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


You'd think 2 levels of QA would make a good ILP report. - Garbage


Posted: Mar 02, 2012

I just QAd an ILP report that I was only supposed to fill in the blanks, but I saw a major error near the blank, so I did a 100% review.  I found 32 errors, 17 of them were critical with missing phrases, words, and just plain making up what they thought they heard.  I checked the travel details of the report and it went through 2 levels of ILP QA before it got to me!  Why are we losing our jobs to them?  Oh, yeah, the suits make more money.  Never mind the patient with "some bone lodged in his prosthetic urethra."  (stone lodged in his prostatic urethra).  This wasn't ASR, folks.

Time is ticking on these - jerks

[ In Reply To ..]
It will come back on them. I think it already is. We hold the power in our hands and make sure they know that.

Seriously, if don't have to 100% QA, don't. Let it go through. I know people in our field are worried about patient care, but they aren't so let it fall back on them. The more of that garbage that goes through, the quicker it will come back to us.

I don't do QA, but if I am told to fill in blanks, I'm going to fill in blanks and that's it.

That is so dangerous!! - Alias

[ In Reply To ..]
First, I knew ILP was bad, but that is ridiculous and so dangerous. That scares the sh#t out of me just as a patient, nevermind being an MT.

Second, for everyone out there who sees a physician, thank you for going above and beyond in doing your job. I'm not a QA or MME, but if I were, I believe if I knew I was doing an ILP job, I would just have to go through the whole report, and not only fill in the blanks, but change everything that was wrong. I know it would be so easy in your job just to let it go through as is just out of spite for this joke of a company, so it would come back to bite them where the sun doesn't shine, but thank you for doing the right thing. Even as bad as MM is, surely something like this would be upsetting to them, because it could cause them to lose an acct, if the facility actually took the time to check the reports. After all, it would affect their income.

On another point, I read on here the opinion from another poster that sending jobs overseas should be considered a Homeland Security issue. I had never thought of it like that before, but I definitely agree, and could be the answer to a lot of our problems, if someone knew how to go about addressing this issue with someone.

Heaven help us all!!

Yes, it is dangerous - and

[ In Reply To ..]
I certainly understand your point. Sorry, but I'm not the only one responsible on this job. The MT who did the job in India has responsibility, the 2 QA people in India have responsibility, and first and foremost, the doctor has responsibility to make sure his reports are accurate. Sorry, I'm only taking responsibility for my own little world and let the others take on their responsibility also.

You keep fixing their reports, they keep taking our jobs. Simple as that. Heck, write an anonymous letter to these hospitals that outsource to India to beware and read their reports carefully because the quality sucks.

You certainly can do what you want, but I'm tired of carrying all the responsibility of the stupidy of this company on my shoulders.

Maybe someone should send a copy of that report to Homeland Security. - PAMT

[ In Reply To ..]
There is a website for Homeland Security I believe or a number to get in touch with them. If that is not legal to send a copy of that report I guarantee you Homeland can get to see it with no problem at all.

What are you if not an MME? I thought we - all were since there is nothing

[ In Reply To ..]
but speech rec these days? Just wonderin'.

Old Habits - Alias

[ In Reply To ..]
Sorry, old habits die hard. I still consider myself an MT, even though almost everything is VR. What difference does it make what title we give ourselves? It's all messed up anyway.

MME and ME are 2 different things. - nm

[ In Reply To ..]
x

ME versus MME - MME does QA

[ In Reply To ..]
An ME is a Medical Editor and MME is Master Medical Editor. The only real difference is that, along with straight transcription and editing jobs, an MME also has to QA jobs. MM/MQ no longer has QA personnel; they have all become MMEs.
Oh OK, I see. I misunderstood MME. Thought that was just - an editor.
[ In Reply To ..]
Thanks for saying it nicely!! My bad :)

It's our own fault - We are enablers (nm)

[ In Reply To ..]
xx

Do you get to report these to someone? - wondering

[ In Reply To ..]
I am just wondering what happens? Do the 2 levels of QA India get a write up for this? Does the MT in India have to go on complete review for this? What happens? Do you all just fix and forget about it? Do you get to write nasty notes back to them informing them of their horrendous mistakes?

I am shocked that there were 32 errors and 17 of them critical. We are held to 99% with no QA backup and they get away with this... Discrimination at its finest.

