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My client loaded my templates into their EMR and are now doing it themselves

Posted By: replaced by EMR on 2006-03-27
In Reply to: Have had cut in pay due to template - use required

I feel for you. My clients had me turn over all my templates/macros and loaded them into their system and are doing it themselves. This was after dishing out thousands and thousands of dollars in equipment and training additional staff. I was making $7,000 a month and now it is $65 a month if I am lucky.

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this is a loaded ? sm

IMO, MedQuist is an excellent choice! And I know I'm gonna get flamed, but I don't care! I've been with MQ for over four years now and have been EXTREMELY happy with every aspect of my job. I'm always paid on time, never run out of work, have a nice coordinator, workflow is very helpful and friendly, and tech support is good, too! I have nothing to complain about and would highly recommend you give them a try.

And NO, I am not management, though wish I were!

Wow. That truly seems like a loaded question to me.
I think it is fair business practice to determine what you pay your employees dependent on what your overhead and expenses are first of all, and secondly what your target profit values are.

I make just under 11 cpl at 2 different nationals, including my incentive bonuses. It is very good work and I am happy with that pay.

That is my experience though. I'm absolutely sure you will hear songs of a different tune from others.
Re: loaded question
I understand what you're saying, but keep in mind your initials are only related to the clerical aspect of the report, not the clinical one. No one looks at a report and connects the MT with the procedure. With that being said, I think you should do your job, which is to transcribe the reports, unless they are coming into your queue so often that it's genuinely affecting you emotionally. If that's the case, perhaps you need to change accounts, rather than cherry pick.
Re loaded question
I rarely post on forums, but will share with you a similar experience I had about 10 years ago.   A facility I worked for had a physician on staff who routinely performed third trimester abortions.  I found myself sobbing one day as I was transcribing the words "heavy crushing fetal forceps."  I went straight to my supervisor and told her I would never do his work (or similar) again.  
Might be easier to set up another tower with XP loaded and use a
When I worked for FutureNet 2 years ago they used but they loaded it themselves. nm
I have a question that I realize could be pretty loaded.
I in no way want to spark a debate and I won't engage in one.  I just have a moral situation and I ask that only those who have had similar experiences respond.  As stated, no need for a debate.  I am adamantly opposed to abortion for any reason.  I don't condemn those who do or have had them, but I oppose abortion.  I work for a national and just recently had a few abortion procedures to transcribe.  I felt awful doing it.  I was really torn between wanting to cherry pick past those (which I feel would be perfectly acceptable to do while letting a supervisor know why), but didn't.  I just feel like a real hypocrite that my initials are now attached to an abortion procedure that I do not support.  I just wondered if anyone ever found themselves in this situation and what, if anything, did you do about it.  Now, this is about abortion only.  I'm sure many of you could jump in and say you're against gastric bypass but you still transcribe those, etc.  I respect others' views.  This happens to be strictly about this situation and in an effort to avoid ugliness by way of a debate, I respectfully request that you only respond if you have dealt with this situation specifically.  Thank you and God bless!
I bought a Vista-loaded system and I have tried to
work now for several companies but Vista is incompatible with their platforms.


I loaded my old PRD files into Instant Text
I still had PRD on my old Windows 98 computer and the Instant Text folks told me how to save my files and upload them into Instant Text when I changed over to a new computer. I was very happy about that. It corrupted a few of them but after editing them they worked fine.

Hands down, PRD was the best. Shame they didn't keep it updated as Windows changed. It was set up to work in word patterns, making it easier to remember abbreviation names. I've set up IT the same when making new additions.
How do I check for stuff loaded at start? nm
Don't need a medical dictionary, but you should have the Stedman's spellchecker loaded. Can
Thanks for your responses. The ad said it was loaded with several platforms and word processors
MediFast is just like SlimFast - can't take either as they are loaded with Iodine and I am allerg
However, I have seen results from both. It is hard to keep the weight off or maintain it once you start eating food again.

