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EMR is part of a big government push for decreasing errors in healthcare..sm

Posted By: Also anon on 2006-02-01
In Reply to: What are your thoughts on electronic - medical records (EMR)?

the newer generation of doctors is very comfortable with point and click. They do their banking by internet, etc. As the older docs retire, there will be less and less actual dictation. Some fields don't transfer readily to EMR, for example, the ER doesn't like it because you "can't tell the story" with a point and click.  Another big advantage of the EMR is you can search the data. When Celebrex and other Cox-2 inihibitors were pulled off the market, all the EMR docs had to do was search the records for a match and they could then call all patients on these drugs to get them in and explain what was going on. They also will check for drug reactions within prescriptions, etc. That's why the government is pushing for EMR. Not to mention it will help build that insurance data base...I'm sure their lobbyists are pushing hard for that too.




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Government controlled healthcare!!

I look at it this way...I am part of a healthcare team.
There are other members of this team for a reason. I knew an MT who told me that if she could not put down a word with 100% certainty, she would not leave a blank. She instead would jump through all manner of hoops including pulling and reading the patient's chart, talking to the nurses, or waiting and even talking to the doctor.

In my opinion, this is not the best use of anyone's time, especially hers. While she is wandering the hospital looking for resolution, other reports are waiting and patient care is being compromised. Obviously at the end of the day, no one else is going to sit down and transcribe for her.

A blank is not a failure. It is simply a request for clarification. Some members of the patient's healthcare team are better qualified to provide that information than I am, so I leave it to them.

I don't guess at addresses. If the HIM department at the hospital feels that is information critical to my job, they will provide it for me. That is their job. Once I have that information, I will gladly and accurately type it every single time it is requested.

I don't guess at what *@$%#*@! means in a report. Again, once the interpretation of that is provided to me by the kindly physcian who garbled it, I will gladly and accurately type every single time it is requested.

I honestly don't consider turning in a report punched full of blanks to QA or even the hospital a failure on my part. If the doctor is eating, the report is dictated 30 feet away from the phone, or Mr. In-A-Hurry thinks I can understand his speed mumbling, I still have done my job to the best of my ability, and now it is someone else's turn to work on that record.

What I would really like is the marketing executives or the used-car-salesman-type recruiters that constantly tell you that "of course line rates aren't going up" to have the pleasure of working on these reports. They low-ball the line rates to get the work and then pass that crap on to skilled MTs making it look like Christmas. You know darn well that if they did not ever have the prospect of a raise, they wouldn't be working for this company yet they can spoon-feed you all the reasons why you can't have one.
I agree. MTIA is not a government organization. Credentialing comes from state government and

sometimes at the federal level.  This mandatory credentialing is ludicrous and a scheme to make money, in my humble opinion.


I have to agree with the other poster, if not having CMT after my name after 25 years of experience prevents me from being employable, I have a very good lawyer who will take up my cause!!!


The government giveth,and the government taketh away
Lori is correct...the SS does give the recipients a yearly raise. This year the Cost of Living Adjustment (COLA) was 3.3%. This sounds fine and dandy until you take inconsideration the monthly premium for Medicare was raised by 3.1%.

 


Decreasing lines
if you inquired about if others were having a 20% increase after being on DQS, did you get the same "Oh, definitely!" They play with your psyche making you feel that you need to do something more because others are DEFINITELY having a substantial increase. They don't offer to show a listing that displays this substantial increase, though. It's all words and no facts.
EditScript and decreasing line count

I wonder if this is because the company I work for likes to hire MTs straight out of school (not that there is anything wrong with being new - we all have to start some place).  But, it seems like my reports are taking me longer to edit because of the mistakes, and my line count is just sad.  I have been working on EditScript for three years now and use all the hot keys and shortcuts and just cannot seem to get my line count up to where I want it because of the level of correction needed.  Do I search for a company that does not hire newbies?  Thanks.   


