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

Hopefully good news for the MT world!! - Hopeful MT

Posted: Mar 31, 2011

So I was at a local clinic today that had switched over to a dropdown menu system and templates for their doctors a couple years ago and had laid off their transcriptionists and the doctor was just typing away in his template and of course I had to mention how as a medical transcriptionist this really bothered me. He told me that many of the doctors there were unhappy with the new system and had gone back to dictating and that they were more than likely going to be hiring transcriptionists left and right. This is true because I looked on their website and sure enough they have openings. A job that I had gotten almost a year ago said the companies they had work from had also done that type of a system and the doctors gave up on it and went back to dictating. I have also noticed a huge surge in the amount of ads being placed on the Job Seeker's Board, as well as other websites. This could be very, very good news my fellow MTs!!

Comment from physician - MT30+

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I also just yesterday heard something a little encouraging. My husbands kidney specialist was speaking to me about the state of MT. He said they used the automated stuff and they all hated it. It takes three times as long to get anything done. Maybe docs will finally figure out this whole automated thing is a waste of time and start hiring good experienced MTs again. That would be a great thing for sure. I left MT a year ago after almost 35 years. I am 55 years old. I would go back in a minute if i could find a doc that dictated the "old fashioned way" and paid some decent money!

Good news for MT world - Yay!

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x

Saw my doc the other day too and we talked--- - Justanotheropinion

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about the MTs. I had told him I was laid off last year and have been having trouble finding new MT work. Talked about transcription and off-shore. He said his practice tried the offshore thing and it was "terrible". It was more of a headache and it was truly a mess. He said never again. But he said some docs want to go the cheap route (and look where it got him). All this conversation while he sat and clicked his mouse all over his computer for my visit. Now if we could just get that out of the way. How could they be "cheap" in one aspect but spend the $$$ to get their EMR and then have to enter the info in himself. I don't know, to me, sound counterproductive.

what is the difference if they sit and click or dictate? as for cheaper--- - just saying

[ In Reply To ..]
as for cheaper - they don't look at price now, the see one time cost against year after year MTSO expense.
probably pays for itself in under 3 years, so is actually cheaper to buy the sustem, not to mention gov't reimbursement.

whether it works for him is one out of a kazillon nationwide. I'm thinking your best bet was to ante up your services while you had him in a complaining, generally dissatisfied mood.

I questioned the cheapness of it with my doctor recently - sm

[ In Reply To ..]
I had a nurse I usually don't see, and she could not work the system properly. Put in my weight as 1211 pounds because it was December 11th, stuff like that. I tried correcting her, but she just got angry and stormed out. So I asked the doctor just how "cheap" this really is, when there are errors and people who can't use them. He agreed and wanted to go back to dictating via tape, which he did until about 6 months ago. He said the local hospital forced every local doctor to adopt their EMR system under threat of reporting them to the government as not being compliant.

He also said that the only thing anyone really knew how to do was use the EMR linkup system to find NIH website pages on whatever illness the patient had. They print out the webpages to give to the patient, but it costs them tons of money because each patient gets 5-10 sheets of printed paper every visit.

I suspect dictation is going to be fully compatible with EMR soon, if it isn't already, because the drop-down menus are just not working.

That is not always the case. There are some EMR - programs that stink, and some

[ In Reply To ..]
that are wonderful. I have worked all positions in a doctor's office, and I absolutley loved EMR. We had a great system, and the providers loved it. A lot of your over 50 doctors are going to hate it, and your younger docs love it. They are computer savy and can point and click their way through a visit as quick as they can dictate it. It actually saves them time.

My pediatrician asked me in a visit what I did for a living and pretty much told me I was in a career that would soon be obselete. They have had EMR for close to 10 years.

I do clinic work, and I have started working back in a clinic doing office work as I am that uncomfortable with job security with MT. Shocking also that the doctor I just started working for is trying to transition to EMR now. I have been very glad for years to be a clinic MT, but from the experience of working with the point and clinic systems, they are crazy not to use the EMR.

its the cheapness - same boat

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I'm getting ready to lose my clinic position to EMR. And yes it's because EMR is cheaper in the long run and I guess I cost them too much. They invested in one of the cheaper EMR systems (no drop down boxes - everything has to be typed) and told the docs to get working on it. I'm just thankful that I'm still typing for them for now, but I do have to put the dictation typed into their EMR, so the next visit is easier on the docs to type themselves. I'm hoping I still have another couple of months or longer. Some EMR's, from what I hear, are not be medicare/medicaid accepted.

