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Serving Over 20,000 US Medical Transcriptionists

If they don't read their reports how do they know what's wrong with patient next time he sees

Posted By: Megan on 2005-12-27
In Reply to: You may be right that most doctors - OP Queen




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Unfortunately most docs don't care; they don't even read the reports most of the time.
It's OUR job to comply with quality standards.
Yer right... half the time the docs dont even read the reports. (nm)
.
Anyone working with Escription that sees the reports getting worse instead of
better? I have been on the present system for the past 6 years or so, same work, nothing really has changed except for the fact that Escription has in the past couple of months has gone screwy. The numbering is off, people who dictate whose work used to be letter perfect is really messed up, physician's names when dictated are left completely out- has anyone else noticed anything like this happening when on VR- goes from a terrific platform to where you just hate to work on it? Thanks.
I typed a report on the wrong patient as the doc keyed in the wrong info, SM
He later said the correct patient's name and I SWEAR to this day I made the changes but somehow the report when through without the correct patient and changes made. I still remember that incident.
OP SAID the patient was not ESL, the doc was. READ.
d
I received a note from QA that I'd spelled the patient's name wrong

THROUGHOUT the report.  Since I don't keep a copy of the chart on my computer anymore, I can't go back and look at it to see what I did.  I vaguely remember though, 2 days later, that I had a patient that was not on the patient list so I spelled phonetically, marked it for QA that this was throughouit the report and sent it on its way.  I questioned the person telling me about the mistake as to whether it was spelled right in the demographics and a couple more questions trying to clear my confusion about what could have happened.  This is certainly not something that is my norm, for sure.  She replied once, but after asking another question and telling her that I'm really not trying to give her a hard time over this, she has not responded again.  Is it possible that someone QA'd my report, fixed the patient's name in the demographics but didn't look at the report body.  Perhaps I should have flagged every place that it is mentioned as well?  "The patient" certainly would have been a sure thing here but not allowed. 


So now that I've ranted a little more over this I'll let it go (hopefully) but I just can't believe I'd have done this.  I even use "uj" in my Expander and change it to the patient's name with every report, just so I don't make a mistake remembering how to spell some of the names.  I guess that's the biggest reason why I'm having a hard time with this one, because I do the same think on EVERY report, uj=whatever the patient's name is as per the demographics on the patient.  AAARRRGGGHHHH.  It sure does bug me.



Can't read patient's names - need suggestions
Where I work, we receive a faxed schedule each day of the patient's names, but is very, very hard to read.  The clinic is not very cooperative AT ALL in changing this, even though we are using a magnifying glass to try to read.  Every time we spell name wrong it is returned as an error.  Any suggestions on what we can do on our part to rectify this?   
It is against California Privacy Laws, and the patient can sue from what I read.
They (companies that outsource) are probably lining the pockets of the politicians!
I read my reports before sending
I read my reports word-for-word before sending (not my posts though! LOL). I started off a little slow at first, but like anything, once I got used to the account my speed increased. Nothing was ever said to me about my counts (which were slightly below the requirement). When I mentioned it to my supervisors just to cover my behind, they told me that they much preferred my 99-100% accuracy on QA checks. I would never put my name on a report without making sure that it was as accurate as possible. These are patient's lives here. If I could not produce accurate reports fairly quickly, I would get out of this business. For me, accuracy comes first and speed second.
Who had time to read?LOL I only get a chance to read This Old House once in a while. (nm)
x
Just be patient and give yourself time, you will get
x
You read it wrong
I said that it was untrue what Comcast says that if you are a business paying customer you get faster repair service -- I pay business rates for my Comcast Internet but when there is trouble I get no faster service than the neighbor next door that pays residential.  But because I use it for business and deduct it I do pay the business rate. 
Sorry. I read it wrong. Thanks
nm
not being disrespectful and do not read into this the wrong way -
but do you ever transcribe, or do you stay on the board and just ask nostalgia and television questions all day?
Read my reply wrong

At first only two were dictation - not using the system -- then eventually all 5 went back to dictation and it was too much for me to handle.  It was employee status and I only did it to get out of the house for a few hours per week at first -- 10 or so -- but it grew too large and I make much more at home on my own accounts ($18 at the clinic per hour versus $30 to 40 at home) and though I loved the docs, I told them they needed someone full time and that is not what I wanted.   I have also been contacted by at least 3 other clinics/docs in the area that are using EMR and thinking about going back to dictation into the systems as again, it is too time consuming for the docs.   I think it will be like voice recognition where some like and some don't.  You just have to find those that don't.  