I worked for a physician who specialized in the MediFast program. The initial results were good, but the patients had a very hard time maintaining it and gained some back.
I tried it. No dice here. It looked like it loaded but the sound would cut in and out. Too frustrati
that works with this program. I mean I was told by the electronics people that the 9-pin was being obsolete so why cant we get into the right decade.
Explain how you used the jump drive, I did that but loaded it on the computer but...
somehow my jump drive got messed up. It asks me if I want to redo the drive. I don't know what happened. How do you work from the jump drive?
I have actually loaded it from the testing the company sent and have literally gone in and deleted i
the pedal just works terribly.  I will wait until the tech guy calls me today and see if he can figure it out.  If not, well then I am not sure what I can do. 
I am currently looking for a new MT job but with my previous job I have always found that making my own templates worked best for me. I had the same doctors all the time so I knew what needed to be in the reports and what did not need to be there. :-) I have always found my own shortcuts to be the most productive ones.
Yes, I know what EMR means. I understand that they can also do the point and click method and also create templates?
Could she be using templates and she just has to change a few things here and there?  If that's the case, I still don't know about 800 unless there is an awful lot on that template that remains the same and it's a long template so fewer starts and stops. 
Using MS templates with EMR
Anybody create Microsoft templates for EMR documents?

I have a new account that uses EMR. I want to include Microsoft fields into the document so I can easily tab through them but I just don't want the code Word uses to generate a field to conflict with the XML code used for the EMR system.

Does anybody use fields in EMR documents without any problem?
EMR has templates

EMR has many templates: ROS, HOPI, lab orders, Plan, health histories, immunizations, specific diseases, etc.  Each template has many fields with corresponding questions that can be checked off indicating a yes/no response or severity level.  Similar to filling out a survey by checking the boxes that apply. After completing these templates, the physician can click a button that automatically pulls the information that was entered in each of the templates, and generates a "document" in a determined format.  Thus, no reason for the physician to dictate a tape for someone to transcribe.

We implemented an EMR where I work and it did result in less transcription. 

Template or no template, any time YOU have to take away or add to a template, delete, redo, whatever, I count everything....after all, it's my time to add and take away. I use Sylvan also... any will count the template.

Don't screw yourself over.... count everything!

Re: Templates

Yeah really... we get screwed over enough, let us keep SOME things that work to our advantage.

We have templates where I work but - sm
we get paid for all that (no spaces though). They do the templates because is it what the doctors want at the hospital I type for; they all have specific needs. They put in jump markers {} that we jump to using Alt-F (WP 5.1), so it is very easy to get through. On a account of my own I did the same thing on the template I made up for myself for 1 of my docs in MS Word, jump from spot to spot, very easy. If you can save the template and make your own "markers" to jump to, yes, you still have to delete unused ones but boy is it a lot easier.
question about templates.

I have a question about during a physical exam portion, I know what it means to "flush left, sub headings all caps," but what is the other instance of "stacked form". thanks. 

Templates in Meditech
When I worked on Meditech for 15 years, there was something called canned text.  Ask your new employer if there is a way to submit canned text entries and how this works. 
Thank you all!!! i do use templates, but its easier for me to just add the cc on the ones i need as
i put the cc: in autotext and it is working like a charm!! i have never used autotext, just autocorrect and it wasn't working in autocorrect. never knew what autotext was about. thank you so much!!!!!
I have templates for one account that are
Templates from doctors

Really need your thoughts. One of my doctors has about 50 templates/shells. When doing combined procedures he will tell me to just combine the 2 or 3  or 4 shells he has for the individual procedures without taking out whatever is redundant or conflicting. I have to do that. Several of these individual op reports are 3 pages long, so can end up with a 6-page final report.

On his follow-up notes, he will use a shell and then say "add this to the physical exam" but he does not say what to take out of the standard note.

Many of his op notes have numerous variables. He oftentimes does not tell me which to use and/or which to delete.

For "risks" he will dictate some and then say "and add whatever Dr. X uses."

