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Serving Over 20,000 US Medical Transcriptionists

Um, some facilities are getting back huge mistakes!

Posted By: sm on 2006-07-09
In Reply to: I don't think so either - me

Depends where you work. If you have access to all reports, try looking up some that have gone to the facilities. Where I work, it is frightening!!!! ; 0


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I think this could only be done with a huge client base, or a huge number of say only
s
I take it they are two different facilities? :)
xx
From above: they are giving you. I bet facilities are
x
Actually, I have heard of facilities
Okay, my apologies if I thought you were biting my head off. I'm so used to the negativity that usually runs rampant on these boards that (without my usual pot of coffee to start my morning), I thought you were discrediting my concerns. Again, my apologies :-).

Back on topic, I have recently heard that facilities now do push every dictator through onto VR, no matter how horrible they are (I guess they figure it's the MTs problem, as usual).

There are very odd things going on at MDI-MD, and with the new offshoring, etc., it makes sense that they would pull back the ones too difficult for the ILPs to understand and pass those on to the American MTs.

But I seriously would like some opinions on why work is disappearing for 3-4 days, then reappearing for transcription. The ONLY thing I can think of is this, too, is work that was routed to the ILPs but it was close to falling (or already had fallen) out of TAT and they needed the American MTs to pull it back in line. Like I said, I've been on this account for more than a year and this NEVER has happened, EVER. The work was somewhere...the question is, where?

IMO, I think the lack of work, the only remaining transcription being the dregs of the dictators, and work suddenly appearing (and large volumes of it) 3-4 days after it was dictated just all points to offshoring in progress.

Any thoughts on that?

And, yes, BTW, like you I do VR and love it. I think Escription is just about the greatest thing since sliced bread, lol!
Most doctors and facilities have never heard of . . .

CMT, or the AAMT.  Although they (AAMT) want to you to believe it matters, the CMT designation isn't really an important factor in the real working MT world.  Quality is what matters to the healthcare providers with which I work, and unfortunately having CMT after one's name doesn't guarantee that. 


The AAMT also is pushing for mandatory certification.  That will never happen.  I predict the AAMT will go broke within a couple years.


The bottom line is to do quality work.  That will keep an MT working and in demand.


From what I know the three hospitals are actually one big account with three facilities and then
the fourth is a cancer center. I have worked at Transtech for almost two years and it's the best job I've ever had. I think you will have a primary account and then a backup. I don't know of anyone here who has more than that.
Most facilities don't know their work is offshored
the MT dept. head knows about it and nobody else. That's pretty evil. Hadn't thought about that.
Facilities have to have employees vote
on whether to accept a union or not at their place of employment or not. If the majority of employees vote no, then a union does not go into that specific facility.
All those facilities amount to 1127 sm

actual beds (the size of 1 large teaching hospital), clinic work, a rehab center with 40 beds and an imaging center.


The list of facilities sounds impressive, but does not amount to the number of accounts we have lost and will lose over the next few months.


The way W overhires, this account will be like all others, everyone fighting for some work.


Depending on where you live, there are many facilities hiring.
Check with Radiologix. They had an ad running for MT, pay well with great benefits.

If you check around, there are many other facilities hiring in-house if that is what you prefer. Some are hiring at-home employees also with a better setup than what you describe.

Pick yourself up! Don't let it get you down. Life can be much much worse.

Really, if you were in a room full of people and everyone threw their problems into the middle of the floor, you will see you really have no problems at all!

Good luck to you!
They will outsource and find out facilities are willing to accept
p
The suits and facilities often control dictation, not
x
Some facilities or hospitals keep their own servers in-house sm
to store their medical records. eScription is a software program used to access those files.