No Nasty Notes - QA

[ In Reply To ..]
...what I did do, though, is stop trying to teach them. My job was to give feedback in English, grammar, etc. I sent no nasty notes, that's not fair. They're just trying to make a buck and given a good opportunity to do it. BUT I stopped teaching them our grammar. Just filled in their blanks, no personal feedback.

BTW, back when when there was that QA Dept, it went through 3 QA people on their end, and they were still a mess.

Why doesn't it stop, you ask? Because we're working for an Indian Company. Why shouldn't an Indian person give his people work?

We can go work for an American one, but guess who's going to swallow it up? OR, I should say, guess who's going to ALLOW it to be swallowed up. These nicer, smaller AMERICAN companies are for the almighty dollar, which is okay in general, as it does make our country run, but they do it at our industry's expense.

SO, those selling out are to blame, actually. I stopped blaming the big guy. I now blame the small guy for doing this to us.

I was one of those who was FORCED to work for "this" place again. No notice. Just "this is who you work for now." I had left that gawdawful place years ago, and then got shoved back into it with no notice.

BUT, not for long. I'm one of those 99% accuracy, acute care, will do anything that comes my way MTs, but I'm getting totally out of the business, because the supposed NICE GUYS will just throw me back to the wolves.

Sorry, sounds depressing, but them's is the facts. Think about that before you apply to a "nice guy" company. It will be nice for a while, but it ain't gonna last.

I would send the QA manager and CCM of every - dnr

[ In Reply To ..]
job number with such poor and dangerous performance. I don't care if the QA manager and CCM do not want the job numbers, and if they are not interested, up the ladder the job numbers go... maybe even to the top. Unfortunately (for my paycheck), I could not let such work end up in a patient's chart, and shame on the doctors for letting this caliber of work stay on the chart. The more levels of QA a job goes through, the more the document costs. If the document done by persons not fluent enough in English costs too much, maybe it will become more profitable for the jobs to be done by native speakers.

I can only hope that this happens sooner than later as health issues are keeping me from going out to get a different type of job.

Unfortunately, the higher up the ladder, the less they care - They are making money off this

[ In Reply To ..]
I'm sure they all know about the horrendous quality. Quality is just a term to manipulate us. They don't care about it. They just use it to not give us raises, penalize us, or to fire us. When an account first gets offshored, all the work is 100% QAd by the US MMEs for a month or two. I'm sure this is because the hospital is probably checking the reports more closely at this time to see if the ILPs can hack it. Once this period is over, the hospital becomes more lax and this offshore work doesn't need to be brought through US QA anymore.

do they even get audited?? they should all be fired with that garbage - so sick of it

[ In Reply To ..]
why should we have to be on pins and needles and they get away with murder literally.

You shouldn't be - on pins and needles

[ In Reply To ..]
Don't let them put you on pins and needles.

so do they all go through a 2 step QA level there and then - wonder

[ In Reply To ..]
come here for anothe check? What a process. We could have typed tons of reports in the time it takes to do all that. They are paying you so much less to do it I agree with the other poster to just fill in the blanks unless you get penalized if it goes through without checking the whole report??

ILP Reports - Nothing New. From Old QA

[ In Reply To ..]
Yeesh, I worked as a QA Person (back when they actually paid us nice) for years at this place. I'm going back to 2004. This is nothing new this ILP junk has been going on for years. Probably even before I became QA there, I only just noticed it when they hired me for QA.

So, don't be shocked. It's not going to stop.

Look at it this way. I'm talking 7 years since I started with QA here. Any QA people who can put a better number on this, since I only came in 7 years ago?

The now MMEs are only just finding out about it, but trust me, it's nothing new and it's not going to stop. Problem is, we're forced to just let them fly through unless we see something serious as we're filling in blanks. Sad.

I'd put my blinders - on

[ In Reply To ..]
x

unbelievable. So what if you did let it fly through... - sick of it

[ In Reply To ..]
say you did not see all the errors that were not next to a blank. obviously it would be hard to miss them but would you be in trouble if you let it go through? I have been here since the late 90s but it seems like nobody really wanted to talk about it then. I remember even old posts saying some of them were better than ours. I had even a QA leader tell me that a few years back but she also stated there were some pretty bad ones from india.

send this post to the client, a news program, the patient, our ceo ... - n/m

[ In Reply To ..]
nm

I have seen that too. Their QA either does not exist or they are just uploading - sumdumnobody

[ In Reply To ..]
without reading it, just running the spellcheck, not comparing to audio.


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