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I like the spot questions

Posted By: darwin on 2005-10-20
In Reply to: Good idea and easier for you too, but bad for those of us that "freeze" up - no matter what - - xxx

I'm not sure why you freeze up? Pretend you are transcribing. Don't you have to answer these same questions on the fly every day? I know sometimes it's something like a drug name that I've relied on my expansion software to memorize for me, but even then, I can get the other 13, 14, or 15 questions right. I'm a transcriptionist. It's what I do. Same with you. Take a deep breath and do your best. A heck of a lot more fun than taking one more , egggadds, on-line test.




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Meditech questions and Cerner questions. Any input is appreciated. SM

I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

 


  1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?

  2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)

  3. How is a line defined in Cerner?

  4. What abbreviation Expanders work with both Meditech and Cerner?

  5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).

  6. Measuring productivity by minutes of dictation versus typed lines.


    1. What would be the minimum minutes required for an 8-hour day?

    2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?


Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 




SPOT?
.
HIT it on the spot.
Thanks so much! You answered alot of my concerns.
Greatly appreciated!
I correct it on the spot...
By doing so, it may hurt productivity, but the way I look at it is that productivity ain't worth a thing if the transcript isn't accurate, and by waiting to correct it, I may forget to do so.  Of course, the software I use will not let me send a transcript until it has been completely spell checked, so that helps, too!
I do! And there was always a sandy spot on it sm
that would tear through the paper, and I'd have to start over. We weren't allowed to use White-Out or corrasable (sp) paper then.

If you find a spot for just OPs
I want to be invited too! Those are my moneymakers, but unfortunately I don't get them as often as I like!
Thanks, I wasn't sure if I was in the right spot
.
and how do you spot a liar??
just wondering. I have a bridge for sale.
This post is spot on.
It has been my experience in-house in my moderately large urban area and with a service that VR will always need editors and is no threat to good MTs. It is absolutely EMR. In my area, many 4-10-doctor clinics now use EMR. They DON'T use MTs anymore. But some still dictate. I think in 5 years, it will be very hard for a newbie to find work.
Boy oh boy, have you ever hit on a sore spot with me! -(sm)
I'm up against the same thing with that da**ed BOS. Every other day, it's something. Put a dash between words. Don't put a dash between words. And then each account varies from the BOS in its own unique and utterly ridiculous ways. Frequently the BOS goes against what's correct punctuation and writing style.

This whole BOS cow-pucky is keeping a lot of people busy, and in all the wrong ways. We're so busy worrying about the absurd minutia that BOS tells us is Law, that it's harder and harder to get a decent day's worth of transcribing done.

If MT co's want to use the BOS, then they should tell their clients that that's the standard they're going to be using. But no, every account, even every DOCTOR, wants it their way. I have no problem with typing every account and every doctor their way, but then I sure don't want QA flooding my inbox with marked-up reports, telling me I've done it wrong.

I truly believe that the whole purpose of BOS (besides making couple of shady characters very, very wealthy, is to further justify paying us less and eventually driving American MT's entirely out of the field. An MT can be very experienced, accurate, and fast, but if you keep playing the shell-game with the account specifications, and changing them up every other day, no one on earth is going to be able to keep up with all that and maintain a high QA score.

And the bottom line? Since WHEN does it matter to patient care (which is SUPPOSED to be the bottom line in the medical industry) whether you spell out numbers below 10, or type them in numerals? Since when does it matter if the date is March 14 or 3/14? It DOESN'T! When the doctors check our reports to sign, or before going into surgery, etc., does anyone really think they give a rat's backside about whether we capitalized "operating room", or spelled out the number ten? All that matters is accuracy and readability! The almighty BOS doesn't matter to them one iota.

This whole BOS/QA analness of MT is driving me crazy, too, because it's all about being jerked around.
Or try Folex or Spot Shot.
x
You are right. I've always said I'm just in a good spot. sm
I hope I have never acted like anybody wasn't good enough. I sure didn't mean to.
I have used Bio-Spot on my dogs for years. (nt)

how 'bout a camera on that spot?

I was asked to take a pay cut and quit on the spot.
I needed the job, but I would not allow myself to take a pay cut. I am working again for more money than I was making.
This is only a test of the URL link spot.


Bald spot on head???

Has anyone ever had this happen or know of anyone who has had this happen?  My 14-year-old son has a spot on the top of his head that is bald.  It's about the size of a quarter.  He has never had this and it came all of a sudden a couple of weeks ago.  There is no hair growing out of this spot.  ~ 


Should I take him in to have it checked or is this a common thing?  I typed it in Google and came up with something called alopecia maybe.  ~  I'll take any advice anyone wants to give me.  Thanks!!! 


