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no, it's not what he means. Point and Click is Client decision.

Posted By: making records electronic is Government decision. on 2009-03-06
In Reply to: Right, but practically speaking, - Jan

nm


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Good point but I have made a decision, this is what I am talking about!!
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I think that when O talks about EMR he means 'point and click',
if he means MTing or AVR, this would mean nothing new.

He always emphasizes 'change', 'we have to 'apply' EMR.

What happens with the data that physician point and click into their computers?
They enter them also into preprepared templates themselves.
I do not think that MTs are involved in the 'point and click' process in any way.

AVR will coexist with EMR, I am not so sure about straight transcribing.
JMHO.


WE, the MTs, do not do EMR, EMR is point and click
done by doctors or nurses.
If the doctor of your son is 'typing' into her computer, she is probably doing her own MTing.
How can people be pro or con EMR if they do not even know how and what it is doing and by whom (not who!)
Some people, even MTs think that VR equals EMR, it does NOT.
Don't confuse EMR with click and point.
Click and point may end the need for clinic MTs, but hospitals still need detailed reports for joint commission.  Hospital dictation still needs to transcribed.

a true EMR is more of a point and click system...sm

like you see a patient for a sore throat and symptoms come on a drop down menu and you click on "soreness"  "erythema"  and don't click on "difficulty swallowing"


the idea is to fill in like a checklist. works better in some specialities rather than others i.e. good for podiatry and oncology (think of all the repetition), poor in ER where they need to tell the story. The main thing to remember is each year, the new docs coming out are more and more computer literate. Have you ever seen the way 20 y/o's IPOD, instant message, MP3 and text on their cell phones, all at the same time?  The only MT's working will be working for the crusty old farts...so there will be 1 job for every 10.


The ER program is specific to ER and is point and click. nm
It is not applicable to the basic 4.
some doctors may choose to use Point & Click with EMR.
nm
My client was thinking about going EMR at one point...sm..

I was told it would cut back on their need for transcriptionists but it wouldn't cut out the need altogether.  They haven't implemented it yet.  Also, my PCP used EMR, and they still have transcriptionists.  I'm not sure how it works but it doesn't cut out the need for transcriptionists altogether, just cuts down on how much work you'll get. 


I would suggest start now looking for another part-time account somewhere.


not much actual "data", again it's a point and click thing...sm
it's not like people are actually putting in words, just clicking on the match. I agree with the overall groan about GIGO (garbage in, garbage out) but I don't think it's stemming the tide at all...
point and click. (Sorry, too verbose for the space allotted.)

One of my PAs constantly rides the microphone, click, fuzz, missing word, chew, click,

Left click on the taskbar and drag it back to the bottom. Once you've done that, right click on

/


Click the office button and then click word options. It's under proofing.
nm
click on Tags, then Keystrokes, then click on the control box and the letter b
that should work!
Click at the top of the column you want to order, then click on the AZ button in top toolbar.
.
Click on tools, AutoCorrect, and click on tab that says
AutoFormat as you type and uncheck the ordinals option.
If it's installed, click or F10 to open it, click on...sm
the little white piece of paper icon to bring up the window where you ADD your new entries to, type your abbreviation in the Keyword box, then drop down to the Text to Type box and put in what you need it to say, then click Okay. You're done! If you want to delete your entry, arrow down to it, then click on the Trash Can icon. It'll ask if you want to put it on the clipboard, say yes and hit okay. If you want to modify it, use the little hand on the piece of paper icon. I like to click on the Disk icon to save stuff once I enter it, too, as a backup. If you're working and want to enter a paragraph or a page, you'll hightlight your stuff, bring up the ADD window, copy and paste it into the Text to Type area using the commands on the bottom of that box, name it, and hit okay. To use hot keys and stuff, you'll have to read the instructions in the help file. Good luck! ..nm
it's spelled right. Exo means outside and you know what phrenic means. nm
:
I didn't apply, so that's a moot point. The point I was making is that
she's ranting here about something that doesn't even pertain to most of us. You can't come to a MT message board railing at MTs without getting a response. That's why it's not called MTSOstars. Also, it's unprofessional of a business owner to let her emotions overrule her common sense. As for the newbies, they'll learn. We were all newbies at one time or another. None of us was born perfect, not even the MTSO.
You missed my point. My point wasn't perks but prestige...nm
nm
The point wasn't that it was copyrighted. The point the poster tried to make
:(
That's not my point. My point is previous owner hired
nm
decision
Why not just be honest and say, hey, I have a better offer. Either pay me what they pay me or I'm out of here.
decision
I would have to consider the headaches and extra responsibilities of "lead" and the UNPAID hours you will work if you are salaried and do you still have to type a minimum of time/lines.
right decision
Tinkerbell, I think you made the right decision.

