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Work in a hospital and no one cares about quality, unless there is a malpractice law suit involved.

Posted By: sm on 2007-01-27
In Reply to: Quanity/Quality - CRzMT

All anyone worries about is quantity.  The work is terrible and the only time anyone even acknowledges it is when a doctor is being sued.   When my son was operated on I had to marked his leg in permanent marker before surgery because left/right get mixed up so much.  You can tell reports that comes from India and my supervisor sits there and laughs with us.  Due to the "freeze" we haven't had raises in over 5 years.  


 




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I was involved in a class action suit
against PayPal, probably 2 years ago, haven't seen a penny.  I was in a class action suit another time, can't remember who, and I did get some $$, I think about $15.00.   I don't initiate anything, just get e-mails or letters about them. 
Medical Malpractice lawyer work

I've read here before about some MTs who work for RNs transcribing their notes for medical malpractice lawyers, particularly in So Cal.  If anyone out there can give me more info such as need, what to charge, how to find, etc, I would be so grateful---I'm an MT/editor/quality auditor with 10 years' experience needing to make more money out of my skills.


Thanks!


thanks for a great MT week to all involved and for your hard work

who really cares? personable, angry, bitter, just do your work.
I don't really know the purpose of a supervisor so I guess I don't really care what their tone is. I have been through MANY supervisors. I don't really care about their tone. I do my work no matter what they say or do.
no work late...she raved about the quality of my work.....sm

I have emails raving about how good my work was.  The trouble came when I started asking questions about pay and complaining that she was sending me work when was convenient for her and not when I needed it.  She would stay up all night and then sleep a good part of the day.  I told her before I started that I wanted to work early mornings.  She said that was no problem whatsoever, BUT then I would see no work until 4 o'clock in the afternoon.  She would promise me work and send it to me and it would be the wrong voice files, so I had to delete and start over.  She was SO disorganized.  She said that she has 50 happy transcriptionists and complained that I wanted some samples.  I did not know how she wanted things formatted.  It was just a mess.  The day she "fired" me (I have never been fired before in my life), I had basically told her that morning if things didn't change I wasn't typing another character. 


Of course she had 50 happy transcriptionists.  Her work was being subcontracted by a lady in Atlanta.  She didn't have contact with these transcriptionists.  There was a middle man.  I told her I could guarantee the lady in Atlanta provided her transcriptionists with some sort of guidance or samples.  The hospital system had some sort of weird thing in place where some places needed soft returns and some hard returns and she told me you couldn't mess with that but I was unclear on exactly what went where. 


I don't think I will ever work for a small company again. 


Anyway, I have drafted a demand letter which I intend to send Monday.  Someone below asked for the name of the company, and I would rather not say until this all pans out.  I will definitely post the name of the company eventually.  I just don't want her to know what my plans are at the present time.  I don't know if taking her to court will do any good, but it is worth it to make her miserable.  It is a 2 hour drive for me, but I called and I can file via the U.S. mail.  So it is only one trip.


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?
Well, yes, but then the quality of the offshore work (sm)
would be worse than it is now, with not enough people to edit it, it would get way behind TAT, and eventually it will come back to us. 
It's definitely a work quality issue.
I'm having a tough time myself. I had the ultimate in great MT jobs up until just recently. Seriously, my Expander stats were running about 70% per day. Now I'm doing maybe 20% on my expander stats because I have a new job where the dictators just ramble on endlessly and backtrack often. It's about $11 an hour and the schedule doesn't work for me either. After I pay taxes and equipment costs, I might as well be working at Burger King or Walmart. I don't know what I'm going to do. I can't make it on this low income. Maybe those sweet accounts only happen once in a lifetime, and my sweet account is gone to VR.
I was better on hourly. Quality of work was better

Poor quality is just that. It has nothing to do with work ethic.
Goodness.
I would think that our QA scores honestly reflect the quality of our work
and are not infuenced in any way by how we interpret the status you may or may not hold. Hopefully, you are not basing QA statistics on whether or not you like a certain MT's attitude about you.
Excellent sound quality and just leave me alone to work! nm
s
i would not babysit them. if their quality is that bad on resume, it would be on work ethics too.
;
Have a hospital I work for and they consistently change work types and do line counts. (sm)
Management just doesn't understand in order to crank out the work you need to be proficient by typing the same accounts. Go figure, they just don't get it ??
Now MT companies in India have control over the work produced. Quality is much
zz
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
nm
the hospital I work for already has started to implement this and lessen our work
I see it every single day... they are going to EMR... meaning the doctors simply use a template already in the computer and check boxes or something... The doctor's office i GO TO actually does this too. This is why it creates tech jobs to create those templates and takes AWAY MT jobs because the doctor is no longer dictating, they are just pushing little buttons or checking boxes straight into the computer.

