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


Well the emails are flowing regarding acct specs...... - mt2


Posted: Jan 23, 2013

They must have a lot of new people on this account. Maybe if they paid a decent salary that we can live on, there would not be such a turnover with this company. I've read on these boards in the past how people skim over headers and zip through reports because they are making such crap wages and have bills to pay.

I give them what they - pay for and not new, nm

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x

I think most of us do. I have bills to pay to - need to make $$. - mt2

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Me too, speed is #1, no longer care about bogus 99% - anon

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I figure they are going to do whatever they can to make sure I don't get it even when I do extremely careful work. Might as well fail an audit for something real than made up garbage.

You pay me 4 cpl and don't provide me with 8 hours of work, you get me going as fast as I can while the work is there.

Don't even start on "patient care" either, the patient's care is the docs responsibility, not mine. If he signs a report with an error, that is his problem not mine.
Totally agree ! s/m - mt2
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And don't get me started about the acct specs - too much wasted time with that crap and NOT paid for any of it. The longer it takes to finish a report, the less you make. It's already pretty weird that the last day before end of pay period, all of a sudden I go from 99+ to 98. I have done this for 30 years and no, I'm not perfect but at my last job, I averaged 99-100%.
Let's face it - it's a racket these companies are - running. I wish it would land them in jail! nm
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Not going to officially "Dislike" your post, but I really do dislike the gist of it. - Patient care should still be a priority.
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If you heard about the Precycse lawsuit, that patient died because of what was originally an (offshore) MT error. And sloppy work by U.S. MTs doesn't help our reputation any to try to keep what little bit of work we've got left.

I don't disagree that they're taking advantage of us and the pay is unfair. I lost bonus for 9 months because of their bogus QA too, but I still don't slack on my efforts at quality and accuracy, regardless.

I understand the anger and frustration, but to rah-rah 'go as fast as you can' and 'patient care isn't my responsibility' sentiments really disappoints me. Your mileage may vary.
It is no longer a group effort to assure that - records are correct SM
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The MTSOs only care about the money they can make and they attempt to make us feel that it is all on our shoulders to be sure the record is correct. They do this with emails, with QA, with trying for bogus bonuses, etc. etc. IMO, 99.99 % of the reason for blanks is because of the dictators. They don't seem to care at all whether the records are correct. We get blamed or dinged for their carelessness. We are now expected to do clerical work on the record that we don't get paid for and we are now responsible for client specs that are ridiculous and our only there because these MTSOs will agree to anything to get the account. All of this slows us down. We have had our wages slashed in half because of a lie that was started by VR companies to see their product. Everyone puts their heads in the sand and pretends that this lie is true, that VR will allow an MT to do twice the amount of work in the same time. Everyone but the MTs that is. We are being screwed right and left so don't tell me that if it weren't for me a patient's care would be in jeopardy. If there is a problem with a record, it is the fault of everyone I listed above, most of all the physicians. When I was paid a living wage for the time it took to transcribe, that was one thing. My job was to transcribe the record accurately, not bend to everyone's whim with account specs and make sure the clerical work involved in the report was correct, that used to be done in the hospitals where they had access to the actual record. Now, I do the best I can with what I am given. I refuse to spend my time searching for a doctor's first name or something else that was mangled by the physician for more than I think necessary. I won't be guilted by this anymore. Why would anyone agree to work for free basically because you are lead to believe it is all on your shoulders? Nonsense. I know this is rambling, I have just had it with this particular line of thinking.
If the offshore MT who was working for Precyse hadn't made that error, - then that person would be alive.
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It *is* a group effort, whether you choose to acknowledge that or not. I totally, totally agree that the VR production stats touted by the developers and marketers in order to sell their product are total BS and that we've all suffered as a result of it. That still doesn't abrogate our responsibility as part (and I said "part") of the team/group that produces medical records, which may, in some instances, be used in such a way that patient care is most definitely, emphatically affected. It's like the butterfly effect ... a tiny action can have major consequences down the road.

I can only hope that those MTs who think that speed is their only or top priority never have their hands on my or my loved ones' medical records, ever. I also hope that they get out of this field as soon as they possibly can, goodspeed to them.
No it SHOULD BE a group effort and it isn't - anymore. It seems that SM
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all the responsibility for an accurate record is put on our shoulders. Are these physicians ever held accountable? Sometimes I wonder how a patient even understands what their physician is talking about. I personally think we sometimes work miracles with what we are given to decipher.
Sorry but to say an MT is the key to patient's life is pure BS. - anon
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The doctors and nurses who actually provide patient care should be making sure of medication doses and other issues that are life and death. An MT who makes minimum wage is not where fingers should be pointing.

You hand me garbage VR and pay me minimum wage, you get one sped up read through. I still get high QA but it's because I have been doing this for years. There is no way I am putting forth any extra effort.

