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98.9 equals no incentive - oy


Posted: Aug 02, 2012

So I check Feisa and there is a "C" graded report.....I'm fed up.  What do you put for feedback? Here is what I sent:

" Well, I give up. There is not a human being alive who can be 100% for 100% of the time or even 98%  for 100% of the time.  I don't make errors on purpose. This job is too tedious and detail oriented to stare at the computer screen for 8 hours a day and not make some mistakes. I am not a machine. I shall continue to do my work to the best of my human ability which is never going to be 100% for 100% of the time. This system of scoring is humanly unreasonable, and insulting and does not promote incentive to do better, but quite the opposite, promotes an "I don't care" attitude....Thanks for the feedback.  Have a nice day."

That is my score too 98.99%. - anon

[ In Reply To ..]
I am telling you there is one QA lady who fails EVERY report. I looked back at FIESA and she has never passed me on a report. However, I have 100% all over the place from other QA people.

If you were a machine, your quality score would be less than 10% - SB

[ In Reply To ..]
Had to laugh at: "I'm not a machine." SR engines are machines and look how they do!

What frosts me most is not my mistakes, which I regret each and every one, but the mistakes that the QA people make that knock down my score, yet I cannot get them reversed. So even if by divine intervention I made no mistakes at all, I still could not maintain 99% "accuracy" as they define it!

I have to limit how often I review my audits to ensure that I can keep a good attitude towards my job. I have to pick a time when I am relaxed and have plenty of time for a walk and prayer afterwards.

QA score - mt20years

[ In Reply To ..]
I actually got a call from my supervisor regarding my comments in FIESA. I am so fed up with them, but you nailed it. Nobody can be 100% ALL the time.

So i never check FIESA and the incentive pay for me just does not exist.

Poor scoring system and WAY TOO MANY discrepancies in scoring for me to care. So what if I leave out an "a." Does that affect patient care.

I used to love my job, but I have that "don't care attitude" because of Nuance.

Comments go to account, which I think is great. - anon

[ In Reply To ..]
Nuance doesn't want anything "unprofessional" to go to the account so we are to "refrain" from commenting in the "comment" section other than typing "reviewed," which then makes it look like we AGREED with the correction.

However, I think bad QA is unprofessional. Things like failing people based on "errors" that don't impact patient care in any way! I don't get why they want to send failing audit reports to the client anyway. How does that make Nuance look good?

When I worked in QA, our goal was to make our company look good to the client by trying NOT to have too many failing reports. You know how you do that? You don't mark off for insignificant garbage. The doc does not remember if he said "that" or "who." He/She does not care if there is a missing hyphen or comma.

Sorry, but Nuance QA is hideous. Just get rid of the bogus incentive and give us FAIR QA. At least then we won't have to suffer the insults of the "QA" staff. They are not quality assurance, they are Bonus Killers.

Uh....no one told me not to comment. s/m - nuancemt

[ In Reply To ..]
Months ago I was dinged for not sending a copy to a NSLA. So I asked QA, what is a NSLA because I can't find it anywhere. She didn't know, but send a copy anyway. Fine. Then last week, I get dinged for SENDING a copy. So in the comment box I put:

Please verify which way you want this. I have been marked off for not sending and sending a copy.

And I think I put another snotty remark but can't remember right now. :) Oh well......don't tick me off.

Yeah, we were told in a QA meeting... - anon

[ In Reply To ..]
to put "reviewed" in the box and forward our greivances to our TL.

Well, I say Nooooo to that. Our TLs ignore our requests to review QA scores, so if you have a box named comment, I shall be commenting.
Good because I did !! We never have meetings except for roundtable..... - nuancemt
[ In Reply To ..]
and I don't bother with it. If my TL has something to say, then email me or have a meeting. I was job hunting the day I took this job.

Just went into FIESA and I AM SOOOO ANGRY. - anon

[ In Reply To ..]
I failed a very, very long report because the "QA" person went in and added a bunch of commas or periods instead of commas (each time I was given a 0.25 error). Over half of her "corrections" were flat out WRONG. She also docked me for not adding a pronoun (it wasn't dictated on a verbatim account) another 0.25.

She systematically made sure I failed that report by giving bogus correction after bogus correction.

You cannot tell me they are not being told to fail us. There is no way anyone would have made all of those INSANE and WRONG corrections if it wasn't a deliberate act to fail a long report.

Seriously doubtful that QA is told to fail someone - More likely than not...