Sorry, I probably read this wrong. My apologies. sm
I am SWAMPED by this clinic that I'm currently working on.  DH is being a buttmunch, too.   on me! 
Read the date wrong, BUT STILL
ON HERE TOO LONG.
And all this time I thought the bottom line was patient care. nm
nm
Question re elderly patient being dropped by long-time PCP. sm
My SIL's mother was dropped as a patient by her long-time PCP (who also treats 4 other family members).  The reason was that the elderly woman (upper 80s, status post back surgery and recent hip surgery) had missed too many appointments.  Mind you my SIL always called when her mother could not make an appointment due to physically not being able to keep the appointment.  An office person told my SIL on the QT the real reason was because the doc couldn't get as much reimbursement from insurance on elderly people.  Mind you, this woman has her regular insurance plus Medicare.  What is up with this.  I never heard of such a thing.  Anyone? 
Depends. Is it strictly transcribing? Is all patient info provided so you don't waste time? Any d

The last time I did reports per page...
was about 3 to 4 years ago, and I was getting $2.50 per page then.  I did about 10 pages an hour, so I was making $25 an hour.
I shouldn't have RETYPE the reports all the time because the MT
doesn't do their job. They don't read over their work. They add and leave out words. They misspell words as if they don't have any spellchecker whatsoever. They completely SKIP dictations in the middle of a 30 min tape. NO IT IS NOT MY JOB TO TYPE IT. IT IS MY JOB TO EDIT IT. I would rather spend my day EDITING because I am an editor.
Find my reports changed all the time.
In ChartScript you can view and edit previous reports.   Anyway, I have found tons of my work which I know is not the way I typed it.   I just let it go and so far have they have not said anything.  If, however, I was told about these mistakes I would say something even though I know QA would be right.  Agree, they think they know it all and some really don't know jack.
Long reports, dead air time

Does anyone have any good tricks for dealing with the long reports with huge segments of "nothing"?  On top of that, the people I am dealing with are ESLs so that's slowing me down enough already.


At this point, all I do is speed up and fast forward but am wondering if there are other ways to compensate for this issue.


Seems like someone would teach them how to pause when they stop dictating! 


Do the majority of MTs reread or relisten to all the reports you do and how much time does this take
or I suppose rather which is more effective and takes less time. Do you do this for every report you do. Do the big nationals require this. I suppose it depends on your QA score if you need to do this.
well, it IS work related. I edit those reports all the time.
nm
I do reports all the time where patients have asthma, COPD, emphysema, and

even cancer and continue to smoke.  In our local paper they are following a woman in her battle with cancer.  She continues to smoke, as does her husband.  They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills.  Just think how much money they've blown on cigarettes.


I've even known one man with a trach who smoked through his trach.  


 


That is definitely wrong! No way does anyone in any job have 100% of their time straight production
x
LOVE teaching hospitals and long-winded reports. Less ADT time which I'm not paid for.
Hate filling in ADT screens w/ searches just to do a one minute report.
eternity is a long time to suffer for being wrong.
If you live as if there is no God -- you'd better be right.

Google brings up wrong spellings etc. all the time.
Pick just about any medical equipment and search it spelled different ways; you will likely find them all on Google. To me it is basically useless for MT work because I have to check the books anyway in most cases.

Here's an example of what I find:

Flowseal™, FloSeal®

Both even claiming to be the trademark brand name.

Can't rely on Google.
Half the time they spell things wrong anyway! NM
!
if u have time to read this
you have time to stop in and say hello. take 5 minutes, you might meet a new friend.
Don't have time to read
it right now, but people have a horror of so-called socialized medicine even though we already have it in the VA system. And from all accounts it works well.

It's okay to provide our reps in government with the best health care but feel that we don't deserve it?

Strange that "socialized" is such a scary word for so many. We have a socalized fire department and police department. They don't check for coverage to help you do they?

