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


Days Are Numbered - susieQA


Posted: Feb 04, 2010

This is probably the last time I'll post on this forum--finally moved on from the Q this last week and start with another company Monday.   The relief I felt leaving MQ was palpable.  

Our profession is doomed.  And I say that not to be a frowny Fannie, but because it's a fact staring us all in the face.

The problems with the Q , although vexing, are not what we have to worry about.  Well, we do, but what is going to phase us all out is the electronic medical record, EMR.  Last I heard, nationwide health care facilities have until 2014 to switch from paper charts to EMR.

 In this little bitty town I live in, my doctor's office completed the process a couple of years ago.  When I saw a specialist from Tucson, he sat right down to the computer when he walked in the door and entered various data after the exam, etc., (although truth to tell, the office "girls" had most everything set up on the computer before he even came in.)

I happened to see what was in my chart on a subsequent visit.  The H&P was a nicely printed document that came straight from a computer; the echo report and stress test documents were likewise not transcribed by an MT.  

So that's what's gonna do us in, in the long run.  I've watched along with everyone as our career choice has been denigrated and underappreciated.  We can still take pride, right to the bitter end, but when I think how it was even 10 years ago, I want to cry.

Sorry I've rambled on so.  Thanks for listening/reading.  And as mentioned above, i'm not trying to paint a doomsday picture--just the facts.  10-4, over and out.

EMR/EPR - shipwrecked

[ In Reply To ..]
I think you're talking about two separate things. EMR (EPR) has been around for years. What we transcribe is sent to the facility's computer system and can be accessed by anyone there. The reports still are transcribed, just not printed. That isn't a threat to us.

What your doctor is probably using is the EPIC software. A lot of doctors' offices are using it, and many hospitals are beginning to use it. It's some kind of template format where the text is established per their requirements, and the doctors just fill in the blanks. That's a huge threat to us. I've lost one big account 2 years ago, and my current account is testing it. It is very appealing to hospitals, as it totally eliminates the middle man (us).

EMR/EPR - momo

[ In Reply To ..]
Good for those doctors! Since we're being phased out - I'd rather be phased out by a machine than a greedy foreign corporation and the fact that it might put them out of business would make my day!!!!!

The good thing about being replaced by machine - shipwrecked

[ In Reply To ..]
When they switch to their fancy automated system, there will be no loyal MT/MEs correcting their dictation. Can't you just see the docs doing their own editing?
The way I understand it, there will be no dictation - Just passing through
[ In Reply To ..]
doctors put everything in on the computer, automated template or something like that.

India - MT

[ In Reply To ..]
Would India be training thousands of people for MT work if EPIC is likely to take over?
EMR/EPIC - susieQA
[ In Reply To ..]
There are still 4 years to go before EPIC becomes mandatory. In my (uninformed) opinion, they will use India MTs to fill in the gap after the US MTs move on to other things.

Best of luck to you SusieQA - Dinosaur

[ In Reply To ..]
I have also heard about EMR in 2014. I hope you visit us on this board from time to time. You may no longer work for the Q, but you are a Q survivor. We wish you all the best.

EMR/leaving Q - susieQA

[ In Reply To ..]
Well, thanks, Dinosaur. I appreciate that!

EMR - still typin

[ In Reply To ..]
I recently switched my health care to Kaiser and was very impressed by the efficiency of their medical record system. The young docs are very comfortable with sitting at the computer while they talk to you, the old ones, I think, no so much. Also, all the docs at Kaiser are on salary so have to do what Kaiser tells them. Still, there are reports such as ops and consults which have to be transcribed. Perhaps they can get standard ops like T&As, cholecystectomies, etc., on templates but for now the more complicated ones still need to be transcribed. If you can only do H&Ps and ER notes, I think you will be gone sooner than those who can do the more advanced work.

What company - MT2020

[ In Reply To ..]
Will hire me with only 10 years of Radiology to do Op notes? You would not BELIEVE how hard it is for me to even break into the Acute Care field, and I'm no slouch (okay). Had an opportunity to work for .06 a line about a year ago, should have taken it. Everybody wants experience. And don't put it on your resume, you look confused! Ohhh. So frustrated by it all. Anybody know of a company....

EMR and MTs of the future. - L&L

[ In Reply To ..]
When I went back to MT work after my divorce in 1994, the ex warned me in 10 yrs or so this field would require only 25% of the workforce it did then. It's been a litle more than 10 yrs coming, but it is like I've said before, don't complain about the "hard" jobs. All this easy stuff you can breeze through with templates will be gone for good. The 2+ op reports and certain speciality evalutions will probably be dictated for many years to come. This field no place for newbies and soon will be no place for anyone with less than 15 to 20 yrs of acute care experience.

I do hospital work that after 35 years I still find difficult. I do local GI doc notes that I can do in my sleep. In 5 yrs I'm sure I'll still be doing the difficult hospital work. My local doc work is going the way of EMR templates some time later this year.

Congrats susieQ - oops

[ In Reply To ..]
Good for you! I am not far behind you. I felt great relief just getting my first resume out and filling out my first application.

I too am getting out of MT. It will never again be what it once was. And the direction it is moving in is not something I care to be part of. Those few who can stay on and still make serious money, more power to them. They will be few.

I look forward to the day, hopefully very, very soon, when I can say I am outa here!

Well let me tell you this - BUNION

[ In Reply To ..]
We have that system here in Iowa. My personal doc HATES it. It is so unfair and inaccurate to boot. He said "if the nurse or whoever has a bad day and punches in you had a cholecystectomy already and you have abominal pain then I will not check that." Seriously and "HE" wants to be in control. Don't blame my doc. They did not even have my allergies correct in the stupid computer (maybe someone messed us) but I am sooooooo alergic to cephalosporins and if I am given them again I could die). This really SUX. I have warned my whole family because last time I was in there the computer was down!!!! That does us all a lot of good. Paper needs to RULE. Done, BUT I DO NOT WANT TO DIE BECAUSE OF A STUPID COMPUTER.


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