Yes because i will be spending money i don't have and won't earn anything with work decreasing
;
PUSH those MTs!
Out of the blue I got a call from one of the bigger MT companies, asking if I would be interested in a supervisory position.  The recruiter and I chatted for quite a while and she said she would like to forward my resume to the higher ups.  The higher up that called me appeared to be a young recent business school graduate who was probably busy having his shoes shined as we spoke.  He immediately jumped on the negative bandwagon and let me know that they needed someone who was going to make those MTs toe the line and get their production up (clearly not anyone like me who might have some ideas about how to get production up without threatening and intimidating the MTs).  They clearly have all gone down this rediculous path...  and think most MTs are just trying to get away with something and don't want to work.  Not very rational thinking on their part.  MTs want to work.  They just want to get paid for it.  I'm so sick of it.  I see it everywhere.  Other professions do not work like this, getting paid only for production.  Truth is it just doesn't make any sense and for the life of me I can't figure out how any of them can tell themselves they are making an honest living and claiming to manage something they don't have a clue about.  Why the heck doesn't someone come up with some ideas about what will actually work.  This work is not going away no matter what they say.  I don't see much progress in speech recognition and the send to India thing isn't working either.  They need us, they just don't seem to know it yet.  I'm not a work horse for corporate profits and silly barely out of high hot shot managers who think they know what they are doing.  Its just all getting so old. 
I don't think you should push your luck!
This sounds like an account we all dream of, for those of us who enjoy radiology.  I would play it safe.  Find out what the going rate is in your area.  It's likely they may be looking at more than one option.  I personally wouldn't take it for less than 12 cpl/65 char.  I would also suggest that you get them to sign a contract, which would guarantee you the account for as long as you indicate in the contract. Just my opinion.
I feel for you - I am too! I don't like to push my views on others
and to each his own, but I certainly wouldn't complain if I never had to touch a piece of bacon (ugh!) or raw meat again. I'm married to a meat lover.
Seriously. Advice to push his buttons was way out
of line - very dangerous - you meant well, and it may have worked for you, but that was way out of line. You have no idea of the gravity of this woman's situation, what edge this guy is at, and easily she could be killed - be logical, not emotional.
You have to push the transcribe button.
x
Maybe it's time to push for legislation to make
.
I didn't push hard with my Belkin, but
I hated how big it was and how my body didn't like it so well. I recently made the switch to the Kinesis Advantage from my Belkin, and I really, really like the Kinesis. It's so much smaller, the keys are really light to the touch, and I can set it in my lap, which I prefer to the desk. I would recommend the investment for the Kinesis if you can. Besides the thumb keys being the greatest invention ever, the number split is at 5 and 6 like on the Belkin. If you look for a reburbished Kinesis Advantage, it will save $60. It has the same warranty as the brand new one. Mine is a refurb, but it's good as new.
WHAT? Does ex-text do that? These companies push so hard for VR, there has to....
be a great advantage to them. I hear of girls doing 3000 to 4000 lines a day but have never talked personall to one. I couldn't , too much editing of sentences left out, doctors who have the habit of changing commplete sentences, sending you back up a report to add this this and that. Geez, that is not counting the a, the changing from the to that, a to an, on and on ad nauseum.
Does BOS 3 now not push a dash between things like 3-cm incision or
what is the rule for this.  I dont have BOS 3 but I do have BOS2. 
Two errors per page is a LOT of errors! nm
x
They dont need to cheat now since they have lowered all the lines pay and will probably push like
crazy now to get everything they can on ASR.
Gatorade ... push it. He is dehydrated maybe with that weight loss.
dd
My office did not allow feedback. They just wanted us to push the numbers. They just did not care.
They don't care if you get it or not as long as it is fixed by QA.
If is difficult to work in a recliner and push a foot pedal. It can
be done but creates a strain on your feet/ankles and slows you down.  I work on a picnic table under an awning when the weather is nice, but I'm not able to work as well as I do at my desk because I'm not able to have a keyboard tray and working with my keyboard on the table makes it too high.  I've even tried work in bed using a tray across my lap, but then again you have the problem with pushing the foot pedal.   You could use the keyboard for your function keys but it would really slow you down. 
The easy part is making the decision to leave, the hard part is
actually doing it.  Been in your shoes and it took me a year and a half to leave after I had made the decision to do so.  It was the best thing I have ever done for myself and my girls.  I had family and friends and a counselor telling me what needed to be done and I knew what needed to be done but until I had the courage on my own to do it I stayed.  One day, we had an argument and he spit in my face and that was the last straw for me.  Even though it is something that I will NEVER forget, that day is also a day I will never forget because it is the day that I took my kids and left.  I am a single mom of 2 and have been single and supporting us for 5 years now.  I have been healing ever since and still am to this day.  You can do this.  I know that if I hadn't have left and I would have stayed one of us would be dead by now or both. 
Does anyone know how to go about applying for a government job?
nm
What I expect from my government
When a mandatory evacuation is ordered I expect to be able to get on the hurricane evacuation routes and have enough gas available to get moving. Is this reality........NO.

As far as moving somewhere else, FL has a way of putting a grip on you. Low wages to the point you are stuck literally. I haven't been out of this state in over 7 years due to lack of funds.




