If Joint Commission audits and finds "patient care" errors it can result in very...
Posted By: QA editor on 2005-12-21
In Reply to: QA..... - typ4food
...serious fines and repercussions.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
I sent an email to Joint Commission
I don't know why they don't crack down on these docs-- especially these horrible foreigners. I am an MT, not an interpreter for the UN. If I wanted that job, I would move to New York. What it is going to take is some horrendous lawsuit and I hope it happens soon. If these people can't speak English clearly enough to be understood, then they need to have someone dictate for them who can-- plain and simple.
Joint Commission is the entity that provides
accrediation to hospitals. Without them they do not get Medicare payments, Medicaid payments, etc.
Actually, the BOS follows the Joint Commission not vice versa. The BOS...
adopted the Joint Commissions recommendations for dangerous abbreviations. As for the rest of the BOS, I've worked for a number of hospitals in the office over the years and not one manager that I have encountered don't give a hoot about the BOS.
That is interesting. The hospital I work goes by the joint commission
and not so much the AAMT BOS but the commission that gives the governs the hospital. The doctors are not allowed to write q. as an abbreviation when writing orders and must write out word "every" or they are called on it. The transcriptionists have to follow that rule also. This is a major teaching hospital. I think the AAMT follows the joint commission also when they makes their rules. But I also understand that you do what the client wants first and if they do not answer to the Joint Commission rules then the other form would be the correct way to go.
The Joint Commission's Dangerous Abbreviation List... SM
applies to written entries on a patient's chart, i.e. nurses' notes, doctor's orders, etc. For some insane reason, someone somewhere decided to apply it to transcription as well which is just silly. I work for a facility that has decided not to force transcription to strictly adhere to the dangerous abbreviation list and Joint Commission has not counted it against them in the last three audits.
I will say most MTs where I work do not use qhs, qac or qd. We expand those out because WE (the transcription department) decided that we should for clarification purposes.
Joint commission is the accrediting body for hospitals to receive reimbursement. They want it to be
x
We are not involved in "patient care". The dictator is responsible for that.
x
QA Audits
Would like to vent a bit about QA audits. I understand the need for QA but to ding people for leaving out a word that does not make or break a report and then allowing whole paragraphs to be deleted because that is the "form" the company prefers is hypocritical to me.
QA audits
I quit over this. The QA's were not together on anything, one would mark something wrong and another one would okay it. I did not have to put up with this silliness. I agree, it did not make a bit of difference and they were wrong so much of the time. mh
Monthly audits = QA score. sm
Usually companies audit your work monthly. They will pull 5 or 10 reports you have transcribed and do a random QA check on them. If you have critical errors, they will deduct whole points, noncritical errors usually a half point.
If you total QA score is below 98% three or more times in a row, some companies will do what they can to help you, put you back on QA review for a while so every report will go to QA. Other companies may just fire you or let you go.
Is this the answer your were looking for?
Can you use "patient" where he states male and/or female? nm
xx
Am I the only one that finds this odd
The original poster asks about the company and then replies that they are bad?? HUH?
I'm left handed, guess that makes me dyslectic, so I used to type "patient was raped and prepp
also....wayyyyy back in the late 60's and early 70's when I actually worked in a doctor's office or hospital, if patient's name was Norman, 75% of the time I typed Normal. What is really funny....my father's name was Norman Hassell...can you imagine anyone being a "normal hassell"? Even funnier still, my mother named me Joy....so guess you can say I'm a "happy hassell"!! and a lefty at the same time; people tend to steer clear of me!!! Have a good day. Big huge storm moving across our little island right now; got to shut down and unplug everything. 
Frank finds it as humorous as you did
I e-mailed him the link.
Only a neanderthal finds it sporting
in the name of "sport".
Disgusting.
If anyone ever finds out how to contact her, I'd love to and SM
encourage her to go for a gospel career. She has such a sweet spirit, and I also had the thought that perhaps God has a different path in mind for her awesome voice. I can just see her with a Christian recording contract and a Christian following. I hope she touched some nonchristians with her witness throughout the time she was on Idol.
No compassion for the woman who finds this circmstance a
There is truth behind every joke anyway so if someone jokes about something and finds it funny
their true feelings show. I don't think the dumb-a$$ male is all that funny and I guess it's because most males I know are pretty smart so of course I wouldn't post "jokes" like the OP. That's why I think OP did not really respect men and found humerous truth in the "joke."
