but those are the two that I work on.

Epic everywhere - SadMT

[ In Reply To ..]
Unfortunately, this will probably be the case in every hospital eventually. The hospital I used to work for started EPIC switch and it took about a year to complete, so we knew for about a year it was possible we would be out of a job. Medical records will suffer, but all of these hospitals just think they can save money this way, it is always about the money. None of the doctors at the hospital wanted the switch, none of them had any say in it, just the higher ups in charge. I am hoping I can hang on for another year or two until all my kids are in school, but I don't know how likely that is. It is very sad since I went to school for this and have loved doing it for the past 9 years :(

My experience with EPIC is that there is no dictation, doctors can select things to fill in blanks and import lab results and other test results in just by clicking a few buttons

Epic takeover - gonesoon

[ In Reply To ..]
Boy, you were lucky - a whole year. At the hospital I worked at, the transcriptionists were gone in 2 months. Administration asked the new HIM director the best way to save money, and she said to get rid of the transcriptionists. So they did - we were "sold" to Nuance and were out of work within 4 days for 12 transcriptionists, even though we previously had enough work for 21 full and part-time transcriptionists. But you can guess where our work went...

EPIC - Long-Time MT-NY

[ In Reply To ..]
My day job uses EPIC and still has an MT service (Large Teaching Hospital/University in Western NY). It's all the way EPIC is set up, straight EMR or transcriptionists typing and uploading to EMR.

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