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Angry, this happened in our hospital with our outsource service - sm

Posted By: hospital MT on 2005-09-29
In Reply to: I have done ESLs I worked for SS before - Angry

we had not been checking the outsource service's work for months. Well, it came back to bite us in the ass, because low and behold there was a Transcriptionist that worked for the outsource service that could not type whatsoever - in fact, we even suspected that it was being offshored without our knowledge - that's how bad it was.

anyways, it came back to bite us in the ass because an outside doctor's office received a copy of a hospital dictation and it made us look stupid. So needless to say, we asked that this certain transcriptionist be taken off the account. It was our fault for not looking at the transcription services work, but then again, they guarantee accuracy and crap like that.

Maybe this is what happened in your situation. That all of a sudden the hospital decided to do a QA or some doctor finally read his dictation.

Don't be hard on yourself. You will get the hang of it.


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we were told how much the outsource service
gets paid every month from our overflow work - they get paid $48,000/month!!! A MONTH!!!! In the beginning, some of us were so mad that were coming in early and grabbing all the easy work and typing it as fast as we could just so it wouldn't get picked up by the outsource service. With our staff of 14 transcriptionists, plus the outsourcing, is it any wonder these hospitals are getting sick of having inhouse transcriptionists!
It's a service in the USA, but I hear they outsource to India.
So I'm not too hopeful about it.  I'm going to at least talk to them, but like I said, I'm not too optimistic.
As a service owner, I like to hire MTs from hospitals that outsource to us sm
and often ask if it is OK to talk to the MTs at the hospital. I make sure that they know that I did not "take" their job - it it were not us, another service would have gotten the account.
that's what these companies do, outsource from clinic/hospital
nm
Hospital at-home job vs. service
Here is the scoop:  I work for a service now, but was offered an at-home position with a local hospital at $14.70 per hour with benes.  WHAT SHOULD I DO???????
Hospital versus Service
The experience you will get at the hospital cannot be beat. Nothing compares to having experienced coworkers to help when you are stuck on something.
Do you work in a hospital or a Transcription Service
Office? It is a hospital there should be a manager that you can go to or an administrator. Production is key in hospital work, and it is important you have the quiet you need to produce.
Last resort is applying at the service the hospital is using.
dd
the service that works on our hospital account definitely pads
Many of us inhouse have tried to point it out to the supervisors, i.e. tons of spaces after a header, three or four spaces after a period, using spaces instead of tab button, for god sakes, spelling out milligrams and computerized axial tomography and every single abbreviated term that you can imagine and stuff like that. they even make their blanks verrrrryyyyy long!

Thank goodness the contract with them is going to be coming to an end by March. It just burns us that we get monitored for it, and the outside service does not. They also do not get penalized for mistakes either.
Same thing happened at the hospital I worked onsite with, yet
the boss definitely knew this was going on because at least on the software we had and yours probably too, the boss can run all kinds of reports, such as what time the jobs came in, in what order, what time they were transcribed, who transcribed etc. You can cross-reference these too and see that a certain person is going way out of order and doing their own thing. The boss most certainly knows this is going on and in my opinion, (having been management myself), was probably fishing to see how much you knew... when she asked or toyed with the issue in your conversation. In my case, the boss knew the person was taking all the ops normals, it was even brought out at a meeting by another gutsy MT but guess who got the brunt of it? The people who were upset by it, and of course the person who spoke up. I am not saying you shouldn't be upset, and I am not saying you aren't right. I am just saying to bide your time and see what happens. Karma will indeed come into play most definitely. And if the boss is sheltering a cheater, well most likely at the right time the cheater and the boss will get it. In our case, I don't know if the person ever got caught because she outlived most of us, LOL, she and the boss were best of friends. But I do believe Karma is still in play even when we aren't there to see it...just hang in there, do what you believe is right and you will be A-OK. Life is too short to worry about anything but the good which will come your way. Good luck!
I work for a hospital that has Cerner Classic Radnet and a service that sm
uses Cerner Millenium Radnet. The two are completely different. The Classic version does EXACTLY what you described with ShortHand but they found a solution at the hospital. I will look at it on Wednesday when I go to work. I'm embarassed to say that I have used it for so long that I don't pay attention anymore and can't remember the name of the program.