Anyone else offended or insulted to be offered 6-7 cpl? Or is it just me or finds this insulting.
Is this how bad it is that now this is the going rate?? I get sick to my stomach just thinking about it. I need a career change. 
A good middle manager finds ways to do it.
I did that role for years. You have to please the client but be advocate for your MTs.
A good AM will find ways to communicate respectfully to the client regarding what the MT has to have to do the job adequately. A good AM will document and see patterns and be able to communicate that to the client. JMO. Obviously I think I was a good AM. LOL.
I did exactly what you did and had the same sorry result
I came down with repetitive stress injury after typing for hours each day for years. Now after an hour of typing my fingers are sore and stiff. I went to DNS for the same reason, did the Know-brainer, got the excellent mike and trained the a** of the thing - after months, I still could not get any production out of it. I can type circles around the thing-- except I can't type! Furthermore, the thing is so touchy, requires frequent re-boots to get quality production, and I would have to redo my dictationary every three months because of a **known** glitch in the system. Then the thing has to hear the whole sentence and think to make sure it gets context right-- you are dictating the next sentence while it is posting the previous sentence and you're trying to do both at the same time. hated it.
VR done by other companies uses the Dragon platform but then changes the software so that edits are easy - not the bulky, slow, fingers off the keys editing that DNS has. Our hospital had the radiologists go to Dictaphone's Powerscribe and in 30 days they were doing all their own dictation without ANY editing by MTs. So depends on the platform. VR definitely works.
joint/join
Ummmm - that was join, not joint.
what is the result if you make the same
checking on a free AV?
File complaints with the Federal Trade Commission, your state attorney general, and the SM
state attorney general for the state The VLC is located in. I happened to check it out and they have offices in Niagara Falls, NY and in Ontario. Be sure to forward copies of every thing your file to them. You can fill online complaint forms at the FTC website and the NY Attorney General's website. Print out copies of these forms and mail copies of them after you fill them out to the school with a letter basically stating that you have reported them to these agencies and they will be intervening for you on this matter.
I also like the idea of putting cc's on your correspondence to a local news reporter. And call them every single day until they are tired of hearing from you!
Good Luck!
HUMAN RIGHTS COMMISSION RULES IN FAVOR OF PAST EMPLOYEE OF DEVENTURE
NOT GOOD!!!
Joint tenderness is another possibility.
dd
As long as your end result is verbatim, it should be up to you how you get there! nm
..
Actually, the testing is a direct result of...SM
all of the schools and training programs out there that don't begin to teach a person what they need to know to be able to do this work. People come out of the training programs and think they are ready to go to work, but in reality they haven't got a clue. The only way to weed through these people is to require testing to be sure the person being hired can actually do the work. That's the long and the sort of it, in my opinion.
I agree I learned more as a result of the
I never worked on production back in the olden days, though. I was always paid hourly at my in-house positions. I never received production pay until I went home to work. It's a whole new mindset, and I believe wholeheartedly in using whatever tools are at my disposal to increase productivity. However, I'm very glad to have learned the old-fashioned way, too.
Two errors per page is a LOT of errors! nm
x
Does NE1 have severe joint pain while working?
I have been working as an MT for only 4 years, and I am only 23 years old, but lately I have had severe finger, wrist, elbow, shoulder, and neck joint pains, especially when working. I am just wondering if this is normal.
Thanks for the help.
And the result is like a Catch-22. Clients/MTSOs
so they turn to alternatives like offshore or VR. But they don't look far enough to see that the root cause of not enough experienced MTs is because the experienced don't want to stay in a sinking ship. I think they feel that using the excuse that lack of experienced MTs validates them turning to cheaper alternatives, which in turn, makes the ship sink even further.
Think it's a result of that darn "vote-for-the-worst" sm
group that is skewing all the results. Wish that site could be abolished.
Joint Pain in Arms/Hands/Shoulders
I am just going to relate this story for what it is worth to someone else.
In 2001 I began having problems with my left hand, arm and shoulder. Orthopedist thought it may be the beginnings of carpal tunnel but EMG was neg. It was bad enuf that at times I couldn't pick stuff up and it hurt to type. It waned and waxed. A few years later I began having problems with my hands and the joints in my fingers hurting, along with left shoulder pain. My hands were so bad I could not open a jar at times. Eventually I went to a rheumatologist who told me that I had no visible signs of severe arthritis. All MDs, incl. orthopedist and rheumatologist recommended trying Celebrex, aspirin, etc. The regular stuff. I was resigned to early arthritis like my mother.
