Tell me about "meaningful use" for EMR please. Does this mean docs can no longer dictate

It takes just as long to listen to the file (most of which is unintelligible) and leave huge areas of blanks, so we make next to nothing for the report. Garbage!!!! I know...nothing will ever be done about this. ...

We received an e-mail today about "Meaningful Use" and the EMR. Apparently the doctors are supposed to input their own reports for the hospital to get paid and soon we will be out of a job? ...

read the article in the link -- has more to do with physicians and the next "meaningful use" level; pretty interesting regarding coming requirements, the big companies involved with software, etc. Not pertinent directly to MT but I found it interesting just the same. sorry if I should have put this on some other board (I work for Nuance). ...

This post applies only to those MTSOs perpetrating abuses. If you are employed by an honest hospital, MTSO, etc., this message is not directed at you. We all want your employers to succeed and thrive! "The indignity of working for a living is well-known to anyone who ever has. With only a small portion of the product's value finding its way into our wages, we have every right to be pissed off at our bosses." Unknown We MTs know a ...

Stand up for yourself and exert your individual power and you will find there absolutely can be MT jobs with, "YEARLY EVALUATIONS (yes!)...RAISES (double yes!)...PROMOTIONAL OPPORTUNITIES (I can't believe it!)...absolutely stunning, you don't realize how brainwashed you are, how hammered you are, till you GET OUT." The foregoing is a quote from the person who posts as wheres_my_job. S/he is right on about the brainwashed part. We have the power and just don't realize it an ...

Does anyone have any idea what these emails are about? They seem rather lengthy, IMO, and I am not getting the reason/objective of them. TIA!!! ...

Interesting article about stage 2 meaningful use, particularly committees trying to decide if it prohibits anyone but a physician entering data into the EMR. The article specifically references scribes, but I wonder what the implications are for MT. http://www.healthcareitnews.com/news/do-doctors-have-be-typists-get-mu-incentives ...

MQ told us at one point to use that ponderous webmd.com website to find docs. In my state I use the state medical assn website to find docs. TODAY the office manager for my local docs told me about the NPI website for all states. Any doctor in practice has to have a # to be billed. This is THE PLACE to go to find any docs you need to check on. https://nppes.cms.hhs.gov/NPPES/NPIRegistrySearch.do?subAction=reset&searchType=ind ...

This is on my Facebook page: "then all your doing is in vein!" Lord help us, they are everywhere~~ FTR Facebook? ...

I mean if they aren't going to enunciate a darn thing and they are so determined to get the whole thing done in 30 seconds and they don't care that there are blanks, why do they even bother? Please doctor, point and click was invented for you. I urge you to investigate it. ...

Had an appt with my doctor; she was slowly typing as we talked. I asked her how she liked typing her own records. She said she hates it but has no choice as it is required now. Apparently some companies are telling the hospitals that EMR is required by law. That isn't exactly true, and the companies (such as MQ) do a lot of fibbing and twisting of the truth. While it will be required that medical records be electronic....HOW they get there is where they are fib ...

People are not doing a full listen/correction. There are some pretty blatant errors, and these errors are being repeated by subsequently dictating physicians who are obviously using other documents for information (as it should be). Blatant errors such as allergy to medications that don't even exit, blatant lab errors that are counter to some of the diagnoses. I shamefully admit to not doing a full listen when I first started voice recognition was back in the beginning, but quickly noted ...

Had to go to an old report to copy/paste meds. Read over report to be sure I had other items correctly transcribed (doc dictating at FAST pace)... he signed off on this old report with the glaring error of "pick line" in place!! It just worries me what else is glossed over in the name of 'time and profit'.. ): ...

How can we edit/transcribe if the volume is highest on the computer, ear phone amplifiers are on, and we STILL CANNOT HEAR! If it comes straight typing and ASR cannot pick it up, why in heaven's earth does the doctor think I CAN HEAR. I cannot! Are these docs being passive aggressive... Oh they don't realize?! That is just MEAN, CRUEL. Forget that I have to make a living wage, but think about just plain RESPECT. This vent brought to you by me getting too ...

On VR, many times a day I hear part of a word like "s" which might be "it is" but if I add that, I might get a Nuance error. But if I don't add it, it would be an error. Depends on the QA person. You really can't tell when listening to it. This is multiple times a day!! Management should make a decision and tell us that it's not important - that we should concentrate on the important parts of the report. I add multiple blanks to each report where I d ...

Night after night I pretty much do the same doctors (not that I am complaining about that), but sometimes I get frustrated because I am floored at how these doctors can get through medical school and NOT KNOW how to pronounce medical terms and medications!!! This doctor pronounces tubal ligation as "Tubical ligation" and she is always mispronouncing names of medications! There are many, many other med terms she flubs! I fear for the patients so I try and match up whatever ailment they ...

I have had a dictator who always downgrades whatever pain score someone gives. For example, he says things like, "The patient says his pain level is 7/10, but I think it is really only a 3." I have really never heard him agree with a patient's pain score, and I thought the point of pain scores was to find out how the patient was feeling, not how you thought s/he should be feeling. It's kind of funny, but I would not want him for my physician. Just wondering if o ...

