Gotta hand it to ya

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IMO, until the old docs retire, they will use EMR and transcribed reports hand-in-hand.  There is no reason to totally go away from dictation, since typed reports can (and probably are already) be added to the EMR system.   

Starting in 2011 when the big roll-out starts, until 2015 when Medicare/Medicaid penalties go into effect for any doctors not using EMR, there should be no dramatic change in the number of MT jobs.  After 2015, I believe that as Transcriptionists retire, those jobs will simply not be replaced.  It may mean medical transcription schools will have fewer people to train starting in 2015 because of the decline in NEW transcription positions, but current Medical Transcriptionists should be able to retire from this field, if they want to.  JUST MY OPINION. 

Here is an interesting article giving the pros and cons of both EMR and transcription from a doctor's point of view. 

emrhealthinformatics   dot   co   dot    cc 

www.emrhealthinformatics   dot    co.cc 

Most of us don't have much choice where to buy our water, natural gas or electricity. But hospitals can shop around until they get the transcription on the cheap.  And some well-thought-of MTSOs are losing accounts that have been totally satisfied with the work, because some other MTSO promises the client pie in the sky, 99.9% accuracy, 1-hour TAT at a real bargain price.  Might take the hospital quite a while to discover you should *love the one you're with*. 

Some of us have had an experience with deregulation of public utilities in our areas.  A small natural gas provider offers cheap rates on gas, using the big company's transmission system.  You sign up, then within a month or two the little company *discovers* it can't afford to sell the gas at those rates and has to raise its prices.  Sounded like a good deal at the time, but getting un-signed up and back with the company you never should have dropped is a real hassle. 

Not unlike what happens when a hospital gets courted by a new MTSO and finds that the price is nice but the quality stinks, because it is either bad VR, or offshore outsourced.  Have you ever noticed that a client hospital gets super picky about QA issues that never were a problem before?  This is how they justify breaking a contract before it's up, to go with the cheaper company. 

the number of times I haven't helped out when they have gotten backlogged, usually without being asked with never a thank you, but an e-mail or phone call asking me to do extra the next day and then the next.   I've always pulled my share and then some.  I don't care about a gift or even a card, but if I do my 40 hours/committed line that should be enough.   They aren't paying me when there isn't any work.  

Ultimately it comes down to they don't care if I'm sick or I have a life or not, they just want the lines done.  They didn't used to be that way, or at least they would offer incentives, which they rarely do now.   I can't stand threats about losing accounts.  If isn't my fault if they lose it.   If another MT is not doing her share don't ask me to pick up the slack. 

it has nothing to do with free speech but it MIGHT have something to do with defammation of character or slander, whichever is appropriate.

:-(

I'm no happier about these changes than anyone else.  I'm glad I never gave the extra help like so many others.  I basically worked my lines and that was it.  If I worked any extra it was because I wanted to, not because I felt I had to.  When I left the Q, I decided to never give myself like that again. 

I'm still here but I don't know for how long.  I've been looking at other positions and trying to get a plan B and C in place.  In addition to MTing, I'm also looking into a few office jobs that are going to be available soon in my area.  I hate the thought of going back to work in an office and finding childcare for my kids in the summer, but I will not take a paycut for Transcend or anyone else.  I also will not sit and wait for work.  I didn't do it for MDI or MQ and I won't do it for anyone else. 

I'm looking out for #1.  That's what the MTSOs do, so that's what I'm doing.  I don't really feel one way or the other about the merger.  I don't like the fact that I'm looking at starting a new job, but that's life.  It goes on with or without me and I prefer to be a part of it. 

I didn't even know gourds were edible.  We love eggplant parmesan which I make and freeze every year for ready-made dinners when I don't feel like cooking.

The font balls were rather advanced compared to an old Royal typewriter....Remember changing the ribbon or doing triplicates with carbon paper?  White out?   Cat