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in-house great idea & worked

Posted By: cj on 2008-12-05
In Reply to: Understand your frustration - sm

When I was working in-house our hospital imposed for $50 fine on the docs for EACH delinquent chart. You can bet that got them to dictate on time. I think more hospitals should follow that example. it is better for everyone involved but mostly for the patient, who has info on their chart needed for continuing care.


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It was the same when I worked in-house

Slow at the beginning of the summer. After the Fourth of July, people started coming in for elective surgery and things like that and work picked up.


It used to be really slow at Christmas, but with high deductibles on most insurance policies, December was fast becoming the busiest month of the year when I left.


ask yourself what you did when you worked outside the house. NM
.
When I worked in-house

at several different hospitals, we would bring a problem dictator to the attention of the supervisor, who then would present it to the HIM manager.  Most of the time the problem dictators got better after a discussion with the manager.  If it costs the hospitals EXTRA money, believe me they will take corrective action.  Money talks!


Sometimes, there are very legitimate reasons for corrections, as we all know, and I don't think Frustrated was upset about the legitimate ones.   There is a lot more of this careless dictator crap going on at teaching hospitals, but at least they have an excuse, they are new to dictating and usually feel quite bad for making so many corrections.  If they realize this and make an effort to be more careful, I don't have a problem with them, but there's just no excuse for the long-time dictators who carelessly make the MTs jobs more difficult.


While a certain amount of addendums or mind changing does happen, an "abuser" should always be brought to the attention of management.  No one knows about these dictators unless an MT brings it to the attention of those in charge.  Frustrated has a right to complain!  I feel her pain!


I had a dictator (on an account at an MT service) who made 10 different corrections to her reports on a regular basis & I am not exaggerating.  I had been instructed to join them altogether (in a time-consuming fashion) and fed up finally, I flagged them ALL separately for QA.  The transcription manager gave me a hard time about it, but I fought back.  However, when I talked to QA, she told me I did the right thing and that the hospital was having a "discussion" with that particular dictator as there was NUMEROUS complaints.  Dictator cleaned up her act a bit after that & I didn't have much more trouble with her.


Whe I worked in house, we use to have sm
that problem all the time. HR would interview folks and let really GOOD folks go because they didn't know what they were doing. We werent' really interested in typing speed, we just wanted to know about their MT skills. They use to let some really good folks get away. Also where I worked, if HR said you couldn't hire them, I don't care how good they were or how much experience they had, we couldnt hire them.

It has been going on forever that the people in charge are not even MTs!

Where I work now, the supervisors, recruiters, etc are all MTs themselves, so we speak the same language! I think its like that on alot of other jobs, the bosses don't even know the jobs.

As far as referring a friend, everything has gone to computers and there is no "personal touch" anymore either! Very sad.
That's an idea -- does it matter that my cell phone won't work from the house??
It rings but then cuts you off as soon as you answer. I think we are too far from a tower.
Yuppers. When I worked in-house in an ER, you
would NOT believe the stuff we saw. Hamsters were common, though gerbils were preferred due to their tail. At the doctor's loung in the ER, the docs kept a list of the top 10 most outrageous cases. They wouldn't go into detail - just post a list of top 10 weird things, no names, just 1. Hamster. 2. Harmonica. 3. Pea., etc. Hamsters/gerbils were always up there, and a baked potato wrapped in foil held the #1 slot for a long time. Mother and fiancee came in with the guy, and none offered a word of explanation or an ounce of embarassment. The guy just needed help with a baked potato. That stayed at #1 for a while til I left. I can only imagine what the list says now...
I worked in house for 2 years

and when I went on Maternity leave they set me up from home.  I started working for a national in January.  My other at home position went VR and they brought all the jobs back in house. I couldn't go back into the office as I have two little ones and the cost of daycare is outrageous.  What's the sense of working then?


Hi Janna..when I worked in-house SM

We got paid hourly plus incentive pay.  Anything over 1100 lines a day was paid an incentive rate of 5 cents per line (plus your normal hourly wage).


So, if I typed 2000 lines in an 8-hour shift I would make:


$16.50 x 8 hours = $132


900 lines (1100 to 2000 lines) x 0.05 cpl = $45


Total for the day = 132 + 45 = $177.


We had a maximum of $1000 a month that we were allowed to earn in incentive pay.


Hope this helps you!