My DH is a Service Engineer, installs/services electron microscopes at hospital, Universities, gov&#
he makes a LOT more than me. My monthly pay equals one of his paychecks after taxes, sad. All he has is a 2 year technical degree too. So if we did not have so many expenses we'd be quite comfy (losing a major one in 4 months though, yeah)....in 5 years when the house is paid off we will be every comfy, can't wait to not have to work! I would get back into my jewelry business FT and see if I can finally make that fly! Have a BFA and don't use it, what a waste.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


We have decided to add this to our current service not have a new service. It will be easier to sm

keep track of and will just be a different department. 


It looks like we will work out details over the next 6 months, talking with community college program directors as well as a few of the distance-learning course leaders to work on the recruiting end.


We will train current staff to mentor if they would like to do so and want to work in the office.


We are still working on production requirements, goals to set, pay, benefits and other fine details but we have 6 months to get it all in place with three months to pull it together after that with a tentative start date of 09/01/06.  We need to build the building as well, although that is already at the blueprint stage in a spot next to our current office. 


We did not want to cause flames and bashing by listing the company name as there are always so many negative people on this site, but we are national with over 200 transcriptionists, located outside of Chicago (40 miles west) and have the best team of transcriptionists around!


We will have an "official" announcement after the first of the new year. 


Thank you for all of your feedback and suggestions!


That THEY DO NOT outsource!
nm
NO MDI-MD does NOT outsource NM
x
no outsource
I honestly don't think they're going to go to outsourcing any time soon. Besides...I'm not going to be at this hospital for years and years. My husband is graduating from college in June and we may be relocating after that. I'm just wondering if I should ask for a raise for the extra work that I put in, or at least a bonus or some sort of recognition or compensation.
OUTSOURCE OVERSEAS
and you will be begging for work. get ready to brown-nose to get enough money to live on.

good luck. you could do much better.
They outsource to India
They are funded by George Soros (look him up-- he has big bucks, is very "global", and has bankrupted a lot of foreign countries). Look at the two articles on the MT News board about Spheris. If you like all the new MQ rules and regulations, you will love Spheris, as they have all the same ones. I checked into them about 6 months ago and said, "No, thanks".
Transcend does NOT outsource!
xx
so who types it? they only way around that would be to outsource
and that seems ridiculous.
Pretty soon they will outsource THAT
/
Nothing like a reminder that they outsource.
x
Because if they don't outsource presently...sm
they will do it some day. Is the bottom line the buck. Unfortunately!
If you can't outsource, then bring them here

Just stopping the flow of records overseas is not going to solve the problem.  There is a special class of visa that industry can turn to if they cannot find enough American workers to do a job.  This has been used for engineers, IT professionals and nurses among others.  It is not necessarily that there are not Americans that can do the job, but that they will not do it for a low wage.  We need to pay attention to the immigration debate as well.  It isn't simply about poorly educated, low-skilled workers being involved in a guest worker program. 


hospitals outsource because
they are sick of all the MT drama (as we can here on this board); therefore, there are not many in-house positions left ;)
hospitals outsource because
ooops...I meant "as we can SEE how much drama is going on here on this board"
reversing OUTSOURCE trend ?
that I will not make the money that the hospital pays me. But is it true - that outsourcing is being reversed? I'd love to hear that ... so many more options for decent employment would come our way.

THanks !
Does Transcend outsource overseas?
Thinking of applying with them as an IC.  Anybody with any input?
They probably just outsource their tech work to there.
x
There was a discussion not long ago that they outsource
I was checking into them, but when I read all the controversy over their outsourcing (one person said the owner was from India, I believe), I changed my mind. I can't remember what all was said, but maybe you can go back about a month or so ago and find the conversation. Good luck with your search!
HP/Quicken/Norton outsource
I agree.  My printer/fax machine died and had to get a new one.  There was a piece in the way so that I could not get the ink in, so had to call Customer Service.  Two hours later, with understanding only 1/3 of what he said, I finally got the information I needed.  My computer crashed on me (not a good year), had to call HP and Norton, both of which use India for their Customer Service - finally went and bought a new computer as got no help.  Couldn't get my Quicken loaded, so called the help desk, and guess what!  He was not understanding my question/problem at all.  It's like I cannot get into that part or I would not be asking for help!  Finally, a friend of mine helped me and got into it so I could do a backup to restore my data.  I am sick of this so-called "service", and sure hope American companies, hospitals in particular catch on soon before our whole world crashes down on us.
OUTSOURCE OF DMV RECORDS TO MEXICO

