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

Will VR never need editing? - Depressed

Posted: Feb 17, 2014

Or will all editing be done in India in the future? I see more and more MTs retiring early and/or finding work other than MT (Walmart, etc.) until they can retire. What will happen when there are no more MTs? Just a thought.

And what would happen if ALL MTs quit at the same time? - Depressed

[ In Reply To ..]
This is not a job you can just take someone off the street and have them start transcribing immediately.

I'm pretty sure that's already what they want us to do. - Keypounder

[ In Reply To ..]
nm

What will happen when there are no more MTs? - see msg

[ In Reply To ..]
The intent is to go to front-end SR, which will not require MTs or "editors." We already use this, so I am not making anything up.

Right now, you just keep on seeing the setup you have going on forever ... doctor dictates over the phone to your MTSO's computer, SR transcribes it, does a bad job, and you fix it up, then the MTSO sends the report back, someone uploads it to the record days later, and the doctor is then supposed to correct and sign it.

With front-end, the doctor interacts directly with the EHR, the SR transcribes RIGHT IN FRONT OF HIM, he corrects it and adjusts his dictatin habits right then, LINE BY LINE AS HE SPEAKS, and he then signs the report. Nothing goes to your MTSO, nothing goes to an MT anywhere, and nothing is delayed even 2 minutes, and nobody has to upload anything.

In many cases, he doesn't even have to dictate the entire report because the EHR template builds much of it for him. There is no confusion about demographics, the labs and imaging are imported, the meds come from the orders, and he can point and click, cut and paste, and much more.

We have more than 500 doctors, and we are a teaching facility. We have no MTs anywhere ... not in path, not in radiology, not in medical records, not in offices. NONE. And there isn't a darned thing wrong with our records. We aren't killing patients, being sued, or anything else. No one is shocked that our doctors do not all write like Harvard professors of Shakespeare.

And, no, our doctors are not walking out in droves in protest. Quite the contrary--they appreciate that they no longer have to deal with delays, lost reports, mixed up reports, and reports that appeared to have been transcribed by nitwits. We appreciate that we no longer expose our records to risks by sending them outside.

Unless you plan to be doing nothing when there are no more MTs, you need to look for another career. Seriously.

Those same EHRs that are eliminating MTs have opened up many, many new areas. You just can't see it because you have been closed up in your houses. Please listen to us. Start looking and change careers now.

Well - Pontius

[ In Reply To ..]
who is flip is "us" that we should be listening to? If things are going so swimmingly, why the heck are you lurking around the MT board?

No more MTs? I could care less because - past retirement age and

[ In Reply To ..]
working only part time now. I went from $24,000+ last year to about $14,000+ this year and still don't care. I have learned to mostly get along on the social security and the other retirement check I get so if it goes, hey it goes. Made me an excellent living in the past.

Glad you are happy, but not that you show no compassion. - Not very nice of you.

[ In Reply To ..]
NM

I dont understand what you mean by she didn't show any compassion? - She is of retirement age and

[ In Reply To ..]
sounds like on partial social security. Seems to me that she has paid her dues; I dont see anything unsympathetic about that or any reason to be sympathetic for that matter. I think we have all recieved plenty of warning regarding the future of MT, it's up to us to take heed.

I was referring to "I could care less." - It struck me as cold. NM

[ In Reply To ..]
NM

There was a time when I did care but you - cannot stop time and if it happens

[ In Reply To ..]
then it does. I have lost 2 jobs before in the MT world when I made excellent money. I found another and then found a second. I no longer depend on this to live and by my money steadily falling has shown me even more than I don't have to rely on this job anymore. I have given long, long hours and lots of worrying about what if a job decided to give me the ax. It is nice to be in a position where you don't have to worry so much. I have been there and I have done that and past time for my R&R. I was stating I could care less about if MT went out in my case.

Ah, I get it now. Ty for explaining. - nm

[ In Reply To ..]
nm

"Not very nice of you?" - John Doe

[ In Reply To ..]
You have any idea how much of a Mary Sue/goody goody you sound like? We should have planted our sabot in the gears while this was process was developing. But that time has passed. The cheapskates that have chosen to eliminate the human factor altogether have made their beds, with their pillows stuffed with padded greenbacks, let them choke on it.

Not very nice of you at all!! - Person to whom you responded.

[ In Reply To ..]
You do not deserve a reply, but I will only say this: If I see your moniker again, I will avoid it like the plaque in case your venom is contagious. I hope you find some happiness in your life.

