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Serving Over 20,000 US Medical Transcriptionists

quality

Posted By: donna on 2005-07-25
In Reply to: That company is so 50-50.. - sm

They give you a 60-day probation and pay you a guaranteed rate of $10 an hour to give you the chance to learn your account, the preferences, and get your speed up. They are sticklers on grammar, AAMT BOS rules, etc. They mentor you to the degree they have time, then if it is just not a good fit, they let you go. It is acute care. Some people have learned some very bad habits working for small companies on clinic notes, etc., and it's hard to re-learn the correct way of doing things. I think the company is very fair and almost everyone is very family-oriented and willing to help each other out. In the end, they have a company to run and do look for the cream of the crop or at least people who learn quickly enough and don't keep making the same mistakes over and over. The only other thing I could guess is it was just a personality conflict, degree of professionalism, or something. The company has approximately 400 MTs working from home, some who have been there for 10+ years, so they are doing something right!


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They offshore, sound quality not great, quality
of work coming back from India is bad and they don't pay enough for editing it. 
you spelled quality qualitily maybe that is why you have quality issues.
Sorry, but even spell check misses stuff. You have to at least be able to spell to do this job. Well, you don't have to know English if you are Indian, but us Americans have to spell!
Quality is quality, and really should have nothing to do with getting new accounts.
MQ isn't scheming against the MTs regarding QA. They just want a quality finished product.  Heck, half the slams on this board about MQ are the garbage work the MTs put out.  Talk about a no win situation! Getting used to a new account should not lower your quality by any real degree if you are a good MT.  Even getting used to new dictators or ESLs. Good MTs still produce quality work, and should not have to fret over QA. 
Of course quality is quality sm
but all this bouncing has slowed me down so much that I cannot make a good wage. I would never cut corners, but I can see where work quality will suffer in this scenario. I am sick and tired of bouncing around to all kinds of accounts!
Quality
Also was outsourced and work went to CBay. Our facility had to bring most of it back in house after less than 3 months. What I don't get is how they continue to get positive press without anyone telling the other side of the story. For our facility it was a disaster. The same old story, they got what they paid for and in the end it cost them a bundle.
Don't you want quality?
$14/hour is just not enough to live comfortably these days, in my opinion.  It's esp. not enough for a hardworking transcriptionist/editor like me.  If you truly want quality editors, compensate them according to current standard-of-living - I'd say at least $20/hr.
Nothing to do with quality.

 


This had nothing to do with quality or job performance...it was simply a way to move out those QAs hired at a rate they currently no longer want to pay and fill those slots with those who will work for a wage that is barely livable, forgetting that they ultimately will get what they pay for..  This is happening a lot these days and I believe it will come back to haunt them, but for now it seems to me that is what is happening. 


I think it was probably due to quality.
x
Quality?
Yeah --- the company I work for cares a lot about qualit; but they care more about the bottom line. To solve both problems, they strip off all of the easiest work to send to vendors, sticking the the Americans with worst of the worst; they try to make us feel good about this by telling us that we should feel honored and it is a privilege for them to trust us with the crap work that cuts our income in half. And it is not necessity, we are frequently out of work; but they saved money by screwing us over in order to pay less to the foreigners.

Some of these companies just always have an angle.
Quality???
None of us were born with good qualities, but we deleveop it through education and experience! Quality can be achieved by hardwork.

Perhaps, if the output was that bad, as you feel, then companies like nuance, spheris, spi would not have opened their branches in our country.


quality
It's very sad, but in today's world, everything is about the almighty dollar. We don't get paid 1/100th of what we're worth to the hospitals and the docs. Without us, they'd be a really big world of hurt. In fact, aside from having our hands directly on the patient's, we may as well be physicians... we have to know everything they know just to transcribe a report. That just frosts my cookies. How about yours? Don't get me wrong.. I love, love, love what I do, but just want to know for a moment that we are appreciated for bringing in the majority of ALL the revenue in the medical field. As I have said many times before on this post, I have 25+ years experience and still make starting pay of .0825 cents a line. That, to me, stinks. Having owned my own business, I know what the MTSOs charge the hospitals. We are being ripped off royally every day.
you get what you pay for and quality
Yes, it frosts my cookies!!  Remember the days when MTs didn't just THINK they were prima donnas, they WERE prima donnas?  We've gone from prima donnas to typing monkeys.  It isn't just MTs.  I posted above about the nurses who were demonstrating outside the local hospital because they had been fired to make way for new graduate nurses who would work for lower wages? They weren't old hags either, most appeared to be between mid 30s and mid 40s.  It isn't just  MTs, it's all workers in every field.  Employers don't want experience, they want cheap!  Not getting into politics here but no matter which candidates are elected in November, it is only going to get worse.  News flash:  There is no change going to Washington D.C.  Well, maybe worse change.  Nothing will change until the American people wake up and say ENOUGH. 
How is the quality for the MTs. I am not sure about getting a job with them. I
would appreciate if you would elaborate a little further if you wouldnt mind.  I was just also wondering if the accounts are loaded with ESLs.
The quality is not here, either...
When was the last time you looked at the American MTs' final document?  Many times, it is not a pretty picture.  Just ask on this site alone how many MTs proofread all of their work before sending to the client?
Quality and VR
I would love to know where you work.  It would be great to find a company that was not quite so particular with VR.  I have only been doing VR for a short while, but QA catches everything, word-for-word.  Cannot leave out a single a, an, or the, or for that matter put one in that is not there.  There is so much to correct, I cannot even make line count that matched my norm on regular transcription most of the time.
Quality
Who said my quality had anything to do with Dorothy's decision to sell her company? Do you think Transcend would have offered to buy her company if the hospitals had said the quality they received from MDI was poor?

