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Serving Over 20,000 US Medical Transcriptionists

What will happen to us when Electronic Medical Redords become the norm?

Posted By: new mt grad on 2005-08-04
In Reply to:

I would love to hear everyones 2 cents about Electronic Medical Records....How soon will this be a problem for us? What will we do after they are in most doctors exam rooms?


Let me know what you guys think...Do MT's have a future? or did I just go thru schooling for nothing ...




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I am sorry, I meant Electronic Medical Records, not redords.
nm
Medical Transcription In The Era Of Electronic Medical Records
EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
Electronic Medical Records?? What do you think? SM

Ok, so I went to my doctor's office today and noticed that they just installed a computer station for all doctors in the clinic to start doing their own records while they are visiting you!  What do you guys think?? Is this the end of our profession or is our profession going turn it to something else..like editing those reports that the doctors have to type.


Is this a real problem or will it be many years from now before it effects us?  Let me know your thoughts.


Thanks....


Electronic Medical Records
/
electronic medical record nm
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electronic medical records
Does anyone have info regarding EMR rules for doctors.   I was told by a physician today that by 2010 that all doctors were supposed to be EMR.  What will this do to our transcription jobs?  Any info appreciated.
electronic medical records

Here's the scoop on EMR.... right now not all facilities have everything electronic, but they are working on getting electronic on all records, however, there will still be paperbased files. What MTs need to do is to become familiar in the electronic field and not just limit their skills to transcription, because, lets face it today NO ONE stays at one job for years and years, no matter what the specialty, you need to keep educating yourself, better your skills, and move on to bigger and BETTER things!!! It will eventually change, after all, even AMTA changed their name:)


Electronic medical records. nm
nm
Electronic medical spellchecker

Can anyone tell me the best electronic medical spellchecker on the market and where I can buy it? Starting a new account and it is required to have.


 


Thanks,


Angie


I like the electronic medical books (sm)
convenient to use and user friendly. As for remembering, can't help you with that one. Pushing 60, the old mind doesn't want to work as hard remembering things, but the electronic books are the next best thing.
Electronic Medical Records
Not all EMR systems rely solely on CPOE-type technology. Every acute care account I have worked on in the last 4 or 5 years has an EMR component. The medical records are stored digitally, which allow to any physician with access to the system to pull the patient's record.

The physicians on my current account can input data through point and click (primarily ER notes and radiology which allows immediate access to the information) or they can choose to dictate (H&Ps, consults, ops, and discharges). The dictated reports are still transcribed or edited by MTs.
EMR (electronic medical record) and voice

Yes, they are pushing to make medical records electronic, instead of a paper chart.  That doesn't affect MTs.  We still transcribe reports and instead of the reports being printed and filed in a paper chart, they are part of the electronic record and can be accessed at any computer in the hospital , for instance.  The doctor can sit at the nursing station and pull up all the dictated reports, the lab, radiology reports, etc.


 


Voice recognition, of course, is something different.  There is no one saying that VR has to be used by 2012.  That's simply an alternate way of getting the dictation onto the EMR.


The electronic medical record has replaced MTs at my job..it's all over!

My job has been scanning all the medical records over to electronic medium and the doctors are now taking laptops in the exam room with them and typing in all the info, so basically, my job will be obselete once this transition is over. 


Our boss has been doing a comparison of the clinics who now have the electronic medical record--those docs went from dictating thousands of lines in a weekly period to less than 50!!!  Of course this is a tremendous difference and it's "lights out" for us MTs.  We've got about a good year before it's all done.


Have any of you been affected by this new technology?


P.S.  I didn't care so much anyhow...I hate this industry and this job, so I've been looking for other employment anyhow. 


 


 


Electronic medical records...Is there an option out there for MTSO's SM

I'm wondering if there is a program out there that allows a small MTSO to provide EMR to a clinic of three physicians.


I'm looking for a web-based transcription program that allows me to send/receive dictation on the web and that allows them to access the finished records via the web.


Any ideas?  TIA


eMTS or Electronic Medical Transcription Services
Anyone work for them or know anything about them??
Have MTSO's or IC's all become electronic medical record suppliers as well as transcription pr

I've been an IC for over thirty years and the medical offices are now asking me if they can search for old records?  What, they don't keep their own records anymore?  Do all MT companies now offer searchable databases on their company servers for the physician's staff or do they install databases on the physician's computers for this sort of thing?  I've been asked to provide this and I'm thinking "wow, can't the office staff open word and find the appropriate folder and file?"  Is this now a standard item offered by MTSO's?   What happened to medical office management software?  Are transcription companies now becoming electronic medical records suppliers?  If so, please let me know.....If so I've become a dinosaur!