Sweeping generalization - poorhouse

[ In Reply To ..]
500 docs, huh? Kudos for you having such great success! I'm guessing you aren't hearing from the surgeons who have to dictate 10+ minutes each procedure because there isn't, nor will there ever be, a template for that procedure on that patient. I direct you to Twitter to check out @docgrumpy, a neurologist who often posts how craptastic his Dragon is. And, like the other poster who noted if things are so great at your facility, why are you hanging around an MT forum? My assumption is you must be in an administrative position to know who does and does not have MTs on staff. If you have so much time to analyze such things and then post about them, you might want to keep a close eye on *your* job and how long you have until you're looking for a new one. Just saying.

No analysis required to know that - sm

[ In Reply To ..]
I check in here to help my former colleagues get out of the burning building before it collapses.

We're pretty good with op reports, as it happens, but they would have dictated it anyway. Docgrumpy doesn't work for us. Maybe our SR is better than his.

People like you make me wonder why I bother, but for every one like you, there is another who hears the message and starts making plans.

I saw the writing on the wall a long time ago - Totally agree

[ In Reply To ..]
The whole idea was to get rid of MTs when VR first started up. They still needed us then, but with Epic and other systems, they won't need us at all. MT will go the way of the dinosaur, but there will be some who won't or don't want to see it coming. I'm out.

I'm not blind to this industry - poorhouse

[ In Reply To ..]
I saw this change coming years ago and have been making arrangements for career change (genealogy, here I come!). Anyone working in this industry right now should be well aware of what's going on around them. I'd say you could spare your time from coming here and being Chicken Little. The sky has done fallen.

Not sure you understand @docgrumpy. He uses Dragon Natural Speaking, has for years, and it /still/ can't learn his voice. His one and only voice. He tweets its screw-ups.

You need to speak to my ex-coworker. The day our hospital told us they were selling out their MT service, she cried. I whooped for joy! (I'm pretty sure my boss and HR didn't see that coming!) She had her head so far up her a$$ she didn't see this coming. Oh well. Life goes on!

Hey I do genealogy too - see message

[ In Reply To ..]
but I have yet to figure out how to make any money at it. I wish! because I really love it.

Genealogy & research - poorhouse

[ In Reply To ..]
I love researching! Plus, I really enjoy family history, from whom and where we came to get to this point. My goal is to get certified as a genealogist and then offer my services as a consultant to do research for folks who can't get to my area of the US, like go the courthouses, cemeteries, etc. :)) I volunteer at our local museum right now and that's great fun too. :))

I want to get my post graduate - certificate

[ In Reply To ..]
in library science. It's a one year program that I hope will qualify me to work as an archivist. I have to pass the GRE though so I don't know.

Best of luck to you! sm - poorhouse

[ In Reply To ..]
One of my online friends is pursuing her Ph.D. in religion/history at an Ivy League school and I think had an archivist certificate. She knows a ton about history of all times, so when I bring up something I'm researching she can usually give me a nutshell version of what was happening during that time. She's great! :)) Plus, her husband is also pursuing his Ph.D. in chemical engineering. They're set for life. :)) And incredibly smart.

wrong information on electronic medical record - Sallie

[ In Reply To ..]
Well we are not nitwits to start with. I had an electronic medical record printed out to take to another physician and it said I had had a surgery I had never had and the family history was totally wrong so the chose and click history is not fail proof. My Mom was going to an internist who was too busy looking the computer/records to even look her in the face. I have heard doctors say ti inteferes with patient care. Are we all just numbers now, not patient's? I worked clinical for years; see so much lack of interaction now in a medical office and everything is so electronic that patient care has suffered when they don't interact with you, only their machines.

How does a 50-something "change careers"? - Depressed

[ In Reply To ..]
No one will hire us, we can't afford to go back to school, not old enough to get SSI yet. I grossed $12,000 full-time this past year. Now I can't even afford my medicine. :(

you dont have - MRA

[ In Reply To ..]
any choice. You have time to prepare or you can wait until you are forced to take any job you can find to keep the wolf on the roof.

A husband with a good income or rich parents. (nm) - Rose

[ In Reply To ..]
.

closed up in houses? - Toad

[ In Reply To ..]
Could you generate any more disdain?

And quit worshiping EHR. I can document any number of problems with EHR, including huge cost overuns.

And "us, "just what are those "many, many new areas," besides salespeople for EHR?

closed up in houses - Cindy

[ In Reply To ..]
I'm "closed up" in a 3000 square feet home on a lake. My computer is in a large room with a picture window. I can step out on my deck in between reports and have my tea. I can take a break and work out, have a sandwich, play piano, or chat with my kids. Pandora Radio is a wonderful accompaniment to my daily endeavors. I never have nor will I ever consider myself "closed up". I enjoy my home, and I enjoy working at home.

