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Serving Over 20,000 US Medical Transcriptionists

Some people put out quantity, some put out quality and

Posted By: Yea but on 2005-07-08
In Reply to: Line rate based on output - me

there are very few who can do both.  If you produce a quality product you shouldn't be penalized for not putting out more lines.   It is sort of like the bonuses, in order to get more $$ you have to work more - like dangling a carrot.   99% of the other companies don't pay this way and manage to make a living.  


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    quantity vs quality
    Hey y'all, it's a buyers market out there. There a tremedous demand for transcriptionists. Just move on. Things are going to continue to change quickly in transcription over the next few years. Everybody hates change, but try to embrace it for a while, it'll put you in the catbird seat.
    Quantity versus quality
    I did an internship recently at a local hospital in Michigan.  I kept hearing the  supervisor say to the transcriptionists to type faster, type faster.  I could not believe the mistakes in the reports.  When I brought this up to the manager, she would look at the mistakes, and say go on to the next report.  The mistakes were never even fixed.  The worst part was that the manager of the transcription department was the QA, and she wasn't even a medical transcriptionist!!!
    Quantity versus quality

    If the company wants shoddy work, let them keep outsourcing to foreign countries.  If they get sued, they deserve it.  The office where I work will shortly be sending our work to India and doing away with us.  I saw a few reports from India, and they can't even spell our doctors' names correctly.  Their grammar is awful, not to mention the terminology.   Quality no longer counts, and I no longer want to work for companies that don't care about quality  They can take transcription and India and shove it!


     


     


    Your not alone...Quantity not quality is the focus today!
    x
    Through your years of experience you care more about quality I bet than quantity
    This happened to me after midcareer that is after about 15 years. I started caring about the patient more than my paycheck. This might have cost me a lot of dough, and I can't afford fancy extras much anymore. But, I can sleep at night knowing I put the right gender of the patient with the difficult ESL dictating. I do not know you, but I just bet that your 1200 is a really good 1200.
    My experience with quality/quantity and an Indian owned company.
    I worked for an offshore owned company where it was all about quantity.  Company even kept a HORRIBLE MT just because she cranked out the lines.  Didn't matter her quality was crap and was considered a joke by middle managment.  India did most typing but with US edit.  Typists changed regularly so it wasn't like they learned to do better.  Quality would improve slightly and then would notice, after couple of months, that quality was crap again so we knew we were dealing with a new batch of typists. Even so, the push was always on to get the jobs off US edit and send Indian work straight to client.  Of course, the clients never knew they were not getting US editing anymore, as they got no price reduction when they no longer had that level of work being done on their jobs.  The problem is the facilities accept the crap work so why should the companies change.  It took a while but I finally found a US owned company where quality matters.  Now one of the first questions I would ask a prospective employer is if they are US owned.
    Yes,, and this has a huge impact on quality when people get into strange accounts but it keeps QA
    busy and ties the work up there then. You just cant put tons of people into unfamiliar accounts and think the quality will be there not to mention the time it takes to do new accounts so you are losing money big time but I guess it is better than nothing. Much better to have familiar accounts for both quality and line capability.
    Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
    nm
    it's not about "quality of trailers" it's about quality of people drawn to trailers.
    a trailer on a private lot is one thing. a trailer park is terrible. lots of communities zone against them.
    I think that depends on the quality. Do you honestly think there is good quality just throwing every
    MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
    I thought quality was a given. Speed and quality are not mutually exclusive. sm

    I maintain 99% accuracy above on my reports.  However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well.  :-)    I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run.  There are too many interruptions and such when you have other people running in and out, phones ringing, etc. 


    I doubt that anyone but me really cares about the lines per hour it takes for me to do a report.  They just want an accurate report in a timely manner.  I take pride in my work, and would never just slop something out for the sake of the almighty buck.   And, as an added incentive, I work for 2 companies, and one of them has my name on each report.  I don't have a problem with it, but I did think it was a bit unusual at first.


    Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck.  


