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FYI - I produce high quality reports because I

Posted By: XYZ on 2006-05-22
In Reply to: A monkey could do your job then. Doctors mispronounce - me

take the extra time to make sense of garbage that is dictated.  I'm saying that I will not do it from now on.  It averages about $10 to $11/hr to make "high quality."  It has gotten to this point because people like you let MTSOs walk all over them because you feel it's "your job." ---  Ya know what ---- Keep your job, I'm outta here ---

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bunk ... What you're suggesting is only do a high-quality job
What a sad perspective you have.

Being a high-producer is a good thing, but so is quality,
and by doing more and more high-quality work for less and less per line, we are cheating ourselves. The work is the same. Just because we can do more of it (regardless of software, etc.) doesn't mean that each line is worth less. The big companies are cheating us.
Outsourcing Costs Versus Quality Reports
Sorry to burst your bubble but doctors know when/why they're being outsourced and go along with it, but only for the ones who really care about quality, these individuals then become "appalled."  In the 1990s when medical malpractice suits were at their highest and attorneys saw what a lucrative field this could be, I learned at a monthly transcription meeting that it might become law that not only the doctor but the MT (under homeowner's insurance if based at home) could be sued for "inaccuracies" in a medical report.  That, however, quickly and quietly went away but don't think, for one moment, this still isn't being talked about!  That's why I have always had a hard time trying to figure out how hospital/clinic boards keep on authorizing overseas outsourcing (well it's obvious about the cost savings!) and then crying about all the inaccuracies in sometimes complex medicolegal reports, while still padding their own pockets with bonuses, etc.  If someone has an answer to that, I'd surely like to hear it!              
Wants high quality finished product at 3 cpl editing and 6-8 cpl straight typing. Also rumored she
doesnt like to pay in a timely manner. I passed..
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
I think that depends on the quality. Do you honestly think there is good quality just throwing every
MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
I thought quality was a given. Speed and quality are not mutually exclusive. sm

I maintain 99% accuracy above on my reports.  However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well.  :-)    I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run.  There are too many interruptions and such when you have other people running in and out, phones ringing, etc. 

I doubt that anyone but me really cares about the lines per hour it takes for me to do a report.  They just want an accurate report in a timely manner.  I take pride in my work, and would never just slop something out for the sake of the almighty buck.   And, as an added incentive, I work for 2 companies, and one of them has my name on each report.  I don't have a problem with it, but I did think it was a bit unusual at first.

Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck.  

I'm fed up too, but it is our job to produce
a good product, despite a horrendous dictator, poor sound quality, etc.   It doesn't matter if their English were perfect, that isn't really the issue, it is the accent and unfortunately that isn't going to change. 
Yes, I do. I produce so much more this way. sm
I can't keep my butt in the chair for 8 hours straight. Never could...I work better in short bursts at a time. It works great for me.

You need to try it...you won't go back to 8 hours every again.
inexpensive produce
Out here in CA, there is a Mexican supermarket, Vallarata (not sure if spelling is accurate but it is close)..Anyway, they are all over Southern CA.  The produce is so inexpensive, Im amazed.  Ten pounds of potatoes for $1.00, three pounds of tomatoes for $1.00, five pounds of onions for $1.00, on and on.  Also lots of other stuff in the store is inexpensive.  Their produce is so fresh.  If you live in the Southern CA area, check out this store.  I go in there and walk out with bags of produce and breads, etc., for about $10.00.  I even have seen two Indian doctors I used to work for at a nearby hospital, LOL, they were buying produce too. 
No, if you cannot produce enough to make the money you need,
It's not the industry's fault some do not have the aptitude to make what they want.

