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Times are changing. We're global like it or not. Hospitals like not having to fret about their transcription as long as costs are in line. PERIOD.
Ya know, these days the words "never happen" - are becoming meaningless. (sm)
[ In Reply To ..]
Think about it. You name it, and it can happen. Think back just a few years on all the things we thought could "never ever happen":
Personal computers.
The internet.
Women CEOs, politicians, doctors, etc.
An African-American President.
Telecommuting.
Cellular phones.
Disappearance of America's middle class.
Equal rights for women.
Paperless banking and bill-paying.
A man walking on the moon.
Heart/lung/face transplants.
Declining jobs and less pay for not just MT's, but many professions.
Global warming.
A terrorist attack on American soil.
Electric cars.
Solar-powered lights.
In vitro fertilization.
The extinction of many animal and plant species.
There are also things that haven't happened yet, but most likely will someday, maybe even in our lifetimes:
Nuclear war.
Decline of America as a superpower.
Interstellar space travel.
No middle class left at all in the US.
The tail end of an ice-age that we currently live in will end, and many coastal cities will be under water.
A major war fought on American soil which we may very well lose.
The list of possibilities is endless. All the things, both good and bad, that seem "impossible" are possible.
Somewhere down the line, something may change for the better for MTs. It's not completely impossible. Maybe for some reason that has yet to happen, in-house MT may become totally necessary. Or, the need for the medical record (or anything else) in print may disappear entirely.
So to say anything at all on this earth "will never happen" is pretty narrow-minded. I don't mean that in a mean way, it's just not seeing the big picture, and the astounding speed with which things in the world are changing.
I agree change is part of life - but
[ In Reply To ..]
hospitals will NEVER bring back transcription utilizing MTs. They may take over the voice recognition and fire services but there won't be "great" gigs for numerous MTs in hospitals :)
And believe it or not, I'm a glass half full, Ollie Optimism person :)
So how do you explain the hospitals that have quit - MTSOs and brought MT back inhouse? nm
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I would gladly give up the "convenience" of working from home to return to a work environment that made some kind of sense. The large transcription companies are killing this job. I haven't had a raise since 2001 because I'm at the "top" of the industry-generated pay scale. Overstaffing and underpaying by these companies is going to result in the more experienced MTs leaving the field out of necessity. They will eventually find themselves losing accounts and money after having killed the proverbial goose.
MT lady - MT lady
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"Crazy for...." You get it...some just don't see it. It's laughable how they go through all the rigamarole to insure privacy of medical records and then farm out the dictation to anyone who can transcribe and an internet connection. It's a joke! Your medical records were much safer and accurate when they were in a supervised medical records department.
Only safer if that hospital goes back to using Selectrics. They still - use PCs, which means records are at risk. nm
Selectrics & carbon copies never bothered me, - but that is likely because - sm
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back then transcription wasn't a race against the clock like it is now. We actually had the luxury of time in which to be more careful.
"We actually had the luxury of time"--but that - was a BAD thing! SM
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When patients are in trouble, they need care right then. Those bad old ways meant the medical staffers were evaluating and making decisions without the patients charts or, in desperation, running to the basement to get a look.
The loss of a transcriptionist's "luxury of time" is a very GOOD thing. Every year many patients die, and tons more seriously adversely affected, by bad medical care; and let's also not forget, we're almost all patients ourselves at various times.
In those days, we still had STAT reports, which were - able to be typed immediately, because -
[ In Reply To ..]
we could actually remove whatever we were working on from our typewriters, and pop the cassette out of the machine, and start on the STAT immediately.
Unlike today, when the STAT sits in an electronic file for god-knows-how-long, until it finally pops up in someone's queue, already out-of-TAT. And then, the recipient of that STAT still has to finish the current report she's on because the system won't allow her to put it on hold, or cancel it, so she can work on the STAT.