    True, but unfortunately QA is all about quantity now too.
    x
    why yes the quality of air where i live is quite different than where the city people live.
    Lots of pollution.  That's why everyone is moving away from the city and areas zoned for multiple housing units and low income housing and trailer parks.  Population is dense and near manufacturing.  So yes, the air is different but millions of people pay a little extra for the quality, the space and privacy afforded to those who move out of polluted crowded areas such as you defend.  There is always a reason why some areas and housing is cheaper than others.  Maybe it is the air and maybe it's something you can't quite put your finger on but you know you would prefer not to live in certain areas.  You know what I mean or are you living in one of those areas?  They tell after awhile you block out the sounds, the smells and get used to the pollution.  I don't know.  I didn't stay long enough to test the theory.  My mental and physical health is way too important to me. 
    if you live among trashy people, low income people, people w/o goals or direction,
    content to just get by, you by default become a part of a group. "people" have decided to group trailer people as trash. that is because there are enough people in that group to earn the title and even if you aren't trash, you are categorized by others. did i think i was trash in lower class neighborhood surrounded by people who drank and fought all weekend? no but i knew i wasn't staying and did not try to pretend that all the fools in the neighborhood were just nice folks who ended up where they were because high horse snobs deemed their neighborhood low class. people for the most part live exactly where they belong because they don't want to educate themselves, they don't mind "trash" around them and they don't want to be bothered trying just a bit hard to extract themselves from that world. they justify everything to themselves i guess saying everyone who doesn't like their lifestyle is a snob and the comedians (Jeff Foxworthy/Chris Rock, etc) who make fun of them are just ill-informed.

    As for me, I fought hard to get out and don't even want to look back. It amazes me people stay for generations.
    so many people was wishy-washy nowadays...love to see people make
    a stand for what they believe in...

    it is kind of wierd those statements have to be made in the first place but guess we are an ever-transitioning country and are still young. so many different beliefs yet not much tolerance.

    I found your post respectful, and right on as to how you feel. it does not seem that difficult to sift through to read and respond to messages someone might not care for...
    Quality is quality whether you are an MT or CEO.

    How good is the quality of the performance of your managers or the guys at the top?   Anybody want to evaluate that?   Can they get their raises based on our evaluation of their quality?  


    Let's see now.  Which CEOs were named in lawsuit?  F for quality.  How many managers do we need to give us stupid pep talks?   F for managers.  QA this post MQ and all other nationals who decide they reward us on "quality"   Look in the mirror and fix yourself.


    what is your quality like?
    .
    Oh, the quality! Well now we know.
    x
    quality
    I totally agree with you. There should be some kind of feedback on how you are doing. Not only for mistakes, but also if you are doing a really fine job. I know when am not real sure of something, or if I did do something wrong, I really do want to know. How else do you learn? I know too, that when someone notices a job well done and lets me know, it makes me want to strive for that "perfection", and it just plain feels good. I think the circumstance has become if nobody says anything, then it's ok, kind of leaves you in the dark. Just always remember, everything you type becomes a legal document. I'm sure you do a good job.
    I can't believe the quality.
    This year I had to subcontract out because I have too much work to handle, and frankly, I can't believe the appalling quality I am getting from transcriptionists with 10+ years of experience. To put it bluntly, it's shameful. I pay 11 cpl to my transcriptionists but after a year of searching, testing, and training, I have only found 2 that are actually worth it. My doctors are so easy. They are clear, they repeat everything, and there are no ESLs, but these people just don't read directions, don't proofread their work (when they clearly need to), and don't have even the basics of grammar down.

    It wouldn't surprise me at all if doctors that have switched from an over-priced American company to an offshore firm didn't notice any difference in quality at all.

    I know this isn't going to be a popular view but it is the truth, and I can tell you I was just as shocked to learn this as anybody.
    98% quality
    Hi peers,

    Can someone describe me how to calculate 98% accuracy. Any description or link would be appreciated. Thx!
    quality, etc.
    Case in Point ~
    with a union, we could at last demand to stop being treated like cattle and/or factory piece workers. What in the heck has happened to hourly salary!!??? How about straight salary? These records are, after all, LEGAL DOCUMENTS. When we are forced to type at the speed of sound instead of making the production of the highest quality possible documents our top priority, this demeans our profession.
    UNION...UNION...UNION...UNION
    better pay is better quality/less pay=less quality
    nm
    I just took one and know I did not do well, quality is not
    an issue with me, but knowing I am timed my fingers just don't work.
    should be quality - should have had an ESL MT do this for me
    so sorry!
    Just remember that it is not the people on this board who short changed their people and ONLY after
    caught did they (after they were suied) make an effort to look good by sending out these checks. Now, think about this--had they done this many years ago when they short changed everyone, that would have been honest. Does it not bother you that only after they know they are under the gun that they are doing this to try and make themselves look good?