We are the only industrial country in the world that does not provide health care to all of its ciitzens, It is something of which this country should be ashamed.
You cannot believe what you read all the time on these boards.
Best to ask the company if you have a question.
How sad. I read one time in Ann Landers, I think it was

Rather than ask them if they need anything, just do something, like bring food over (not right away, they will have enough) but maybe every week or so for several months, not on a regular basis, more "spontaneously."  Volunteer to sit with their other children if they have any, so that they can do whatever.   Things like that.  Just so they know you are there for them.  


Who has time to read books?

I'm too busy trying to juggle 3 jobs, and spending time reading a book has become a luxury I just can't afford.  Can really relate to the OP. 


I keep hearing how great the economy is, and I'm starting to wonder if that's simply just not true.


I'm like this all of the time! And now that I've read this
and became aware of my chair position, I have to adjust again!  I think it's just one of those little MT quirks we all have.
Please take some time to read up on the subject and....
...we can bring the discussion back up to a higher level. It's hard to discuss when the basic fund of knowledge isn't shared by all involved.
Wrong. That is why you have virus protectection and anti-spyware. To protect 100% of the time.
:P
Ours sees them until 18. nm
s
Does anyone actually take the time to read the posts BEFORE replying?
been "mentoring" with them for 9-months.....so Yes, she has already been taken for the $$$, and obviously being shot down saying she is not quite good enough yet to "work" for them. ---Ever now and then someone will come on and say they "work" for them and how great they are, but its a bunch of bunk, look at the archives, 99% negative, total scam all the way. Sorry you got taken.
You have not taken the time to carefully read the posts then
Don't come into the middle of something and start accusing the wrong people of stirring up trouble.  I think you need to take a chill and read the posts below.  If you take the time and stop looking at it with a prejudiced eye, you will also be able to see the thread.  You are defending the wrong person here. 
EVERYONE SHOULD TAKE THE TIME TO READ THE POST ABOVE FROM RutgersFanMT.
This is an example of how at least one company manipulates both the Transcriptionist and their own clients to their detriment and to the company's gain. And it is all true.
I was going to say to trust yourself and not re-read everything you type, but within the time
it took me to read your post and then go check my mail, I received my monthly QA report and had two errors where I didn't pay attention and put "female" instead of "male".  Talk about feeling like a complete airhead!  Just goes to show you that you're going to make dumb mistakes no matter how long you've been at this or how much you trust yourself.
Read this all the time here, simple solution
why gripe and get all hung up on something that is the way it is and apparently the people complaining do not see any change, disappointed with their lives, money, children, whatever. Life is much too short to just sit back and complain. I have free speech, it is guaranteed and I will use it. I have never in my life seen so much "woe is me" type posters. People find it much easier to sit on their duff and complain about what they perceive their lives to be rather than trying to rectify the situation.
Am so glad someone else sees it this way
that is exactly what I have said, taking to extreme, so paranoid now days, my goodness no one is coming looking for you and if you say grandparents had this or that, you have nothing other than they had that. No names, no social security ##, no nothing. Think about it.
No. The way company sees it ----SM
They feel the new technology is gaining hold so fast, that only a younger MT, very comfortable with a computer, will be able to catch on rapidly. (And will not be savvy enough to realize they are being cheated out of lines.)

They also cite the BOS issue. Supposedly new MT's have been professionally trained and know the style guide backwards and forwards. Whereas, older MT's may not know it as well.

I know that's how my company feels about it. It starts with the letter "S".
Best post I've read in a long time.
I tend to go back and forth with my feelings about this profession. In the mornings I am glad I do not have to get up, get ready and go to an office. Many times in the evening, after I have during the day and still have work to do, I feel like stuffing it all. Many times I am disheartened when I get my paycheck, but I am glad to be getting one, while my sister worries about getting laid off from her manufacturing job. MT has advantages and disadvantages.
I haven't read any of the other replies regarding Time Warner
so forgive me if this was already noted. I have the all in one package phone, internet and cable and haven't heard anything about this at all. Nothing's been in our paper or on the news. I guess I'll just have to wait and see and worry about it then.
I work and do not have time to read such long posts, do you?..nm
nm