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Serving Over 20,000 US Medical Transcriptionists

What hospitals?? I'm soooo there

Posted By: Cartman on 2005-09-15
In Reply to: sm - ADVICE




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Yeah, but hospitals are already largely using VR in hospitals. (nm)
(nm)
Thank you SOooo much MQA !...
Just what I needed! You don't know how much you have helped! I have printed your response. I was trying to make it too hard by overthinking like I always do. My physical therapist keeps hinting that one of their (at home) transcriptionists left, HINT HINT, and I have been afraid to talk to the office manager because of all of the logistics stuff.

One more question: About the 3$ a page...could you explain a little more about that. What about half pages and the like? Have you figured out what kind of cpl that equals? However, the 3$ a page sounds like a much easier way to calculate the bill.
Thanks again!
That is SOOOO right-on!

you are soooo right.
x
Thank you soooo much. I thought it was just me.

That Indian MT who lives in the US story and cherry picks while not wanting to do Indian bad dictators just was too much!  And the insider who told the MT this was happening.   Wow!  For two months!!!  How long should it take for the Indian MT to cherry pick before she does the Indian dictators?   Blah, blah, blah.  How and why do people do this to themselves?


It is the nature of the business just like sales.  You win some, you lose some.  There is feast and there is famine.  Do the work while it is there because tomorrow it may be dry.  Don't like the work, get another job. 


 


 


 


 


 


You are soooo welcome. I'm glad for you!
x
Too cool! Thank you soooo much sm

MTStars and Executive Communications!


:) Happy MT week!  You've made this a really special week for all of us. 


Felicia


omg yes!! Rob Thomas is soooo HOT! nm
nm
I'm sorry, but I would have soooo just walked out of there.
That HAD to be awkward.
I soooo can relate to you!.....sm
Please don't feel so bad, menopause affects your mood, temperament, just so many things about your body that you are used to! I had a radical hysterrectomy back in 2000, so I had to go through menopause "instantly." I could not take the patch and hated HRT, so I have been using naturopathic supplements to help....but depression, mood swings, cravings, the HORRIFIC night sweats and hot flashes, lowered libido....I got it all, and it really is a transition. Could you perhaps speak with a compassionate female therapist, not necessarily a psychiatrist, but someone who understands what you are going through and can hash out all of the issues that are bothering you? Just know that I care, you have friends here, and please feel free to e-mail me anytime, okay?
soooo true
I was hired as a QA manager and the company I work for have been trying to demote me every chance they get, promoting the less qualified, etc etc. It is clear that a good MT is more valuable to a company as just that, an MT. Sooo try not to be as good and you might move up in the ranks. LOL;
Thank you guys soooo much!
I knew this was the place to come to get help! 
Soooo true!
Well spoken.  No one seems to care that these foreign parasites are compromising the integrity of their own patient records with their slovenly dictation styles!!!!!!!!!!!
Laughing - you are soooo right
QA is overrated and yes they do need to get themselves.... QA are MTs that think they know more than a regular MT... in a nutshell.... 
some people are soooo lucky!

Oh yeah, I am soooo scared!
What are you gonna do, ride your horse over here and get me???????
Your BOS post is soooo true! sm

There are so many newer MT's who don't know the facts where BOS is concerned.  I use my BOS everyday....  it elevates my monitor to just the right height. 


 


Soooo weird. Hmmmm
This post refers to the posts below from the ICs from TRX (I am one) - I find it interesting that a person would come on here and call someone out of there name (the owner) and then walk away without explaining how he/she came to their conclusion.  Seems a person would want to make their case or maybe just persons like myself and the other IC who stood up to ask why.  I'm so confused.  I guess we're all just different that way.    Some people are yellow and some aren't.  That's right, I said it. 
Ok..I will soooo not watch SVU anymore if they
split up Olivia and Elliot!! OMG what a show tonight!
This is not creamy, but is SOOOO good...
1 cup oil
1 cup vinegar
1 cup sugar
1 Tbsp salt
1/2 Tbsp garlic powder
3 Tbsp parsley flakes (may use less)
1/2 Tbsp black pepper
4 tsp dried mustard
16 oz cooked rotini
1 medium cucumber
1 medium green pepper


Mix all ingredients well, refrigerate before serving.

