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EXCELLENT post. Thank you for a balanced point of view. nm

Posted By: FellowMT on 2009-09-25
In Reply to: MT'S are not gonna like this post - me




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A little more balanced view
It sounds to me like most of you are wanting to throw daggers and justify it by stating these are facts about companies, not just opinions. You feel that stating facts exempts you from wrongdoing. I don't see it that way at all.

All companies and all individuals make mistakes and errors. When even these so-called facts are presented in a way that give a bad light, disparage the character, of the person or company being talked about it, it is simply not okay at all.

The ONLY fair balance I see is this: It is okay for you to speak of every factual error and mistake about a company if the company can name you (you are, after all, naming these companies) and every error you make in your work and every time you are late to work, etc.

It is no more fair for you to sit here under the disguise of anonymity to name companies and attempt to set the world straight about them than it is for them to do the same about you.

I really truly believe in treating others as you would have them treat you. If companies came here and did the same, you'd all be filing into an attorney's office so fast it would make our heads spin.

Just sign me ...

Truth-n-Fair
Believer in the Golden Rule

My point of view
I don't think anyone is goint to find a perfect company. I have found OSi to be pretty good to work for, comparing to two other nationals I have worked for lately. THe work has been slow because of the holiday and hiring so many people, but I think they're moving people around and evening it out. I have plenty of work now. And I find my coordinator very knowledgeable and professional and very ready to help. There will always be things to gripe about, but I'm making my line count easily and can't complain.
Here's another point of view. SM
No benefits, no direct deposit, run out of work very very often with no compensation, HORRIBLE ESLs, all going to speech recognition and pay is very low for editing.   If you can live with that, go for it.  I sure couldn't.  If you take wonderful money and subtract insurance, taxes, vacation, sick time, you are making about 5 cents a line. 
Just a different point of view..
Maybe after questioning something QA did wrong, they're being more attentive to quality. For example, if I get a QA score that isn't acceptable to me as a personal goal, I'll make it a point to be even MORE attentive to my work and quality.

I'm not sure QA gets reprimanded for errors such as yours, but I'm sure they do. That would be an incentive for me to pay better attention, and now for you! :)
QA point of view
Giving feedback slows me down a lot.  I try to give feedback to help but people take it as criticism.  I get paid by the line, not by the feedback.  It would be fine by me to give no feedback.  Right now I have an MT who can't do basic 6th grade punctuations and writes me long emails in response to every bit of feedback.  The work is so easy and she can't seem to get it.  I get the MTs making the same mistakes over and over again.  You shouldn't take QA personally.  It's an awfully hard job.
QA point of view
Giving feedback slows me down a lot.  I try to give feedback to help but people take it as criticism.  I get paid by the line, not by the feedback.  It would be fine by me to give no feedback.  Right now I have an MT who can't do basic 6th grade punctuations and writes me long emails in response to every bit of feedback.  The work is so easy and she can't seem to get it.  I get the MTs making the same mistakes over and over again.  You shouldn't take QA personally.  It's an awfully hard job.
Thanks so much for the realistic point of view.
I need some reality-based grounding and your post really helps a lot. I don't want to make any rash moves out of fear of the unknown. But it is so hard, as you know, when your bread and butter relies on the unknown (almost). I am sorry the stress is taking its toll on you. I hope that things get better for you. At least the pay has not dropped considerably because that would be really bad. With the econmony the way it is it is impossible to get credit and really it would not be good to live off of credit cards anyway. We have to keep a roof over our heads and it is really scary to try new things while needing the money. Thanks again for your point of view. It really does help.
And that point-of-view is why we're all suffering huge
They'll pay as little as people will accept, and too many of you will accept anything.
Excellent point, and point in case
look at the charlatan christian in the
Whitehouse who uses religion to push his agenda...

Christian IS as Christian DOES...
You make us laff here, girl! Love your point of view! :) nm
s
Interjecting a point of view is fine, but if you find it offensive...sm
people bash their companies, how about people who bash other people and taunt them by posting ridiculous statements about dark evil forces and then give you the Tony Robbins about how they should live you life.