I don't think it's disdain, I think she's just giving - it to you straight without the sugar coating

[ In Reply To ..]

What those areas are - sm

[ In Reply To ..]
Informatics, clinical documentation improvement, provider support & training, IT, e-privacy, security, for a few.

You all are completely missing the wealth of good jobs that came with EHRs. I guess that they are hard to see if you work at home.

EHRs don't just pop out of a box ready to go. There is a lot of work that goes into them. Somebody has to do it, and those are new jobs.

from healthcare renewel blog (long) - Frog

[ In Reply To ..]
A Day In The Life Of A (Reluctant But Coerced) EHR-Using Physician - And Her Patients
A reader, a physician who wishes to be unnamed due to fear of retaliation, writes the following:

Dear Dr. Silverstein,

As you write, there is not a transaction of medical care that does not go through EHR systems.

However, these poorly usable EHR systems stifle creative and artistic thought required to link risk, benefit, and probability of diagnosis with risks and benefits of testing and therapeutics.

Assuring safety and efficacy with pre- and aftermarket surveillance will maximize the possibility of achieving the potential of the technologies.

Additionally, when I use these electronic ordering systems and libraries of medical information, they fail to keep up with the agility and nimbleness of my mind as I seek 'random access' to pieces of data to formulate and synthesize diagnoses and therapeutic strategies.

The EHRs are too slow, do not have a robust (if any) search function, randomly and whimsically store key information with ever changing formats, and generally obfuscate what should be simple. They are cumbersome and disable the ability to simultaneously and contemporaneously compare myriad data points.

They get an "F" as enablers of complex diagnostics.

Paper, since it can be organized as needed and set out on a desk to be seen and compared as quickly as the eye registers the data, gets an "A".

The EHRs are impediments and disrupters of communication.

Example: Just today, I was witness to the fact that a stat EKG was ordered by CPOE on a heart patient yesterday at or shortly after 4:30 pm. The intended recipient of the order (heart station) never got it because they close near 4:30 pm and there was no warning to the ordering health professional that was so.

Thus, the EKG was never done, and this morning, when the requisition was seen, no one did it because it was ordered stat "yesterday", and the techs asked themselves "what good would it do for a 'stat' to be done now, a day late?"

I do not know what happened to the patient. I have many other examples of such delays facilitated by the CPOE and EHR systems that I am required to use at numerous facilities.

They facilitate 'stealth' alterations in care. Also just today, a disease-critical test ordered 3 days ago was not done because it was cancelled in 'stealth' (automatically "expired") without warning to me by the lab responsible for doing it.

There is the "silent silo" syndrome as you've called it. Also just today, a disease critical test ordered 5 days ago came back with results, but the results were posted in the information 'silo' of 5 days ago. The lab screen default on the EHR only goes back 4 days (so unless I knew to look for it, it would not be seen or acted on), further obfuscating data and delaying treatment.

The EHRs lose data and orders. Also just today, I found that blood coagulation monitoring tests that were ordered to be done with kidney dialysis (3 days per week) on a patient somehow got "lost" and were not being done for 5 days, putting my patient at risk of bleeds - or stroke if the blood was not 'thin' enough.

I just walked in to examine a hospitalized patient with multi-organ failure and diabetes, on multiple meds including insulin, and recovering from respiratory failure.

The nurse anxiously informed me that the blood sugar was dangerously low. I ordered treatment stat.

I see patients in the morning before labs come back, and depend on nurses to review labs and notify me.

Turns out that the patient was hypoglycemic on yesterday morning labs that arrived in the EHR 'silo' after I left the hospital; and was also low in potassium, but the tests just laid there comfortable in their silos; and were not communicated to anyone like in the old days when a human ward clerk or other undistracted human received them and disseminated them to the appropriate professionals.

Thus, instead of getting less insulin, the patient got the usual dose with near catastrophic adversity.

Misidentifications are facilitated by EHRs. I noticed that on several critical clinically significant changes that arose on my patient that were entered as such in an EHR silo by the RN, it was stated that they called attending physician 'Dr X', which was not me...obviously a case of EHR-facilitated misidentification.

Here is a misidentification variant: yesterday, someone (non doctor but not clear who) ordered a specialist consultation on one of my patients under my name. I did not order it nor was it needed, yet it showed up as an order for me to sign.