Well, one day in late 2004/early 2005 I decide to see a chiropractor for my shoulder because I'd had electro therapy for an injury years ago and thought maybe this would help. I had some adjustments and electro therapy on my shoulder.
I want to tell you -- ALL and EVERY pain in my fingers left and never came back. ALL and EVERY pain running from shoulder to hand stopped. It had to have been some sort of pinched nerve.
Not a single MD had even suggested seeing a chiropractor. And had it not been for my shoulder and my past experience, I never would have thought of it and would still be suffering, possibly with even further damage to the nerve by now.
Yes it is, and we do file a joint return BUT you can offset your income - sm
on the schedule C with your expenses (mine are ~$2K) and lower the amount you pay taxes on. This is in addition to your Sch. A/B or the standard deduction.
isn't the forbidden words from joint commision of hospitals, not BOS? nm
x
Joint Commision and AAMT. Who made them gods? Do they
x
Sage advice. Consequences would result in being out of the loop
But I can live with that.
The result of MTs' efforts to make a living wage are (sm)
And of COURSE we don't want less - we DO want more. That goes without saying. But you see - the type of verbal attack that you and other "Debbie Downers" like you launch every time an MT says, "Wait a minute... maybe there IS something we can do is so typical of the type of thinking that holds not just MTs, but women in general back. I have already checked and made sure my doc's MTSO doesn't offshore. If that changes, my ins. (which is just your average, run-of-the-mill HMO) STILL allows me to go to other providers. If you "don't have many options", have you ever wondered WHY? Could it be that you keep SETTLING for less and less? And could it be that other MTs, when they read the gloom and doom in your post, will think THEY have to settle, too?
As for pulling other endeavors out of other nations, hey - there are quite a few that I think others would LOVE to see pulled out. Such as tech help for just about everything from your PC to your cellphone being sent to places where they can't understand what you're trying to tell them, and vice versa. I have a friend with a Masters degree in software engineering who is working menial jobs right now in order to pay the rent, while he looks for a job in his field that is a full-time, benefitted position, rather than as a part-time IC with no benefits. He says even the part-time jobs are getting hard to find because so many employers are sending EVERYTHING out, including part time.
The old, "Go ahead and try! Why don't you quit MT? Oh, boy - more work for ME!" song and dance may fly for a while, but why sit back and seemingly enjoy watching your profession go extinct, when eventually it WILL affect you, too? Do you really want to sit there all day as an "editor" and stare at work typed by other entities? How boring is that? Where is any ounce of creatitivity? At least when you transcribe, you are producing something of value, and can take pride in it. And at a lousy 3-to-6 cents a line, where is the pride in speech-rec or editing work?
Anyone had a positive result of posting a resume through this site?sm
Once again, I am on the lookout for another service because work load is starting to slow down. Quite frankly, I'm a bit scared! We had no work for many days starting about this time last year, and it looks as if that cycle is starting again. I was just wondering if anyone would suggest I post my resume here.
This board's image problem is the result of complaining MTs.
--should become the new logo.
Once had an ESL cardiologist who dictated every lab result done during hospital stay
and even the normal ranges for each test!!! 45 minutes long and of course it was a PRIORITY/STAT.. yeah right
Hunter Hayes and Hank Williams, Jr. rocked the joint!
Love music....every form....I've sung just about all of them including Mozart! Music is an international language. It's always been such a great release from life's daily stressors.  Cat
If you google the phrase "Letterman sign" it is the fifth result listed ... sm
It seems to be the same thing as the Terry-Thomas sign. It was new to me, too.
Offshoring to India is the direct result of declining quality
being produced by American MTs. The declining quality being produced is the direct result of inexperienced, under-educated MTs being churned out by these online MT schools.
How common are server issues and other technical problems that result in downtime? (sm)
Do you get compensated for your downtime? I'm thinking of going to work for a national, but I've heard there are a lot of technical issues at these bigger companies. True?
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.
The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.
If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.
States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.
Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies. It goes on and on and it means and acute care hospital setting, not a clinic.
I always figure if they don't care about their dictation, they probably don't care about their
nm
Dont care how many languages you took. Care
x
Ya still got errors
Keep trying, you are almost there!
|