Government jobs...

MTs are listed under "medical data technician."  Also, the military sometimes uses placement agencies for MT jobs.


Government contracts

Has anyone out there heard or looked into government contracts transcribing for VA hospitals - a friend called me today with this proposition - she said there were two places to look for work - one is called rsp.com and the other is fedbizops.com.  She put in a bid for a radiology account with 600,000 lines a month and said that she thought that would take two people.  I'm just trying to find out if this is legit or not.  I'm not wanting any extra work for myself, but this just sounds too good to be true.


 



Government disability and doing MT
Does anyone here collect government disability and also work part time doing MT?  I have a severe immune disorder and was considering filing for permanent disability. Anyone know if you are allowed to work part time?
Including, unfortunately, our government. nm
xx
What we CAN do is vote for changes in our government
And then we have to keep a very, very close eye on them and scrutinize every move they make. We have to become more knowledgeable and involved in how our political & judicial systems work.
Thanks for the answer. Our government in
x
And the more people want from the government -- the more you pay
Someone has to pay for all the government programs and it is us.  Just like that $600 we will get, who do you think will be paying for it -- us working people.   Those with the tax credits, child credits that pay no taxes just want more.  We the people support the government and the more the government gives the more we keep giving the government.   I use all my deductions I can give.  If I think I am paying too much to government, I find another dedution, my self retirement, my anything other than the government. 
I agree with you completely. It is our government that ALLOWS this
to happen though. My point exactly. Spend money overhauling the system. Make people accoutable for their actions. That opens up money for people who really need it. Also, people here that do not pay taxes and are not here legally, give them the boot.
Government/Federales office....nm
x
Some government drone is going to have a heyday

going through my computer (not!).


While I certainly don't support Google doing this (if, indeed, they are), it's kinda like the Patriot Act. If people have something to hide, they are going to fight this tooth and nail. If they don't have anything to hide, well, so what? If some poor government drone wants to see the dress measurements of every kid in my dance classes--enjoy! Want a list of what I want to see in Kauai--have at it!


Call me naive, call me stupid, but if surveillance of what I do means that people who ARE doing bad things are caught and kept from negatively influencing your loved ones (not to mention mine), I'm all for it. I would suspect that said drones would be targeting very specific ISPs, if this is all true, rather than wanting to see what the secret ingredient is in your great aunt Sally's family-favorite beef stew recipe.


So, with that said, I am going to continue to enjoy Google's presence on my desktop.


All you fans of the government must be from one o' them RED states..........
If you have such a productive life, why do you even care about MT, let alone spend time posting on an MT forum?
Those were put in place by the government for people who NEED them
You disgust me. You're part of what's wrong with society today, my dear.

Take a good look in the mirror - Yep, the epitome of what's wrong with many people who do not NEED those programs but scheme and manipulate and wheedle their way into being 'entitled' to them.

Your post seriously sickens me, as does you having a child you obviously cannot afford to raise.

Yes, PLEASE quit the MT field. I don't want my profession associated with system-sucking swindlers.
SPI Healthcare

Has anyone worked for SPI Healthcare Documentation?  If so any type of feedback would be extremely helpful.


TIA


SPI Healthcare
They outsource to the Phillippines - they took over a small company in my hometown and basically destroyed it.  Other than that, I don't know a lot, since I quit before the takeover. 
SPI Healthcare
Nice company to work for. I have no complaints at all.
Healthcare........
When healthcare becomes govt controlled, as in Canada, there is no incentive for people to want to become doctors; therefore, you end up with a doctor shortage, a severe shortage, and thus, longer waiting times... weeks,weeks, and months and months... just for a regular procedure. You better be dying if you want it sooner and then I wouldn't hold my breath.

That is what Obama wants to do to this country, only he tries to disguise it. ANyone with half a brain knows if the govt offers "cheaper" insurance, why in the world would anyone want to pay more? Companies will stop offering insurance to their employees cause they know the "almight government" will give it to them for free.... Obama knows this too!!! And when they do, you have NO incentive for physicians because they will not make money, extremely loaded down with patients....underpaid, overworked, less and less in the profession, and then WE, the citizens of a country where the private sector is supposed to run our country, NOT THE GOVERNMENT, will be another Canada or European country....take your pick!

It's pretty sad when European countries are telling the Obama administration NOT to go down this path... they have socialized medicine, it AIN'T working, and now they are looking are ways to get it back to private insurers.... too bad Obama's ego won't listen!!!

