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Serving Over 20,000 US Medical Transcriptionists

Point of Care Program

Posted By: Chris on 2009-06-03
In Reply to: Perhaps they will offer you an in-house position. - -ask them.

Hi: I worked for a clinic as the only Transcriptionist with eight full time providers. My clinic opted to go to Point of Care program and I lost my job. I could have stayed working but not as an MT. The "point" of these Point of Care programs is to eliminate the MT job. That was about four years ago. I still hear from friends at the clinic who tell me the docs are not happy with the program, some of them are continually two weeks behind on dictation. It is a lot of extra work for the doctors but they are now stuck with it because of the high cost of investment!! Beware of Point of Care programs. I would go immediately to your supervisor and ask exactly what the plans are and how you as an MT will fit into those plans. It is your job on the line and you have a right to know. Good luck!! Chris


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The ER program is specific to ER and is point and click. nm
It is not applicable to the basic 4.
Point of Care systems

Anyone here had experience with doctors going to Point of Care systems (Pulse)? My doctors are trying this now and I'm wondering if it will be too difficult and time consuming for them. Sure is cutting way back on my work. Thanks. Teri.


Point of Care Systems
It's my own account. They use the Pulse EHR.
I have children, and paid child care so what is your point?
I am saying this is talked about time after time after time. Now a post saying MTs unskilled, first nonprofessional and now unskilled workers. Talking about wanting to work from home because you want to be a stay at home mother lousy reason to start this job. The post above says it well, you need to concentrate to learn, you have a small baby you need to take care of, something suffers.
Has anyone had good success with Weight Watchers flex point program? sm

I tried South Beach for about 10 days and have lost 10 lbs but I want something that is lifelong and to me SB is too strict....Thinking about switching over to Weight Watchers...Anyone have good long term success with it?  If so, how much did you lose and how fast?


 


Good point. Welfare abusers, govt program misuse gets PR,
p
ONLINE nursing program? Do you not care about the patient's well being?
/
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 HL7’s 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.


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.
I didn't apply, so that's a moot point. The point I was making is that
she's ranting here about something that doesn't even pertain to most of us. You can't come to a MT message board railing at MTs without getting a response. That's why it's not called MTSOstars. Also, it's unprofessional of a business owner to let her emotions overrule her common sense. As for the newbies, they'll learn. We were all newbies at one time or another. None of us was born perfect, not even the MTSO.
You missed my point. My point wasn't perks but prestige...nm
nm
The point wasn't that it was copyrighted. The point the poster tried to make
:(
I have never found a program shorthand does not work with, it works outside the program (I think tha
nm
That's not my point. My point is previous owner hired
nm
PRD is a DOS program. I don't think it work with Word, a Window's program.
x
It will count everything if you go in the settings and program it to. Good program!
Sylcount is an awesome and accurate counting program also. That will count everything if you "tell it to".
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.
You can use Shorthand in ANY program, it works outside your program
I have never found a platform it did not work with and I have worked on several different versions of Meditech. Just start using it.
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
not my point, actually. My point was the bigotry is the same.
The bigotry's always there. Not all "Mexicans" are Mexican, nor are they all illegal. My point is, though, people used to make remarks about cabbage smell about the Irish just like comments are made now about how nasty Mexicans are.

Every time somebody says something about "those people," something bigoted is coming out. That's all I'm saying.
M-TEC has a Basic program (12 month) and a Premier program (18 month). To WAH, you should take the P
:)
Shorthand works with every program, it works outside the program you use, does not interfere.
nm
oh, so if I don't care about my job, I "should" care
you come off as narcissistic.
I dont know. I didnt care then and I dont care now.
Just me

A point well taken. However.....sm

 


...on the other hand the June Cleavers of the past had no alternatives.  The liberation of women over the past half-century has given us the strength and self-reliance to walk away from an abusive or dead relationship or marriage.


 


I see your point quite clearly.

The FBI has consultants over there.  There have been search teams from day 1 and also a search team from Texas.  These people have cooperated with US government.  They are also conducting an investigation of one of their citizens who more than likely has rights not to be interogated by a foreign government.  You seem to think these people are illiterate and stupid.  You have preconceived notions from the media and Mrs. Twitty that the Arubans are protesting, which is this country is like a third-world country run by idiots and keystone cops.    So open your mind and think things thru.  Our government has messed up so many things in its own right (sex offfenders lost in the system or set free for example) why would you think they could get this right?


The point is?

"Can you believe there is trainee from India, living here in the U.S., who has been training on my primary account for the past TWO months at least....the problem is all she wants to do are the good American dictators and she is ALLOWED to skip, pass over, cherry pick past her own countrymen's bad dictations."


You have a high up source in your company who told you this?  Why?  And this issue has not been discussed with those in charge?  Why?


What platform is this Indian in America working on that she can cherry pick past her "countrymen's bad dictations"


The only reason I question this is because it would be very ethical for this high up source to be telling you this and if you get mad enough you could blow the whistle.  But since I have no dim-witted unethical high sources in my company who will actually tell me there is an Indian MT who is living in America and for two months has been "allowed" to cherry pick I couldn't fathom how you could possibly have this info. 


So you knowing this is probably not good for your blood pressure or your high souce informant's job security.  What's the point in you having this info? 


another point sm
we have failed to mention that working at home can be VERY isolating. Sometimes I go for days and the only other adult I talk to is my husband. If you're on your own, you need to make sure that you stay in touch with friends and family, or else you can become very isolated before you know it! There's a lot to think about when it comes to working at home, these are just a few of the issues being discussed here!
I see your point.

