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Serving Over 20,000 US Medical Transcriptionists

Mobile Infirmary Hospital

Posted By: passing through on 2006-04-10
In Reply to: Applied to Medical Records Dept ... - Beth

I don't know much about Medical Records except that they have a BIG turnover. Always hiring. Say a little a prayer before you except, it may be that it works out great for you.


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Mobile Infirmary sm
Beth, where would you be moving from?  I did hear today that Mobile Infirmary bought Knollwood which is also a hospital in the Mobile area.  I don't know anything about working there, though.  I just accepted a position at Providence Hospital in Mobile and started today.
Mobile Infirmary Medical Ctr
Have applied for a full-time MT job at Mobile (AL) Infirmary Medical Center.  Has anyone experience working for them?  I would appreciate any information, as this would involve a move for me.  Thanks in advance--
I use Verizon mobile and the rule of thumb with mobile broadband is...
Basically, it will work whereever your cell phone will work.  If your too remote, it may not work, but I do know a lot of campgrounds like KOA offer Wifi, which means you should be able to pick up that signal too. You can always call ahead to the campground etc. I use mine going down the road for the most part but every great while going through the mountains I lose reception.  
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


I just want to be mobile

I just want to be able to move around the house with a laptop, which I am still looking for a good deal on.  I am looking for a 17 inch screen.  What is your laptop?  Give me the specs please.


Thanks


KC


Mobile...
I have used ATT and with the $60 package you have unlimited use...It worked good for me.
Mobile transcription
I am really just fishing here. I don't start this itinerate life until February, so I am hoping to here from more people who are out there on the road earning a living.
Mobile Transcription

Interesting question!  I own a small MTSO that is essentially a family business.  My Dad is retired, but does sales and bookkeeping for me.  My Mom is retiring August 1st, and she is planning on getting back into transcription, working for me.  They own a big RV and are planning on being "snowbirds" - living in Arizona for at least 3 months of the year.  The place they are going to is a big RV community which has WiFi internet, so they can both work remotely. I am also an avid camper, so we've been looking into remote internet options.


We explored the different satellite options, but it was very expensive initially for the equipment and the setup at each stop seemed kind of complicated.  The other problem was the upload/download speed - I can see why many services won't hire someone with satellite service.  We ended up going with Verizon Broadband access - anywhere I can get a cell phone signal I can get internet.  The speed isn't the greatest, but it works for us.


What I've found is if you work for a company that requires you to be logged on to the internet the whole time you are working, this option won't really work because of the connection speed.  However, we use a product called DocShuttle by Bytescribe that allows my staff to download the audio and disconnect, type the reports, and then connect and upload the documents.  It works great for that - I even have an employee who lives in the country where there is only dial-up available, and she works just fine like this.


It can be done - I've worked while camping several times this way.....


Mobile transcription
I have just heard from one person so far, and she just did this for about 6 months. I will keep in touch.


Mobile transcription
I'm a fairly new MT, and my husband and I are going to start living in our RV and traveling around the country moving about every 3 months. Is there anyone out there doing something similar? I'd love to hear from you.
Mobile homes are many here in NC, and
they are not a good deal, IMO. Every tornado heads straight for them like they are magnetized, and they seem to burn down a lot. Now I had a townhouse that I lived in for 11 years, and I made quite a nice profit due to the fact they were attractive, had a bit of land and nice landscaping, and were in a good location. I think I paid $85,000, and sold it for $119,000 11 years later. Not bad for a townhouse.
I am mobile with a laptop and use a....sm
Microsoft Elite keyboard. Many years ago I started transcribing with my keyboard in my lap. This has served me very well and is the only way I work now, even at home at my desk. Ergononically, it is great with no stress on arms, neck etc. Just be sure you have the computer at the right height. Sometimes I have to put a few books under my laptop depending on the height of the chair I am sitting in. I love being mobile!
Mobile internet
I need to go mobile with my laptop so I can work away from home.  Anybody else out there who does this?  Any suggestions.  Good carriers?  Any advice greatly appreciated.  Thanks. 
Okay, I decided to try mobile

wireless internet through Verizon.  I currently have a Verizon cell and have no problem with reception in my home, so I'm hoping this is a go.  I also have a 30-day trial period, so I'll know for sure if I have any glitches. 


What I don't understand is this lingo about voice files, etc.  I'm on the Bayscribe platform, so any info would be greatly appreciated.  Please "dumb it down" for me, as I am not a PC person.  The lady that signed me up told me that the limit is 5 GB and that that generally means about 35,000 web pages a month.  How does this correlate to voice files?  Do I even use voice files on Bayscribe?  I'm assuming so since I have an audio player. 