Like you, I agree this is representative of a toxic impact of these systems on medical care and I feel like the care environment is foul, like a cesspool, compared to what has been replaced.

These systems of medical devices cannot be trusted in the care of sick patients. Perhaps, they are OK for managing hang nails.

I offer no additional comments other then if I am sick, I do not want my care interfered with in this manner by IT.

Rest assured, though - there are IT hyper-enthusiasts out there (http://hcrenewal.blogspot.com/2012/03/doctors-and-ehrs-reframing-modernists-v.html) who would see little problem with this, as any accidents that occur are "anecdotes", "learning experiences" or "bumps in the road."

That's if they don't simply blame the user.

Not all EHRs are like that! - (That one is pretty bad)

[ In Reply To ..]
There are some EHRs that are pretty bad, but not all of them are. We don't have situations like those-ours isconstructed differently.

Thanks for an insider's view (sm) - Rose

[ In Reply To ..]
I can see ASR working with some big IFs: IF the dictators are willing to change their dictation habits and babysit the software by training distinctive phrases to replace what VR still cannot recognize or differentiate over the past 20 years, i.e. "he" and "she". If the doctor can't decide throughout his long dictation what the gender of the patient is, how does he recognize the inconsistencies he dictates? IF they quit saying "uh" in front of "regular" which VR interprets as "irregular", and training some sort of que to differentiate 2 from to, two, too and II. Tell the program not to capitalize "aspirin" and how to do title initialization, over and over and over when it should have learned decades ago to title case "Mercy Medical Hospital". IF the doctors are willing to constantly correct the following words from creating new bold capitalized headings for every word ever used as a heading, i.e. "the patient states his LUNGS: are congested". IF dictators learn to give the first name and title of other providers or pay a clerk to research every "cc to smith". I won't cite the entire list of "IFs" as I could write a book.

The bottom line is that transcription requires a brain. Technology does not have a brain. Therefore there will be a tremendous increase in errors in medical records and an office clerk who does not know pharmacology, anatomy, medical terminology and terms specific to a specialty like cancer staging and TNM formats is not going to see these errors. Most doctors will not see these errors because they are not trained to edit VR. They do not do well with what they consider mundane tasks. Errors will not be recognized until they affect patient care and yes, that can include deaths due to a doctor dictating mg. rather than mcg.

You claim with ASR there are no more "mixed up reports" or "lost reports". These are DOCTOR errors and they occur constantly. When we are aware that the dictator has entered the wrong information, we research and correct without any reimbursement, so it would be more appropriate to thank us for our volunteer work rather than blame us for doctor's errors.

AMEN! - sm

[ In Reply To ..]
I was just at my dentist's office yesterday admiring their point and click system and my hygenist was explaining how it's much easier, faster, etc. It was neat to see. However, then when she said that her family member sells software systems to hospitals like this, I muttered under my breath "yeah that's nice, that's putting MTs out of a job." I don't think she heard me but I said it "nicely." LOL. I think it will be too funny after VR/EHR/SR/whatever fancy name you give it screws up too many patients' records and the hospitals get sued and then they are begging MTs to come back and we're all gone! Sorry, talk to the hand cuz the fingers ain't typing anymore (unless you pay the big bucks!)

The picture you paint is not happening, Rose - Wrong scenario, unfortunately

[ In Reply To ..]
I have explained why before, but you aren't hearing it.

Nobody dies because of he/she.

Nobody dies -- or cares -- because of words in all caps.

No doctors even say "cc" beause we do not provide that service. Ever. It is too much HIPAA risk.

The doctors are not editing VR. It is front-end SR and nothing even close to what you do.

There ARE no lost or mixed up reports because the doctor has to be IN the patient's record to dictate. There is nowhere to lose it. If they do it on the wrong patient, a HIMS or computer person moves it. We pay them, and pay them well. [You could do that job.]

There is NO CLERK, so it doesn't mean beans. I would think again if you think doctors don't have the training to know what they are writing.

Finally, nobody is going to die because of mg vs mcg or Xanax vs Zantac. As I told you, THE MEDS AND THE DOSAGES COME STRAIGHT FROM THE ORDERS PART OF THE PACKAGE. EXACTLY THE WAY PHARMACY PROGRAMMED THEM. In fact. It appears as the generic name IN ALL CAPS.

This is not the same system you use. Not at all, but you cannot seem to grasp that.

