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How does your work do corrective actions? - Radgirl


Posted: May 17, 2012

I recently went from working for a national at home transcription company to working in a local hospital typing radiology reports.  The manager here has never worked at home and has no experiencing being a manager.  She has only ever typed in a dermatologist's office.  She is very strict about mistakes and putting them in our file.  If you have something in prelim that you are questioning and she finds an error somewhere else in the report you get docked for that.  If you have 3 mistakes in a year where they have to put an addendum, i.e. left instead of right, etc then you will get written up.  I try to do the best I can and we are all human and make mistakes, but this seems so aggressive.  There isn't a system for minor to major errors, they are the same across the board.  Put a comma in the wrong place, you're getting written up.  Plus, how about all the mistakes that I fix for the doctors and say nothing about.   I was wondering what other places do.  There has to be a better system that makes it less stressful.  I am constantly worried about everything I type. 

.. - Radgirl

[ In Reply To ..]
you don't have to work in radiology to answer this, just curious how other places do it!!

AHDI Healthcare Documentation Quality Assessment and Management Best Practices - dmj

[ In Reply To ..]
Perhaps you could suggest adoption of the guidelines outlined in the AHDI Healthcare Documentation Quality Assessment and Management Best Practices. http://www.ahdionline.org/Portals/0/downloads/QA_Best_Practices.pdf

This is a valuable resource.

This is what we began using at our facility. Sometimes those in the role of doing audits are ill equipped to know how to do so adequately and without bias. The guidelines in the document are helpful for setting a standard.

perfect - RADGIRL

[ In Reply To ..]
This is exactly what I was looking for. Thank you so, so much!!

Anything condoned by AHDI is likely NOT going to - be in the best interest of the MT.

[ In Reply To ..]
A lot of the crummy office management practices the O.P. talks about came about after AHDI started trying to run the whole circus.

Official adopted standards are always in our interest. - Simple to find and follow, complete justification.

[ In Reply To ..]
It's when there's no standard or specification to cover a situation that we get slammed with, "Do this." "No, do that."

AHDI matters - Vickie

[ In Reply To ..]
Little from AHDI is of value. It is a self-serving organization that is the single cause of grief among MTs. (Can you say "offshore?")

That's such a punitive, old-fashioned management style. - Hallmark of an inept, unskilled manager.

[ In Reply To ..]
The whole "you're getting written up" thing is such a waste of time, and creates such negative energy.

Managers should have to take a course in training animals. You get a lot better responses if you use reward-based training, rather than with fear-based training.

I think most lower-end managers and MT supervisors are unskilled people moved up into those positions to serve as help to upper management. They also get all the dirty-work, like firing people or disciplining them. Upper management also hires people who won't take a lot of initiative, and instead, blindly (or perhaps without conscience, or perhaps both) do whatever upper management tells them. Even if it's wrong.

In my experience, most of these people I've had to deal with knew they were inept, knew they were easily replaceable, and knew that if they wanted to keep their (usually salaried) positions, they had to make it at least APPEAR as if they had made a change for the better. So they ride those below them hard.

The tactic I hate the most, and which it seems comes into play whenever a NEW manager comes on scene, is to first find fault with everything their subordiates do. Or, to pick one or two "targets", and make them look bad. Then they write them up, dock their pay, cut their workload, give them the "cr*p" work as punishment, or all of the above. They threaten termination.

THEN, after a while, they give that same target MT another review that shows "improvement". Then they give themselves a big pat on the back for having "contributed" to the department.

It's why I detest middle management types with all of my being.

Radgirl, start by making sure everything you send to QA - is otherwise clean. That is basic. Good luck. NM

[ In Reply To ..]
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