At least I know if this doesn't work out, I can cancel and not lose anything.  Then I'll have to sign up for satellite, which is about $300 upfront and $60 to $90 per month for service.  I'm keeping my fingers crossed that Verizon will work for me.


Thanks for any info.


...and regarding the mobile devices (more information)
http://www.intel.com/business/casestudies/mckesson_integrated_digital_hospital.pdf

Ladies:  Looks like we should be investing in some of these companies...Intel/McKesson on cutting edge, and VOIP companies (we currently use a VOIP phone)...

If we can not make money in transcription, maybe we should invest in its future?

Quote:  "Medical Transcription will change more in the next few years than it has in the last 100."

It is an odd thing, but I actually like typing and will not like it when it is gone. 
Mobile home buying

Shop around for repossessed homes. I have a double-wide Palm Harbor that we picked up for about 60% of book. Yes, they do depreciate like cars, and some brands hold value better than others. Palm Harbor and Patriot seem to have the slowest depreciation rate, and do have pretty good records for storm survival (always remember, they have earned the term Tornado Bait honestly!)  Our home was barely lived in, with very little evidence of wear, and a great price.  Try to look for a repo-only lot - they are usually run directly by the mortgage company and if you have good credit, a good deal can be made, especially if they have had the home back for a while. They can also show you homes alreay set up in parks, or on lots of 1/2 to 1 acre or even more, and if you like the location, won't even have to wait for moving and set-up. Make sure they are able to demonstrate that the heat and air work properly, even if they are lot-set in a temporary sales lot. Don't know about AZ, but in Texas they do have to have certain warranties for roofs, appliances, etc. for at least 90 days.  New home dealerships often have some repos, but they are usually dogs to make you want the new ones.  Shop around, take as much time as possible (we stayed in contact with the repo dealer we brought from for about a year, and he called when he got in what he knew we were looking for) and you can find a deal, especially if you have great credit. We are way more happy with the mobile home we bought when we remember how little we gave for it. Stay away from Fleetwood, Shulte and SOUTHERN ENERGY (run-don't walk-away), unless they just give you one, then be prepared for problems anyway.  I am running on, aren't I? I just wish someone had steered me this direction in the first place.   21st Century Mortgage Company is a good lender for mobile homes. There are not many companies out there who still do trailers, but you can find them if you look. Hope this helps. Contact me if you want more info. 


My advice if you do buy your own is to get a laptop so you can be mobile. nm
.
Lots of people are mobile.

Be sure that you're using a secured wireless network/hot spot. Your laptop should have the wireless card already installed, unless you're using an old model. Try Google search for VPN to learn more.


Most importantly--make sure it is allowed by your company!!


Sprint Mobile Broadband sm
I have been using this service for the last 3 months or so and would never go back to dial-up. However, be aware that there is a 5GB limit per month with any of the $60/month data plans offered by Sprint (starting next month), AT&T, and Verizon. I have been checking my usage, and even with downloading a ton of songs for my son's MP3 player, work, and occasional youtube type stuff, I am averaging about 3.5GB for the month. Also, check what service has the best coverage for your area. I went with Sprint because of the unlimited package they had at the time, but since that is going away, there is no difference to me in carriers except their coverage area. If you have any questions, please feel free to e-mail me, and I can give you the website where I purchased my equipment. They have incredible customer service and even helped me get my modem switched out when it broke (my fault but I had the total protection plan on it, only $7 per month and well worth it).
Anybody use verizon mobile broadband?
Can you tell me anything about it? My dad is thinking about getting it and I wondered if I could use it at the campground they go to, but wasn't sure how it worked. Is there a limit to how much you can be online? Any info is greatly appreciated! TIA!
is this with a mobile home company by chance? nm
:
I agree. I used to finance mobile homes.
However, they had to be on a permanent foundation with the wheels removed, and the interest rate was scary.
Dragon Naturally Speaking v 8 Mobile
Is anyone using Dragon Naturally Speaking v 8 Mobile to download digital dictation from a recorder and convert into a transcribed document?  I saw where it claims to be able to take digital dictation from a recorder and automatically convert it to a typed document.
Mobile Infimary Medical Center
It depends on what department you are going into. Are you Medical Records MT? or Radiolgy MT?
using desktop computer mobile as a laptop

Anyone have an idea about using a desktop computer as a laptop?  I am wanting to take a roadtrip and I had a laptop that has a cracked monitor screen that I used a Belkin wireless internet PCI card in the side of it with WiFi internet connection.  Is there a way to use my physical harddrive and establish the same wireless internet connection with WiFi?  I do not have the same port that the laptop has on my harddrive that the Belkin wireless card fit into, but is there another card that plugs into the desktop harddrive that will have the same effect?  Thank you all.


