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Have a hospital I work for and they consistently change work types and do line counts. (sm)

Posted By: Hospital MT on 2005-12-28
In Reply to: Yes, I am - worked 7 hours @ 3218 lines. - Intelligent One

Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??


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I used to work for a hospital that used Meditech and we found the line counts to be inconsistent. SM

I used to be a supervisor and was trying to find a way to monitor productivity on Meditech and found that line counts fluctuated greatly!  I did all kinds of comparisons - typed reports in word and counted the lines in word with MP Count and then compared it with Meditech and there was sometimes near a 200 line discrepancy at the end of the day.  Then we found that running a line count twice in Meditech on the same MT and same reports would get us two different numbers with about 20 lines difference.


Meditech is just not MT friendly, but unfortunately MTs are at the bottom of the list of considerations when choosing an EMR system.  I gave up and started keeping track of minutes of dictation.


does anyone else work for a service where you have to get your line counts from a website?(sm)

I presently work for two services.  For service A our line counts post to the company password-protected website.  However, that isn't a problem as the program we use shows us our line counts as we go along.  Also, the line counts are available to us, from the program, within five minutes at the most after finishing the job.  It also posts to the website within that time frame.


However, for service B we have to completely RELY on the website for our line counts.  I'm not sure how the site works or how the jobs/counts get posted to that site but there are ALWAYS times where this site is down (usually around the end of the payperiod so we can't tell how much we've typed at any giving moment.)  Also, we cannot verify whether those counts are right because we do not have access to what is considered a line (other than the standard "65-character-including spaces").  Does anyone else work for a service where you have to get your line counts this way?  What do you all think. 


i used to work for a company that divided the work types up and i loved it. sm
there were only 4 of us working a major teaching hospital. someone was assigned surgery, different assigned discharges, different admits, etc. we all had the backup work type in case the original assignee wasn't available and were cross trained. it made us much more efficient, ability to get used to dictators, set macros, and in the long run we were all much happier.
The blame needs to be placed with the company who allows MTs doing consistently shoddy work to
xx
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


Work types
Has anyone ever quit a position because you get work types you were assured you would not have to do?  I absolutely despise discharge summaries and was told upon hire that I would not have to do them, there were plenty of other reports I could do, now I get big chunks of DS throughout the day, I never have liked them, I lose about 75-100 lines/hour doing them.  Does anyone else have this problem?  I am not a newbie, I just do not like discharges and get a real mental block, I think mainly because I get so tired of sitting while the dictator is trying to figure out what to say.
Work types
Yes, they all have to get done but I used to work for a company that you were given a certain work type all day long, and it either rotated or if there was one person who liked ds or op, they were routed to them - the work got done, the MT had more production, thus the company benefitted also, why take an MT who can do 300+ lines on everything but DS and put them on DS when you have people who do 150 on everything, including DS
work types
Most won't allow that.. Especially the ones that pay well. The one I work for requires you to be skilled in all ares, even radiology.. It is a great job.. Have them for 20 years and 10 years in the MT department working from home. Hospitals are the way to go.
Realistically with all work types
and various dictators, I average about 17.5 minutes per hour at the end of the day.  But the first few hours I'm still working with my coffee buzz, so it is a little more, maye 22-25.  I get a lot of 10-15 minute reports with a lot of dead air time, then will get a 2-minute report that is two pages long.  I could never go by minutes unless it is the same thing over and over again.
Well, I have 25 years experience also in all work types
and only do acute care with a line rate of 10.5 cpl M-F and 11 cpl on the weekends.

You can negotiate it a little harder, and you will get it depending on their needs, I guess.

It is MDI-Maryland.
Not having standards hurts. Some work types just (sm)
don't add up line wise as quick as others. For me Ops are the best line count, consults and discharge summaries are killers.
Usually work "live" on a Cphone, while connected. There are ways to record & work off line, bu
s
I've done all work types also and always find myself making more
doing radiology than any other work type.

I think it's mainly because it's more repetitive than the other work types.

With your three years experience, you should do fine jumping back into it.

Good luck.
all work types - 3000 lines a day @ 12 cpl 65 characters
18 cpl transcribed line - private hospital account. These are the only specifics I am willing to give.

Do not e-mail me and ask where or who - I will not reply!

I understand companies are paying 4 & 8 cpl edit/transcribed. I do not work for a company. I caught a hospital account using the platform at the right time and signed on quickly as an IC.