About VR? Yesterday, I went with my fiance to his post-op followup appointment. As the nurse was taking us to the exam room, she told us the doctor would be right with us, he was dictating his clinic notes from the morning. We had to walk by his office, and his door was wide open. He was sitting at his desk dictating into his phone, which was lying on his desk, had the speaker phone on, going a mile a minute, slurring, skipping words/entire phrases, all while eating somet ...

But I noticed when my son graduated from college, it was a mid range college in no way an ivy league school, that he spoke very intelligent, used correct grammar, and actually formed correct sentences. I made mention to him, that in listening to his friends talk, I was VERY impressed and happy they actually learned something in school..He said, "I don't see why, that's what they teach us in college, this isn't high school anymore mom." I'm just not hearing it out of these d ...

I am so thankful that I am no longer with MM. I quit in May and it is the best decision I have made in a very long time. I got so tired of the unreasonable hours, the constant changing of hours/days. I got tired of the threats about quality (which is definitely unrealistic), then you get the threats about not having enough lines. I don't have to tell all of you what a terrible journey it is with MM. It is the kiss of death and it will never be any b ...

I wonder if we couldn't put "Dictator Effect" as an alternative to "poor audio." It seems more accurate. Furthermore, it's a phrase that has come along with our QA feedback to qualify it. And that's TRULY what it is --- no question about it, 99% of the time, when I can't "get" something. Right now I have a new "primary" added to replace the one I lost. This is a good account, as they go. The doctors I've had so far speak pretty clearly -- some o ...

Doing a report right now: "the patient comes in PERIOD with complaints of blah, blah, blah, PERIOD and states that PERIOD she was blah, blah, PERIOD, blah. She was sent to see Dr. WhoCares PERIOD for blah, blah.....No joke. Drives me crazy. ...

So sick of these repeat bad dictators..If we keep sending them through QA then they never realize what a pain in the tail they are..I honestly think a lot, not all, if they realized how bad they sound would straighten up..Especially the English speaking "slurrers".. Im sending them the blanks, Guarantee no one ever say he doc, can you just slow down to somewhere near the speed of light for a change then your reports would come back more accurate and in a timely manner instead of them being ...

AAMT, the industry, everyone says to be perfect and get everything correct. HIPAA this, and HIPAA that. If we are held to that standard, how about the doctor? If your company wants the $$ so bad, and we don't get help from them, and the hospital does not care about us, or bad habits from docs, why don't we just sue in small claims court the bad doctors, and also the hospitals/accounts for allowing DANGEROUS text mistakenly be typed. I think enough MTs suing, knowing t ...

It's pronounced Venlafaxine, but it's spelled V-A-N-P-E-N-L-A-F-I-X. And I get audited for quality. At some point, the whole world became an insane asylum LOL. ...

I have an account I work in where the work is mostly the same doctor for the whole shift. Seems lately my hours coincide with Dr. Never-shuts-up!!! It's not uncommon for him to dictate 10 + minutes for gastroenteritis! Yesterday he did an 11 + minute note TWICE on the same patient. What do you all do when all you want to do is SMACK the doctor, lol? ...

I do transcription for a hospital conglomerate, and we have thousands of doctors. I find that ever since we started a new program last year, I no longer get a lot of the same docs like I used to, but I get different dictators, different work types and different specialties all day every day. It's very frustrating because I find that I'm learning new specialties all day but, because there's apparently nothing I can do about it, I have to just live with it and work on getting m ...

It would not be a bid deal for MModal to TELL these doctors how to dictate..I am sure they are clueless as to what comes over the phone lines. A bunch of cackling hens in the background of an already mumbling dictator is just ridiculous. Why do they not just tell them that phones pick up what is in the background? And while your at it, teach them how to end a dictation, cause the dialtones are killing my ears!!! ...

They now cut our PTO and are threatening us if we don't have all our hours in because THEY are out of work..Oh yea and at least 150 lph and 99.6% is it now accuracy..When I can't understand a doc now, I will not go in past reports, I will leave markers..I will go for a second listen once the report is done but the old Above and Beyond crap is gone!! ...

Okay! I've had enough. I was going to hang in longer but I am now being Aggressive and sending my resume out! I won't be doing MT work anymore -- that's for sure! Perhaps working at the local community college if not for the government. At this point, I don't really care what I do because anything is better than this! WooHoo! It's a AHAA movement for me. It won't be long now. Best of luck to those who chose to stay wit ...

Tell me about "meaningful use" for EMR please. Does this mean docs can no longer dictate - MT20

No, it does not mean they can no longer dictate - Ayn

Meant can they no longer dictate long narratives? - MT20

they can dictate whatever they want - ...

Actually this does impact dictation - MT

agree that it does impact dictation... - sm

Yes. Doctors can still dictate! - Dina

But not as it pertains to meaningful use - Leaving MT

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