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

Joint Commission has no idea there are still - medical transcriptionists??

Posted: Aug 02, 2013

What the heck are these MTSO companies telling them?? Joint Commission is only aware of a product such as Dragon or voice recognition products and only know the front end and the back end of the products, but have no idea of that there are medical transcriptionists EDITING THE REPORTS???

https://www.youtube.com/watch?feature=player_embedded&v=o11asGi2zuc#at=16

This is Debbie on Facebook, PROUD TO BE A MEDICAL TRANSCRIPTONIST who has been fighting for MTs. She spoke to the Joint Commission a few weeks ago. This is a video of herself explaining what happened during the phone call.

Enlightening, but not surprising.. - JudyF

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Thank you for posting this....

Wow. Shows why offshoring MTSOs get away with what they've done. - anon

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I'm glad she's at least making an effort, though it's a bit discouraging. Though I guess that it's better that they didn't know and that's why it is so bad, than they did know but didn't care. They do oversee medical documentation and quality, don't they? I would think they would have to be more educated on how a patient's record is actually produced. Aren't they the ones that came up with that dangerous abbreviation list?

On the other hand, if she succeeds in educating them or taking it further, once (if) they investigated what has happened to the industry and how we've been taken advantage of, there would be major changes ahead.

The Joint Commission has nothing to do with MTSOs - nothing

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MTSOs are companies. Nothing more. They are not accredited by any entity, and the Joint Commission has nothing to do with them.

But they do oversee medical documentation.... - anon

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so how it is produced, people vs. machine, is a relevant topic, and one they shouldn't be so clueless about.

they are not engaged in oversight - sm

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there are a number of criteria involved in obtaining accreditation from TJC. As long as a facility meets these criteria, they maintain their accreditation status. TJC doesn't care about how the records are produced as long as the records meet the metrics they set forth. Similarly, they don't care where you buy your EKG machines, or how the nursing staff gets to work.

They should be... - MT

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involved in oversight of records since it is a large part of patient safety. Those records and how they are maintained should also be included in consideration for accreditation. Also, regarding your comment on nursing staff, you do realize that the Joint Commission accredits staffing agencies, right?

of course I am aware that TJC accredits staffing agencies - sm

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As I said in my post, TJC doesn't care how the nursing staff gets to work. Did you not read that? I used to work for a staffing agency. TJC sets forth rules and regulations for their operation. They do not, however, regulate pay scale, they do not regulate whether you are American, and they do not care if the person typing the orders understands them or not - just so long as they are submitted correctly. Right?

"dislike" it all you want - but it's the truth - lol

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Maybe it's time that MTSOs ARE accredited. - Im sure few would pass accreditation. NM

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It won't be by Joint Commisssion unless MTSOs start - treating patients. anon/NM

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'

There is no reason why... - MT

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medical transcriptionists could not fall under the umbrella of the staffing agencies that Joint Commission already accredits.

yes, there is a reason - sm

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This is not what TJC does. It's like saying drunk driving laws should fall under the purview of the Department of Motor Vehicles because they deal with cars.

exactly - nm

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Debbie has no idea what the role of TJC is - sm

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She is barking up the wrong tree. It would be like calling the highway commission to complain about the price of automobiles or where they are manufactured.

It reads as if you want people to fail. - anon

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If they didn't care at all, they never would have set up the conference call, with 3 members no less. As she has pointed out (though you obviously are commenting with no knowledge of this), "the purpose of the call was to provide an overall picture of the problems in the medical transcription industry. It is my hope that the JC will recognize the need to employ quality standards to the process that will result in significant changes in the industry. Many of our issues are not directly relevant to the JC, but I do believe that a tightening of the standards would have a trickle-down effect."

At least she is an MT who is spending time trying ANYTHING to improve this industry instead of just complaining. Which is more than those here who are "LOL"ing her efforts. I recall these same people even smugly posting that she was lying about the upcoming conference call appointment because the JC "would never talk to her". That is why you are probably getting the "dislikes". I'm glad not everyone agrees with your complacent negativity.

I'm sorry you think that - sm

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First of all, I don't want people to fail. I want people to succeed. That's why I think it's a good idea to address issues to the appropriate parties.

Second of all, I do have knowledge of this; I don't know why you would assume I do not.

Third of all, this has nothing to do with complacent negativity. This has to do with positive intention and directing advocacy to the appropriate entity. Anything less serves no one other than the person receiving the membership fees.

JCAH inspections - JudyF

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I wonder whether JCAH lets the facilities know when they are coming to make an inspection? In my RN days, the hospital knew when a JCAH inspector was coming, and spent a great deal of effort in getting things in order, even if only for that one week.

They started coming in unannounced... - several years back.

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They do give an approximate time tho, like what month IIRC.

I'm not surprised that the higher-ups are clueless - MTBankAccount

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that live transcriptionists clean up the mess that is VR and offshored transcription. I'm sure most believe what the MTSO has told them - that both of the above are viable alternatives to live US MTs doing the work.

