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

How do they sell these VR programs?? - poorhouse

Posted: Dec 18, 2013

I'm assuming the software vendors talk the clients into how much they'll save by paying editors to fix this crap. There is no way someone would buy into this software if they knew what it really looked like in draft form...omg. It would not surprise me if the software vendor slipped a few Benjamins under the table to a willing doc at the facility and had him "train" the software before the presentation to the client. The doc goes in, reads from a script, and near perfection pops out on the screen. All I ever see is a screen full of unbelievable crap and that's with a decent dictator!

I've been working with VR now for about 4 years and I have yet to see any platform ever "learn" a damn thing.

It CAN learn - But...

[ In Reply To ..]
It can't learn the way it's done at the MTSOs. You don't just put a 300-bed hospital on a system. Each doc needs to be trained, then all MTs have to be on the same page with corrections, etc., and we know that just doesn't happen.

In terms of clinic, many doctors do use it on their own (no MT or MTSO)quite successfully. They just edit as they go.

I know someone who sells it. I don't think he goes out and recruits, word just gets around--or a potential client punches in a Google. The person I know who sells it is extremely honest and quite forthright about what the machine can and can't do. He trains the doc to see if he's a candidate, and if the doc isn't, he won't sell it to him.

Don't blame the VR, blame the MTSOs for thinking it can do somethning it can't.

Difference between front end and back end SR - sm

[ In Reply To ..]
You are not seeing the type of SR systems sold directly to the facility. You are seeing regular dictation done by doctors who do not know that SR is being used. Your MTSO runs it through a SR engine at your end, then gives it to you to correct and "train" the software. Your work is being used to eliminate the need for you.

That is a back end system. It does not get better because the doctors have no idea what goes on and because there are thousands of doctors voices to which the system is NOT individually trained and hundreds of MTs all providing conflicting training.

There is no one slipping doctors money to sell the system. Doctors' opinions do not buy the dictation service and the facility never knows that SR is being used, nor do they care.

Front end SR is different. The transcript is produced as the doctor speaks, directly into the patient record, so no MT is ever involved. The system is trained to each dictator individually. He corrects it on the spot. It learns. The doctors also get templates and the EHR is able to import headings, drugs, labs, orders, procedures, names, demographics, and much more, eliminating concerns about errors on those things. Nobody cares about trivial errors like punctuation any more than they cared about them in handwritten documentation.

Facilities and a lot of doctors really like front end, so the moral of the story is to avoid deluding yourself that "SR" is not a threat because it doesn't work. What you think doesn't work is not the front end system facilities buy; it is the back end system that is being used as a bridge until a facility's EHR and front end systems are in place.

No, I don't sell it. I just work with an EHR that already has it. No MTs. At all.

A really good plan on your part would be to change careers as quickly as you can.

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