Many different scenarios - poorhouse

[ In Reply To ..]
I would have to agree with Rose's scenario. Your scenario is way too rosy at this point in time for The Perfect EMR. The last time I checked these documents are medicolegal documents and someone does care about dosages, left v right, he v she...the one who signs it. I have worked in an EMR where the /nurses/ entered drugs for a patient that weren't spelled correctly, the dosages and frequency were wrong, and the doctor dictated straight from the erroneous list without even a brief thought that something didn't sound right. I've had doctors dictate on one patient while reading results from another patient's EMR. And, then guess what? The erroneous reports created then have to be "hidden" in the system by IT. I've even had a doctor call me because he forgot his password into the system and wanted me to reset it. And then proceeded to tell me his password. smh.

And you think these doctors stand at a monitor watching their words magically appear in front of them and correct/edit as they go? *snort* Most of these doctors can barely speak basic English, let alone write it!

You know that good is never good enough...there will be "upgrades" that will throw wrenches into your Perfect EMR that you describe and that will create "work-arounds" and before you know it the doctors are grousing, IT can't keep up, etc. and just wait until ICD-10 comes into play! That just might be the wrench in your Perfect System...if the doctors are doing most of the clerical work now, they'll be expected to code the chart too! Now, that'll be fun!

EMR/EHR where I work - Had many..SM

[ In Reply To ..]
Capabilities and importing Meds, allergies, medical and surgical history are some of the functions (just to name a few).

The above poster is not exaggerating. Why do you guys think MTSOs are continuously losing accounts to systems like EPIC?? These things do not need to manually typed anymore, once they have been entered into the patient's chart, they can be imported into any report by any physician needing to do documentation on that patient.

Also, the review of systems and PE are templated, the physicians just enter smart phrases (EPIC terminology) to fill in the sub-headings. Technology is no joke; please dont fool yourselves. We CAN and are being replaced everyday. I no longer work as an MT and as much as I loved my job, Im thankful I had the opportunity to get out when I did. The person above knows what she's talking about. Instead of taking her posts as an insult, take it as warning.

What a condescending attitude (sm) - Rose

[ In Reply To ..]
Perhaps your apparent lack of experience as an MT or editor contributes to your lack of understanding of the current and potential problems with ASR. Yes, there are clerks who proof reports. Yes doctors almost always order a "cc" and they never provide the full name and title. If your facility has educated the doctors that sending a cc to the wrong doctor is a HIPAA violation and the doctors agreed to never send any, I find that hard to believe. How do they handle consults? Do they not give the referring MD the courtesy of the consultation?? If the doctors are not editing reports, who is? Are you under the impression that it doesn't matter if a report has multiple errors? Do you think it matters to the patient whose report states she is married, having a lesbian affair and on illicit drugs?
You say that the medication records are what everyone goes by and are correctly entered by the pharmacy. Is that why on my last visit to the doctor he asked if I was still on methadone and that I lost 78 pounds when neither were true?

Finally, if you want to disagree with me you can do so respectfully without comments like "you cannot seem to grasp that" which shows your narcissistic attitude toward MTs and editors.

but we aren't talking about - ASR

[ In Reply To ..]
and I'm not the OP but you really do seem unable to grasp this.

Rose - She herself is an ex-MT and she is not talking - about ASR..see msg

[ In Reply To ..]
She is talking about EMR and there is no no voice recognition involved (at least in this case). The physician's have the capability to add a cc to their own reports, no human or MT is behind the scenes sending copies. If the doc enters the wrong cc into the system, then thats on him.

Everything is pretty much inserted into the report, not manually typed or created via speech recognition. You might want to go back and re-read a couple of the posts explaining how EHR works. Again, we are not talking about ASR and even if we were, if it's front end, the physician's correct those reports as they go; no MT is involved with front end speech recognition, just the doctor and the system PERIOD.

Front-end speech recognition = Text is generated on-screen from physician's dictations in *real-time, allowing physicians to edit and finalize documents themselves.

Back-end = The one you & I are familiar with, the one MTs edit.

EMR/EHR = A whole different ballgame.

Questions (sm) - Rose

[ In Reply To ..]
Doesn't EMR include VR? Aren't they transitioning back-end VR to front-end VR? If so, why would back-end VR be jibberish, yet front-end be without any errors when created the same way? Do I understand the only difference is that front-end does not include an editor?

RE: Questions - sm

[ In Reply To ..]
Q: Doesn't EMR include VR?

A: It depends on the type of EMR system used. An EMR system can be compatible with VR, but it's up to the facility if whether or not they choose to use VR. An EMR system basically stands alone so there really is no need for VR. Again, the reports are templated and patient data is imported into the report via point and click depending on the EMR and what methods are used to import patient history, medications etc.