Note: I leave out the cucumber and pepper when refrigerating, and cut these and add just before serving.

MS Word SOOOO Slow
Has anyone ever experienced a very slow MS Word program all of a sudden?  It is very slow to get into and exit from MS Word 2002. Once in the program it is fine and all other programs on computer seem to work fine.  Wondering if I may have too many autocorrect and autotext entries??  Any help would be appreciated.  have tried everything can think of, even added much memory.  Thanks.
Wow to Technical Support! Thanks soooo much! ....
for your extensive answer!
I'll start with cleaning up my mouse and working up from there if this does not work.
I'll let you know.
There are still very kind, knowledgable, helpful and generous people in this world, THANKS !
I was soooo lucky... my son was potty trained at 2..
He had his 2nd birthday party on Saturday, and on Monday he started potty training.  Never bought another diaper.  Two weeks later, he was in underwear during the day.  But, I took him regularly and monitored his juice intake.  Thirty minutes after dinner was the last full drink.  He would go potty right before bedtime at 8pm and maybe get a little juice if he asked for it.  Since I worked nights, I would wake him up (or just take him sleep) to the bathroom at around 12am or 12:30am.  He would wake up dry most mornings, but he wore Pull-Ups until he was about 2-1/2.  He is 7 now and has an accident every blue moon, mainly because he falls asleep in bed without going to the bathroom right before getting in bed.  Proud of him.  Yours will get there too. 
I agree, and I work for MQ! Sooo boring, soooo old, and
you would think they'd realize how idiotic they look - whining and whining and predicting doom and gloom! Honestly, MQ and Philips is BOOMING in the business world right now.  Huge advances the last few months - HUGE sales of products, advances, awards in the industry.  I get email alerts daily on the HUGE growth of MQ - and these old sea-hags just sit on here and cackle about DOOM.  Boy, do they need a reality check, or what? All is fine in MQ world, and always, always will be!  As long as you're willing to work and have a brain, MQ is a great place to work! Oh, yeah, and I'm mgmt - making 6 figures and even remotely interested in sea-hag opinions! That is just soooooooooooooo lame, too! Or maybe I'm the same poster from below who always uses CAPS! That is sooooooooooo funny. Cracked up at that analysis - some of these women have way toooooooo much time on their hands rather than hitting the keyboard! Analysing posts to compare typing styles. Give me a break! What a hoot!
Soooo...what are you saying? That people should post something that is worthy of the board in SM
your estimation? Would you like to have the monitors delete this post about KL and Regis? What is it that you want? Or would YOU like to think of a transcription topic and post it? What's the deal?
I love Directv. The picture is soooo much clearer than cable. sm
Prices in our area are comparable between cable and DirecTV.  If you look at their website, you can pull up comparison charts showing exactly which channels are on each service package.  You can sort them by number or alphabetically and print them out if necessary.
Problems as in communication?? If so, I'm soooo there. Sick of unanswered emails. No one cares

Most hospitals have ......

contracted their work out to the national service, a practice I hope comes full circle eventually and hospitals reopen their own departments in the name of confidentiality and quality control.  I only know of 2 hospitals out of about 8 in my area that have their own department (I work for one of them).  It is by far the best MT job there is, or that I have ever had.  I am at home, but a regular employee.  The hospital is only 20 min from my house (we have to live local).  I have worked for the big nationals and saw nothing but a decline in pay.  Now I get regular raises, good hourly pay, production incentive pay, benefits, and vacation time.  I wish more MTs could find my situation.  I have hopes for the future once the industry figures out that they are cutting off their nose in spite of their face.