They might if they realized with SS# on medical records, identify theft could happen. nm
x
Medical trans versus credit cards, what I had happen
I have a credit card for a department store who has a bank (a big famous band, by the way collect for them). I always pay online, but I have had trouble with this bank in the past. I couldn't get online to pay so my payment was late. They had someone call me from overseas, he would not tell me where but wanted to collect my payment over the phone (I had already by them paid through my bank bill payer). He wanted my address, telephohne #(which he had, he called me), my banking information to collect the payment). I said no way, how do I even know you work for this bank and I can hardly understand you and dohn't want my personal information overseas. He stated, "what do you care, I don't even live in the united States." Duh, what did that mean.

So, what I am saying is, he already had my information, he just wanted me to verify it and he probably did work for the bank but I really resented them sending my financial information overseas and have somebody in another country want to collect a payment out of my bank account. The bank did not have my account # though.

But.... what is happening is like with these kids taking guns to school, we get so desensitized by TV with so many cops and robbers, knowing creditors will be calling if we forget or don't make a payment, we just blurt it out. I don't anymore just because of knowing what can happen. This guy could have cleared out my bank account and what legal means would the bank have to prosecute someone overseas? Fire him? I won't even give this bank my account # because they want to charge 10.00 over the phone but it is free on line so I refuse to pay them over the phone, so they do this.

Big business can pay for the lobbyists on Capitol Hill, big, big bucks to get legislature for them to be able to do business overseas and save tons of money. Our president is one of the biggest helpers to this. I'll bet his records don't go overseas.
I use the electronic version as well - no more books for me. All references are electronic! nm
x
Not the norm
Well, you are not the norm. All you have to do is turn on the TV to see that. Jeeez, wake up.
But isn't that the norm everywhere now?
xx
is this the norm ?

I began p/t IC work for a local MT company and they're driving me crazy.  THey look at every single word I type and send me HARD COPIES in the mail of my corrections, format changes, etc. 


I have 15 years of MT experience - so this is crazy!  It's all illegible - and I'm starting to go crazy!  They pointed out "40mg"  instead of "40 mg" ... all little stuff like that.  Is this what I'll have to look forward to ?   Thanks, MT-NY


I'm sure that's far from the norm
Michael Moore has been pretty good at twisting facts in the past. Not saying it didn't happen, just saying I'm sure it's not the norm in our country. I'll still take the USA any day.
8 cpl is the norm?
So, can I assume 8 cpl is about average?  If I take a typical 48000 character file, there's about $3.80 difference.  That looks small, but mulitply that by at least 2 times a day, 5-6 days a week, and in the long run it would make a big difference for me.
You are right, it is not the norm at first, but including myself and many others that I know
personally, we do make around 100 or more per day working for a national. It is very possible! You just gottah look.
I still don't understand how someone can have so many years experience, be on the same system, and make less than 175 lines per hour. I don't understand.

Maybe they are not typing fast enough or know enough terms, is all I can think of.

I've switched jobs in the past few months and started off slow, but now up to approximately 200 lph - came from a job where I did 350 lph on WP5.1 and now on an internet platform. I don't kill myself everyday working either.


It is about the norm around here in my neck of the USA. nm
x
I would say it absolutely is the norm for
Rad to be paid by the report. I have only worked for 1 company by line and didn't stay long. The company I work for now I get $1.50 a report. The lowest I have been paid is $1.10 a report. Unless the account is heavy in MRIs, CTs, etc. there is no way I would work for line.

If you have been doing this for over 12 years then I would say you are cheating yourself out of some good money. I average 180-200 reports a day, or $2700 a pay period -- can you say the same?
That is the norm from what I have experienced - sm
this gives the bride and groom time for pictures, etc. between the wedding and the reception. Every wedding I have ever been too, it's been about 90 minutes between the 2 events. Unless the reception is at the same place as the wedding, I'd expect some sort of gap between the two.
Have no idea if this is the norm or not but -sm
it seems like a sensible thing to do. I had to fast starting 24-hours before the colonoscopy, but I could drink certain things and have certain colored ice-pops/water ice (up until midnight), then about 15 hours before the procedure had to take 4 Duculax, then 2 hours later start drinking a 1/2 gallon of NuLYTELY (yuck, totally gross). Needless to say I am very glad I don't have to do it again for 10 years! I'm only 40 so I am 10 years too early for it as it is....but unfortunately had to have it done.
this is not the norm, dump them
Really now... nobody checks my work.
98% is the norm for accuracy
and most companies have their own QA system of assigning point deductions per error divided by line count. If you have a way to review your reports after they go through QA you should be able to see what your percentage is. If not, ask QA.
I have worked for a lot (too many) of companies, and this is the norm. nm
nm
The norm is 3:1 or even 4:1. Personally, I transcribe 2:1. nm
x
No, it is NOT the norm. You shouldn't be docked for that! QA
s
If the account specifies that is different. If they don't specify isn't 2 then the norm? nm
nm
Anything more than a week for a norm delivery is too much, sm
C-section - I would say 2 weeks max. Anything more than this is "milking it."
I wish I was that fast!---the norm is 3 to 5 minutes - sm
per dictated minute. I only do the 2:1 ratio when I am doing edits.
Not the norm, organic baby greens
with tofu, pumpkin seeds, sunflower seeds, organic corn pasta salad with tofu dill dressing
It does make one wonder how long this is going to go on or is this just the norm now? Terribly sad
I lost my QA job 3 weeks ago because a US company bought the offshore company my original company was using and now brought in their own QA people. Apparently they hope to get these MTs off QA here real soon.... I just gotta laugh... I've been QAing the work for over 2 years and it is the same mistakes day in and day out... they just don't get it and don't care to 'get it'... they get paid no matter what so what is the incentive to learn? These MTs actually argued with me about contractions, etc., like I had no idea what I was doing.... I know you are venting and I hear you and totally understand... it's a sad place MT has gotten to over the last 5-7 years or so in my mind
Timed test the norm for IC job hunting?
I had a response to a job that had a specified time frame for testing. It had to be done withing 2hrs of getting the passcoded from them via email.  I got the email 30 after they sent it and it took forever to do it becuase you couldn't use express scribe/foot pedal. I had to go between word and media player.....and in doing so went over the 2hr limit.  Is this normal for them to do this? 
Well, it seems the norm to me! I've tested with at least 4 co's in the past few years and