Q: Aren't they transitioning back-end VR to front-end VR:

A: Who?? What do you mean by "they"? Most facilities that use back-end ASR will likely transition to the use of full-blown point & click EMR, importing patient data into the templated report rather than going through the trouble of having the physician's get use to using front-end. It's a lot easier and less time consuming to just insert patient data directly into the report versus dictating & correcting the VR.

Q: Why would back-end VR be jibberish, yet front-end be without any errors when created the same way?

A: I dont think anyone said it would be totally error free; however, the number of errors are significantly less because you dont have as many hands in the cookie jar with front end as you do with back end. Front end is just the dictator and the computer system and thats it. Back end involves tons of different MTs and dictators, all dictating and editing with various styles and techniques. The system cannot efficiently learn that way and thats why back end has so many mistakes, too many chefs in the kitchen. It will learn better with one person's input versus the input of thousands of different people at once.

Please keep in mind that there are many types fo EMRs, but I think the concept of how they work (documentation wise) has been pretty well explained in previous posts. And again, ASR or VR IS NOT THE SAME as EMR or EHR.

Thanks for explaining (sm) - Rose

[ In Reply To ..]
There is a lot that can work with these systems but I'm sure they will still have the problems with doctors using templates that we have always had and that is inconsistencies in the report because everything in the template does not apply to an individual patient. Doctors do not catch these errors and they probably are not even aware of them, as editors have corrected them in the past. The template errors will also probably go unnoticed until they affect patient care.

N, it is not like hat! - Geesh!

[ In Reply To ..]
The "templates" are NOT like you think. Yes, there is the potential for error using one-size-fits-all canned text. We don't have that.

We are talking about templates that force choices when they need to. "Lungs (clear to auscultation) (with bilateral wheezes) (____________fill in the blank____).

You aren't even supposed to use canned text like that anymore. No "normals" should be allowed.

actually I'm surprised so many docs - still dictate

[ In Reply To ..]
as quickly as Epic is advancing, it kind of amazes me that we still have work at all. Rose, you had better wake up and smell the coffee. This person has explained to you a number of times that the system Epic uses is not the VR system that we have been using for the last 10 years or more. Consider VR a failed experiment. Epic and its counterparts are completely different.

How do you know ... (sm) - Rose

[ In Reply To ..]
What "this person" told me numerous times if s/he is always anonymous and does not use a name like I do? Is is because you are one in the same?

I don't mind having differences of opinion, presented respectfully, but I will no longer participate in comments that twist my statements into something I did not say, or are otherwise insulting such as "Rose, you had better wake up and smell the coffee" and "you just don't grasp this". I've done this work for decades and am very well aware of the current status of our jobs.

because it seems to be the same person - who explained it to you last week

[ In Reply To ..]
and the week before that. Okay you go on thinking we're irreplacable if it makes you feel better.

Well it has been reiterated multiple times Rose. - Nobody is trying to criticize you. I think

[ In Reply To ..]
Some of the other posters responding are just reading and observing and have noticed that you seem to keep confusing ASR with electronic health records when ASR is just a component that can be used in conjunction with the EHR.

There has never been any confusion over the obvious (sm) - Rose

[ In Reply To ..]
You posted "you seem to keep confusing ASR with electronic health records"

I don't know where you got that. Obviously ASR is a component of EMR.

but you keep thinking it's the ASR we all know and love - and its not.

[ In Reply To ..]
It's just not the same. And the thing about the templates. They aren't the same as the crappy templates we get crammed down our throats that are riddled with errors.

What MTs do is just not that vital. It doesn't and never has truly affected "patient care." It's really time to move on.

That is part of your confusion -- - ASR is not a component of EHRs

[ In Reply To ..]
ASR is not a component of EHRs.

It can be added on, but the EHR provides other, non- speech, non-dictation ways to document.

In any event, it is FAR more than just progress notes.

Not as aware as you think. - The person they are talking about

[ In Reply To ..]
Now I *am* the person who has been trying to explain this to you. This must have made the 4th or 5th time. You seem to have almost perseverative way of going right back to your original thinking.

No, those other posters are not me. I don't have to use the same name ... people can spot me a mile off.

Does every one of your 500 doctors use the front end SR? - Just Curious

[ In Reply To ..]
Or do you have docs that refuse to use it?

And your records absolutely never leave the building? You don't use a service at all? You have new residents and interns every year, right? They start using the front end right away with absolutely no difficulty with the system?

I'm genuinely interested because I thought front end SR for hospitals--especially large teaching hospitals--was still a bit of a pipe dream.