I think our bodies are just not made to sit all day in one spot! sm
I have the same problem - I can't sleep at night and I am bored and sleepy all day. I am getting ready to ask to change my work hours so that I can go for a walk for about an hour mid-morning. I used to do that and it helped tremendously with keeping my energy up and helping me sleep at night.
That is also a very sore spot, I agree
I requested the same thing about 2 months ago, could a physician pleaseeeeeee spell a name, especially when wanting a cc sent and was told if I could not find, just to pend the note and so I do. Why they are so against asking for a spelling is just beyond me. That should be a no brainer but noooooo, don’t get a high and mighty physician upset.
bright spot in the employment picture

I just got a job working for a hospital with a 3/4 million dollar transcription budget whose HIM director wants to bring all the work back in house.  He's offering IC as well as employee with bennies/time off positions.  The wages are fair, and I'm making a great line count on their software (he even let me install my own word expander).  This is a Michigan hospital, but he actually has MTs in other states who work for him.  I had to go in house to train, then I went home.  For anyone who's interested this is at Covenant Hospital in Saginaw, Michigan. 


Of course, I apologize for placing my post in the wrong spot!! :)
,
See under Hayseed's response; I posted in the wrong spot. nm
nm
Oops put my email in the wrong spot..oh well. No flaming emails please LOL.
x
Oops put my email in the wrong spot..oh well. No flaming emails please LOL.
x
Dogs: Jefferson & Zorro. Leopard Gecko: Spot.
,
i don't find mistakes if i spot check. so i don't relisten. costs money you know.
paid to type and listen once as i type.
Black widows are shiny black, females have red spot
There aren't many males around. After the mate, the females eat them lol.

We have black widows galore here in Calif. I actually keep frogs in my yard (provide ponds for them) and they have made a big impact on the insect population.

Remember to always wear shoes (something I try to do).
re questions
yes i drink green tea, but prefer black tea. No, i've never had any such symptoms from it though and have no idea why it would happen, unless there are other things in that brand of tea that might irritate the colon?
questions

i am very interested in taking courses on mt and would like some help in guiding me in the right direction....can someone help me on that


 


Questions about VR
I am getting ready to train on VR and I am wondering if this is part of the latest, newest technology in our industry that I have been hearing about.  Are just some companies going to use this or is this something that is going to be required in the future from us throughout the industry? 
Questions....

If a person takes a job and finds out they aren't happy and then looks for another job, what happens if the recruiter overpromised?  Do they find another job?  And if they find another job and that one is running out of work all the time, do they start the search again? 


Final question....if they do all this, why do so many people on the boards call people who complain about companies good-for-nothing job hoppers who are never happy?


Looking for a new job. What are some questions...sm
I should ask besides pay, benefits, and hours to make sure I don't miss anything and then find out I've been screwed later?  Should I get pay in writing to make sure they pay me what they tell me. I never worked for a National, so I am unsure how a lot of things work with them.  Thanks.
IC Questions
Hi. I just accepted my first job as an IC and I am nervous!  Did I do a stupid thing by going IC instead of employee?  They are paying 8.5 for 65-char line including spaces and returns.  Does this sound reasonable?  How do I pay my taxes?  What about social sec? HELP!
Any questions to MQ

you can be an employee and ask, what will be my new


pay under the new plan.......NOBODY KNOWS.


you can ask what do you pay to be an Editor of voice recognition....


NOBODY KNOWS


But at the same time they want people to work for them.


Now you are saying there's a new mystery something?  This is


hilarious.


No legit company every does business this way.


two questions
I am also single and 50K is what I am thinking as well. I have very minimal bills. My only "dependents" are my 3 kitties and bird. To be honest, I got into medical transcription after my first year in college. I wanted to be a veterinarian. As much as I love animals, I really love what I do and honestly cannot say what else I would want to do.
Ok, I do have some questions...
Is it possible to speak to you via private messages or something? This board is a bit awkward to use and I have a few questions for you.

Thank you both... I have a few more questions...

Is this something that will happen on a regular basis?  How often do bipolar people get like this?  Is this the worst of it?  We both watch each other's kids a lot, and my kids absolutely love her.  But I'm a little worried now that it might not be safe. 


I'm also concerned for her as she just started a new job and is working on her master's degree.  I'm afraid that she may fail at both if she doesn't get this under control.  Is there anything I can do to help her? 


ok, so you have 2 questions?
1. i'd think that is great money.

2. i gross about $1200 weekly in 40 hours as an employee.

More questions

Do you find their work flow to be consistent - you don't run out or anything? It is really hard for me to decide to make a move - am not happy where I am at and want to come back home, but have really good insurance for family - I know there is no perfect place to work, but I would just like to enjoy getting up and working again without all the office politics. Thank you for being so open in talking - I find this board much easier to talk on than the previous one I was on - more open answers. Also, what kind of platform is used. Do you have to type in demographics and if so, do you get paid for them? Do you have a good word Expander and macros? It is so hard to make changes and want to know as many specifics as I can before I apply.


