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EPIC implementation and voice recognition - Kim

Posted: Dec 25, 2011

I desperately need info if anyone can please help. I am pretty sure I will be losing my job of 10 years in a couple of months. The hospitals I have been working for are going to what is called EPIC implementation. Also, the physicians will be transitioning to voice recognition software. I have been searching, and as far as I can understand, the EPIC is in regards to a paperless medical record. I am wondering if the voice recognition is part of that agenda. Does anyone have any further info on this? Has anyone had any dealings with voice recgonition software? Does it work well? I wonder how advanced it is to understand foreign speakers and doctors that do not pronounce drug names correctly, etc. Any help would be greatly appreciated. Thank you much. Kim

VR - J.T.

[ In Reply To ..]
VR needs a person behind it,whether it's the doctor making changes as he or she goes along, or they dictate as usual and "we" (who work for transcription agencies) edit the mess.

If you work for a company who uses VR (they're all headed in that direction) be warned you will be paid less than as if you were transcribing it yourself,and likely spending more time on the report than if you were just typing it yourself.

So, for now, there's a place for us MTs with VR, but it's a horrible mess and many are looking to get out.

VR - Jessi

[ In Reply To ..]
You'll get 1000 answers, all of them right depending on the hospital and the kind of VR.

For example...I have a friend who worked in a hospital with the type of VR where the doctors dictate and fix things as the go...no need for transcriptionists at all.

The hospital where I work has terrific lazy doctors who really don't want to do any more work than they have to and so they refuse to do this kind of VR. They prefer to dictate as they always have. This means tons of editing for us transcriptionists to do, because in the test run, the VR system they chose, frankly, stinks. And our doctors, gotta love 'em, also stink in the "back up, no wait, whoops go back, dammit where did I put that, grrrr...um, um, um....uh yeah, no, no, no, not sure," kind of way.

Because of the way our hospital pays us, though, we will see absolutely no change in our pay at all, only in our line quotas.

It's really all going to depend on your particular situation, your particular hospitals and how they pay and what kind of VR they're using. You'll get a lot of horror stories, some true and some only user-specific true (if that makes sense).

I'm sure somewhere out there, there are MTs who have perfectly spoken docs who never make a mistake and are VR dreams to edit.

EPIC and Nuance work hand in hand. - Not good.

[ In Reply To ..]
Nuance and EPIC have been working hand in hand since Nuance's correction client works very well with EPIC to replace a lot of what has formerly been dictated. If it is in the database of EPIC, it can be pulled into the report, so no need to dictate it (laboratory values, reconciled medication lists, allergies, past history, etc). Doctors still have to dictate what is not found elsewhere, and some physicians still dictate it all anyway. It does reduce the amount of dictation, reducing transcribed jobs to a paragraph or 2 of history and a plan, but they have not completely replaced us yet. Nuance's VR is not so good and though it adapts to any accent, it still leaves a lot to clean up. You can do canned text in Nuance VR. I used to do that because it was easier to do the canned text and edit it accordingly than use what the computer spit out. They still need us, but we are on the way out.

Best summation I've seen thus far. (nm) - CMTx2

[ In Reply To ..]
x

EPIC implementation and voice recognition - Kim

[ In Reply To ..]
Thanks to all of you for the great feedback to my cry for help. I think we are becoming obsolete, taken over by technology, as is the way of much in this life. Guess I'll just go with the flow and be taken where it moves me. Such is life! Perhaps a change in my career is needed at this time. Have to find the positive in the negative I suppose. Happy New Year! Thanks again for your help.

Sure, I've trained for 4 very different lines of - well-paying work, 3 of which

[ In Reply To ..]
required college degrees even though I only have about 3 years (chose the position then moved up into it instead of direct hire). All but MT required taking a lot of heavy-duty classes, 2 required obtaining license after 2 years on the job, and all required developing the expertise to do the job on the job. As soon as I could make it happen.

The first was editor's assistant at a magazine publishing company, but I left after our second child was born because the commute to the publishing district kept me from my young kids too much. The publishing field underwent dramatic changes due to technology after I left, and I would have met great challenges had I been there then. The competition for editorial positions was tremendous, with many positions on levels lower sliced and diced.

Second was as a licensed insurance technician (high-level clerk) close to home. I actually liked reading insurance policies and advising clients, but I left that work to become an independent real estate appraiser when our daughter became ill and I had to have flexible hours. Both of these fields also lost many, many positions due to technological advancements, and I would have had to change with them and do some fancy dancing to make sure I was one of the survivors. Actually, I was one of the surviving appraisers who'd mastered many changes when I left that work.

The last move, courtesy of an MT friend, was to this quiet little field--when it did pay well because--I because I developed an autoimmune disorder that requires me to stay out of the sun and limit stress and I wanted to keep the flexible hours and work-at-home benefits. Oh, well.

In any case, changing lines of work is very normal, being able to just veg in place is not, and this IS an opportunity for those who treat it as just that to move into something more interesting and challenging and definitely better paying.

Best wishes to you on your next move.

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