Thanks I needed that - Anonymous

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Thank you for the optimistic report, I needed some good news since I have learned that after converting to Epic and Dragon front end ASR in June, my employer of 17 years has the goal of cutting its transcription staff by 90%. The doctors will be doing their own templating and editing. They may hate it but they are being told to use it. I wish you could point me toward some of those job openings you are seeing. In my area the on-site jobs (except where I work) are non-existent. I am not an independent contractor so I don't qualify for a lot of the jobs on the Job Seekers board, a lot of them are part-time and temp positions anyway. The 2-year time frame you mention is a long time to wait for my providers to change their minds and return to dictation, if that were to happen, in the meantime I need a job. I do appreciate your optimism but unfortunately my experience is different.

Huge surge on the job boards? Where? - SouthernMT

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The only jobs I see are the same old companies that overhire and everyone complains about, or part-time/temp work.

I do, however, believe that voice rec is going to bite them all in the butt eventually with the poor quality, the only MTs left to edit are newbies who probably won't know whether anything is correct or not, or they have to end up paying someone $30K a year to do their templating for the EMR. Seasoned MTs are not going to tolerate the low pay on editing voice rec (not to mention how incredibly boring and mundane it is). I haven't seen any ads for anyone doing any EMR templating, but probably will eventually when the docs figure out it's too time consuming and expensive ($200 an hour for them to sit at a computer clicking is going to hit the fan too, like you mentioned).

We'll see, but it will take a while for it to all smooth out. Thanks for the encouraging post, however!

BAD NEWS...the practices that have not (sm) - yochana

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implemented EMR will have their Medicare reimbursements cut by 2014. So, doctors will have to decide to either drop all Medicare/Medicaid patient's and do dictation/transcription in the good ole way or comply with the new healthcare law. Doctors are already dropping Medicare patients like crazy. It's best to get a PCP before you turn Medicare age and then your PCP will more than likely keep you as a patient when you switch over to Medicare.

News Flash for you! - sereneone

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Just because a doc dictates/uses transcription and doesn't use point-n-click templates does not mean they don't have EMR. Many, if not most, newer transcription softwares are fully compatible with EMR systems and upload into them. The VR and template salespeople just make it sound like you can't dictate and use EMR - that's how they get their bucks....

Hey - that is great to know. Thanks for the update! (nm) - yochana

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nn

Yochana - see message - Anonymous

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Our providers were given the choice between straight dictation and ASR, but I know the push is on for them to use VR and do their own editing. It's stressful for me because I don't know whether to stay or go, I'm trying to avoid getting laid off as I have never been on unemployment before. However, I may still have a couple of good MT years left there, lol!

Wishing good luck to ya! - yochana

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nn

Yochana - anonymous

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Thanks for the words of encouragement. I can sit tight for a while longer I guess as I won't know for sure how this will work until we are up and running. So far, I'm not liking what I'm finding in MTSO-land.

VR vs. transcription - Happy MT

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I type for a clinic who tried Dragon Speak for a year and HATED it. They said they had to spend all evening editing the work. So they have gone back to dictating, notes typed and in chart by end of the day, with their evenings free -- they LOVE it. Some of the docs in the clinic still using it and their notes are awful.

I also typed for a service in Michigan. She lost the work to overseas so I lost the work. Then she re-contacted me to come back, but for less money as they called her back and said she could have account back if she lowered her prices, which she of course then passed on to the MT.

Personally, I think there will always be a need for MT's, but I guess not as much. Don't know how they will EVER be able to rely entirely on VR with most of these dictators.

I'm a QA for a major group of hospitals and... - QA-MT

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The majority of our dictations are VR. Most of our MTs spend their day as editors. We are finding more and more mistakes when we do reviews compared to the good ole days when MTs just typed what they heard. I think this is mainly due to the fact that once we see a word or phrase in text, we are more likely to trust it and leave it in. I feel for our MTs. I remember what it was like to type as opposed to edit. You felt more challenged and it was more interactive rather than just proofreading the garbage regurgitated by the computer.

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