I am a little tired of people saying blowing sunshine out my a$$ is going to pay my bills when work is sparse, wages are being cut by 1/3 to 1/2, and insurance is eating up almost half my paycheck.

I am an adult, I don't need to grow up and look on the bright side, and I don't need to bend over and take it anymore. I need to stand up to the CEOs, COOs, CFOs, department managers, supervisors, recruiters, and company acquisition specialists and tell them that my job is every bit as valuable and technical as theirs is.

They're not sitting in meetings all day groveling about how bad the economy is and how lucky they are to have jobs. They are capitalizing on a bunch of people by forcing their wages down and then saying it is their own fault because there was a typo in a report or transcriptionists in VietNam can do their job just as well and for less.

That is the truth.
Excellent point
I really do think some MTSO's are missing this - base cost of transcription rate to rate of dictation difficulty, and pay premium to MT. Just one really lousy dictator can make the difference between a fair day's production and pay, and a mediocre or poor one...

excellent point

about not updating to internet connection instead of using C-phones.  I guess they do it because they find people who will accept it.   It also seems odd to me that they are willing to risk the reputation of an at least decent company to keep one account that is ruining their image.


  


I mean Sue! Excellent point. No MORE
x
Excellent point. nm


EXCELLENT POINT
/
Excellent point! ...sm
At the same time, what can we do to get physicians and the health care system to recognize this?

For all their education, docs do not seem to understand that it's unproductive to pay two people poorly rather than pay one person well. It's totally disrespectful of our field.

The problem is, it seems like a lot of transcriptionists manage to perform their job in a somewhat rote fashion, recognizing terminology, but not understanding the subject matter, or even language for that matter.

If we don't weed out these transcriptionists, it lowers the bar for all of us.


excellent point, not at a speed of 1000 lph, claimed by some...nm.
nm
This is an excellent point and the root of alot of our problems.

I have been thinking about this very same thing.  Some companies want the experienced MTs with decades of experience so they do not have to offshore or pay QA to re-do reports.  There are only so many of those jobs out there.  Other companies want to get rid of us because we may too much money.  They can offshore or have QA clean up the mess a newbie makes. 


Then you can go middle-of-the-road, if you will.  SOOOOO very many MTs are out there willing to take what we refuse.  Where does that leave us?


Excellent post, MT! NM
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Excellent post.
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Excellent Post

So much of what you said is true - you commented briefly about how much the leads do for the MTs and so much of what they is not paid for.   Medware keeps track of their employees time by Merit Minutes.  Merit Minutes constitutes the time spent TYPING in a chart.  If you need to research a drug name and spend more than 5 minutes looking for it, Merit automatically shuts off the clock.  So you have spend your time researching an item but you do not get paid for your time after 5 minutes.  Lately, it also seems harder and harder to achieve the minutes needed to equal 8 hours.  I know several people, myself included, who have made comments that it seems like 10 hours are needed before the 8 hours mark is reached.  Additionally, if you have phone your supervisor for something, if you run out of jobs and have to email the lead MT (who no longer exists) for more work, that is time spent which you don't get paid for.  If Medware's computer goes down or they experience a power outage, you have to make up the time for it later.  If Medware performs a maintenance check on Merit, you have to wait and make up the time later.  In a real world office, you would be paid for that time, but not at Medware.  And taking time off for yourself?  That is definitely frowned upon by certain team leaders.  Taking sick time?  They will actually ask you to make up that time later even if you have accured the sick time benefits! 


Even though Medware will tout itself as the AAMT employer of the year, not once or twice, they certainly do not treat their employees well.  For MT week the lead MTs positions were eliminated.  About 6 months ago the MTs who review the offshore work, listening to the reports word for word, fixing dosage errors, incorrect words, grammar, punctuation, and often fixing complete sentences which were creatively transcribed, found out that their hourly salary was about to be cut in half.  They would now make $8.00 an hour plus an incentive bonus for editing over 2000 lines a day.  Nothing  changed for them, the same quality demands were still in place, the offshore work remained the same, not better, but suddenly they had to produce twice as much as work in the same amount of time in order to keep their salary at or close to the level it had been.  Additionally, their vacation pay, which they had earned during the time when they made $14.00 or $15.00 an hour, was suddenly decreased to $12.00 an hour. And this is the company who wins the coveted employee of the year award?