Then, upon sending said STAT, rather than getting up out of her chair and personally handing it to the doctor needing it, the STAT goes off into cyberspace, where:
a) A thunderstorm causes the servers to go down,
b) An Indian tech picks that moment to run a check on that region's MT's PCs, which unexpectedly causes the STAT to become non-existent,
c) Blanks in the STAT cause it to be re-routed to QA,
d) The wrong demographics (not typed by the MT, but automatically added by the hospital upon dictation of the STAT) cause the STAT to be sent to:
(1) Be dictated on the wrong patient,
(2) Be sent to the wrong doctor.
We had far fewer problems back in the days when we had the time to be more careful. And not just US, but the doctors, as well.
Below is a link to another breach of medical records. We can directly blame the fact that today's medical records largely dwell on the internet. Lest some of you come back with "but without the internet, we would not have jobs", let me tell you that we got along without the internet previously and had higher pay because the offshore vultures could not get at the records and we were in higher demand. We can do it again.
http://valley.newhavenindependent.org/index.php/archives/entry/ ...
Did anybody hear about a recent breach of confidentiality by an "offshore partner?" I got a whiff of this and was unable to verify on Google... just curious if it has happened (again). ...
I am reading far too many cases of MTs being fired/threatened for copying the wrong doctor on a report. While this constitutes an error, it does not (NOT) constitute a HIPAA breach.
HIPAA law is being wielded like an axe by misinformed management, with the regulations being used to threaten and fire a huge segment of the American workforce.
MTs fired for a "cc" issue need to report their job loss to their state labor department as well as the department of health and human se ...
Hospital: Info on 6,800 patients leaked online
The Associated Press
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NEW YORK -- A New York City hospital has apologized for a security lapse that allowed personal information belonging to as many as 6,800 former patients to be published on the Internet.
New York Presbyterian Hospital/Columbia University Medical Center said the information included names, clinical data and a few Social Secur ...
Anyone get a notice of data security incident from PayTime regarding a hackers getting payroll information on MTs? OMG the list of information they got for me includes SS#, direct deposit bank account, DOB, phone number, home address, hire date, wage information . . . This is just so frustrating!! ...
A friend of mine was just fired from MQ with no warning whatsoever! Apparently she had CC'd the wrong doctor (very similar-sounding names, ESL dictator). I know this is a major HIPAA violation, but everyone makes mistakes...we are only human. My friend always had excellent QA audits above 98%, 15+ years as MT, no other issues with her work. You would think they would look at this on a case-by-case basis, consider past record, when it comes to firing someone on the spot like that. It is ...
doctor clearly states "a fair amount of adhesions;" ASR transcribed "some adhesions." That is so bizarre to me and if I wasn't really LISTENING and was just flying through proofreading, I would have missed it. Not particularly treatment-changing for the patient, but certainly incorrect. ASR just flat made up dictation there. Absolutely amazing. If I did that, I would be fired. ...
An app to help interns and residents figure out just what to do in the ER? There's an app for that? They need an app to treat me? IN THE EMERGENCY ROOM? omg
http://exclusive.multibriefs.com/content/new-app-helps-med-students-diagnosis-quickly-in-er/medical-allied-healthcare ...
During my first visit with a new doctor yesterday, I wondered why I was not presented with the usual "book of history" to fill out beforehand. As the nurse was asking questions, she was busy clicking on pull-down menus, etc. On her computer screen was software called SOAPware, and there, formatted into SOAP format and all, I saw my replacement.
Later, in the exam room, the FNP was using the software as well as we went along, after exam, labs, etc. I made a comment ...
I was just searching the web to find a type of surgical camera and found this on a used equiment site...
Can you imagine...if THAT voice recognition worked as well as MQ's voice recognition...
what kind of things might get taken out during surgery.
I don't know whether to laugh or cry.
Surgical robot, AESOP, voice activated - $6,500
List: $75,000. MedCon: VG. Aesop model 2000 surgical robot, made by Computer motion medical robotics company. Also called an automated ...