It all depends on how each client handles their contracts with eScription. Not every client or hospital is the same.
Big facilities contract out MT through administration. Drs have no say, they dont pay the bill.
:+
We need to CALL THE FACILITIES and let them know what is going on! OR Class Action Lawsuit
...we need to all go out on strike! If we ALL stopped working tomorrow, called the facilities and let them know why, where would WebmedX be?
Our only hope lies in the facilities staffing MTs direct. SM
Win/win. They save a ton even if they pay us more per line which in turn puts us back in the bladk. We get affordable health coverage and labor laws.

SIMPLE AS THAT


Could you be confusing "using the facilities own MTs" with "sending to India" mayhaps?
x
mistakes

I have the feeling that the one that answered me belongs to the company and wasn't happy about what I pointed out.  But have never heard anything about this company and if nothing is said, guess it must be an okay company.   But usually you are a little more gracious when someone tells you that there are errors on something that the public views like a web page, brochure, advertisement, etc.  We don't like mistakes but they happen and we don't usually attack the person that points it out.   If I were perfect and made no mistakes I would not be here right now but in a far better place.  E-mails are completely different than web pages or brochures at least to me. 


Thank you for what you said.  I truly appreciate it.


 


mistakes
I can see where radiology and other diagnostic tests need to be 100% accurate. But if any report done by some obscure, remote Transcriptionist working piecemeal in some who knows where place really meant life or death to anybody, do you think they would be sending it out to have it typed?
I don't think the OP pointed out any mistakes.
She was trying to help as she said. You all are just plain nasty.
Corrected mistakes - sm
I agree with you about the stupid mistakes that are corrected by the dictator. I feel terrible when the doctor spells out BOWEL or other simple words. The MTs who type like that are a disgrace to the profession. You HAVE to pay attention to every word, know the difference between ileum and ilium, in these diagnostic imaging reports. I don't blame the radiologist for being upset - and the MT deserved being yelled at for it. There is NO excuse. I'm ashamed everytime I have a dictator spell out something so simple, but I do appreciate the occasional spelling of an obscure illness, etc., although I don't trust their spelling, I always check it myself, but their spelling is a help to looking it up. Why throw stones about the offshore MTs when there are MTs here just as bad, or worse? No wonder accounts are constantly changing over to other companies.
I see so many mistakes in reports..

it makes me cringe. These reports are coming from US MTs who are supposedly so well educated they can't figure out the difference between the words to and too, their and there and have the gall to say they are professionals and demand more pay, all the while sitting at home griping about how fast, slow, mush-mouthed doctors are and they can't understand them. Take it more seriously, it is a real job, not just typing what doctors say.


Pharmacist mistakes
Like all production jobs, do you know how many pharmacy's fill in excess of 500-600 prescritions a day in a noisy, crowded, often unpleasant environment? That's less than a minute per prescription. Plus they have to deal with store management, counsel patients, field questions from patients and doctors (and sometimes even tell a customer where the toothpaste can be found), answer phones, and be responsible for what 5 or 6 pharmacy techs are counting and cramming in those little orange bottles. They often work 9 to 12-hour shifts, have to stand, and many times do not get breaks and sometimes even lunch. They also have to order supplies and medications. I agree pharmacists should hold a high-degree of responsibility for getting it correct, as should any doctor, but we ourselves need to wake up and realize they work in conditions most of the time far worse than our own, so we need for our own safety to check out what is in that bottle before we take it.
They would care about the mistakes if they had
nm
funny. she can point out mistakes but we can't? lol
lol
It bothers me because the mistakes I hear about

are stupid mistakes, like typing cereal instead of serial, or misspelling a doctor's name when we have a doctor's list, etc.   This is carelessness that could potentiall cause the account to be lost.  All the ones I've heard about were mistakes I know I wasn't making and it bothers me that I have no control over it and that 1 or 2 people who produce sloppy work jeopardize the account.   I haven't really had a doctor do a correction in an ugly way, but then again I'm not sensitive to them that much because I know I'm not the one doing these.  I'm not saying my work isn't being corrected, just that I have never head a correction dictated that I was guilty of.  