Chickadee


When I worked in house and used Meditech sm
only the person with administrative access, the lead MT or the supervisor could do that. They had access to all functions in corrections, the MT did not. Could be different where you work.
I've worked in-house and at home ....
I find that even when you're in-house, with the nature of the job, there's no time for chit-chat.  When I worked in-house we had production minimums and there was incentive to earn if you produced, so who has time to talk?  I'm with you.  I'm happy being here in my comfy clothing without all that aggravation.  Let is snow, I don't have to drive in it!
Never worked in my house RadGuy w/5 brothers

I still crack up at the time my dad came home from work to find my 2 eldest brothers room a shambles with clothes strewn all over the place.  Being a senior and junior in high school their clothes WERE prize possesions..until that day when they got pitched out the window into the backyard full of mud from all the spring rain. 


Now that one worked as they never ever let a pair of shorts even touch anything but their dirty clothes basket.  Now, I'm using the same standard on my boys and just the uncles telling that story keeps them in line


I worked in house in a doctor's office and it was the same for me...
and I had to answer phones, make copies, et cetera, basically was an MT/secretary...and I hated it...I am making much more money now working at home part-time...
No idea is "dumb" - go for it. I have and it worked out well. sm
All of my business is by "word of mouth" and it is booming!
when I worked in house learning MT the first shifters were just like the mean folks here
x
Same situation here. When worked in-house or for physicians offices,

never as much as a single episode of no work available.  Much to my dismay, I have found out that MTing from home for a nation is so unpredictable, in so far as what your paycheck is going to be every week or 2.  They all say "there is plenty of work," which is probably factual.  However, the nationals are primarily interested in pleasing the client with their promised swift turn-around-times.  What they forget is that if it weren't for the MTs, there would be no turn-around-time whatsoever.  It's really very discouraging and quite unfair.  Most people try to adhere to their monthly budget, which is impossible when one never knows how much they are going to make from one week to the next. We ARE the providers, not peeons, and resent being treated as such.   


 


And I disagree with that. I've worked home and in-house,
Everyone is different and some people don't rely on jobs to provide social interaction. When it comes to my job, I prefer being at home working independently without a lot of interruptions and enjoy the freedom of working from home. If I were stuck in an office with rigid hours, then I'd be resentful. Personally, I loathe being stuck in an office full of catty backstabbers and love the solitude of home. When I want to socialize, I call one of my friends.

You also have to be able to let QA remarks roll off your back a little, but that only works if you don't have the threat of being docked or terminated as a result of those QA remarks. Find an MTSO that doesn't hold those things over your head (yes, they do exist).

I do think the key IS where you work, but not home versus office - it's finding a company that values MTs, not sees them as mere production machines. They are few and far between, but they're out there. I lived through my share of bad apples in this biz before finding the good ones, so I speak from experience.
Before I started my own business, worked in a hospital in-house with taxes taken out & then went hom
was getting with shift differential 23.80 when I left. Your pay seems extremely low, you could make more as an IC seriously.
That is a great idea!! Thanks
nm
I think it's a great idea, but---
Since most of the ships are owned by foreign companies, that means they would have to help the US-- God forbid they should do that! They only TAKE from us, not GIVE to us. I think it would be wonderful if they would do that. They could certainly accommodate a lot of people that way.
Thats a great idea, we already though of that.
Maybe, but there is a federal law against offshoring teaching.
Thanks, great idea. nm
x
Thanks for the great idea!! I just sent an
email to them, also.  I don't know if it will do any good, but it sure felt great sending it!!  Thanks again!
I think that's a great idea!
Let them know what's going on at home.
I think it's a great idea!
... as an IC, then you need (a) more clients or (b) a different job. Just squeaking by as a self-employed person without being responsible for your potentially expensive health care is totally irresponsible.

MA will have to be careful about deciding who can "afford" what, though. Might get sticky. But overall, I do agree that if you can afford it you should absolutely have it, no excuses.
That's a great idea! NM
x
That's a great idea, as well!...nm
nm
great idea, but...

I use timestamp by syntap.com.  Free.  It's a clock that I shut off and turn off.  When, I stop typing to take a break of any kind, I shut it off, and then I turn it on when I am back to work.  This lets me see just how much time I can waste - like time I take to come to this board when I should be working. 


You can set a dollar amount that you earn, too, to show how much you are making in the time you work.