    I used to work for MQ and I used to like what I did. I never can say I really liked the people that I worked with, but I really think they had some of the best accounts that I have ever come across in the MT industry. I loved working the major teaching hospitals that I did, but that certainly does not mean that I enjoyed being cheated out of pay.

    So chill already. People have been cheated, were lied to, and only AFTER they got caught have they tried to return some of the money they robbed us of (as well as cheated their clients).

    We all have reasons not to be happy with this company and you go off on us because we are complaining of things like small refund checks of a penny or a few cents or a few hundred dollars and NO WAY to even check to find out if this is correct?

    I am sorry you are unhappy all of us thinking that there is still a dead rat in the cellar, but there is still a dead rat in the cellar and nothing will bring the dead rat back.

    I would hold no love for a company that I know willingly cheated the very people who helped THEM make money out of their hard-earned money.

    Go take a deep breath and think about that.
    My people skills are just fine. I just want to hire people who want to work.
    I've not been ugly, I've asked questions, legitimate ones.  Please tell me what is wrong with that.  This site is not just for MTs, it is for QA Editors, Supervisors, Service Owners, there's even sections for Billers, Coders, and Nurses.   
    Why is it only for SEs? If its really quality they want it should apply to

    Quality is quality whether an employee or not.


    QA is Quality Assurance, QC is
    Quality Control, for what that is worth
    Bad quality dictation
    What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out.  Is this normal? Left lines in every report.  ??? Help?
    Can you tell us who this is with the bad sound quality? nm
    s
    The other will be cheaper but no quality
    x
    The quality of the dictators is SM

    pretty bad overall--even the Americans.  I would say with most national services, the accounts are about 75% ESL (30% terrible ESL), 20% fast Americans who don't care and 5% really good gravy dictators.


    This is for acute care dictation--large hospitals.  Another problem is there are so many dictators in 1 facility that you hardly ever get the same ones day after day.


    I think in QA you are seeing the low quality of MTs, not dictators sm
    If I were you (and I admit I did QA for awhile and hated it, for so many more mistakes than the blanks they had sent to QA for) I would go back to MT. There is lots of money to be made, especially when you become familiar with dictators and accounts. I wouldn't do QA for anything. $15 an hour for QA versus $35 an our for MT. Go back to MT.
    quality vs wages

    While I do agree that there is a vast majority of MTs who are of extremely poor quality, there also are very high-quality, well-seasoned MTs like myself who are tired of making the same wages we made 10-15 years ago.  If there is such a discrepancy in our work quality and ethics, these corporations (who, by the way, are not slacking at all in their 6-figure income pockets!!!!) should pay MTs based on quality and experience, not just experience alone. 


    IS ANYONE OUT THERE BESIDES ME INTERESTED IN FORMING A NATIONAL MT UNION SO WE CAN GET BACK THE DIGNITY WE HAVE LOST?


    I remain,


    tired


    sound quality

    I'm totally with you!  I used a Lanier station for the first 15 years of my career and the sound quality was superb compared to the internet dictation.  One thing you might try, if you have not already, is to make sure your speakers have a tone dial.  Lots of these companies provide speakers that only have a volume dial or they want you to plug right in to the PC but there is no tone setting on the voice program.  Turning the tone to high helps un-muffle the sound.  Good luck!


     


    Quanity/Quality
    Yeh tell me about it!!! Produce more reports if you want more$$$ but don't make any mistakes or you don't get incentive. This way they get out of having to give raises or pay more money, putting the responsibility back on the MT. Its all our fault right? Its BS!
    quality vs wages
    YOU'VE JUST VALIDATED MY INITIAL COMMENT....

    THAT'S EXACTLY WHY WE NEED A UNION!!!!!
    Pay versus quality
    I understand that experience warrants more pay - however, if working means I take a lower rate, and work up to a higher rate - than I take it - it does not mean I give less of myself - Being a Transcriptionist I take pride in my work and work hard at whatever the rate. Too many jobs going over seas for a much much lower rate than 7 cents a line - if we want to get it back, and / or continue working than you do what you have to for the time being. I have companies that pay me 7.5 and clients that pay me between 7 and 14 - and thank goodness I am busy enough to make a decent living. I am not a prima dona who picks and chooses - I have a responsibility to my family to make money, and a desire to work and maintain a household.

    However, I will not work for someone who does not pay at all, bounces checks or disrespects me in any way - but my quality never wans for any reason - that is my reputation on the line not any one else's.