This company looks out for number 1, themselves, and no one else.  They deserve to lose their lead MTs and anyone else who is disgusted with the self-serving practices.  Maybe if enough people leave, Medware will wake up and smell the coffee and remember that it takes management and employees working together to make a company productive. 


Excellent post.
.
Excellent post!!
Good luck in your nursing career - and that is something that cannot be outsourced! I have 25 years of MT experience, and I make a good deal less than I did 10 years ago. I think I am going to go door to door to local physician offices and see if I can steal back any work that has been lost to the big nationals. I also think I am going to charge hourly if I am successful. I am so tired of production. Too old for the stress.
EXCELLENT POST!
NM
Excellent post! sm
So many ICs on here feel it's THEIR own responsibility to find a replacement for when they are unavailable, and I've always scratched my head at that one.
Female guilt rears it's unly head!
Excellent post...
but I'll tell you where the SoftScript employee is. The Softscript employees that I know choose to use their time in a more productive manner and NOT post useless repsonses to worhtless accusations and rumors They have incredible work ethics and a true sense of organizational loyalty and support. They love their work, and they are good at it. They know if they screw off on wasteful sites like this, they risk losing a client and we risk losing business. They EARN their money, and they read the headlines everyday where they know how important it is to have a job and make good money in this economy. They don't want to risk that.They also love their bonuses, and extra perks that the company is only too happy to share. They do not have the time nor the inclination to be whining about this recruiter or this MT or whatever aimless, mind-numbing posts that get posted everyday. While some on this site choose to spread gossip, rumors and simply bitch about everyone and every place, in between a Twinkie or a pound cake or two, the Softscript employee is currently speaking to a large group of MT's that are coming over to us from yet another new client, preventing overseas outsourcing (100% American-based, baby!). They are training new grads and helping them become successful and productive employees. They are creating and contributing articles for the company newsletter. They are heading up fundraisers for our company's numerous charitable organizations. They are also taking up collections or baking cookies to send to one of their fellow employees who recently lost a loved one. That's what the SoftScript employee is doing. What have YOU done today that didn't sound like a whine, complaint or rumormongering? 
Wow, very excellent post!

I'm tempted to print it out and hand it to anybody professing interest in this field, LOL!


I agree that some people have it, and some don't.  Also, this is not a profession where you can just graduate, get a job and coast through your day, its always a challenge, always learning, and often a struggle, but some of us enjoy that.  Its about challenging yourself and beating your personal best, and of course you have to have a professional work ethic.


Many people have a lousy work ethic, and it reflects on their paycheck.  My boss actually told me that she has to call and nag/beg my teammates to work their scheduled shifts!  Their loss is my gain, there's always work for me.


Personally, I never want to work a job that doesn't pay production again - because finally I now I get paid what I'm worth, I work hard and I have the paycheck to prove it.  If I get lazy, down goes my paycheck.  I've met many folks like you described, there's always envy, excuses, and a thousand reasons why they can't do what I do.  Maybe they can't, but they have equal opportunity to do it.  Its up to each of us to maximize those opportunities instead of wishing we could be better.


Excellent Post
The biting your hand analogy--perfect.
excellent post nm
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EXCELLENT POST!
I feel for you all. My company is a small one, having financial difficulty, lost some accounts - one to Transcend - and I am sure we will be one of the next companies to be sold to a large MTSO. When that day comes, I am done. I WILL NOT work for a company who will screw American workers all over the almighty dollar.

And I hope these clients enjoy the half-ass work the Indians are giving them. You get what you pay for.
Here! Here! Excellent Post
Very well thought out and well stated.
Truly an excellent post, but with
You're assuming they want to reduce hiring and improve employee retention. I don't believe that's the case, unfortunately.