No "kaching" sound, either, but I keep it running where I can see it as a reminder of my time.  It has improved my line count during the hour so I am not goofing off so much.


Great idea! sm

I transcribed an x-ray report yesterday that was 1 minute 59 seconds long. For 1 minute and 53 seconds, the radiologist was on the phone with her child trying to explain the concept of time, as in how long it would be before she got home. Then she had a conversation with one of the x-ray techs about explaining the concept of time to children. The last 6 seconds of the report, she dictated a chest x-ray. And yes, she gave it a full dictation - this lady talks fast.


Once in a while I overhear something juicy, though....when I worked in-house, I heard a conversation between two radiologists about a new doctor they were hiring, and another time I heard a discussion giving their not-so-great opinions of some of the other doctors at the hospital. After all, we were told to always listen to the very end of the dictation to make sure we didn't miss anything.


A Great Idea
Something has to be done. There are so many of us out there that get treated this way. I worked in a small hospital for 2 years and and loved it and now at home work is making me hate my profession. So many other fields are covered by unions and other agencies to protect the worker rights but there is nothing for us. Everyone is complaining but nothing is getting done. Something should be done and I know that we all have free time at our computuers!!!
Great idea!
Now THAT'S a great idea! Thank you!!
GREAT idea. Thanks!! nm
x
That is a great idea!
You know in the past I wondered if I had ADHD. I asked the doc, he said no, the job is probably just boring and my mind was wandering. I have to ask him about Adderall though to see if he would prescribe. A while back, I got an OTC supplement which was an alternative to Adderall called Attend. I took it and it worked (for when I worked during the day). But after the doc said that I stopped taking it. It is in my cabinet. I am going to try it again. Thanks for reminding me about this. I really appreciate it!
What a great idea!
Thoughtful and practical (for all concerned!)
Thanks for the great idea!
Thanks -that is a wonderful idea!
Great idea!
This would be very appreciated!
Great idea!
Your suggestion of sending the work to the country of origin makes perfect sense. A large number of ESLs are from India, and there are plenty of MTs there. What will we do with the American doctors who are bad dictators? I wish all of these lousy dictators had to take classes in med school and learn how to dictate!
Great idea.
x
I think it's a great idea.

Much Luck; you may be surprised!  Be flexible, that's what I say! 


Great idea!!!!!
Considering this is one of the most sedentary jobs around, it seems weight gain tends to come with the territory! LOL! That's a great idea to have a board focused on weight loss, healthy eating, getting more activity in your day, motivation, etc. I love the idea! :)
Great idea...sm
I could use some motivation myself!!

We can't actually put on new boards, but I will pass the suggestion on to Admin and MT Stars Support.
Great idea
I am wondering if we are allowed to put negative things about specific companies on here? I'm relatively new, so I don't know if there are legal issues with that (slander suit, or whatever you'd call negative publicity for a company). Do you? If it's okay to do, it's a great idea.
What a great idea
Wow.  What a great tip.  I'm going to give that a try.  My handwriting is not what it used to be! 
GREAT idea.
x
That is really a great idea...
nm
Great idea
do you think there should be specific points that we make in our letters other than the obvious?
Great idea!

One of the guys on Fox had a great idea and I don't
know why they are not taking him up on it.  I don't know who said it because I've watched more tv in the last week than I have all year. Why not send these people to closed military bases? They have everything there that they need - barracks, kitchens, hospitals, etc.
What a great idea! How will you get the stranded pet to you?
But how would I get the animal here?
Great idea - Absolutely!
f
The above sounds like a great idea for you
Good luck. Hopefully the friends invited are there because they'd be alone otherwise. Maybe water down the booze hehe.

This year Christmas Day and Christmas Eve are me and my roomie (plus the ankle-biters). Quiet day, small dinner (i.e., turkey roast instead of turkey, just a couple of veggies, rolls (pre-made yikes), and dressing (cornbread, and she's anti-cornbread - sheesh!!!, but tough luck, I'm cooking LOL).

I'm having Christmas with one son and the grandkids the Thurs. before Christmas (he's a roughneck so will be working, plus trying to fit in 2 more sets of us grandparents), one son is in FL (just moved there, I can't afford to visit yet), one is overseas in the warzone. I just lost my dad last year, and lost mother in '91, so a quiet Christmas with my friend/roomie, watching FUNNY movies (and some football!!) is the order of the day.
Great idea! Sounds like fun!
I hope moderator will consider it!!!