Honestly, you could have a little more compassion for those people whose lives and livelihood just changed. Your comments were rude and out of line.
OSI's quality supervisor probably can't
I also suspect that she's been posting all kinds of crap on this board because that's the kind of lunatic she is.
But isn't quality a noun
I just noticed this post because I always have to debate with myself on this . I thought if it was a noun, then hyphen between.
If you do NOT care about quality then OSi will
Their motto is just get it out I couldn't deal with that attitude with medical records so went with a company where quality does count and comes first!

Was once OSi QA!
THIS quality MT did NOT stay there!
I am going to start for 2 others shortly after the holidays, which gives me a little time for my family during the holiday season. When I did work for them, I did have a BIG notion to hand in one day's work with NO SPACES, just to see what they would do!
Sound quality
The sound is great. That has been resolved and it was not the system but the phone lines from the facilities. No need for technical support, but I have never had any problems reaching someone and had an immediate response.
Quality not QUANTITY is......

WAY WAY MORE IMPORTANT.  Yes we have to be able to type (I hate the use of that word).  We must be able to transcribe the dictation.  BUT, we must also know WHAT we are transcribing and if we are using the correct terms and what those terms mean (again so we can make sure that we are putting out accurate work).  Yes, we have reference books (or we better at least).  However, some things just have to be committed (? sp - it is late )  to memory.  People like you bring the industry down.... unfortunately without realizing it.  I really do wish you the best, but please give some thought into not bashing the company for a harsh test and give more thought into spending the time actually learning medical terminology.  Also remember, there is the Word Board here for questions!!


 


QA is quality assurance
QA is Quality Assurance of an MTs work, it could be an editor. Editor is also commonly used in the VR (voice recognition) editing, as they do not transcribe standardly, they edit.
Control and quality
You know, MTs can't have it both ways. On one hand, we seem to want recognition that what we does can impact patient care and thus is very important. On the other hand, we don't want to be held accountable for the errors we make. When a patient's chart has a major error in it, that can impact patient care. And unfortunately sometimes the only way to get people to wake up and pay attention is by  penalizing them for those errors and for going so fast they simply are not paying attention. I've never had a deduction for those kind of things so perhaps can't really speak to it, but the way I understand that policy it seems to be quite fair to me.
Anyone else having quality issues because of too
I'm a long-time MT and I pride myself on my high QA, but in the last couple of months I've made several serious errors.  I can't believe how sloppy I was.  I know a good part of it is because I'm so tired and distracted constantly about not having enough work at TWO services.  I have 9 accounts between my 2 jobs, and it's also very hard to keep up with all the different account specs.  (FWIW, all three errors were made at one of the services.)  Before this, I had received one call about QA in seven years, and now I've received three in two months.  I feel like the worst MT in the world .
How is the quality of VR these days?
:+
Sound quality
I was wondering about the sound quality.  Have you found it to be pretty good?  TIA!
The quality only became an issue when

the offshoring began.   I don't understand why they wouldn't QA 100% of the work knowing there were quality issues.


I know we're not the only MTs to go through this, but many of us have a long history with QT and unless you've been on the inside you don't truly understand all the emotions we're going through.    I feel like my best friend has just stabbed me in the back. 


Has anyone listened to the quality of sm
the recording? It seems so echoey, or is it my system making it that way? Just wondered if anyone else had trouble with the sound quality. Thanks!
How's the audio quality with TT? nm
x
Sound quality
Never had a problem either. Everybody perceives things differently. Best thing to do is check them out for yourself.
Spheris Quality
Junk in, junk out. When I would have a day full of unintelligible dictators, I felt so drained that I actually felt like I was turning out junk! My quality ratings were good, but my mindset was awful, so I went with a company where clearer English is spoken.
Spheris quality
You are not the only one. I also work for Spheris and it seems like it is getting harder to make a decent living.
but if the american quality were better..sm
Do you understand?
If they are going to pay transcriptionists and they are equal, then price is an issue. If americans were sooo much better, indians wouldn't be able to compete.
I have both quality and quantity
I know companies have their day MT's that have been on days for a longer period of time who will get the work, but my QA score speaks for itself. When you get VR rejects and only the worst dictators out there on a consistent, there can certainly destroy anyone's QA score for the day or two. Unfortunately, some of the smaller MTSO's do not have enough accounts to assure work even from a backup account.
Worry about quality - not LPH
I know of a girl who can type triple the number of reports as other MTs, but it is obvious that she does not proof read her reports because they are full of major errors.  That could be detrimental to patient care.  If you're fast and accurate that's great, but you need to be concerned about quality above all.  Once you are familiar with the dictators the speed will come.
Benefits and Quality