While I wish the WMX executives would take what you've said to heart, I think the whole reason they won't is that overhiring is a deliberate WMX strategy.

Hire an MT with little professional experience, perhaps straight out of MT school, and you can pay her a lower line rate.

You don't have to pay her benefits for the first 90 days of employment.

You do get to charge her installments on the equipment you send out. And with brand-new netbook computers retailing around $350, I very much doubt refurbished no-frills desktops really cost the company $250 each.

You don't have to budget for sick time or vacation time.

You do have to pay him or her a training rate for the first (15? 30?) days, but this is more than made up for by not having to pay medical, vision, or dental.

If s/he quits in frustration somewhere around the 90-day mark, you can just fill that vacancy with another warm body to whom you don't have to pay benefits and from whom you will be pocketing $250 in equipment fees, less the actual cost of said equipment, which I expect is much lower.

Finally, overhiring helps WMX by reducing the amount they spend paying employee bonuses (with so many MTs chasing work, it's become increasingly difficult to reach the upper bonus tiers). Overhiring can even bump full-time employees out of the minimum bracket, at which point they, too, become employees for whom WMX does not have to pay benefits.

Anyone working on Enterprise will see this happening just by accessing e-chart: The names of the transcriptionists change constantly now. There are always new names, but they don't stay long. Enterprise MTs have probably also noticed the decrease in the quality of reports they find in e-chart, or at least I have. More and more I see newbie errors, errors I made myself back when I was just starting out, errors that would be understandable coming from a newbie MT but unforgivable coming from one with any significant experience. There are errors now that a truly professional MTSO should be horrified to send out to clients.

I would even imagine that such low-quality reports are then used to persuade clients to adopt voice recognition. You'll see fewer errors with voice recognition, because the software transcribes EXACTLY what you say!

Maintaining executive profits by decreasing worker costs is a deliberate strategy on the part of WMX, and likely on the part of most other MTSOs. They do not care about quality, so long as they can maintain it just slightly above the level at which clients start to complain. They do not care about employee retention, since employee retention costs them more than accelerated hiring & firing does. They do not care about anyone but themselves, period.

I hope some other organization implements your excellent suggestions, though. That would be an organization for which I'd be PROUD to work.

Webmedx is not that organization.
Excellent post...
Let's see anyone who tries to claim it is merely ''typing'' actually sit down and produce -- from dictation-- an accurate medical document (that could potentially be used in court).
Excellent post MTness
I'm with you all the way. Let there be peace on Earth and let it begin with me.
Excellent post -- thanks Amber!!!! - nm
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Excellent post! Congrats to you!
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Good job...Excellent Post!!!
You could not have said it better or more straight forward.
An excellent post and ditto, right there with you. nm
nm
excellent for you to take time to post. sm
It does not apply to me but it WILL inform many I am sure.

Thanks for helping other MTs find their way through a difficult process. Why should anyone need to accept that term, MISCONDUCT if innocent as you and many others have clearly been. GOOD JOB reporting.
Excellent post. Agree wholeheartedly. sm
The dictator must take responsibility for what is dictated. In addition, today's MTs aren't as adept at editing as those of us who had proper training, use the appropriate resources, and do not use Google as our exclusive resource.

If you frequent the word boards, you will see what I mean. A couple of days ago, an MT posed a question that her ESL doc said that the patient worked in a laundry. She wanted to change it to laundramat. The MT admitted she did not know that a laundry was a place! These new MTs don't even own an English dictionary.