I'm not afraid of my kids, and I am their parent, not friend.  I just don't want to completely isolate them from the world.  I don't think controlling behavior is healthy because it can backfire and cause rebellion.  (Personal experience.)  There comes a point when you have to turn your kids loose in the world and hope that all of your parenting sticks with them.  Meanwhile, I was just wondering if there were any nice kids left in the world, or if I'm just overly anal or judgmental.


I let these kids on my property, but I'll admit that I'm tired of having to watch them so closely.  I correct their bad language, call them on their lies, check pockets before they leave, or hide things so nothing gets stolen.  My kids aren't the Hitlers, but I don't see why I have to be so diligent with other peoples' kids.  And no, my kids and I are not perfect.  I just don't know where to find "nice" friends.


your point
I'm not. Only 3 more days to go....
exactly the point
It they want to honestly get a picture of the procedure increase/decrease since the induction of DEP/ASR they need to look at an ENTIRE QUARTER BEFORE these were institued and then compare it to the most recent completed quarter(or any quarter since that time). I come up at a 10% deficit, not at the 50% increase as they say. Yes, they are taking only one week and comparing the MT week from that week with the ME work from that week to decide that ASR has increased us which is bogus! Don't just believe me, prove it for yourself and call the help desk phone number on your letter.
Well you do have a point about that..

but I think another requirement at the Wal-mart here is that you have to hate life and everything about it.  I swear it seems like it would kill these people to smile.  When they hand my kids the sticker I wanna hand it back and tell them they apparently need it more than we do. 


Come to think of it though...I think that's a requirement for alot of jobs..fast food places..customer service...the DMV.  Go figure


 


and your point is?
You're a college drop-out doing MT?
Yes, I see your point too.
We are going to consult a behavior therapist. Some of it also is that kids are exposed to so much violence and bad habits that my son tends to be a follower. Apparently, a child hit him in the privates and he turned around and did it to someone else. He has never done that before, but guess who gets sent to the principal's office. my child..the "problem child".
So what is your point
Are you saying that they never fill the positions or what? When you make a statement like this, can you please explain what you're talking about?
the point is for her to do it on her own.
research yes. ask others, no.
that's exactly my point
why CAN'T you remember what you named his physical exam?  because you have no system.  it doesn't matter how much time passes before I get that same doc again.  I know what I named his physical exam, his review of systems, whatever. 
What's the point
in punching a time clock when there is no work to be done?  That is... unless you get paid for that time that you are clocked in?  Our time is worth money too.  Right?  But in this case it is my understanding that you must clock in; however, no work = no pay.  What gives? 
And my point is this.....

This is very similar to what is going on in the MT world.  Hospitals are cutting costs by shipping the work overseas and Americans are losing jobs.  Wal-Mart does business the way they are doing and they are taking jobs from Americans by forcing companies to lower their prices and then they can't afford to make those products in the US anymore.  The two industries are very similar--am I the only one seeing this????


I have friends who work at Wal-Mart, too, and I also have friends who work at another local grocery store, Kroger.  The difference is that the Kroger employees make a LIVING WAGE.  That's why I shop there.  Sure, I'd like to save money and not pay a little bit higher prices, but I choose to support a store that actually pays the majority of their employees a living wage ($9 or $10 as a bagger, $10-12 as a check-out person vs. minimum wage) and doesn't force companies to rockbottom their prices so low that they have to have their products made outside the country.


Honestly, we can't solve all the world's problems on this forum and I understand that. The problems with outsourcing and what is going on in corporate America are so much deeper than this issue with Wal-Mart.   Everybody is free to shop wherever they want, but I just want to try to make my point as to why I choose NOT to.


 


That was my point, thank you. sm
Nursing, x-ray techs, nuclear medicine and ultrasound techs, respiratory therapists, physician's assistants, paralegals, the list goes on, and not all are even Ph.Ds. Well, anyway, if I were way younger, and the industry was looking then like it looks now, I believe I would be considering my options very closely. 
You have a point there
Well, I guess our leaders are either plain stupid for allowing it to go on or have there hands out somewhere along the line.
So, what's your point? - sm
How is it her fault that you are single? I really don't think the point of her post was so that anyone would feel sorry for her situation. Sorry, I just don't quite understand your bitterness.
That's exactly my point. Nothing gets done

because when it comes down to it - they just hire, hire, hire and re-hire until the MTs remain quiet.  Well, I for one am not going to be quiet anymore.  Here's a sample - "The patient has be on a wheelchair for 3 months."  If the doc doesn't know the difference between "be and been" and "in and on" - that's not my problem anymore!!  It's insane.  Outta here.


Wish me luck - going to fill out an application this afternoon!


And your point? nm
d
what her point was.......probably....sm

if you don't GET it....you probably aren't even an MT and probably don't even belong here, and if you are an MT or in this biz, then obviously and evidently you DON'T GET it.


Didn't your mother/father ever teach you that if you've nothing nice to say, don't say anything at all? 


I can certainly see your point on that....

I am not the kind of person to take advantage of anyone or get out of work at all life just happened for me this way and I am doing the best I can to work through it, keep my job, and still get moved.   I wish that I could do things differenly than I am but there is just not enough time in the day for everything.  I think the only thing I can do is do the best I can with it all and go from there. 


point taken
I apologize for that - sorry. I will do as you suggested in the future.
Can anyone point me in the
I am looking to get into the coding field and would like some information about companies that hire for this.  Can anyone help?  Thanks So MUCH!!!
Point taken sm
And I totally get what you're saying.

I didn't meant to start an argument either, as there are certainly enough of those on the boards (especially recently).