Thank you so much.


more questions

Do you charge more for printing?  How did you know the price range to charge? I live in a rural area and I have no idea what people are paying for this and I would feel stupid asking them what they are paying.  Did you go to the office in person and sell yourself or did you do mailings?  I don't know anyone in my area that is doing this so I am kinda walking bling here. I am sure I can do the work, it is just sollicting the accounts that I fear.  THanks to all that responded


Have all the same questions
you do. Also does anyone have a used c phone for sale?
your questions--sm
There are no connection problems with this voice player, as you are not on the internet while you use it. You type into Word and then connect to the internet to return the files. As far as the quality of the voice file goes, the digital player has nothing to do with that either. It depends on how the file was recorded from the company you are receiving it from. my files come from a call-in service on my employers server. If the docs use the telephone connection, like they are supposed to, the quality is great. If they use a speaker phone, cell phone, or head set, it can have more *interference* on it. I have one doc who dictates onto a tape recorder, then calls in on the *system* and plays the whole 30 minute tape. He uses the tape over and over again, so it degrades with time, but I have learned to understand him anyway. I have another doc who also uses a tape recorder, but likes to do it while he is waiting for a train at a depot and while on the train. I mostly hear the background noise, which is awful, but I can still make out what he says...most of the time. so, the file is only as good as the person recording the dictation. you have good ones and bad ones, just like any other dictationists. anything else, just let me know. relax, it will be fine.
questions
good day to everyone.  i have just finished my medical transcription course.  however, i have questions regarding how to put negative points on errors on my transcription. how would you rate the gravity of an error in punctuation marks as against an error in the MEDICATIONS SECTION of the report.  for example, my punctuation error was given a negative point of .5.  in the same manner that the dictated KCl (potassium chloride) was transcribed as KCL.  would you also give the latter a negative point of .5?  if not, how many negative point would you give? thanks a lot and i hope you could help me.
More Questions

To those of you who so kindly gave me advice on working from home:


What kind of equipment should I invest in?  Do most companies us the internet. One company I talked with still has clients that us Lanier equipment.


#1 I would think would be a wav pedal and headset but what about an LX-219?


What do you use?


Thanks


Your IC Questions
You are responsible for your taxes. I recommend w/each paycheck, you put 20% in a savings account so when you file taxes, you don't have to scrounge up the money to pay IRS - or you could do like others and file taxes quarterly. You will have a 1099 instead of W2/W4. You don't establish yourself...as an MT you are either an employee with insurance benefits, 401K and taxes withheld or not.
Questions about DQS
Good morning, I am about to start with a company that uses DocQScribe and I understand that MQ uses it also. Since there is a specific MQ board here I thought I might get some answers here. I really like Stedman's Spellchecker, and want to know if it is compatible with DQS? Also use ShortHand for Windows, wondering about that. I have used built-in spellcheckers in other platforms, and just don't care for them, they just don't seem to be as good as Stedman's. And in general, your opinions about the DocQscribe platform itself. Thank you.
VR Questions

I have an office going to EMR with voice recognition software.  The OM tells me I will still have this account because there is no way the VR will work for their Indian doctor and another doctor that mumbles horribly.  Is there anyone that has experienced this?  Also, will editing of the VR be needed?  The OM mentioned that if it does work, she will need me to edit reports.  How much does one make per line for editing VR?


I know I have lots of questions, but this is my largest account and with a disabled hubby and three kids, I'm a panicked breadwinner right now.


Thanks!


More questions
Does he hold out your taxes?  Do you have benefts?  Do you get paid the same amount no matter how much or how little you transcribe or if you take time off?   Have you figured out how much you get paid per cpl or hour?  I would figure out how much I am making per cpl or hour and go from there.  Be sure to figure in the time you are not working and getting paid.  That is a little unusual to be an IC and paid monthly and not on production. 
Questions
Are you using an Expander along with the keyboard? (I sometimes mess up by assigning F keys to things that I shouldn't).  I've linked an article from Computer Hope that might help.  If it were me, I'd just go out and buy a new keyboard.  Nothing more frustrating than a semi-functioning keyboard (except perhaps a semi-functioning toilet).
asking questions

I get the feeling that many MTSO do not liked to be asked questions.  If I am looking to make a switch I am just looking out for myself.  Mind you, I send in the resume and THEY call me. While I may get some that offer 3 insights to the job right off the bat, if I ask if there is a chance to make more of a base pay I either don't hear from them or they think I should look into something else.  I have run across 1 company that was very very informative without me asking too much, but they didn't have direct deposit, and they were on the other side of the country from where I am and was just not too keen on the thought of a check by mail. I guess I'm just kind of feeling not to happy right now with all of this.  Thanks for listening. 


 


Questions

You have several hundred addresses typed out, but are they in a table format or free style?  If table, then keep the doc open, then go to Tools, Envelopes and Labels, select the label you are going to use under options (refer to the Avery label sheet for label number).  Then you click New Document.  Go to the doc where you have the addresses, select all and copy and paste.  You may have to copy and paste by table row, to make it work correctly.


If you are trying to integrate them into a Word Mail Merge doc/letter, I can explain but Word help does a much better job.  Look in Help, Mail Merge, data source, show data source, or something like that.