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Just lost my job to EMR - JW

Posted: Aug 15, 2012

I just received an email that was addressed to us ladies stating that as of Friday this week, we are not needed anymore because all doctors in a certain place are switching to EMR. It was a whole city. This is the first I have heard of this, that is, all their accounts in this city are switching. God Help us All

I just hope they're saving enough money with - EMR to be able to afford the - sm

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flood of indigent, insurance-less patients (namely us MTs) they'll end up having to treat and then write off their books in the future.

I agree with you - God help us all. The middle class in this country is being systematically exterminated.

I dont understand why some people that are on EMR have - PAMT

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work and others dont. There has to be some amount of work that cant be pointed and clicked. I dont really understand this at all. All patients are different and you cant macro in all those differences. I dont get it. I have a friend who does EMR and they have work because of this very reason.

I think it depends on the practice - Leaving MT

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I work for an MTSO, and all the work we transcribe is uploaded into an EMR. I think the facility gives the doctors an option to dictate or input data themselves. A lot of them do choose to dictate, but there are many choosing to do it themselves. I think the older ones and residents do most of the dictating. I am not sure why the residents dictate - perhaps just to learn the skill.

On the other hand, I had lunch recently with the office manager of a vascular surgery practice that I used to work for back in the late 1990s, and she has worked very hard to eliminate dictation altogether since going to an EMR and has pretty much succeeded except for the senior doctor. The rest of the docs input stuff that cannot be pointed and clicked themselves or have office personnel do it.

probably depends on account and enabled EMR features - sue

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I guess accounts that are more easily point-and-clickable (radiology, doctors' offices, things that have a lot of redundancy) could go completely.

The other thing is an account can go to EMR without using some of the transcription-free features. Just use it as an electronic record retrieval.

It should be interesting to see what the "big boys" do as EMR keeps eating - PAMT

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away at their fortunes and all the people in India they use lose their jobs. We shall see what happens.

One of my clients recently went to EMR and... - allias

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at first it was okay, as I think they were getting used to the system. However, all of the Headers, patient demographics, etc were no longer a part of the dictation. The "system" entered all of that. That alone cut our line counts by half, at least.

Next came most of the headings. Now all we get to do is the pe and the discussion at the end. nothing else. everything else is either point and click or the doc does it himself. Now our line counts are down to 1/4 of what we used to get and I see it all going away very shortly.

the only thing good that came out of it recently was the EMR screwed up and was showing "error" every time the docs tried to input anything. That was the only day we had to go back to the old way of doing things. It's a good thing I kept templates for all of them and the only day I made a good line count in several months. It won't be long now! sigh. i am so sad.

Well I work totally for a surgicenter and they have started - PAMT

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on Epic so we shall see if there is anything left after the surgeons point and click. Nothing I can do about it. Hopefully surgeons will feel like dictating instead of point and click. Dont know. I dont know when it will all fall into place but they started August 1st so not sure how long I have. Sort of like a death sentence waiting to happen. I am looking at other jobs though. Not much of that either.

Maybe see if there is another position you can fill. My EMR, someone - has to put the finished job into the SM

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system. Why shouldnt that person be you? Find out what EMR system they are using then Google it and find out if there is a niche you can fill.

Well I basically do the whole surgicenter on my own. It has - PAMT

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tons of very difficult ESLs that no one want to do so I get very little help with it but with only about 60 or 70 surgeries many being oscopies I can do it very easily so you might as well say I am the IT girl. I work through a service so dont know if the hospital will opt out but quite frankly I dont get any complaints about my work at all from anyone there and some of these surgeons are very fussy. Doesnt much matter though does it.

P.S. That is 60 to 70 surgeries per day. nm - PAMT

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nm

Just thought looking for a slot you could fill in the actual EMR - platform was an option. nm

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x

I would do that unless they have a hospital person that they get to do it. The - PAMT

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surgicenter is part of a huge complex of hospitals, etc. in MI and I have no idea what they think or plan to do.

Still, make your MDs think you are indispensible. They will - find a way to keep you. SM

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Be visible. Maybe even a little booty kissing is in order? A dozen donuts, bring in some bagels? Make them think they need you, could never do without you. They will make a place for you in EMR. Go after it and it's yours. Wait for someone to hand it to you and wait a lifetime.

Well, since they are in Michigan and I am in PA I dont think that will happen but I do - PAMT

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think they are very happy with my work no doubt about that.

Being MT should tell ya you dont have to be in the same room to - do administrative/clerical task. sm

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But if you cant think out of the box, whatever. I hope you get another position that you like.