Personally I still think that is more time than the doc wants to take but whatever, i dont see how generic charts are good, what happened to detailed information...

But this is definitely how i see it going along. Maybe not everywhere, but plenty of places are going to go to this, it's all about saving money now isn't it???


Winscribe is fine where I work. But if a mic is malfunctioning, sound quality is suboptimal.
cc
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.  


What about malpractice cases?
If the jury sees a report in "ebonics" vs standard English it - is not going to help that physician's case. When push comes to shove that piece of paper that he dictated/signed is his a vital part of his defense.
It doesn't matter what kind of care the dr gave, if it's not documented in a way that is acceptable to the community it will not "cover" him.

If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
You have that right. Malpractice insurance for neuro sm

I worked for was around $25,000 a year (in 2000) , but the neurosurgeon in the next office paid almost a half million dollars in malpractice insurance yearly.


How's that for expenses?


Keep in mind the state of the art equipment that the hospitals now have to save people that they didn't have back in even the 1990's.  Unfortunately, everyone has to pay their share for upkeep I suppose.  I got a bill for almost $500 for a quick care appointment for an eye irritation that turned out to be nothing.  Insurance paid $98.00 of it.


I wouldn't have bothered, but as you all know, it isn't easy doing MT work with one eye shut.


medical malpractice insurance
I was wondering if anyone knows a good insurance agency to talk to or get online info about, for medical malpractice insurance. I am in school right now and I have to get info. on cost and coverage of medical malpractice insurance for a project, and I am having trouble finding a good website. So if someone could give me some info. that would be great.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


you must live in Florida or NY - malpractice is really high
I have heard of a couple of places asking you to pay for malpractice insurance, but I truly feel it is up to the company to do that. I, personally, wouldn't pay for it whatsoever!
Don't forget, doctors are paying out a mint in malpractice insurance.
x
anon - the almighty $ will show in personal injury/malpractice cases. (nm)
-
I work for a hospital and can do in less (sm)
than 8 hours (65-char line).  Are you sure you mean per week?
Actually, I do work for a hospital now
and there are 8 of us who work from home. BUT, they have begun to do things the way the "services" do (NAMELY MQ). They stopped counting our spaces, and so forth, because it is "the trend".

Even the hospital MTs are not as safe as they used to be. We are the only hospital left in my area that has not outsourced yet, and anytime we complain about our pay being reduced (which has been several times in the past five years), we are threatened with outsourcing.

So, it probably is a good idea to start thinking of a change.
I do work for a hospital
that is the position that will be going fulltime. It is 28 hours a week now. I work at home for this very large Level 1 trauma hospital right now doing radiology. I have insurance, I have short term disability through them. I have one national as a sideline, and another local clinic as a sideline.
Well then don't come work for my hospital because...
if you type something for one of your co-workers, you have violated the confidentiality agreement signed when you were hired.  I've typed celebrity reports too when I worked for a national, that's different.  If it were the other way around would you like a casual acquaintance to know all your business?  I wouldn't.  I have the same respect that I would want.  There's 23 other MTs in my hospital.  I don't NEED to type a medical report on my children's elementary school principal (happened a few months ago).  So, get off your attitude.
I work in a hospital and sometimes we have had - (s/m)
"blanket" messages on our blackboard - or in memos - meant for one or two, even those of us who work our tails off have to read it and feel chastised. It's very demoralizing. Next time I get one of those nasty memos or emails, I intend to tell the boss that if he thinks I'm so lazy, then he can just pry his fat arse out of his genuine leather easy-chair, turn off the computer games he plays all day long, and type the #*%<)!@% work himself.
I work in a hospital
in a city with a population of like 4000 people, it is only a 23-bed hospital and I started working here a year and 1/2 ago. I make a little over $12/hr. For this area, this is great pay for any kind of job if you don't have a bachelor's degree. My mom is an LPN/office manager in a clinic owned by the hopstial and she is only making like $4/hr more than I am.
The hospital I work for will
Well some people can get away with it, others get dropped.  Why I am looking elsewhere. 
I did work for a hospital that used one of those.