He's gonna save us from ourselves you know!!
Healthcare........
When healthcare becomes govt controlled, as in Canada, there is no incentive for people to want to become doctors; therefore, you end up with a doctor shortage, a severe shortage, and thus, longer waiting times... weeks,weeks, and months and months... just for a regular procedure. You better be dying if you want it sooner and then I wouldn't hold my breath.

That is what Obama wants to do to this country, only he tries to disguise it. ANyone with half a brain knows if the govt offers "cheaper" insurance, why in the world would anyone want to pay more? Companies will stop offering insurance to their employees cause they know the "almight government" will give it to them for free.... Obama knows this too!!! And when they do, you have NO incentive for physicians because they will not make money, extremely loaded down with patients....underpaid, overworked, less and less in the profession, and then WE, the citizens of a country where the private sector is supposed to run our country, NOT THE GOVERNMENT, will be another Canada or European country....take your pick!

It's pretty sad when European countries are telling the Obama administration NOT to go down this path... they have socialized medicine, it AIN'T working, and now they are looking are ways to get it back to private insurers.... too bad Obama's ego won't listen!!!

He's gonna save us from ourselves you know!!
Healthcare........
When healthcare becomes govt controlled, as in Canada, there is no incentive for people to want to become doctors; therefore, you end up with a doctor shortage, a severe shortage, and thus, longer waiting times... weeks,weeks, and months and months... just for a regular procedure. You better be dying if you want it sooner and then I wouldn't hold my breath.

That is what Obama wants to do to this country, only he tries to disguise it. ANyone with half a brain knows if the govt offers "cheaper" insurance, why in the world would anyone want to pay more? Companies will stop offering insurance to their employees cause they know the "almight government" will give it to them for free.... Obama knows this too!!! And when they do, you have NO incentive for physicians because they will not make money, extremely loaded down with patients....underpaid, overworked, less and less in the profession, and then WE, the citizens of a country where the private sector is supposed to run our country, NOT THE GOVERNMENT, will be another Canada or European country....take your pick!

It's pretty sad when European countries are telling the Obama administration NOT to go down this path... they have socialized medicine, it AIN'T working, and now they are looking are ways to get it back to private insurers.... too bad Obama's ego won't listen!!!

He's gonna save us from ourselves you know!!
why doesn't the us let the aruban government come in and search for the
murders in the idaho case? how about why not the aruban government decide if the sexual predators that our legal system lets out decide whether they should be left to go out and kill some other child or left in prison. why did it take so long to arrest scott peterson. why didn't we let the aruban government come in and arrest him immediately and question him.

NOW for the undereducated, a team of US people from Texas are in Aruba searching for Natalee and FBI has had advisors on board in Aruba.
Another thing, people expect the government
to pick up the pieces for them, and everyone is concerned about this. Do people not care that we are paying for people who should not be here in the first place. I am paying for free school, health care, welfare for the Hispanic family, who are very nice, next door to me. All are illegal. They bought their house with cash. They have 4 cars. Their kid goes to free preschool because he is automatically in because he speaks Spanish. I take my daughter 30 minutes out to a high school because I cannot afford anything else. How is this fair? Why are more people not standing up and saying this is not right. We pay the money, we SHOULD be entitled to help, whether you or anyone else thinks they deserve it or not, whether that girl had a baby out of wedlock. It is not as big an issue as the billions of people we are supporting that are not putting a dime back into the system. What is people's problem? I am all for people who come here legally, go to work and contribute back to society. At least the ones having babies out of wedlock are at some point paying taxes and/or their family is.


Government retirement program has changed.
It is now the same as Medicare, with a 401K added.
Civil Service/Government MT Jobs?

Hi all, I am wondering if any of us work as an MT for any government agencies, V.A. hospitals,  military bases, etc.  And if so, how is the pay rate.  Is the hiring process difficulty.  THANKS!


I am going broke, looking for a more lucrative 2008.


 


Soon it will be the government, Universal Health Care, nm
xxx
PS HEALTHCARE WEBSITE
http://www.psfamilycare.com/
How's your healthcare plan going?
Hello management at Medquist. How did it feel having your nuts cut off with the new healthcare plan. Medquist sucks! Face it you'll be out of a job within 6 months. The cuts they have made you will soon be next.

Nice place to work. Now that's funny....

BITE ME MEDQUIST
best in the world? NOT - not in healthcare...

like MM or not, you should open your brain to this flick - even FOX NEWS (who hates MM) loved this movie, as did the current president, GWB............care to move forward in your life a tad?


As with everything else in healthcare, the downslide of MT
u