Wouldn't take such a job. You produce those lines. The
I just don't see how it is possible to produce 3800+ straight typing in a day
I'm not saying you didn't.  I just don't see HOW.  I'm a pretty high producer myself, but I worked with a national once that didn't pay spaces and my line count dropped from 1700 lpd to 1100.  How in the world do you manage 3800+ with no spaces?
Why? M-TEC & Andrews produce the absolute best grads.
ask the mortgage company to produce the note
Just heard about this tactic this week. Most mortgages have been sold and resold and if you ask them to produce the original note you signed on the mortgage most of the time they can't and it will buy you some time. Do a search on it.
Either produce a signed, notarized promisory note or
Having trouble staying on task to produce lines?
I do.  I was beginning to think I'd developed adult ADD, but I think I found the cure.  It's a free download called Home Typist 4.01.  This program is a small utility application which makes each keystroke sound like the strike of a typewriter key.  I cannot believe how much this has helped my line count.  There was something about the typewriter sound that just drove all distractions from my mind.  My fingers were flying, and believe me, they haven't flown for years!  This was my first full day with the program.  I had my usual mix of good and bad with one really long, horrible resident who had no clue what he wanted to say (it took me an hour and a half to get through his dictation), and I still increased my count today by a little over 300 lines!  I kid you not.  Windows XP is not listed as a system it can be used on, but I assure you, it works quite well with XP. 

MS does not produce a new operating system every year, trust me on that.

Vista was 5 years in the making, which is pretty much the norm for most reliable Software.

The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
5HTP is a natural product that helps the body to produce Seratonin sm
in a natural way. The chemical SSRIs do it differently. But 5HTP is the closest thing to a natural antidepressant agent you can find.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
Your English teacher does not do medical reports. This is for medical reports.
We met in high school. My high school sweetheart
introduced us in a discussion over Ford versus Chevy versus Dodge. I used to race my Dodge Coronet with oldstyle 318 V-8 engine against the guys on the back roads and old highways. High school boyfriend had a Chevy truck. DH had a Ford Fairlane and later an AMC Javelin that just made me swoon. We didn't actually start dating until three years later, and my old high school boyfriend was a bit surprised at that since he introduced us.
Quality is quality whether you are an MT or CEO.

How good is the quality of the performance of your managers or the guys at the top?   Anybody want to evaluate that?   Can they get their raises based on our evaluation of their quality?  

Let's see now.  Which CEOs were named in lawsuit?  F for quality.  How many managers do we need to give us stupid pep talks?   F for managers.  QA this post MQ and all other nationals who decide they reward us on "quality"   Look in the mirror and fix yourself.

what is your quality like?
Oh, the quality! Well now we know.
I totally agree with you. There should be some kind of feedback on how you are doing. Not only for mistakes, but also if you are doing a really fine job. I know when am not real sure of something, or if I did do something wrong, I really do want to know. How else do you learn? I know too, that when someone notices a job well done and lets me know, it makes me want to strive for that "perfection", and it just plain feels good. I think the circumstance has become if nobody says anything, then it's ok, kind of leaves you in the dark. Just always remember, everything you type becomes a legal document. I'm sure you do a good job.
I can't believe the quality.
This year I had to subcontract out because I have too much work to handle, and frankly, I can't believe the appalling quality I am getting from transcriptionists with 10+ years of experience. To put it bluntly, it's shameful. I pay 11 cpl to my transcriptionists but after a year of searching, testing, and training, I have only found 2 that are actually worth it. My doctors are so easy. They are clear, they repeat everything, and there are no ESLs, but these people just don't read directions, don't proofread their work (when they clearly need to), and don't have even the basics of grammar down.

It wouldn't surprise me at all if doctors that have switched from an over-priced American company to an offshore firm didn't notice any difference in quality at all.

I know this isn't going to be a popular view but it is the truth, and I can tell you I was just as shocked to learn this as anybody.
98% quality
Hi peers,

Can someone describe me how to calculate 98% accuracy. Any description or link would be appreciated. Thx!
quality, etc.
Case in Point ~
with a union, we could at last demand to stop being treated like cattle and/or factory piece workers. What in the heck has happened to hourly salary!!??? How about straight salary? These records are, after all, LEGAL DOCUMENTS. When we are forced to type at the speed of sound instead of making the production of the highest quality possible documents our top priority, this demeans our profession.
better pay is better quality/less pay=less quality
I just took one and know I did not do well, quality is not
an issue with me, but knowing I am timed my fingers just don't work.
should be quality - should have had an ESL MT do this for me
so sorry!
Why is it only for SEs? If its really quality they want it should apply to

Quality is quality whether an employee or not.

QA is Quality Assurance, QC is
Quality Control, for what that is worth
Bad quality dictation
What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out.  Is this normal? Left lines in every report.  ??? Help?
Can you tell us who this is with the bad sound quality? nm
The other will be cheaper but no quality
The quality of the dictators is SM

pretty bad overall--even the Americans.  I would say with most national services, the accounts are about 75% ESL (30% terrible ESL), 20% fast Americans who don't care and 5% really good gravy dictators.