It is mixed - Some do, some do not

[ In Reply To ..]
Actually, some won't use SR, but they type and use templates instead. Reports are a mix of imported material, point and click choices, and typing.

Yes to all your questions. Younger doctors have the least trouble.

Truthfully, many of them hate dictating. It is too much work.

I work for a large health network who uses EPIC - and ALL documentation is

[ In Reply To ..]
Done via EMR, we have no MTs either. I remember the days when the floor would call us asking to transcribe a report Stat, those days are long gone, no more waiting around for reports or getting calls for Stats, the reports are generated in no time flat with EPIC.

Everyone thought speech rec would put us out of jobs, nope - technology and the updated electronic medical record is. Speech recognition is a joke compared to the capabilities of EMR.

So there's no descriptive narrative at all? - me again

[ In Reply To ..]
It's all point and click and drop-down boxes?

Hah. VR is old technology. They don't need MTs - because something similar will pass.

[ In Reply To ..]
nm

Similar Messages:

Feb 18, 2010

If you get 800 lph on VR, what platform to you use, what types of reports do you type? ...

Feb 26, 2010

Can anyone tell me about VR editing, the pay seems quite low about 3 cpl. How many lines can you do in an hour? I am a very fast typist, but unsure about VR and have a job interview for this. Thanks for your help ...

Jun 05, 2010

I understand that everything is going to the way of the editor and not typing, but when the editor keeps missing whole sentences or makes up words that sound nothing like the doctor is saying, how is one supposed to make any money? I only get paid .04 per line to edit and I am spening more time trying to fix editing mistakes than I would if I just erase the text and type it out. Very frustrating. Thank God my husband has a good paying job, otherwise I would have to find another ...

Oct 28, 2010

I work for a company that uses M*Modal for VR and all the reports have SO much editing. There are complete words missing, words added that clearly aren't being dictated, at least 2 words on each line that have to be edited. I'm doing so much more work for less pay than I was straight typing everything. This is the only editing I've done so I don't know if this is normal for editing or if M*Modal just sucks! My line counts suck, my pay sucks. Any ...

Nov 08, 2010

and I know that they use Escription. Does anybody know if they EVER will start someone out higher than 3 cpl? I have 32 years of MT experience and about 3 years of editing experience. Thanks for any comments. ...

Feb 14, 2011

So, last week the system went down right as I was finishing up an extremely long job. When it finally came back up, there was another glitch and before I could hit "recover", the job sent to the hospital as I originally got it with no editing whatsoever! The hospital got in touch with Medquist EXTREMELY upset and in turn I got an e-mail wondering why that happened. I feel like contacting this hospital myself and letting them know this THIS is what Medquist gives us to work ...

Apr 15, 2012

Does anyone know of a good VR editing course? I've been an MT for 26 years but it seems obvious that editing is in my near future. Help! ...

Feb 15, 2013

Is it even possible to make good money doing editing at 4 cpl? How much could one expect to make per hour at such a low rate? ...

Apr 18, 2013

I'm a seasoned MT and would like to learn how to do VR editing. Are there any companies that will hire and train? ...

Oct 17, 2013

Recruiter called me today. 3.3 cpl for editing? Next!!! ...

Nov 18, 2013

Obviously we know the whole 50% more productive thing was a lie, but has anyone ever done a study on how much editing needs to be done on average? Just curious if any real numbers have ever been posted on this. ...

Feb 03, 2015

Just wondering if someone out there could explain to this transcriptionist who has never worked with VR how the line count is done? Getting ready to come to work for MModal in the near future and trying to figure everything out. ...

Mar 17, 2015

Any of you currently performing EMR editing? What does it entail? How's the pay and how does it compare to standard VR editing? Thank you for your input. ...

Oct 15, 2009

My quality has gone down since the clinic that I work at started this. We use Dictaphone Extext. Anyway, I must be going too fast or something because I seem to miss things. Has anyone else had this problem? I have started reading over my reports myself now before sending them through and I asked my supe if they have improved. She said yes, but I still am making mistakes and she will send me my reports back shortly. The only thing else I know t ...

Nov 12, 2009

I am new to Escript, as well as VR editing. I find it to be VERY time consuming and crappy pay at $0.04. That being said, I am lucky to make $10 an hour, if that. In addition, you have to be on your toes, as it seems like at least one word in a sentence is incorrect. For example today, one report stated, "testis Cardiolite stress test." On top of it, this was not an ESL dictator and he spoke very clearly. It just seems like more work to have to ...