I also dislike it when the QA dept. sends out a stern e-mail to the entire company about stupid errors, when I know I wasn't making the errors.


If I'm signing my name to a document I want it perfect so I don't blame the doctors for going over the reports with a fine tooth comb.  The reports are a legal document and could also mean the difference in life or death of a patient if there are errors in the report.  


 


They used to penalize and doc your pay for repeated mistakes. Don't know about now. nm
s
They dock you for mistakes that are not there or even if you go by AAMT BOS
No matter what, they dock you. When they cannot find mistakes in your work, they make them up. Late paycheck. I would make more money panhandling! System goes down...
Do not blame the MTs for company mistakes

I just received an email from my MT supervisor stating that she wanted to let us know that we just lost 3 worktypes on a major account because we were not transcribing, editing and delivering to the client within our contracted turn around time.  She said she was sharing this information in hopes that we will realize how important it is for us to work our shifts,etc.


All of us working on this specific account are ICs. What has been happening is they want to treat us like employees.  We get demanding emails to work and tons of how to do lists.  No one at this company are employees,yet they want us to work like employees.  When are companies going to realize that if you want someone to work a set shift and answer and read daily emails, then they should make us employees.  This particular company send out daily long emails and only pay 5 cpl to edit acute care accounts with no benefits on escription.  As an IC I never put all my eggs in one basket and especially not for 5 cpl.  I do not feel the MTs should be blamed for losing these work types. I feel the company should take responsibility for this.


If the MTs are not meeting TAT or their said upon line count, then management should have let them go. However, I personally am required to meet 2,500 per pay and that is exactly what I do and no more at these rates and especially not for this company who make demands on us like we are partners in the company.  I feel companies try to get off cheap by hiring ICs, but then try to hold you down to a schedule and treat you like an employee when you are not.  This loss of work is the companies fault.  Any opinions.  Thanks


 


 


 


 


maybe he/she has excellent skills without mistakes
nm
I see lots of mistakes too and I work there
We can look up old reports and I am astounded by some of the mistakes made. Makes me wonder how they even got out of 100% QA. One report for a dictator I knew to be on ASR looked like they didn't even edit it -- it was just a string of words that made no sense.

Have no idea what's going on there, except there is the usual big push for production. Don't know which accounts the Indians are on, but they do have Indian coordinators working the overnight shift; they have given them phony American names, but it is easy to tell they are not from here. I'm getting aggravated with the place but don't want to be a job hopper.
For what it's worth, I commented on mistakes when
x
What kind of mistakes are they pointing out sm
to you? This whole situation seems odd to me.
who is made responsible for the mistakes
that slip through into a patient's report?

Do you think that all transcribed or VR reports are 100% error free?

This is no reason to stop the ongoing change to EMR.

Same thing.
Which is why I don't care if a few mistakes slip by.
Hope they're saving those pennies for the eventual patient lawsuits, either for malpractice, or ID theft.
Common for doctors to correct MTs mistakes

I posted this on the MQ board by accident...


I am an IC and have doctors (but one in particular that does it the most) correct other peoples transcription mistakes while they were dictating ..It doesn't happen all of the time, but when it does it's pretty harsh ..and it even embarassed me and I knew that I wasn't the one that made the mistakes!! My face turned red a few times (not just by the mistake, but how the doctor would say it/react)!! Or leave little sly comments (which I have to note) for the transcription company. Not to mention how insanely strict they are, as they go over EVERY SINGLE REPORT with a fine tooth comb and if you have an *a, of, to* out of place (that doesn't even come close to changing the context)... your boss/you/one of the other MTs hear it.



Is this common?  I am beginning to feel very belittled by this. It is just to the point where I am so paranoid that I am human and might make the smallest mistake. My production is really showing it.


