A community of 30,000 US Transcriptionist serving Medical Transcription Industry
I do not mean to insult or assume those who are "chosen" are not able to articulate crucial concerns, or in fact, care about the systemic denegration of MT professsion......howeverrrrrrrr...if you want a few talking points..please feel free to read below:
Incentive: I feel the biggest issue is no incentive plan for a PRODUCTION job. This absolutely goes against every corporate principle to increase productivity, be it commissionable sales (as I am sure account executives are receiving) or the production/piece meal work MTs provide. A sound, inspiring incentive program would be the quickest way to not only clear house of MTs who just are not up to this job (sorry newbies or just plan lazy..and I include myselve in the latter...), but in the end would save this company major $$ on benefits, payroll taxes, etc by reducing the number of MTs required to produce work.
Time Clock/Schedule: The most morale depleting function of my job is clocking in, in my own living room. YES! Schedules are important, but we are professional MLS and if we are not producing work during the hours we have agreed to work, then it is simple, fire us! But to spend time and money on figuring out ways how many keystrokes we do in an hour vs how often we are pee'ing or watching Judge Judy is not cost-effective and counter-productive as it severely depletes our morale.
LPH Minimums: LPH minimums should be a $$ amount and not production amount thereby factoring in ASR and straight typing. MT is required to make so much per day to accomplish minimum, and with my new incentive plan, this would, again naturally weed out MTs who are able to produce from those who just cannot produce. Again, give a decent incentive program and this would take care of itself.
Top Heavy Management: This company has so many middle managers running around and still manages to isolate and have very little contact with their work force. If there is a CCM and QA, and assisstant CCM, or whatever assigned to a number of MTs, there definitely needs to be a real time accesibility availability, by instant messaging. Having to stop, access MQcentral, send an email, and then have to exit as MQcentral is time-limited and then go back in throughout the day to see if your email has been answered is a completely antiquated way to stay in touch with your team. I would expect more from this so-called high tech company.
QA and 99% accuracy: To require 99% accuracy is in a word humanly impossible. To achieve 99% accuracy 100% of the time is just not possible and puts such a strain and emotional toll, especially if you are QA'd, fall below the 99%..and I am talking in the 98% or above, and have to go through weekly QAs and are warned, another failure will result in further action (i.e. dismissal). On top of which, 0.25 is deducted for "a"s instead of "the". And finally, depending on who your QA person happens to be, is completely subjective. This is a Set Up To Fail practice. 98% is certainly accetpable and further if an MT fails, the report itself should be looked at closely..was it dictator effect? Was it because we are encouraged to turn the ASR up to supersonic and therefore are more likely to miss an "of" or a "the." Further I am not speaking to sloppy, lazy, or blatently wrong medical information, but the minutiae that should not be the cost of a job!!!!
And further on QAing, the fact of looking at old reports for comparison (a huge help which I really appreciate) is in fact so time consuming, it is simply not worth it. AGain real time accesibility without having to stop what you are doing, access another web site, filling in all data, when it should populate and go through reams of reports. I would not mind having to go through the different reports to find the reference I need, if I did not have to take minutes to access the site in the first place. Again antequated and counter productive.
And finally...ACCEPT that the US MT is still a viable and much needed part of this company. Until the EMR is finally accepted as a mish-mash of point and click non-sequitors that nobody really cares about..then the actual MLS is important and should be treated as such. Remind them...Nobody who is on the suite side in this "town meeting..come to Jesus seminar" could sit down and expertly edit a report or egads straight type it, but I am pretty sure most of us are college-educated and could be up to speed on the VR/EMR side very quickly.