Nov 15, 2009

I have applied to multiple companies and taken multiple tests. I have four job offers, which sounds great, but they are all mostly VR editing and I cannot stand it. My hands feel lost without them typing :). Any suggestions of any companies that do not have VR editing? ...

Apr 21, 2010

And if so, how fast is it possible to get? I'm struggling to get faster than 200 lines per hour. I've only been editing for a couple of months, but I'm really wondering if it is possible to get much faster? Advice please! ...

May 05, 2010

I work with the eScription platform and I have no problem with editing - I really enjoy giving my fingers and wrists a break, but I have the worst time concentrating when I'm doing it, LOL. I can fly through reports when I'm focused. My line counts are great for an hour and then drop off...pick back up...then drop off again. They would be consistent and really good if I could just keep my mind from wandering. Any VR'ers have any tips and tricks for staying ...

May 28, 2010

Can someone tell me if editing would be a pretty decent supplemental job? I've never done editing and considering a position doing editing. It sounds really good to me, not so much wear and tear on the hands and wrists. What are good platforms? What is an average cpl for the editing? Thanks for any info!!! ...

Aug 12, 2010

Everyone working on the BeyondTXT platform with Transcend just received an email from our editing trainer explaining to us how VR software only has to be 75% correct and we have to fix it to be perfect as if we were typing it. She even specifies that if grammar is incorrect, sentences don't make sense, etc, we must fix it to quality standard. While I agree with all that, what i don't agree with is the fact that they have put all of us (on Swedish at least) on all VR w ...

Jan 31, 2011

That's equivalent to about 1 cpl as an employee w/ benes. Is that a typo?? That's horrible! ...

Mar 14, 2011

When they say VR editing is 4 cents a line, do they mean payment just for the specific lines that are edited, or for the whole report? For instance, if a report is 40 lines long, but 5 lines need to be changed, do you get paid for the entire report, or just those 5 lines? ...

Jul 30, 2011

Just wandering if there are any employee positions that aren't just editing out there. I feel like I am not growing as an MT doing nothing but editing. Unless I choose to just edit and accept this is the new norm at 3 cents a line, eventually getting my own voice recognition software for the future for any accounts I want to get on my own. Any thoughts? I am wandering if this is something I just need to hop onboard for. Editing for nationals doesn't pay anything ...

Aug 17, 2011

Not one (1) typed report yesterday all day. Then got an audit back with a low score, very, very picky. A couple of careless things, my fault, trying to get in enough editing lines to make a living and rushing. Guess I need to slow down even more.... Thinking about looking into a receptionist position at a doctor's office near me. I figure with my age and number of years I have just been doing MT I might not be employable in the outside world, but will give it a ...

Dec 27, 2011

After 15 years in MT, I really don't see a bright future in it any more. With VR, etc., I just don't see a way to make a living doing this anymore. Wondering what kinds of other fields may be good to consider. I know this is not the ideal time to be looking for a job. Thinking of going to nursing school first to become an LPN. Also have heard IT is a good field to train for, but then again have heard that a lot of IT jobs are going to India and Pakistan. ...

Jan 27, 2012

Hey guys I was just mulling over the fact that editing accrues 1/2 that of transcribing, yet it tends to be as difficult if not moreso depending on the butchering job it does to the dictation (heavens forbid they have a thick accent. then it truly only stands in the way of progress...)... both I & my mother are MTs & just kind of wondering- does anyone else think this is fair? Is there literally anything fair about this? I mean, even the base rates for transcribing aren't mucho buen ...

Mar 23, 2012

What is QA "nit-picking & over-editing?" Are the demands for perfection in what is now considered a low payscale & wage unrealistic and exploitive to workers? Looking for all feedback & thank you in advance for any input. ...

Mar 26, 2012

I see how much these large MTSO's pay per line for VR editing(so insulting!). I will be bidding for VR work for the first time. As a small MTSO, I have know idea how much I should charge. Any ideas? Thanks. ...

Apr 19, 2012

I have been a remote IC for over 10 yrs and am looking for information about doing editing. I would like to hear from someone who has been doing editing in regard to how much work there is out there and how much money is to be made and does it compare to straight typing. ...

Apr 21, 2012

Is there such a thing as an "editing test" or simulation so I can gauge ahead of time whether or not I could make a living at it? I've never done it before. I was laid off from my last straight typing hospital job and rejected at the one local venue that did VR! I have since made my living at EMR scribing but frankly, don't deal well with the public. I would deal with VR in a heartbeat if I could make a living from it, but looks like all of it is Dickensian and ...