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Need help understanding a Fiesa grading, if possible - HangingInThere

Posted: Sep 17, 2014

Does anyone understand why they take off an entire point for a lab value that is 1 point off? Such as a glucose level of 230 and is transcribed 231? This doesn't effect patient safety or treatment. I can understand a discrepency that is a significant difference or would change treatment. This is a minimal error and should be graded accordingly.

Resistance is futile - Borg (nm)

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x

FIESA grading - sickened

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Yes, that is their very reason for FIESA and the overinflated point values and classification of "critical" errors when they aren't, to STEAL money from you so they can have it.

Critical errors - ridiculous

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Got a critical error for typing patient was 75 when they were 78.

Why? Because they can - sm

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These answers apply universally:
Why? Because they can.
Life will be much easier for you when you eliminate the use of the word "should" following the word "Nuance". What you think Nuance should do is of zero consequence to them. Anything you don't like about your job with Nuance has only one answer ... QUIT. Until that time, suck it up, smile, and do as you are told.

Why? Because it is easier to rack up points against you come - time for bonuses again.

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Oh, yeah, this IS near the end of the quarter. DOH!

Standards - NTSQC

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As a QC, we are given standards for grading that are to be applied across the board. A lab value that is off by 1 point or less is scored as Downgrade Medical Value. An error of over 1 point is a critical error. We have no latitude to score otherwise. Those are the guidelines we are given.

Fiesa - me

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There are strict guidelines we were to use when grading, and the example you gave is one of them. One point off is not damaging to the patient and should have been scored a minor error or even an information only note. When it was started, we were told it would be used to see where people's strengths were and put them on appropriate accounts and that doesn't seem to be the case. It depends on the QA person too. A bunch of people were put on QA who hadn't even been transcriptionists very long and they tend to grade very hard, like it's a power trip. People need to remember where they started, and that the job is to help people, not to degrade and punish.

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