 


Mobile PC card - no router required.

here is the section on Cingular's web site.  Sprint also has one.


http://business.cingular.com/businesscenter/solutions/wireless-laptop/modem-cards.jsp


If it's in your service area, DO NOT GET CRICKET MOBILE (SM)
My BF got it, and it's just horrid. It worked okay the first few days, then began dropping the signal, sometimes up to every 5-6 minutes, and you either have to call to get your signal "refreshed" or go thru the trouble of uninstalling and reinstalling the program.

It's only about $40 per month, but this is apparently one of those "You get what you pay for" situations.

I'm trying to warn everyone I can. We MTs work too hard to have to deal with this kind of aggravation.

Mobile broadband 5GB limit with ALL carriers
I signed up with Sprint last year when it was unlimited, and starting in July 2008, they put a cap of 5GB, which is what all the other carriers had done also. That said, if you are using the connection mainly for work, the cap should not be a problem. I downloaded a program that keeps track of my usage as well as use the Sprint site to check it occasionally. You can't be downloading tons of MP3s or watching a lot of youtube or other video things during each month, but it doesn't have to be completely avoided either.
Cingular and T-Mobile advertise prepaid plans.
nm
Questions - Working with Mobile Broadband Access

Hi ..


I need to set up to work away from home and am considering mobile broadband wireless. 


I would appreciate any information ya'll could give me - I know nothing about it, other than most service is 60.00/month ... specifically, what carriers and how much time does it get you? 


Thanks so much!  I have verified the major carriers provide coverage in the area I will need to be in. 


Merry Christmas!


point-of-care mobile devices - that is a bigger threat...

another excerpt: 

It is no longer a question of whether medical transcription will survive. The move away from traditional, free-text medical transcription is inevitable, given the improvements in speech recognition technology and natural language processing; the development of standardized templates through HL7ís CDA (clinical document architecture), ASTM schema, and other similar efforts; XML-based communication; and point-of-care mobile devices that will ultimately facilitate real-time documentation. And it is very clear that real-time, point-of-care documentation by the practitioner will replace transcription! This can already be seen in countries outside the United States that are developing direct entry, interactive, structured text documentation without going through all the evolutionary steps from traditional, free text transcription.


In a perfect world, the mobile devices will work perfectly..
It will only take a few big money malpractive suits and lawsuits against hospitals for this standardized text and free text to be proven to be inadequate documentation. Do you honestly believe Joint Commission and insurance companies will relax their standards for health care documentation? I could be very wrong, but I'm not throwing in the towel yet.
actually, they are boasting better quality care with point-of-service mobile devices...
as they (service providers) will have immediate access to all information on a patient throught a "MedChip" rather than have to wait for, you know, "people" (heaven forbid) to get old records, records which have too much information, etc. The system will eventually be world-wide as well, which that will take years and years, I am sure.

This is also to be used not only by doctors, but nurses, physical therapists, anyone who performs a service on a patient. They will have hand-held devices that do everything, document, code, bill.

I realize that will take years, but you can already see the 'growing pains.' Look at all the complaints about MQ. They are losing work because of the speech recognition. All the good, easy, clear dictation is being switched over. This alone seems to be 'weeding' out quite a few MTs.

There are supposedly over 400,000 MTs in the US.

I understand there is no going back, and technology is moving forward and eliminating jobs just as automation did; but excuse me for having some passion. I love this job.
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
hospital MT
Call the hospital.  You can offer a better deal to them.  Most MTSOs charge the hospitals a lot more than what they pay out for the actual work done.  I work for a hospital.  I asked for a raise after 10 years, they baulked, started looking at outsourcing.  They changed their mind really quick when they found out how much they would charge them.  (four times what they paid me).
Hey, if you don't want that hospital job can I
have it? Just kidding (only because it's probably not where I live in central Florida). Started working at home for the kids over 10 years ago, but they are all grown now and I realize I don't know anyone because I hardly ever leave the house!!
hospital job
My situation too. Son out of the house now. Still know all the people at the hospital as I worked there for 10+ years and still do side typing for one of the units there that were not taken over when they outsourced!   So seriously considering it....Sorry, its in PA!
I think they did that to us at the hospital

but no O/T.  But you could get on there and do BONUS MINUTES at 6/cents a line all you wanted.


I always felt like that should have been illegal.  If I'm working, then I'm working.  If I'm an hourly employee - then anytime I'm working!!!!! I should be an employee and thus paid HOURLY WAGES.  But they got away with it.  Sort of a hybrid deal.


They screw us any way they can.


  (good little screws all in a row)


 (Medical Records Supervisor yucking it up drinking coffee, practicing snapping her whip)


(Me at the end of the day saying WHY AM I HERE?????)