Check this out - it seems that the outsourcing is growing and growing.  Now the DMV in Orange County, California is outsourcing to Mexico.  It seems they are blaming the media for publicizing this, but not admitting to the potential for danger that this poses.  See the link below:


http://michellemalkin.com/2007/07/27/outsourcing-dmv-data-to-mexico/


They outsource to India... go figure
We all lost our jobs a few years back when Dell made the decision to close all the call centers and send the work over to India. They are "programmed" not to fix the problem, but to get you off the phone as quickly as possible. Their answer to everything is to format and reinstall. I was with them for over 2 years before we got the ax. If anybody ever needs help with their Dell, just "yell."

On a side note, I had to laugh when I saw an article in Reader's Digest about Mr. Dell and all the "great things he is doing for the US." If people only knew....
Lawyer tells you how to outsource

Please don't send this to the gab board as this pertains to US, the US MQ employees:






 


Nationals who outsource to India

Will the nationals in this country face financial hardship if the Obama/Biden administration cuts tax incentives to companies who outsource their MT work to India?


I know of one company who outsources and they are not doing too well financially and their CEO resigned not to long ago, no reason given. I know a lot of MTs refuse to work for companies that outsource but many domestic MTs do work for them and maybe now is a time to bail out. Any thoughts???


Looking into nursing. I figure you can't outsource the..sm
people you take care of. I did billing for a hospital before I got into transcription. At this point I don't think it would pay enough for most of us, it was considered an entry level position where I worked. I don't know if that has changed or not.
US to outsource obesity to India....

With our jobs, come our problems.....very interesting article.



http://infotech.indiatimes.com/articleshow/msid-616323,flstry-1.cms


My telephone service is VOIP, but it s through my cable service, along with my cable internet. .
We have had VOIP for about a year now and I love it. I really can't tell a difference in traditional service, except the price. One of the best calls of my life was to Bellsouth to cancel our service!
I'm very angry but

My mother would not side with me.  I know this for a fact, thats why I keep the responses to myself.  She pretends like she doesnt see it, she is one of those moms in denial about everything.  I'm also afraid she will feel threatened, I don't want that.  Also, the family member I told has a big mouth, and I think some of it may have leaked out because the last time I went over there, I went swimming and I had a towel wrapped around me.  Exact words from my stepfather "Why are you all covered up, do you think there's a pervert here or something?" And he's become very hostile lately.  The whole thing is a mess.  Its sad because my stepfather and I were close in a normal way at one time.  Its like I lost that.   


Very Angry MT
If you are new and have a year and under why do these companies not respect that fact and try to teach you and make you better instead they just get rid of you over one report that went bad... Are we just garbage?  Just because you do not have to look at a person in the face does not give them the right to do these things, Now let me say it was the account not the company that fired me...
To Angry
I am sorry this happened to you, but I think there could be many reasons and no, this was not fair the way it happened to you given the history you just gave. However...these things do happen. Let me tell you, a couple of years ago I decided to go back to working inhouse. There was a doctor there no one could understand, even the more experienced struggled. He had a certain MT for many years, but when new management came on board this MT was let go. Anyway this doctor simply would not allow anyone else to do his work without finding something wrong. He wanted his old MT back. They found someone to do the work for him but he was very, very picky. Maybe this is what happened to you. It could be anything. You will bounce back from this and go on to find something else even better. However, I am just wondering why didn't they have a backup account for you.

Best wishes.


To Angry sm

Since I have never seen your work I would not presume to pass judgment on it.  *IF* your work consistently had gross errors and you were never informed, that says enough about the company you worked for.  In fact, as far as I'm concerned, a company that would ask ANYONE to work free for "months" as you said in a previous post is beyond despicable. It might be possible this is how they are making their money, the profit margin for free work would be pretty good but I would expect they wouldn't last long.