    So, yes we should make more money - but if this is what is out there, I will take it.
    quality of dictation
    for the most part and filling out demographics, etc. Escription they just started recently.
    Sound quality may/may not be the
    the wav player but your sound card.  You can get a new sound card or you can get a USB thing and bypass the sound card.  I'm not sure exactly what the thing is called but the one I have is by Turtle Beach and is called Audio Advantage.  I got it at Best Buy for about $30.   You can Google and read about them.  There are 3 different ones to choose from.   I didn't think it made a huge difference, but I went on a working vacation once and didn't bring it and realized how much difference it did make.  You can adjust all kinds of things on it, which will be a trial and error thing for you.   If you have Win98 or less you can't access all the features though. 
    company quality down...

    Would you stay with a company that is getting multiple complaints from a client?  I work on as an IC for a company and the account I am on is recieving complaints about quality of reports and MTs not following formats, ect.  I'm trying to decide if I should stay on with the company or find work elsewhere.  My work has never come into question and my QA scores are always higher than required.  I'm not sure I want to stay on though with a group that apparently is not doing a proper job.  Apparently the client has requested several specific MTs to be taken off the account and is threatening more if things are not fixed. 


    Would you stay or go? 


    you mean Quality? not qaulity

    hmmm, maybe the US MT needs some editing.
    Quality and verbatim

    Even though you type verbatim does not mean you type all the mistakes the doctor's dictate.  I would NEVER type an error.  When in doubt, it is blanked and sent to QA.


    The company I work for is known for their QUALITY and we type VERBATIM on all accounts except stated otherwise in account specifics. 


    sound quality

    I have had a couple of at-home jobs in which the dictation was received by phone line.  Is it true that the sound quality is better this way?  I am currently looking for a new job and wondering if dictation via internet will be a rude surprise in comparison.  Appreciate any comments.


    Quality Assurance
    Don't get discouraged. As time goes on you will get better and better at what you do.
    Med Workshops... Quality?

    Hey Everyone.


    I need a decent training program. I have looked into Career Step, Andrews, etc...


    As I was browsing Craigs List, I discovered Med Workshops.  They have a six month program and then a two month internship program for TNI Transcriptions.  They told me that they would train me to work for TNI during the internship phase of the training.  Anyways, I was just wondering if anyone has any experience with this program or company.  I had never heard of them before.  Thanks!!!!


    Sound quality.....MT : QA
    This is an excerpt from a post from an MT some while ago and I AGREE 100% WITH IT:

    'Is it me, have I totally lost it, or is the sound quality on the QASAR playback FAR better than the quality on the original job?

    Last night I had job after job dictated by a gal who mumbles, speed talks, fades in and out, rattles papers, and it sounds as if she is talking through a shoe. I listened repeatedly. I had my husband listen. I even stuck the headset on the cat to no avail; none of us could understand her as she rattled off study meds.

    This morning I check QASAR and while QA couldn't get everything she said either, the sound was crisp, clear, and sharp as a bell. I find this very frustating. If the sound on my end had been this good while I was transcribing I could have gotten the majority of these blanks and saved QA some work.'



    All I know about quality is from the test,
    and the test was easy. The sound was so good that I was able to hear the abbreviations correctly - I could tell D from B. Just because the test had good sound quality doesn't mean the work would be like that. If I'd just been able to get my foot pedal to work, it seems like I could have flown through it.
    you say ESL MTs have better quality and should replace US MTs?
    Can you back up your claim? I do not believe for one second ESL MTs are better in qaulity than US-based MTs.

    Have you had first-hand experience editing reports from ESL MTs?

    Blaming the MT is almost ridiculous in my opinion. Blame the MTSOs and the managers for it is their responsibility to hire/train/mentor/teach and deliver ongoing support and supervision.

    Blame the hospitals who demand we as MTs single-handedly carry the entire burden of quality all the while cutting nurses jobs (jobs that directly and adversely affect patient care), who got in bed with the devil (offshoring) to make their profits, who day in and day out come up with new ways to 'cheat' patients of care and make more money for themselves.

    ...and the MT is supposed to carry all the burden? we are not martyrs, we are working women most of which just trying to make a living on what are now becoming third-world wages thanks to every suit in this business that used to be more of a humanitarian effort rather than a cash cow.
    Are you a bad MT with lousy quality work?
    My calls are answered immediately, i've been on the same account for years, i'm praised for my work, receive emails thanking me.  Maybe its YOU and not THEM?