I am requesting a meeting with him and with the office administrator, but would like to know what you think and what you would do.

Thank you



Creating Templates
I am looking for a way to create a sample report and put ?? in the places where changes would be made, using a control key to jump from ?? to ??    i.e.  This ?? year-old ?? patient.....Blood pressure ??, pulse ??, temperature ??,  ETC. 

Question on templates

Okay, I have a new question.  I'm trying to create a form or template that I can insert information on. How do I create the form with lines so that I am able to insert information on these lines?  Is this possible?

Almost no templates and close to 40 hrs sm
it is all OP notes. Actual my-butt-is-in-the-chair-typing time is 35 hours or so. Shift time is different. I had one day this week when I could not sit for more than 5 hours of my shift total. I had an 8-hour shift and quit after 7 because I could not sit any longer. Lines were 1350 for that day. I remember it as a distracted day, not one where I worked for it.

I often wonder if I were more motivated, if my body didn't hurt when I sit for longer than 1-1/2 at a time, if I could churn out more lines. There is no reason I can't do 30,000 every 2 weeks, except that I can't sit still.
So what if it's with huge templates....
600 lines an hour is 600 lines an hour whether it's straight typing or using templates. I WISH I had huge templates.
Questions about templates, pay, etc.
I work for a company that uses templates.  The work is extremely easy, but for each report we have to subtract the line count that equals the templates...anywhere from 8 to 13 lines depending on the template used.  Over a course of typing this adds up.  The pay is average.  I am wondering if anyone else types on account that do this and what your thoughts are about it.  Do you feel you make up in typing what you have to end up taking away in the end? 
Questions about templates, pay, etc.
I work for a company that uses templates.  The work is extremely easy, but for each report we have to subtract the line count that equals the templates...anywhere from 8 to 13 lines depending on the template used.  Over a course of typing this adds up.  The pay is average.  I am wondering if anyone else types on account that do this and what your thoughts are about it.  Do you feel you make up in typing what you have to end up taking away in the end? 
MPLite templates


MPLite templates are Word documents in the TransMP Formats folder whose filename is used to differentiate which templates belong to which clients. All the templates you have for a particular client will show in the Document Information screen.

1. Start with a blank MS Word screen, and create the template you need there. Use the codewords (eg Last? First? MR? DOB? etc) to tell MPLite where you need this information put. Make sure each contains the ? at the end of the codword, and you'll find a complete list of available codewords in the help file in the chapter Formatting Templates. You can use headers / footers and any other formatting features in your templates.

2. Give this template a name in the pattern FacilityInitials_DescriptivePhrase.RTF. You have to save them as RICH TEXT FORMAT in the Save box, and save them INTO the TransMP  Formats folder. The Facility Initials must match what you entered for that when you registered the facility. Keep the descriptive phrase relatively short, eg, CON, FU, XRAY, HP, DC. If this is a template for a hospital or clinic, you can has as many templates for a facility as you like and can differentiate Dr. John Smith's Consultation by use the descriptive phrase CONjs, and Robert Youngs as CONry or CONyoung. (Note it is an underscore _ and not a dash used in the template filename.)

The list of available templates is refreshed when you start a session. So if you create a new template while in a session, cancel the session, and then reset it so the template list is refreshed.

If you have other questions about the templates, please ask.

Best wishes,

Vann Joe Turner

yes if you are doing Radiology with all templates. sm
I've been working on this platform for almost 6 years now, doing all acute care, all worktypes, and my highest monthly lines per hour average is 685. One time I averaged 938 lines per hour, but that was one day with all the same dictator and all the same worktype.

And, my account has been on VR for 5 years now.

So, to answer your question - In my most humble opinion, it is NOT really possible to do 1000 lines per hour every hour or every day and keep the high standard of quality at 99-100%.