[ In Reply To ..]

...no one is monitoring the QA's work and they are not aware that this QA is nit picking your work to death. 


I was a QA/trainer for years and I never had these problems with the MTs I worked with, became friends with and am still friends with today.  I would add or remove commas and other punctuation (or very minor things of that nature that made no consequence to anyone), but I never counted those changes against the MT.  I never even informed the MT that I had made such insignificant changes, unless it changed or skewed the intended meaning of the sentence.  There is so much gray area between one person's preferences for a comma and another person's preference to omit a comma, etc., and it served no purpose to nit pick and haggle over such small errors.  I was never out to defeat the MTs but rather to help them become better.  I also wasn't hired as a grammar teacher (although that was my major in college, lol)... I was hired to make sure the MTs weren't going to inadvertently kill a patient. 


I know it's frustrating and I've been where you are.  I had to pay my dues as an MT first for years too.  You have one QA who always puts a comma before the word "which" (even though it's not always correct to do so) and counts you off for it... and then you have another QA who couldn't care less about the stupid minute punctuation and only focuses on the real content of the report. 


If the QA in question at your job is not practicing these guidelines and she is instead finding the smallest inconsequential errors to count off your reports, report her azz.  This job should NEVER be about a missing pronoun that doesn't affect the patient's care in any way... it should NEVER be about someone accidentally hitting the semicolon key instead of the colon key... it should be about making sure the person lying in a hospital bed isn't being given the wrong medication or the wrong diagnosis. 


Tell your supervisor I said so !!  :) 

Thanks but I am NOT a newbie. - anon

[ In Reply To ..]
That is what is so frustrating. I have been doing this for years (17+) and have always been a very valued employee, entrusted to train my coworkers in fact.

I also have a college education and am not some moron 18 year old who wants to work from home so I don't miss the next episode of Springer.

The QA person made corrections on this report that were WRONG.

Tell my TL?? Right. I have had her tell me that I was right and QA was wrong. Did I ever get a single score reversed NOOOOOO.

Am I angry, you betcha.
Apologies. - I never meant to imply you were a newbie.
[ In Reply To ..]

When I said, "I've been where you are," I didn't mean to come off sounding like some all-knowing, more experienced snob.  I just meant I've had this same problem when I was on the MT side of things.  I am no longer a QA, by the way.  I recently quit my QA job and went back to MT mode for another company after dealing with too many psychotic, micromanaging CEOs for way too long - and also because I had to deal with a supervisor just like the QA you are describing, who found every little reason to count off on our monthly random audits.   I just meant that as an MT being overly criticized by QA, I've had to deal with that too. 


I hope things get better or that perhaps you can find a job where you are treated better. 


 peace :)

I suspect they do not respond to complaints about bad - QA because those people save them money. SM
[ In Reply To ..]
They don't have to give legally dangerous instructions to fail people, just nurture those QA prone to doing that.
you need to go above her head to the operations manager - sm - current QA
[ In Reply To ..]
If more MTs did this they would see better results because we do get the feedback and are not to correct STUPID errors like everyone is complaining about. When I was an MT this is what I did and got the reversals made.

I agree BUT like the MTs have super QC we have super QA - sm - current QA

[ In Reply To ..]
so someone DOES know this QA is doing this so they need to fight it and report them.

OMG - sick-n-tired

[ In Reply To ..]
Awesome!! It is nice to know I am not the only one feeling frustrated and unhappy. That is a great response! Good for you!

sick'n'tired - frustrated MT

[ In Reply To ..]
How many get audited 3 times a week. If she gives 100%, she makes up for it with the next one. This is ridiculous. Not only does it make my BP go up, but makes me not want to work. I have been doing this for about 20 years and have never seen so much nitpicking and no appreciation for the job you do.

I'm a WMX rollover who posted a couple of times that - I was getting incentive. No more. Went from

[ In Reply To ..]
99+ to 96.something (!) in one free fall, mostly bogus, although of course a couple real mistakes were found. Wincing type, but nothing critical.

I'm angry too. About all the nonsense but especially about certain "mistakes" I supposedly made by punctuating the streams of dictation to keep the meaning clear and unambiguous. I'm also good at what I do. I do not over edit, too busy making money for that nonsense, but I always keep the report users and patient welfare in mind, and these particular dings should have been little gold stars for a good job.

Welcome to Nuance Hades. - mt

[ In Reply To ..]
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