This is for acute care dictation--large hospitals.  Another problem is there are so many dictators in 1 facility that you hardly ever get the same ones day after day.

I think in QA you are seeing the low quality of MTs, not dictators sm
If I were you (and I admit I did QA for awhile and hated it, for so many more mistakes than the blanks they had sent to QA for) I would go back to MT. There is lots of money to be made, especially when you become familiar with dictators and accounts. I wouldn't do QA for anything. $15 an hour for QA versus $35 an our for MT. Go back to MT.
quality vs wages

While I do agree that there is a vast majority of MTs who are of extremely poor quality, there also are very high-quality, well-seasoned MTs like myself who are tired of making the same wages we made 10-15 years ago.  If there is such a discrepancy in our work quality and ethics, these corporations (who, by the way, are not slacking at all in their 6-figure income pockets!!!!) should pay MTs based on quality and experience, not just experience alone. 


I remain,


sound quality

I'm totally with you!  I used a Lanier station for the first 15 years of my career and the sound quality was superb compared to the internet dictation.  One thing you might try, if you have not already, is to make sure your speakers have a tone dial.  Lots of these companies provide speakers that only have a volume dial or they want you to plug right in to the PC but there is no tone setting on the voice program.  Turning the tone to high helps un-muffle the sound.  Good luck!


Yeh tell me about it!!! Produce more reports if you want more$$$ but don't make any mistakes or you don't get incentive. This way they get out of having to give raises or pay more money, putting the responsibility back on the MT. Its all our fault right? Its BS!
quantity vs quality
Hey y'all, it's a buyers market out there. There a tremedous demand for transcriptionists. Just move on. Things are going to continue to change quickly in transcription over the next few years. Everybody hates change, but try to embrace it for a while, it'll put you in the catbird seat.
quality vs wages

Pay versus quality
I understand that experience warrants more pay - however, if working means I take a lower rate, and work up to a higher rate - than I take it - it does not mean I give less of myself - Being a Transcriptionist I take pride in my work and work hard at whatever the rate. Too many jobs going over seas for a much much lower rate than 7 cents a line - if we want to get it back, and / or continue working than you do what you have to for the time being. I have companies that pay me 7.5 and clients that pay me between 7 and 14 - and thank goodness I am busy enough to make a decent living. I am not a prima dona who picks and chooses - I have a responsibility to my family to make money, and a desire to work and maintain a household.

However, I will not work for someone who does not pay at all, bounces checks or disrespects me in any way - but my quality never wans for any reason - that is my reputation on the line not any one else's.

So, yes we should make more money - but if this is what is out there, I will take it.
quality of dictation
for the most part and filling out demographics, etc. Escription they just started recently.
Sound quality may/may not be the
the wav player but your sound card.  You can get a new sound card or you can get a USB thing and bypass the sound card.  I'm not sure exactly what the thing is called but the one I have is by Turtle Beach and is called Audio Advantage.  I got it at Best Buy for about $30.   You can Google and read about them.  There are 3 different ones to choose from.   I didn't think it made a huge difference, but I went on a working vacation once and didn't bring it and realized how much difference it did make.  You can adjust all kinds of things on it, which will be a trial and error thing for you.   If you have Win98 or less you can't access all the features though. 
company quality down...

Would you stay with a company that is getting multiple complaints from a client?  I work on as an IC for a company and the account I am on is recieving complaints about quality of reports and MTs not following formats, ect.  I'm trying to decide if I should stay on with the company or find work elsewhere.  My work has never come into question and my QA scores are always higher than required.  I'm not sure I want to stay on though with a group that apparently is not doing a proper job.  Apparently the client has requested several specific MTs to be taken off the account and is threatening more if things are not fixed. 

Would you stay or go? 

you mean Quality? not qaulity

hmmm, maybe the US MT needs some editing.
Quality and verbatim

Even though you type verbatim does not mean you type all the mistakes the doctor's dictate.  I would NEVER type an error.  When in doubt, it is blanked and sent to QA.

The company I work for is known for their QUALITY and we type VERBATIM on all accounts except stated otherwise in account specifics.