Hospital pay
I make about $15 per hour at my hospital job in Washington state and have recently quit that to work out of my home. However, I have not yet found any home job that even comes close to that when being paid based on lines.
hospital pay
i make 21/h. living in the hawaiians islands, thats actually pretty good
hospital pay
my main job is at the hospital and i would never leave it especially with all the benefits and good pay. ic has its benefits when it comes to tax time, but as far as job security and being a single mom, i choose to stay at a guaranteed $20/h. too many people are unhappy with the problems of security in this line of work and i dont want that to happen to me.
Hospital pay
Out here in Oregon, all hospitals pay from 14 to 19 plus benefits.  Am considering going with Kaiser after the first of the year and having my I/C's run my business.  Have one doctor retiring after the first and deciding whether to do all my own accounts and make $40K doing 30 hours per week without benefitis enjoying life and not saving much or going with Kaiser at 18.50 per hour with benefits and having the I/C's doing 80% of my work and I will type parttime on the weekends.  Have only 10 more years to work.   Have been offered work at Kaiser, Providence and Good Samaritan Hospitals so the work is out there. 
Hospital pay

At least with the hospitals out here in the west, they always have posted salary ranges and you can usually always exept with decent experience to start in the middle somewhere and reach the top in 5 years.  Worked in HR in a large hospital for a bit.  They always post the salary ranges here with positions and with that you go in with a bit of knowledge.   I never did see one start at the top though.  Good luck. 


 


Hospital job
Let us know how things go.  I would fear that they see MT as just "typing" and would give you so many secretary duties that the MT part would be pushed to the back burner. 
TAKE THE HOSPITAL JOB - sm
national services lose accounts all the time whether it is nonrenewal of contract or fired, or whatever, your pay is never the same from week to week with a service, you may have extra transcriptionists on your account all of a sudden, work load varies, etc.

With the hospital work, you know your doctors, you have guaranteed hours and work and even down time (some services don't offer that), overtime, benefits, etc. Some hospitals even offer reimbursement on college courses - CAN AN MTSO SERVICE OFFER THAT?? Some hospitals have family leave time for 12 weeks of maternity!! Can an MTSO service offer that?

Take the hospital job!
Take the hospital job...
Those are only real "for sure" MT jobs out there anymore.   I worked for years for a service but since  I took my at-home hospital job, I feel like somebody for the first time in the eyes of my employer.  We are all local, so we have staff meetings and come into the department for different things, yearly reviews, parties, etc.  We're all in touch via e-mail  and know each other face-to-face too. I get paid by the house, have a set schedule, and can earn incentive pay too.  I have paid holidays, benefits, and am a hospital employee except work at home.  I love it, would never EVER go back to clawing for lines at a service who barely knows my name.
Hospital Job
One thing you have to be careful of -- are there witches in that hospital who will send you the "worst" work or not send it at all and keep it for themselves? Be sure - I know one hospital who "punishes" the work at homes because they're afraid their dept. will be outsourced completely. Be careful who you deal with. Don't like MTSO's so I started my own, but family sickness and my own illness forced me to retire (temporarily, I hope). When offered work at home from a hospital, I had to say no and glad I did, another person said yes and just sits there waiting, and waiting, while the in-house people make the bucks and if they do send, it's all stuff they don't want to do. Be careful and good luck!!
HOSPITAL JOB ALL THE WAY!!! the Way (sm)

That's good pay and bennies to boot!!! I would die for that.


I worked for a hospital as an IC for many years at home. That's the only way the hospital bigwigs would allow it, not employee status.  Never ran out of work except in the first few weeks in a new year. Never had "just the junk" as some suggested. I did the same work as everyone else. I tried to get my employee status back (which I was once) but no luck. I was at home. Some rule about that, but I was happy.


I'd go back to my hospital in a flash. My buddies want me back. The boss wants me back. For some reason, they still won't give me employee status. That sucks. ('scuse my French).


Don't even THINK about what to do, DO IT. You'll never be sorry.


 


Hospital

I work full-time from home for a local hospital and am paid per hour.  I also work an IC on a part-time basis.  I would say if you need the benefits and steady paycheck and can handle working possibly rotating weekends and holidays, yes.  The only good thing with working with some nationals is having the flexibility with your schedule but you will NOT make a steady income.  You will constantly run of out work, loose money and find yourself clocking in and out all day long just to make 8 hours.  With a hospital, you know that the work will be there everyday and if you have downtime, you will still get paid.  Also, having that security in knowing that you can speak to management face to face or over the phone. Go for the hospital, because I know a lot of MTs wished they could have that opportunity.  Go luck to you!!!


hospital
security, benefits,local, communication, "real people" versus "phone people"
take less money and have these advantages, the days of making a lot by working on production are over
Good Luck!