A doctor who cannot pronounce encephalomalacia! She fumbles around with it for a while and then says "oh well, I will just spell it" and did so like she was asking a question (did spell it correctly though). This is an English speaking dictator with an MD credential. Must be a resident as she has a co-signer but, my God, she should be more familiar with terms by now you would think. She also fumbles around with common medication names and mg instead of mcg for Synthroid. Fo ...
VR: has been taking a lot of Tylenol.
Should be: has been taking allopurinol.
VR's way of "thinking" is getting a little bit frightening. It seems like it's changing context to accommodate its own errors. I've seen it insert words and phrases that are clearly not dictated but would "fit" with the mistyped term. ...
First, VR was going to replace us. When that didn't work, now we -- American MTs -- are fine-tuning VR so the Indian MTs can replace us. And to make sure this happens, MTSOs are paying us unfair, unlivable wages to force us out, thus forcing clients to accept what they get from the Indian MTs because there won't be enough qualified American MTs left.
I know this really isn't news, but I thought I'd share anyway. ...
I have this doctor I've been working with for a few years through a company, who is very old. He frequently loses his place while dictating and often doesn't make sense.
Today has been bad already. One report he dictated 3 sentences that did not make sense, nor was it clear what he was really trying to say. Another report he dictated the exam, paused, started to dictate exam and then realized he already did, started with the impression, dictated #1, t ...
This is getting so scary. It's more than just holiday slowdown and winter storms. Where is all the work? Please, please, please, if any CURRENT employee knows anything, I'm begging you to share with the rest of us. ...
Just had one dictate that this teenager took: Insulin 300-unit meal bolus plus 1 unit per 15 g carbs. Considering 300 units is a whole vial, that could be deadly.
Looking back at old records it was supposed to be: Insulin 300 units/3 mL. Meal bolus: 1 unit per 15 g carbs. ...
work and be happy they had a job. But now, those same MTs have turned into slueths sniffing out less than honest MTSO. Must be scary to know any day, you could get a call from an attorny, like what happened to Transcend management. Like what happened to MM several years ago.
Must be scary to be an MTSO and know that you have to do business in an honest fashion, or else, these days, good chance you will be caught being dishonest. Must be scary to think at the very least y ...
Anyone else get a status update that included "Skip the scary movie marathon and work overtime"?
Them constantly asking for OT is what's scary and full of horror!
But I need the money, so I guess I'll batten down the hatches and "find an hour or two before or after my shift" to help them out! Heaven forbid the managers ever hop on and transcribe! But I know they don't because when you ask them a simple question about account specs, they have no clue! If ...
Dear medical coding students and medical coders: I am starting The Andrew's School of Medical Coding on April 1, 2011 and I have I am looking forward to it. I want to ask you your opinions. I was at the dog park with my pug Cruncher yesterday and I was telling my friends that I was looking forward to starting school and one my friends who is an oncologist at NIH was advising me that I should think twice about starting medical coding as a profession because the implementation of the electron ...
Has anybody left medical transcription at home to become a medical scribe? I have an opportunity to do so but there aren't any scribes currently in my area and I don't know anyone who has worked as a scribe before. The scribe position starting pay is almost double what I make as an MT per hour so it is very tempting, I just don't know much about it. ...
It's on a wrist injury. The word sounds like (it's slurred), but has the sound of - "inishits"
The sentence is
He has instability of the distal radial ulnar joint. He had an MRI, which did reveal tear of the TFCC, which _____ with his clinical picture.
Anywone have any guesses as to what that might be? I'm just at a loss.
Thanks,
...
I did some searching for older posts, but cannot seem to find a very accurate answer. Will someone share how the health insurance benefits are at MQ? Do you have to produce so many lines to qualify for insurance? Do they offer Rx coverage? Is it affordable? Oh, how long does a new employee have to work before obtaining insurance?
Any answer (s) is greatly appreciated. ...
for PT? I'm getting conflicting information from other employees, friends and my CCM. CCM says no medical for PT and someone I know in HR says in CA you are eligible for medical for anything over 24 hours per week, albeit at a higher premium. Yet another person says a company doesn't have to offer medical to anything less than FT. Sigh......
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