On the otherhand, I've had more years experience than I care to say, so let me tell you I KNOW how bad the baddest ESLs can be.  This actually happened to me:  I worked for a company about 10 years ago when tapes were sent to us at home by UPS.  I consistently got this one ESL who was so bad I said that God Himself couldn't understand him.  I called the office more than once saying I hated sending the reports directly to the hospital because they looked exactly like swiss cheese.  I was told to "just do the best you can and don't worry about it."  Well, one day I got a tape of his dictation and the tape itself was bad, so that work looked more like the whole block of swiss cheese with huge chunks where the tape was nothing but a stretching sound, thus, large chunks of blanks.  I called the office and again was told to "do the best I could" and send it on to the hospital.  Well, the next day I got some more of his tapes and the first thing he said was, "ah dunawa **** ado MA tie."  I translated this to mean, "I don't want **** to do my typing."  I immediately called the office and I admit I was pretty distraught, even considering how bad he was.  Know what I was told?  "The hospital knows how bad he is, their MTs refuse to do him which is why they send him to us and you're the only MT we have who can do him.  Don't worry about it, just send the tapes back and we'll tell them we're not going to do him anymore."  WHAT????  Why the heck didn't they tell the hospital that way before I pulled all my hair out??!!  And this was a large national that has since been gobbled up by MQ.


Don't give up.  Ask an experienced MT to review your work and give you some honest, constructive feedback and then do what it takes.  If you have to pay someone to mentor you for awhile it's a small price to pay for the education you'll get.    Hang in there.


You say this as if you are angry
Next time, don't come here to ask such questions. It could have been much worse. YOU are the one who is at fault here.  You are lucky that anybody responded at all.  YOU came to this board TWICE asking for help. There are no doctors here.  Use your brain!
Angry
I think you should see a lawyer. You may have a case for wrongful termination.
angry too, but not as much as
having a doctor dictate to the song mack the knife on every dictation - i guess he either thinks he is bobby darrin or just funny - but it gets annoying
You seem to be very angry
I said I THINK, not know. Having a college degree means what in transcription? Nothing that I have been able to find yet and I have done this over 30 years now. You need to find something else to do apparently. I do not find this a crap job and have made really big bucks in my career but then again I have the speed to go along with the background for doing transcription. These hospitals, companies, offices are in this to make money. They are not there to pat you on the back. You seem to be in over your head. Probably something a little less stressful would be a good thing for you. This is just a job that I do not stress about- after first going through a rigorous training program. Have a good day!
I'm angry!
No, they aren't taking over; they've already taken over. Let me tell you - when my husband became seriously ill, I had to fight for two years and delete our savings in the process to get his SS disability, in spite of four doctors (one being the SS doctor) saying he could never work again. We had to go on food stamps and it was a very humiliating experience. However, I was the dummy who was completely honest about everything, so I put down on the quarterly statement when it asked if ANY family member had received cash that my son received $160 in birthday money. They cut our food stamps by $160 the next month! It was a humilitating experience for our family and it taught me that the system is against you! Now, these illegal aliens come over here and get food stamps with ease and I'm working my tail off to pay for them? Is that supposed to be okay? The food stamp office acted like they were doing me a favor even though my hubby and I had both worked for 20+ years at our jobs and they KNEW we weren't deadbeats. I'm angry! I couldn't even buy toilet paper or bath soap with those food stamps! But, I sure saw a woman buying a wedding cake with them in the bakery of the grocery store not too long ago - and she didn't speak a word of English. I have a problem when I see these people paying with a food stamp card and then pulling out wads of cash to buy alcohol after ringing up their foot purchase.
They're illegal and I shouldn't have to support them. They are getting free government benefits and we're the working Americans who are supporting those benefits. They know how to work the system and America has allowed them to do so, so they have indeed taken over.
Now I am angry
Just did a ESL report. The patient was a white American female as dictated by the doctor, and he "could not get an accurate history due to the language barrier".

This just irritates me.

You seem really angry????

Some people do not think Google is an acceptable resource as you can get "wrong answers."  So, if the term is already in question, then I'd say your advice about googling is leading them down the wrong "path." 


Instead of being so critical, why not just "be quiet" since you obviously have a "thing in" for new MTs. 


Furthermore, to single out one post from a new MT the word board is hateful.  Goodbye!  Peace be with you.  I hope you find some peace soon. 


Not angry
Google is always a great start if you don't have anything more specific bookmarked. Part of the skill any newbie needs to learn is how to sift through Google for authoritative references, and/or how to do a search in a way that limits the responses one is going to get to those that are usable.

If I look up something ortho-related, do I take something from Bob's New Age cast supply? or from Wheeles'?

I still -- & will always -- feel that it is better to teach someone how to teach her/himself than it is to spoon-feed a bunch of predigested facts.

You are darn right I'm critical, and no, I'm not going to be quiet as long as I think a newbie can learn something from me.