Hope this helps.
Poll: hardest and easiest work types. I enjoy...
orthopedics and psychiatry.  Do not like cardiology, oncology. 
Unproductive work types continually, for me, DS with ESLs and residents. nm
x
Do U keep playing with the ports and the types of foot pedals? An odd pedal might not work, like a
n
7 cpl gross and counts blank lines, IC status-- make a ton of money because it's easy work...nm
x
Gross line = each line on page counts as a line, even if it's only 1 word. nm
x
Trouble with work type change

I need some help with my Transtech Extext program.  Having trouble getting a new work type selected and sound.   


The name change was not to allow other who work in the industry access....
The name change was done to create more revenue for the organization. The association is losing money on a monthly basis and more and more American MTs are dropping their membership with quite good reason. All of the meetings I have attended regarding these changes have been connected to their association with the overseas MTs. Until AAMT becomes 100% American again, they will continue to lose. Do something for the American MTs, and they will come back. Very simple solution.
I would still have to work, but I would ease up on it and relax for a change.
x
you need to change your properties of those file types to open with ES and not media player. sm
go to your folders by start, explore. find where you saved those files to. once you find a file, right click on it and click on properties. under the general tab, look down 3 lines to where it says open with and i bet it says media player. click change, find the express scribe program. make sure you check that box under there that says always use this program to open this type of file. then you can either right click again, click open with, select express scribe and it will automatically load in ES or you can hit the load button on ES, find where the file is saved, select and it loads it. if this doesn't work, email me.
Was a nurse for Hospice. Very special work! It will change you.nm
c
I work for a hospital and can do in less (sm)
than 8 hours (65-char line).  Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".

Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.

So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired.  I've typed celebrity reports too when I worked for a national, that's different.  If it were the other way around would you like a casual acquaintance to know all your business?  I wouldn't.  I have the same respect that I would want.  There's 23 other MTs in my hospital.  I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago).  So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped.  Why I am looking elsewhere. 
I did work for a hospital that used one of those.

They called it a 'CryptoCard' and it was about the size of a credit card.  You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time.  It always changed....security precautions.  I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.



the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription).   You have meetings which interfere with your ability to transcribe.  You have to be on alert for Department of Health visits.   I could go on and on.  Your line count sufferes.  Unless you get paid by the hour and get paid well, it is more trouble than it is worth.
hospital work
I got most of my first work experience at a hospital when i had no idea what i was doing. They never gave me any feedback or nothing and was there 2 and a half years. And I got paid for not knowing what i was doing. I had only had a few courses of medical terminology and they hired me in. It was a stepping stone to bigger and better things. Hospitals today though are more competitive, (my experience was over 25 years ago). So you might learn more stepping stones by working at the hospital. (i drove over 55 miles to that hospital job just to get experience in the field).
going to the hospital won't work sm
thought because we as MTs sign contracts etc etc when we work for these companies. If we go behind the company back and approach the hospitals/facilities, we can be in all kinds of legal troubles with the company itself. The rest I agree with but people have got to stick together.

Kind of goes back to 30 years ago and the big unions huh? People stuck together they got things done and working conditions improved. People busted the unions and you see what has happened over the years.

Coming from a HUGE union state (Michigan---that ought to get a few riled), I have seen what has happened when the unions are "busted." I also now live in a southern state and see what goes on here when there are no unions and folks don't stick together.

There has got to be a solution for this and I for one am willing to sign on to whatever it takes to get the job done.
As in hospital work,
discharge summaries, operative reports, consultations and history and physical.
1500-1600 doing acute, multiple, multiple work types. NM
/
I work for a hospital 6 states away. SM

I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.


That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy"  -- I don't do that any longer and you're right, it makes a HUGE difference.


i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus.  they cant keep emps now except the ones that are too close to retirement.
I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
Not! They are why I went back to work for a hospital
to work
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
Other than that do you like Winscribe? The hospital I work for is considering going with them for a
x
I work directly for a hospital in the NE,
the list is provided to me by the hospital.
Sounds like the hospital I work for

I would think you applied there.  Anyway, we get paid by production in-house at 9 cpl.  Only time hourly pays is when we take time-off, equipment malfunction and of course meetings.  The only thing I don't like is that the hourly people (coders, clerks) dont' understand that and want to visit and get offended when we tell the we have to work. 


That's pathetic that a hospital would pay for such work.
The hospital should be ashamed of themselves for hiring an offshore company.
I also work for a local hospital which is
growing in volume of work minute by minute. We have 52 remote transcriptions and still we need to send out work to two venders.
I work for a hospital but am home. nm
nm