Do All Hospitals
In Tennessee pay that well? I have been considering moving to Tennessee to try to get away from the hurricanes.
VA Hospitals

I did the VA Hospital dictation here in Portland and it was all contracted out to companies, no employees.   But you might contact your local VA Hospital but if it is as an employee 95% chance you will have to go into work and not do it at home, if it is at home it will be as an IC and no benefits.    Just what I know about it.  If you think your ESL's are bad at a regular hospital, this is worse as there is a lot of ESL's there on their rotation and they could care less how they dictate as they are only there for 6 to 8 weeks.   Changes that often.   


 


The hospitals are not going to get
dial into.  They'd be better off hiring MTs and paying benefits than doing that.  And if you dial directly into the hospital, instead of into the MTSO's dictation system, then the MTSO has no say in 800 lines.  The truth is, hospitals usually do not want to just turn all of their dictation over to a service and they certainly aren't going to pay for long distance incoming calls in addition to what they pay the service.
just sometimes it is the hospitals...
they are actually told to hold back dictation at times, due to costs. sometimes the hospitals sneak around and try other services, or voice recognition.

in the future, there will not even be any voice dictation...just templates where information is added, like data entry...
Not that many hospitals.......
still have their own dept.  That's how Medquist and Spheris and all those huge nationals exist... They have whole hospital accounts.  Out of the 3 large hospitals in my vicinity, only 1 still has their own department.  I trolled their website for months before I found an opening, but I eventually got in.  Some  hospitals don't have their MTs at home, mine does.  It all depends.  Most hospitals have a website, so fine the one you're interested in and check out their job opportunities, and then check it almost every day and if they do have a dept, they'll eventually have an opening.
Well - believe it. Hospitals pay that. I can tell you
at least hospitals in the Philadelphia area pay up to 24 cpl. MQ charges 23 cpl. I have one small department of a hospital at 17 cpl. It is out there - pull your head out of the sand and go looking.
I wonder if hospitals know
There are American transcription companies opening up here in the US that actually work for companies in India?  I had a job offer from an American company and they let it slip that they were actually getting paid by Focus Infomatics.   I thought about this and what an idea!  You open up a company in the states, the facilities think they are getting American work, then you actually have the work done overseas.....hmmmmm
hospitals

do hospitals now go by minutes instead of lines in regards to productivity?  if so, what is the usual they are asking for an 8 hour day? 


thanx!


All hospitals are different. Concerning
your "past," if it has been exspunged from your record, then basically it never happened. This happened to my BFs son and his attorney told him that since his record was exspunged, nothing ever took place, so he does not have to mention it on any job application. You might want to call your local court house or your attorney on that particular question.

I would say go ahead and apply. Good luck.
All hospitals are different. when I sm
first started, ERs did their own stuff too. But as the years went on, ER combined with the MR departments and was considered part of acute care. It is not as detailed but you get some of the same language in an abbreviated from by doing ERs, even some OP reports. I don't like ERs either though simply because the docs are usually in a hurry and they are motor mouths. I do think though that MTs now should consider ERs as part of acute care especially if they don't like ERs.

Some MT companies do split them up though and hire folks for just ERs.
SM hospitals
It's been years since I have heard of any hospital that has ANYbody working in-house.
No, even the hospitals don't want to hire new MTs.
Doctors don't want to hire newbies.  In office, at home, it doesn't matter.  It's not about being a stay at home mommy, as you are so assuming and generalizing yourself.  Everyone wants to hire experienced workers, but nobody is willing to train them.  As I said, every other industry in the country trains their workers.  MT seems to be the only one where people are expected to walk into it knowing everything.  It's not an assumption; it's an observation.  Just because my experience and observations are different than yours does not make me wrong.  You're not the know all, end all to the MT world.  I do have business management experience and education, so don't dismiss my observation as lacking just because it doesn't match yours.
Hospitals being sued
Seems to me the hospitals must not be very worried about being sued or they would require fluency in the English language as a pre-requisite for staff privileges.  Secondly, any doctor who doesn't read what he signs pretty much deserves what he gets.   Transcriptionists make mistakes....so do doctors.  Thirdly, maybe hospitals should re-think how their work is contracted out.  Far fewer problems when transcription was done in house.
i am sure you are aware that there are still hospitals out there
that have not yet adopted these rules. I type for one major hospital that still wants the patient's name typed in the report. Another still wants cc instead of mL. Had this person tested and changed it to the "correct" form, who is to say that she wouldn't have gotten marked off for changed verbatim. Nervous MT2, hang in there, and if you test again make sure you ask up front whether they want you to follow BOS or type it verbatim that way you know ahead of time.
but what percentage of hospitals allow that?