Those of us who edit that junk are their DIRTY LITTLE LESS-THAN-MINIMUM-WAGE SECRET. I've been saying for a long time to anyone that will listen, that although we have no clout at all as MTs, we've got a LOT of clout as editors, if we would just use it.

As little as ONE DAY of medical editors just sending the unedited, messed-up VR and offshore transcription through, without cleaning it up, would be an excellent "warning shot over the bow", so to speak, and if it didn't get their attention they would be fools, because Step-2 would be to stop editing for a full week. Then surely they would be forced to realize that going any longer than that without Medical Editors would likely put them out of business soon thereafter.

I don't know.... - also-anon

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Our docs went to Pscribe and are self-editing reports. They send perhaps 5 reports PER week on this high volume account to an editor. They are making MAJOR errors - dictating on wrong patients, right vs left and r/l vs bilateral conflicts, wrong body parts, not grouping orders on procedures (i.e., contrast orders, tomosynthesis, post-procedure x-rays, fluoroscopy), putting in incorrect author names. After dictating "Report revised due to transcriptionist error", they started blaming the technicians or the software for their multiple errors. They do not care. Only a minority does give a hoot. Can't blame this on the MTSO. They're also dictating 2-3 days past the deadline, a clear HIPAA violation.

It's all becoming a moot point, anyway. Medical - transcription/editing is circling the drain.

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You know how, when a person reaches a certain stage of starvation, it can no longer be reversed, regardless of whether they are fed well, because their body is shutting down, feeding off of itself, and they're going to die anyway?

That's medical transcription in a nutshell.

-MTBankAccount

because it's not relevant to them - they have NOTHING to do with us - research JC

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nm

But it would be helpful if they did... - MT

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That's the point! Not sure why everyone is missing that. It would be helpful for us and for patients if they were involved in oversight of medical records and who and how they are produced. Medical records are an integral part of patient care and safety. Why this is being downplayed here, I have no idea.

TJC accredits - they DO NOT oversee - what do you not get about this

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You need to understand something: The oversight of the records we produce is done by the dictator.

You seriously misunderstand something here - sm

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Joint Commission does include medical record in its purview. It stipulates what is to be in them, how they are kept, and when they need to be done. You can google to find their lengthy list of requirements.

When they inspect hospitals, they do so unannounced. They review medical records during their very thorough inspection. You would not believe the detail they look for. They relate what they find to actual patient care.

As someone else keeps pointing out, HOW the records get typed is not their concern any more than how the nurses get to work is their concern. WHERE the records get typed is not their concern. WHO puts them in the chart is not their concern.

When they find inaccuracies in records that affect patient care, they WILL cite the facility.

What you seem to be missing is the understanding that the report you turn in to MM or whomever is NOT COMPLETE YET. You are outraged over the errors made by VR and Indian MTs, but you don't grasp that the physician is ultimately responsible AND THAT HE EDITS THE REPORT BEFORE HE SIGNS IT. Yes, he can do that. If he does not, then any problems fall on his head.

Nobody cares about spelling, capitalization, or punctuation, either. All those "critical errors" your MTSOs whang you for don't matter. They don't affect patient care or anyone's ability to understand the record.

And, no, those "errors" do not affect anyone's ability to code or bill that record. No coder is so stupid that they cannot read right around them. They understand VR errors just like you do. Just like they understood the new MT's "baloney amputation" before VR ever came along. And you know what? If it is that bad, they just ask the doctor to fix it.

I was an MT, have heard and seen VR reports, and do know what I am talking about.

.

Keep spreading false information... - MT

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You are ranting on and on about how the physician is the only responsible party. You are wrong in that. I assume you are one of the people on the conference call? Anyway, you are clueless. Carry on spreading your misinformation. It is not you who will be responsible for errors. I suggest all MTs understand exactly who is responsible for what. You might be surprised to know that you may not be completely without liability.

the posted information is accurate - fyi

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I don't understand why you think the poster was ranting on and on. IMO, she explained the salient points reasonably and effectively.

Check out the Precyse case.. - MT

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Nothing more to add. Facts are facts. I'm not going to waste my time arguing with a suit, which that person clearly is.

precyse case - sm

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The Precyse case is an example of a complete breakdown in healthcare management protocol.

I don't think resorting to name-calling is any kind of defense.

Familiar with the Precyse case - Not a suit

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The error in the Precyse case occurred due to a failure of a caregiver to follow established hospital procedures. She should not have used the record whether it was correct or not.

While it shocked everyone that the records went overseas and has so little oversight, the problem was using the record as a source of a drug dosage. It was supposed to have been confirmed.

exactly - thank you, sensible poster

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Responding to yourself again? - MT

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It's laughable, really, the extent that some will go to in order to try and make their point. Move along...

MT... - sm means see message

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No. I am not responding to myself. I was indicating appreciation for another poster's remarks. Please do not tell me to move along. That could be construed as you telling me how to post, which is forbidden.

Nope, not me - Happy someone thinks I am sensible

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NM

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