I dunno, don't you see the words that you are typing? Can't you see mistakes that way?
I have great transcription times. Instead of 4:1 or 3:1, I'm definitely 2:1 and have one dictator that I can actually type as fast as he can talk, yielding a 1:1. I have easy work (physical therapy), use word Expanders and just look at what I type as I'm typing. I don't re-read, never have, never will but easily hold to 99-100% accuracy. Once in a while, I might put in something like state for stat but honestly, my clients love my work and my clean reports.
docking $10 per report for mistakes. I immediately sent in
p
whoa what kinda mistakes are YOU making?
You work that many hours and I am sure there are a few screw ups here and there in your reports from tiredness. I mean even your posts are very hard to understand.
Takes a lot of patient to correct same mistakes for
x
Agree with hmm, no perfect MT, everyone makes mistakes, as do computers
and when do they are usually a lot worse...
People do make mistakes sometimes. Maybe it was an oversight or plain ole mistake
on someone's part, an unintentional mistake. It is possible.
My point was to show that these are NOT typos, but grammar mistakes, comprende?!..nm
nm
I agree platform awful and they deduct for mistakes, to the tune of $10 per report.
:_
I worked in QA for Transcending back in 2000-2001. They were paying hourly back then. SM

The accounts weren't too horribly bad.  The reason I ended up leaving was because slowly but surely they began to inch closer and closer to paying QA by production.  When I first started, the quota was something like 30 reports a day.   We simply had to make sure that we QA'd all reports that were close to being out of TAT first and then do the rest.  Then, my supervisor left and they hired a new one who immediately called a big teleconference meeting and said we had to up production to 60 reports a day.  Then, they started counting lines.  Which was fine because they were still paying hourly.


Next, there was an MT who used VR software because she was blind - yes blind.  Again, when I first started, I was told we had to edit her entire reports because she used the VR software and we had to make sure that everything was correct and made sense.  Then, we are told only check the blanks.  I wasn't comfortable with that and I continued to completely proof every word.  Then I was called on the carpet not because I wasn't meeting the production quota, but because I was ONLY meeting the production quota.  I told them I was proofing all of the MT's work that used VR, I was told that no one ever told me to proof every word of the VR reports and that I needed to fill in blanks and move on.  When I voiced my concerns, I was told that was my job, to fill in blanks and I should move on and strive to product above the standards.  Next thing you know, rumors abounded about changing the QA staff to being paid on production.  So I left. 


There just seemed to me to be too little concern for quality and more emphasis on quantity and I just didn't want to be part of company who would take money out of my pocket just to line their own and that's what they were doing by putting QA on production.  I also am not comfortable with the job of QA being thought of as a blank filler.  There is much more to the QA profession than just simply filling in blanks. 


I don't know if Transcend ever did start paying QA by production, but I could see that the idea was being floated there.  Maybe there was a enough protest that they didn't change from hourly. 


Good luck to you!


Phoenix Medcom- Another apply a few months back, ask to take a test and never heard back??
I applied a month or two ago, received an email from someone asking if I would take a test and said she was getting ready to go on vacation for a week, so I hurried and immediately and told her I'd love to take the test. I never heard back. I waiting thinking she went on vacation and would contact me when she got back to do the test but nothing...very strange..Just wondered if this happened to anyone else.
One would think if 5K was so huge ...
One would not let it accumulate to that.  Only gamble with what you can afford to lose, and letting it get that far was a gamble.  Though, sorry, you only wanted to hear how horrible the MTSO is (which it is horrible) and everything through rose-colored glasses about your friend. 
I know about TT's huge hem/onc
account but isn't it totally VR?  In fact I thought they had 2 big hem/onc accounts and both had gone to VR?  Am I wrong about that?
huge thank you from me, Have done it
and forwarded to all I know. Have already heard back from one senator, and I was the 49th person from Texas to sign that petition. Thanks again. Have you put it on the politics board?
Has everyone heard back from Keystrokes yet regarding the email we received a while back?
Just wandering why I haven't heard any response yet.
Not small, not huge. When I was there it had 350+ MTs.
x