Yeah, and you can mail the donuts. - nm

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x

I can definitely think outside the box and I am no wilting vine so I very - PAMT

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aggressively go after what I want. I dont let something go without a good honest fight believe me but I have to work through a service which doesnt seem to want to address anything until it hits them in the butt but I have saved emails from the hospital and if necessary I will contact them directly if they drop the service.

Or find out what you could do so the picky, time starved MDs dont - have to. Hey, just trying to save your job here. n

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x

The big boys already have their MTs editing/transcribing and - directly up-loading work into the clients EMR.

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EMR is nothing new. MTs have been transcribing directly into EMR for years and just dont realize it.

I can only think of one job I have had that did not - use an EMR

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I am a new MT, less then 5 years' experience, but every job I have had (5 total) except for one we transcribed directly into the EMR or our documents were uploaded into an EMR. Most of my jobs have been acute care, though, and the one that did not use an EMR was outpatient psychiatry. I would think that MTs doing outpatient work are going to be hit hardest by private clinics just now making the move to point-and-click systems.

Same here. I would have liked to get my own clients - but knew small fry would go to point-and-click. NM

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x

Point and click in orthopedics??? - JW

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Orthopedics is my expertise and I don't see how on God's green earth it can be pointed and clicked unless it is the surgery. There are a lot of variables and they all dictate a little differently. I was just laid off from a good MTSO that lost accounts from one city at once to EMR. It was an hourly paid job too and I liked it.

EMR - Elssa

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Wow, you didn't get much notice. :( How insensitive. When the 8-doctor cardiology group for which I'd been the only MT for over 10 years went to EMR, I got no notice at all. I was working from home for them at that time, and the work suddenly started to diminish, and when I called up, they said they had switched to EMR - point and click (the VR didn't work for them - mostly lousy dictators). Loyal service seems to mean nothing to doctors - all about the $$$$. I went back to teaching piano part time along with working for an MTSO, but that's a low-paying, precarious job as well.. Good luck to you - I totally sympathize.

Thanks Elssa from JW - JW

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We're being screwed over and over and over again. I want out of this work more than anything.

EMR, etc. - Elssa

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I also recently lost a big account I had done for about ten years to off-shoring. My MTSO did warn us a couple months ahead it was coming, though.

So, I got a new account with the MTSO, but it's just awful. There are a lot of Indian dictators who I can't understand, and even a lot of the other "American" doctors are using cell phones. Just had about a 6-page report where I couldn't hear half of it because the damn cell phone dictation kept totally fading out, words cut off, etc. That makes me so angry, because that at least is preventable. If I complain to my MTSO managers about the cell phones or anything, though, they'll either ignore me or find a way to blame me somehow, saying "you have to try harder" or some baloney. Can't believe I'm still putting up with this crap after 25+ years. Very depressing. I'm really too old for all this now, too old, tired and sick. :p Well, good luck again.. there's gotta be something better out there, right?

EMR, etc., etc. - JW

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Elssa, yes I want out altogether. Been in it for 30 years. Point and click in orthopedics, you gotta be kidding. Maybe they will change their minds. I left the MTSO on a good note and really liked the job. I think it took the MTSO by surprise. They lost a large account. They had just upgraded their server and updated the Chartnet. Don't blame the MTSO but the practice that I figure knew it all along and just needed a transition company so they could switch over. Hope I can find something else soon. Good Luck to you too. We are old timers and deserve better.

A whole city of docs going to EMR?? Seriously? - AnnieOakley

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May I ask what city? What software or company did they go with? Would like to know more about this as it might happen in other places. OMG.

Temporary so they can convert to EMR and feeling very used. - JW

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I find it so hard to believe that this MTSO just found out about this today. I was hired on as an IC three months ago. Do you think they knew this was going to happen then? I think I was hired as a temp so they could convert to it. I don't have much hope for finding another job and if I do, it will be only temporary again. God I want out of this work so bad. I did everything I could to keep this job tried to do what they ask me to do and look where it got me. No one is going to have a job too much longer. It's all about greed and they go the cheapest route they can and we are the screwed ones.

Some MTSOs stay in denial til the end. I saw on a website - that a practice was soon going to EMR, and

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I asked the MTSO about it and told her I really did not want to be surprised. This basically got ignored until I lost my work.... pretty suddenly. I found work somewhere else, but who knows when they will switch too? I do know of one doctor who switched back to dictating. She hated the way the EMR looked so generic.

What city is this? You were in trouble for low line counts - anyway in your post last week

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Below you were saying you were in trouble for low line counts. Below that you were in trouble and got fired for the quality of yoour work. Before that it was something else that got you fired. I seem to remember that raising hysteria over EMR seems to be a theme with you. Perhaps that is what you think is behind being fired?

That's why I wonder what city this is. Unless you are exaggerating, what city is it?

My suggestion would be to find another line of work that would suit you better ad be free of EMRs.

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