the tests were not dictations that I do on an everyday basis.  I know they pick and choose carefully what they will test you on because there are always kinks in there where the doc either stumbles, mumbles, or you know you would have to be a genius to figure out what they are saying.


 



Those credentials for teachers in public school are NOT the norm...
At my daughter's school when she was in 3rd grade she showed me her final spelling test.  The list contained the words:  You, me, and two, among other similar ones.  My daughter was in the gifted program, and those were her final spelling words in preparation for 4th grade!!  We do NOT have public school teachers with PhD degrees in anything.  They're lucky they have a Bachelor's.  I have a Bachelor's and consider myself quite capable of teaching.  Believe me - all schools are NOT created equal.
I wish you were the norm! Can't find 8.5 cpl for experience out here anymore. You're VERY luck
,
I would buy new a Dorland's Medical Dictionary, Stedmans Medical and Surgical Equipment...SM

and Tessier's The Surgical Word Book, 3rd edition.  Books you could buy used I would say would be Stedman's Pathology and Lab Medicine and Cardiology/Pulmonary word book.  These are all the books I use the most during my day.  You could buy other speciality word books as you need them and could probably go used with those.


I wouldn't bother with buying a drug book, new editions come out every year and I just stick to the FDA website and RXList as my drug references.


Also FYI, not a book, but I use my Stedman's Electronic Medical Dictationary a lot.  It's easier to open the program than it is to pick up a huge 30-pound dictionary.


Electronic BOS
If you open your Electronic BOS and do a Control F, you can type in whatever you are looking for and it will take you right to it. Much faster than using the book.
Or Go Electronic

I currently have all of my word books, drug books, and dictionaries on my computer.  About the only book that I may ever need that I don't have on my disk is *One-Word, Two-Words, or Hyphenated?* and my anatomy book, but there are some great websites out there, in addition to Google, that can supplement this when I'm away from home.


One of the last places I went to where I actually had to take work with me was Las Vegas.  We had a BEAUTIFUL view of the strip, so I just turned the hotel desk sideways so that it was up against the over-sized windows and I just typed away!!!  I would rather have been ON the strip, but the view while I was working was definitely different than the trees-and-mailbox view that I get at home!!


I just took my laptop, external ergonomic keyboard and mouse, foot pedal, and headphones.  I had to pack the keyboard in my suitcase and pray that it wasn't crushed, but everything else fit nicely in my laptop bag as a carry-on.  I think the high-speed connection at the hotel was around $20/day, but I had no connectivity problems with it.


A lady I used to know traveled full-time with her retired husband and so she had a new *view* every week!  She had a satellite connection hooked up to her RV and so she would work on the road.  I actually think I might postpone my own retirement just so I can have the experience of working in a different state every week!!


Electronic Signatures
The office I work for uses this company's electronic signature.

http://www.crescendo.com/index.htm
What are your thoughts on electronic

When I go to the doctor, he types my visit into the electronic medical record himself as he is speaking with me.  I guess it saves them time on dictating the report .


I always say I will train for something else but it costs to go to school.  I have been in school forever, off a semester, on a semester.  I just hope I can get re-trained before everyone switches to EMR.


anon


Electronic Signature/sm
I just add this phrase to the doctor signature line in the reports "(Electronic signature has been affixed)."  I do not have any special program.  Is there one out there?
What is an electronic keyfobb?
What is a keyfobb..and why is it worth $500?
I went with the electronic fee - $75.00. Some differences in...
benefits, but all in all it's better as far as I am concerned.