I am a current MT for Axolotl.  I know of several people who have been referred and passed their testing.  I do remember it to be one of the most difficult written tests I had taken but the transcription portion I found very easy.  They do, however, expect quality documents.  Do they go by the AAMT BOS?  Only in judgment-call situations.  We type VERBATIM and account specifics.  You are dinged for punctuation.  If you are in doubt of anything, you leave a blank and leaving a blank is NOT held against you in any way shape or for.  The only situation I can think of is if the blank is something obvious or could have been found with the excellent information resources we are given.


Benefits are outstanding and pay is very competitive.


Yes, it seems they pay for quantity and not quality. nm
x
Quality?? Is that what you call it?

Transolutions has more than a few pages of their own Style Guide.  This is not counting the BOS or the account specifics. 


There is a difference in producing a quality document and just being right down picky over a comma here and there. 


I guess this is why their turnover is as high as it is????  It must be the MTs.


Saying that bonuses for quality sm

and production along with working what are for a lot of people unpopular shifts should not be making up for not being paid for headers/footers if the MT is doing the work to get that information.


A bonus paid for other things (not sending to QA, working midnights or reaching very high line counts while doing the other 2 things) should not be replacing pay lost, it should be IN ADDITION.


It is usually the ones with poor quality most likely.
x
Yes it is - that's why I do not think she can quality for unemployment.
nm
Their quality isn't the point s/m

It's the fact that:


1.  It's taking jobs away from American citizens.


2.  It's sending the patient's medical records out of the bounds of this country, thereby making our laws for confidentially nonapplicable. 


DSG sound quality
Is anyone else getting tired of the horrible sound quality with this company???  If it's not some nightmare ESL dictator, then it's a doc with the microphone pushed up to his lips so hard that it's nothing but static or slurring his words so badly that it sounds like he's half drunk!!!  Aggghhh!!!  Just had to vent. 
sound quality
I'll bet you are using Transcriptionist headphones. Lousy sound quality always. Got myself some cheap stero headphones from Big Lots and only have to change to my Aiwa sound cancelling headphones on rare occasions. The worst cheap stereo headphones are better quality than anything that goes in your ears, stethoscope headphones are the very worst.
DSG sound quality . . .
I always thought the same thing when I worked there years back, but management made me feel like it was all me . . . that it was impossible to have a difference from account to account or day to day. Sounds like same thing, different day.
QUALITY...You'd be surprised by how...sm
many MTs with 10, 15, or 20 years of experience are still getting paid peanuts, barely able to make minimum wage, yet highest quality is demanded of them. Where's the meat???
CMT does not equate with quality

Having seen the work of CMTs when I look up old reports to help fill in my blanks, it is maddening to think they make 1 cent more per line than I do just because of a bogus title behind their name. If being a CMT guaranteed quality that would be one thing, but the number of glaring mistakes I see by those with such a title are ridiculous. I can do quality work without being a CMT and should be paid for it, not those who get the title and then produce substandard reports. I have seen some pretty amazing errors produced by CMTs. The title means absolutely nothng and sets no one apart from anyone else. The quality of your work sets you apart, not some stupid title.


Newsflash QA and quality

Yesterday the local news was interviewing EXPERIENCED nurses who had been fired by the local hospitals to make room for new graduate nurses at lesser wages.  They were carrying signs that said things like patient care counts.  One interviewed nurse said she had nothing against new nurses but they need to spend time under the supervision of experienced nurses before being turned loose on their own. .  If this is what they think of hands-on medical care personnel, why would you think they care about the quality of a medical record?  MTSOs don't care, they hire Q.A. to make the hospital think they care and the hospital requires  it to make the MTSO think they care.  The only one who may care about quality is the idgit overseeing transcription who fancies herself to be more important than she is.  


There is no such thing as professional  medical transcriptioninsts anymore, we are medical typists, or to quote a well-known MTSO, typing monkeys.  Can't blame them for not caring about quality when they have to fight for work 24/7 in the hopes they can feed their families and pay their bills.


Glad I'm out of it.


Don't you think that quality should be compensated?
X
Quality time

It's difficult to weigh out the pros and cons when both are so emotionally significant.  I suggest writing the columns out though because sometimes it's easier to see when it's in black and white.


Benefits are important but you can purchase these for yourself.  If you're an IC and confident you can maintain the income, I'd suggest staying there.  As I reached middle age I realized that working to live is much more attractive than living to work. 


Giving up the friends and the ponies is going to impact your psyche and may actually lead to NEEDING those benefits!  Attending to the quality side of life is just as important. 


You have to of course make this decision on your own, but I would be weighing how much my social life is valued over the value-driven benefits the job might give you.