700 LPH: Is it actually physically possible? sm - I Miss the Old Webmedx

700 LPH: Is it actually physically possible?  Kudos to you if you are truly able to do that. But I sincerely do not believe it is at all common, at least not working for one of the big MTSOs. Maybe for a small MTSO with only 1 or 2 dictators.  I'd be bored out of my tree with that though, but the money would be much better.  LOL

My observations and questions on producing 500-700 LPH.

I did a little test a few weeks ago and listened to several of my previous reports that had great dictators with normals, the ones I get my best line counts on. Found that with speeding the dictation up as fast as it would go, I theoretically could hit 700 LPH, BUT THIS IS RE-READING A PREVIOUSLY EDITED REPORT, NOT ACTUALLY DOING ANY EDITING AND NOT TRANSCRIBING. Did not include time for uploading and downloading the jobs, changing screens to check demographics and/or searching for the correct patient, and double-checking to be sure doctor dictated the correct demographic information and patient matched the information he punched in. Did not include time for running spell check or re-listening to questionable areas. These were excellent dictators.

Example: For an 8 minute dictation, the fastest it would speed up to is just under 5 minutes of listening and skimming the report while the dictator sounded like he was talking jibberish. Again, these were reports I had already edited.

I have a really fast internet speed, so that is not a problem. Loads of ESL and acute care experience. So that is not a problem. My internal QA submissions typically run half a percent to 1% a pay period, occasionally 4%. That's right. And I do get the bonuses attaining over 99% accuracy. Rarely do I need to look up terms. Been doing acute care since early 1990s, cutting my teeth on major ESL-laden teaching hospitals. Only have to look up new medications and equipment and referring physicians, hospital transfers, etc.

So, what is going on here? How does one attain 700 LPH consistently throughout an 80 hour pay period and actually read each report and ensure patient safety? I'm truly baffled, amazed, and not trying to be sarcastic. Mind you, I saw the reports we used to get at WMX showing what everyone produced, and I don't recall any 700 LPH people in there doing acute care, or even 500 LPH for that matter. Must have missed those.

If you are doing radiology or clinic, I find 500-700 to be attainable based on clinic work I did years ago, lots of templated exams, etc., to plug in there.

Based on an 80 hour pay period:

500 LPH would be 40,000 lines per pay period.

700 LPH would be 56,000 lines per pay period.

Where is all the work coming from? Our backloads are quite often in the single digits these days.

Quesions for those producing 500-700 LPH.

1. Is this editing or straight transcription or combination of both?

2. What platform and speech recognition engine are you on?

3. Is this consistent over 80 hours (one pay period) or sporadic?

4. What work do you do? Radiology, acute care or clinic?
5. How many different dictators do you get in 8 hours?

6. Do you ever run out of work?

My observations of my work.

1. Combination of editing and straight, maybe 80-90% editing, heavy on ESL docs, students.

2. WMX enterprise and eScription speech.

3. Best I've done is 425 LPH getting same good dictator with some normals in each report, but once back to other doctors with their umms and ahhs, LPH goes down.

4. All acute care big 4, heavy on ESLs.

5. Maybe the same dictator for 1/10 of a days' reports, otherwise different dictators all day long.

6. I do run out of work occasionally.

So, at the end of the day, I am still mystified how one consistently edits 700 LPH for an entire pay period and is actually seeing all the edited words. Speed reading? Sounds a little risky when one must ensure correct medications and dosaging and diagnoses.  Maybe if I had the same 10 or so dictators with oodles of normals.  You must be blessed with lots of work available for you to do.

Are you working on a faster platform?

Are your lines counted differently than my lines are counted?

Are you glued to your chair for 8 hours straight with no potty break or stretching break? That is not healthy.

I've been told by both my optometrist and PMD that with computer work, I need to look away from the screen at least every 20 minutes and refocus my eyes. Also, my PMD says one should also get up at least every half hour and not just sit in a chair.

Something just does not jive here. Again, I could "listen" at 700 LPH, but transcribing/editing....no way, Jose!

Can you possibly work for one of the big two MTSOs and consistently produce 700 LPH?

Really, the days of big backlogs and getting the same dictator 3 times or more in a row are gone for me.  I may get one of my favorite doctors twice in a row, and then back to some ESL doctor I never transcribed before, having to check his report samples to deciper what the heck he is trying to say...sure eats up a lot of time. Not conducive to big line counts.

No desire to start a third career path at this stage of the game, having previously been in the legal field, but always looking to improve and work smarter.

Thanks for reading through all this. Would love to have some comments on how you do what you do so well.