Does this work on all templates....sm
I have been trying to figure that one out. How do I keep from having to take my mouse and skip to the next field? I suppose F11 is it. Thanks I will try it.
Question about templates
I am wondering how you make a template so that you can hit F12 to skip to each section.  Thanks!
Are you pulling in templates? If so,
you will have to check and make sure they are set on 100%.
I do ER and do double that. Lots of templates, etc.
Why in the world did you give them the templates?
That was pretty ballsy of them to even ask you to do this.
see, there's the difference . . . some of my templates have 50 lines already in them(sm)
that we have to scroll through.  The patient demo info is a matter of six lines.  The rest is all headings.   I don't mind inputting the patient info, it's the scrolling up and down the page and adjusting the pre-filled headers that takes up so much time.
Help creating letterhead templates

I would like to take an existing letterhead, scan it and create a template for it that can be pulled up and typed right into.  Someone I used to know did this for one of my accounts at one time, but I have no clue on how she did it and no contact with her anymore.  It doesn't seem like this should be anything difficult to do, but I have played around with it and just can't figure it out. 

Would really appreciate any pointers, or even links/websites where I might be able to find simplified information on how to do this.  I am a little "behind the times" and not very experienced on much besides typing at this point.  I will be changing direction soon and need to update my ways of doing things.

Thank you in advance for any tips or direction. 

Am not real sharp with templates but here is what I do
I do op notes for my derm doctor and they wanted the letter head on each op note and there are all headings on the note.  I make a file for the op note with the letter head on it (centered) and then all the headings.   I do an "insert" file each time I do a new op note after finishing the old one.   Don't know if this is the same or not.  But I find inserting files easier.  I do this with H&P's, consults, etc.  Then I just go through the headings as he dictates and fills in.  This works well when I am doing a combination of chart notes and consults/H&P's or sometimes letters and then he goes onto op notes.   Do not do an "open" do an insert of the file each time you want to do a new letter or OP note in my case.  Of course I am not completely computer savy and so this might not even be what you are talking about. 
Be sure to back up your normal and other templates.

These contact your auto text entries.

Yes, definitely include your templates in your counts. nm
Even with AC, you need to use templates with default fonts so you sm
aren't constantly switching back and forth. Instant Text will work the same way so you don't have to save half a dozen entries just to get the correct font.
Not paying for normal templates
I once did work for a radiologist who felt that we should get  paid less when using normal templates.  My question to him was --do you get paid less for reading a normal study---
Multiple accounts/templates
I now use InstantText. You can give each account and each doctor in that account their own glossary. You can use includes too for drugs and surgical, for instance. In a glossary you can either "call in" a template or you can put it in there and save the formatting, depends on how you want to do it. The template can include margins, tabs, letterhead, headers, footers, pagination, or whatever you want. Right now I only do about 7 different ones, so I just lumped them up in one (using includes) because I have done them so long that I now remember what is in there.

If you use WordPerfect (5.2 or a newer one, but I like 5.2) it is a snap. You just use PRD (which utilizes function keys) and you store your documents and templates as usual and then you can "open them up" on the fly. I love this. You just put in the path to that document or template once and it is there forever or until you delete it or change it. With PRD you can have multiple glossaries too if your computer can hold them. The key for me with both Expanders was to be consistent with the way I save things. For instance, all the addresses used for an account (which can be many) I store under ad. So, if I want Dr. Harold Smith I type in adsmith and down underneath all the smiths come up and I choose the one I want to use and their I have it - I do two for each -one in standard form and the other like this: SMITH, HAROLD MD, 1111 FIRST AVENUE, ANYPLACE, ANYSTATE 11111. The other in the form for letters and envelopes. I have a drugs glossary, a surgical equipment glossary, and one for each specialty, sometimes a separate one for a specific doctor. I then use the "include" feature and group them up or mostly I now just use them altogether and I think that glossary (my everyday glossary) has about 8,200 entries or something like that. InstantText is wonderful. Try it if you haven't or, if you have, try to learn more of its features.
Creating Templates in Word

Anyone familiar with creating report templates in Word ?