They called it a 'CryptoCard' and it was about the size of a credit card.  You needed it to log onto their system--whatever number was displayed was the log-in number you were to use at that time.  It always changed....security precautions.  I never paid for it, but had to return it when the company lost that account....dumb bastids...was a great account.



the hospital I work for does that too.
They call it a Biometric Screening. When you enroll you have all the lab work done that you need.Glucose, lipids, TSH, triglycerides, etc. You also get a reduction in your health insurance premiums per pay period. Depending on what you participate in, you can also get up to $300 back at the end of the program.They have smoking cessation incentives, exercise incentives, etc. It runs from September to September. Pays usually in January, or midway through. You also get discounts on different classes that are offered, ie pilates, yoga, circuit, etc. For a reduction in my health insurance, I think it is well worth it. And I haven't heard of anybody being popped for drugs of abuse or anything like that.
When I used to work for the hospital, the ones of
us with equipment at home contracted with the hospital and worked our "second job" for the hospital to do the work when we were behind. You might ask them about that.
Hospital work
From someone who worked in a hospital first and then worked at home, sometimes in a hospital you end up doing other duties like correcting someone's else's reports because they are not there that day, or are working another shift, re-printing reports, sometimes the nursing floors or even physician calls with problems with the report (usually they are irate and blame any and every problem on transcription).   You have meetings which interfere with your ability to transcribe.  You have to be on alert for Department of Health visits.   I could go on and on.  Your line count sufferes.  Unless you get paid by the hour and get paid well, it is more trouble than it is worth.
hospital work
I got most of my first work experience at a hospital when i had no idea what i was doing. They never gave me any feedback or nothing and was there 2 and a half years. And I got paid for not knowing what i was doing. I had only had a few courses of medical terminology and they hired me in. It was a stepping stone to bigger and better things. Hospitals today though are more competitive, (my experience was over 25 years ago). So you might learn more stepping stones by working at the hospital. (i drove over 55 miles to that hospital job just to get experience in the field).
going to the hospital won't work sm
thought because we as MTs sign contracts etc etc when we work for these companies. If we go behind the company back and approach the hospitals/facilities, we can be in all kinds of legal troubles with the company itself. The rest I agree with but people have got to stick together.

Kind of goes back to 30 years ago and the big unions huh? People stuck together they got things done and working conditions improved. People busted the unions and you see what has happened over the years.

Coming from a HUGE union state (Michigan---that ought to get a few riled), I have seen what has happened when the unions are "busted." I also now live in a southern state and see what goes on here when there are no unions and folks don't stick together.

There has got to be a solution for this and I for one am willing to sign on to whatever it takes to get the job done.
As in hospital work,
discharge summaries, operative reports, consultations and history and physical.
I work for a hospital 6 states away. SM

I have a physician list and I have a website to look for other doctors. But how can they expect me to know how to spell patients' names? They can't. I have a disclaimer at the top of my log sheet that says common or phonetic spellings will be used where patient name spellings are not provided.


That was the thing that held me up when I worked "live" from home for a hospital. All that diddling around finding out whether it was "Kathy" or "Cathy"  -- I don't do that any longer and you're right, it makes a HUGE difference.


i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus.  they cant keep emps now except the ones that are too close to retirement.
I work for a local hospital,
not a company. I know to stay away from Transcend.
local hospital work
i moved from a large city to a small town and i'm thinking about doing what you did. try to go to work for the local hospital. would have to probably work a set schedule, but the town is small so it's not like i'd be driving a long distance and i could go home for lunch. i don't have benefits right now and that's scary, so i'm leaning that way.
Not! They are why I went back to work for a hospital
to work
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
Other than that do you like Winscribe? The hospital I work for is considering going with them for a
x
I work directly for a hospital in the NE,
the list is provided to me by the hospital.
Sounds like the hospital I work for

I would think you applied there.  Anyway, we get paid by production in-house at 9 cpl.  Only time hourly pays is when we take time-off, equipment malfunction and of course meetings.  The only thing I don't like is that the hourly people (coders, clerks) dont' understand that and want to visit and get offended when we tell the we have to work.