From what I've been reading ... the home-based service MT is averaging 8 cpl, for those dictators which make you run screaming from the room. And, I don't forsee things improving. Then again, some are lucky enough to make a line rate worthy of their skills, without worry about the dictators from Hades.

This is a bit out of date:   http://www.bls.gov/oco/pdf/ocos271.pdf


My nearby hospitals pay around $10 as well (sm)
I make 22-25$/hr at home. I live in an area where average pay is low, but likewise cost of living is reasonable.
I miss the hospitals too.
But things are so different there now that the online companies exist. It changed the way transcription is handled in most places. When I went back to working for a hospital last year, the supervisor wanted a certain amount of lines per day versus minutes per day like the old days. It was an outrageous number and with no Expander or medical speller or anything.


Hospitals oursourcing
HIPPA is all about smoke and mirrors, designed to keep the masses feeling "secure." If the powers that be were concerned about privacy and the state of the world, they would have built that provision right in there from the beginning, but powerful special interest groups designed HIPPA and left out this all important factor. I personally know hospitals that directly outsource overseas, and maybe, just maybe it may have to do with the fact that the owners (doctors) are foreigners living in this country and have colleagues in India. Wheh I questioned an administration about HIPPA and what they were doing, I was told, "Not to worry, they take the same precautions and follow protocols we do here for HIPPA." I say, yeah, but who can see from here what potential dangers lurk overseas, especially with so much concern of volatility in those areas of the world. Terrorists live in India, Pakistan, the Phillipines, etc. and all it would take is a nasty vendetta against our nation and POFF!!! There goes our medical records! Now we have to be concerned that the United Nations may take over the supervision of the internet!!
Nationals: Sometimes the hospitals have their own MTs sm
and pull the MTSO off the account when work is low to keep the hospital employees busy.  This probably happens more often than one might think these days.  IMHO
You have 911. There are local hospitals
with free nurse referral lines. That's just for starters.

You just take the cake for stupidity with your original question and now your silly offended replies.
Hospitals Using Outsourcing
Really not so unusual for all hospitals in one city to contract out transcription. Little Rock, AR for example where I used to live, did just that, save for one hospital (Baptist), so I moved east to Memphis, because I could not stand working out of my home to land a hospital job to work in. Cost-cutting measures you know.
that would be because MDs/hospitals adore.nm
.
in hospitals it seems always ASAP - SM
I work rad (employee) in a hospital, and they are always ALWAYS working to improve TAT. From the time the exam is done to complete dictation, they want 3-4 hours. That means if your doc delays the dictation, they want transcription NOW because the doc took so long.

However, in the situation you describe, checking back in 1-2 hours should not matter that much. You should just let them know the deal - they probably know how that radiologist is as much (or better) than you. Maybe they/he could call or email when he is done?

My hospital has a contract with a sister hospital to do their radiology - they have radiologists that do this exact same thing. We told them when our staffing is available. If they do not dictate during that time, then their reports are delayed -- no question. they have to deal with it.

Doing it yourself, your situation is different, of course, but hopefully they would work with you to let you know when the work is available so that you don't have to be "on call" for them.

As far as line rates, I can't say an average. I have another rad account that I do at $.15/line, but this is 3 days a week for a mobile service (TAT is 1-3 DAYS here...) I would charge more if they needed it "now", especially if they wouldn't work with me as to when "now" might be!

Long answer - hope it helps.
Feel free to email with any more questions if you want.