I initially had a hard time dealing with the verbatim concept. After seeing several reasons for its initiation, I've happily resigned myself to light editing as client allows. I got over it. Look around you and you will also see how this industry has changed in the last 10 years. It ain't what it used to be. Time to roll with the changes.
Bravo!!!!! Excellent post. 30 years here.
I just wanted to be left alone so I could do my work. I came in on most calls to help out. Quality meant everything as did TAT. Did that matter to management? That I was not talkative on the telephone (Small talk eludes me for some reason) during chats with these people has cost me a fortune. And pretending to be someone I am not is just not something I am capable of though I must say I wish I could be a talkative person just so my personality would be more obvious in this so often unfair telecommunation job, where after all I have given, I am treated no better than a newbie, even with disrepect, biting e-mails by moody unprofessional management.
Excellent post? She misunderstood the whole issue...nm
nm
Excellent post with great insight. (NM)
dd
Excellent post, Tech Support. You nailed it. nm.
Sigh.
see message this post is excellent a fair representation of KS..I copied it from below.
You know who I am. I'm the one who hooked up the Foley at the beginning of my shift. I'm the one who worked extra each and every time I was asked. I'm the one who went into the office to transcribe when it was needed. I'm the one who went on site to help with a new account (and this account actually wanted me to work for them!). I'm the one who transcribed tapes when asked. I'm the one who did the 3-page reports and the docs that no one else wanted when you cut our pay. And I'm the one who worked an 8-hour shift when my air conditioning broke down last summer during one of the hottest days of the year. No one just handed me that huge paycheck, I worked for it.

And now I'm the one who works on two accounts that consider my transcription excellent. As a matter of fact, one account doesn't want anyone BUT me. During my career I was told by one manager and one MTSO that they wished they had 10 of me. I also came highly recommended to you. That speaks volumes about my reliability, stability, flexibility, and quality.

You offer some flexibility. Zero tolerance would be more like it. I had to take three days off for jury duty, my electricity went out twice, and workers cut my cable line, all of which were out of my control. I took five days off in a row once in two years for a very good reason and it was not a vacation. If I had to take time off during my shift, I made up my time that same day. Unfortunately my dentist doesn't have hours on Sunday. I also worked when I was sick. Is that what you mean by not a good fit? I was an IC not an employee.

The kicker for me was when I found out that your coordinator went to the client to find out if I was skipping reports. I have never skipped a report in my entire career. I don't have to. I love what I do and I love a challenge. She also told another employee that no one can do that many specials. I could and I did until she made certain that I didn't.

This field is stressful enough. I certainly don't want to work for someone who places more stress on me, especially when I'm already giving 110%.

When it was all over, I felt like the weight of the world had been lifted off my shoulders. It was then that I decided I would rather be appreciated than used and abused.
Thanks for the info. Very fair/balanced. SM

I also appreciate the info on the offshoring, I had no reason to go to the website, so I wasn't aware they were doing it.  I guess if they are going to offshore, having the client direct whether it happens or not is the most up-front way to do it.


 


Thanks for that info. You seem to have a balanced perspective on the situation. There have been a

lot of drastic changes in the workplace in general, not just MT.  Those changes have been a long time in the making.  The agenda in the US has been top dollar for corporations with very little respect for workers, and this has happened right under our noses to a certain extent.  Inch by inch the rug has been pulled out from under the majority of Americans, but we are a strong, resilient lot and we will recover and hopefully be smarter.  I have great faith now that we have new leadership.  I honestly didn't think we could make it happen, but the people stepped up and woohoo! 


That's the point of my post --

We have no information.  We've only been given a few quick answers in a phone call.  


The pay cuts everyone is referring to are to the existing Transcend employees, not the MTs from the MDI merger.  Nothing will change with us until January 1st.  The answers you received in that phone call only apply until January 1st.  After that, we're fair game for pay cuts. 


I'm looking today, too!  I've had enough of sitting around hoping and praying for something good to come out of this.  If I jump the gun and lose 1 or 2 cents per line, at least I'll still have my sanity.  I have a feeling though, if I stay, I'll lose much more than 1 or 2 cents a line with Transcend. 


This was a very stupid move on Transcend's part.  If they were going to do pay cuts, it would have been smarter for them to wait until after January 1st.  They've just given us a sneak preview of how they treat their employees.


Re-read my post - that was my point! nm
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You missed the whole point of my post. NM