If your loved one is sick, your best bet is to be involved and make sure your doctors and nurses aren't complete idiots like the one's who are really responsible for killing that patient, not the MT making 1 cpl.
That's not what I said at all, said the MT is a part of the group effort. - sm
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The court in the Precyse lawsuit pointed their fingers at not only the hospital but also the company (i.e., Precyse) who hired and paid that MT and levied a $140 million verdict against them all. So what "should" or shouldn't be happening in terms of fingerpointing or blame is legally moot when an MT makes an error that negatively impacts patient care. Being the *start* of a problem that snowballs doesn't make one the whole problem, but still an integral part of it.
where does it say MT is Key to Patient's Life? - n/m
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nm
Right in the title of her post. - nm
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nm
You apparently didn't read beyond the title. - the poster of that post (nm)
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nm
I'm not the person who was arguing about it. - just answering the question
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Someone asked where it was ever said, and I showed where it was said. I wasn't the person arguing the matter, but just pointing out that it was in fact said, even if not in the rest of the post, so I can see where the person who was arguing it got that assumption.
I don't agree. The nurse (or whoever it was) - should have known SM
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if she has any experience that the dosage was wrong IMO. It's scary to think that a medication dosage would be determined just by a current discharge summary or whatever it was. There is the rest of the medical record, the medication reconciliation list, etc. All those should be checked if a question arises. Why did the nurse not question the dosage? Was she inexperienced?
Group effort - Anonymous
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I agree, QA needs to be a group effort. Actually, it started with the VR speech engine, which entered "80" when the provider said "8." The MT/editor did not catch it and neither did QA or anyone else involved in the patient's care. However, it was clearly heard and testified to in court by several MTs. I am involved in QA and see errors like this all the time, because some MTs now are concerned with quantity and not quality. I also think that editing does require a different skill set, even though many say the opposite. Expecting it to be a production job is not realistic and I think editors need to be paid by the hour. I can remember when it didn't matter how many reports you got done in a day, having them accurate was what mattered. Unfortunately, those days are gone. An on shore MT could have made this error too. We all need to realize that what we do does matter before something like this happens again.
Thanks, I agree with you as well, and certainly an onshore MT could - make the same error.
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Which is part of my point in the above posts, that speed should never be one's top priority. But the odds for error are higher with offshore, even with the extra levels of QA (good point, even more level/s the error apparently slipped through), because of their lower quality standards, which fact was testified to in court as well.

"Finkbohner said the hospital saved 2 cents per line of text by using the outside firm. But he said it came at a price: Testimony indicated that the Indian firms operate under quality standards that are one half to one twelfth that of the United States in terms of acceptable error rate."
I can agree to a point. We should be careful what we - wannie
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transcribe. However, the physician, PA, NP, etc, signing that report should verify its contents before signing off on it. Had the physician verified what he/she signed, the error would have been caught and corrected.
It may have been written about somewhere, but I haven't seen... - sm
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what the doc's culpability was.  He hadn't read or signed the report yet.  But perhaps he was contacted and told them to use his DS, even knowing he hadn't read it? (assuming he ever would have "read" it)


"The hospital violated its own procedures and multiple national patient safety standards by using the unreviewed, unsigned Discharge Summary to write admission and medication orders for Sharon Juno's admission to a local rehabilitation facility."


http://www.marketwatch.com/story/jury-holds-hospital-transcription-company-responsible-for-fatal-medication-error-140-million-verdict-2012-12-17


"Still, Finbohner said, the error never should have resulted in Juno’s death because the nurse at Thomas Hospital should have used the original document prepared by the doctor – the so-called medication reconciliation form. She testified that the original form was not available because it was being scanned.


So she used the discharge summary prepared in India and wrote the medication information onto the physician admission order containing the doctor’s signature. It made it appear as if the doctor had confirmed the information about the medication when he had not, Finkbohner said."


http://blog.al.com/live/2012/12/fatal_outsourcing_thomas_hospi.html


I'd like to know what the other two "critical errors" were in the transcript (as per the "three critical errors" mentioned in the Marketwatch.com article).


 

Not an MT error, it isn't the MTs responsibility - anon
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Doctors are REQUIRED to read their dictation and sign off on it. If they CHOOSE not to read it, NOT MY PROBLEM.

This job no longer pays us a professional wage. We are burger flippers at this point, and I treat it as such.
You get what you pay for. How long do they - think we will put up with SM
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this? Because of all the unpaid tasks I am required to do, because of the atrocious dictation I receive, because of my pay cut, I am now making not much more than someone with no skills doing a minimum wage job. You get what you give. I have no respect and I now worry only about my own survival.
I have a doc who continually signs - miffedmt
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off his reports with MULTIPLE blanks in them - nothing ever filled in. How is that quality patient care? It's not my fault they don't want to read their stuff cuz they are too busy and it's not my fault they can't take the time to dictate a quality report! They signed up to be a doctor, DEAL WITH IT!! It's part of their job and a very important one!


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