Independent contractors will eventually be forced to move to Vista when their XP boxes die, and they need to get a new computer. But if you have an option of staying with XP, I think for most MTs that course will avoid lots of heartache and problems.

--vJoe
My decision is my own....
I'm not looking for anything from anyone other than just to see if this has happened to anyone else. The fact that she did not allow me to explain the position, account specifics, what I expected, etc. tells me she is a difficult person to get along with. It's too bad too, because this account pays up to 14 cpl, so it's her loss, not mine. There are many other good MT's out there and I have several other resumes I can choose from.
Obviously, your decision
You don't mention benefits...I don't know whether you need them, if you have them with the at-home position, or whether they're a non-issue. I would love to find a hospital where I could get in for 3 days a week typing radiology. It would be great to have at least that much guaranteed money (although, admittedly, if you're part-time they could call you and tell you not to bother coming in unless you're actually covering a shift). Plus, after 20+ years of doing this at home, it's kinda nice to get back out there among people again. I worked for a very brief time for a temp agency and it was actually pretty nice; I felt like a little kid playing dress-up for the 2 days a week I went into an office!!

If you really like the current large company you work for, I would probably hold on to that as well, leaving the door open so that if you found after a month you really couldn't bear it, you could go back.
Thanks, I agree......I am okay with his decision, but will
absolutely miss watching him play. He has so much talent and to see a young man walk away from a game he once loved so much is very upsetting. He will be fine and is so intelligent. I always tell both my kids, academics are more important than anything else while in school. He gets that drive and push from me.

I am very proud of him, always will be. He has so much character and courage to actually face the coaches and explain his feelings.

Inside, I am sad just because I am feeling sorry for myself cause I won't get to see him play anymore.

Thank you so much for your help with this! I just needed to hear some opinions and hope I am doing the right thing by supporting him in his decision.

I will get over it tomorrow - today I want to sulk!


Only you can make that decision.

Will you be looking for another job any time soon?  Will you make more money as a CMT?  Will it make you feel good about yourself to have the certification?  Will you have time to study for the test?  Make a list of pros/cons and decide from there.


Personally, it's not worth it for me.  I don't want to support the AAMT because they're supposed to be for Americans, but they promote offshoring.  I have enough certifications and education papers kicking around that I don't need another one.  CMTs don't get paid any more at my employer.  I also don't want to drive 300 miles each way to take the test.  It's expensive, and you have to recertify every three years.


It's a personal decision.

I prefer IC as well.  When you're an employee, they pay you less per line than as an IC.  You still pay taxes, federal, state, Medicare, Social Security as an employee.  However, the employer pays for Worker's Comp and matches the social security and Medicare only portion of your taxes, which I believe is only 7.65%.  That social security percentage is quite small when you consider the fact that self-employment taxes are only 15.6%.  I don't remember the exact percentages because it's been a while since I had to manually figure it all, but you can look it up on Google.


As an IC, I get to deduct every little thing I can think of.  I can deduct my home office, a portion of my utilities, a portion of my Internet and phone, any mileage, office supplies (and I love office supplies!), furniture, software, computers and other equipment, paper, reference materials, everything.


The issue is that when you are an employee, those taxes get taken right off the top so you don't even miss that money.  Most people don't set aside a percentage of their pay that should have gone to those taxes, so they grumble when they owe at tax time.  You actually get to see how much you're paying out in taxes.  However, they got to use their money all year instead of loaning it to the government interest free.  That's a perk.


Yes, that is a wise decision. (nm)
dd
Trying to make a decision
I have just been hired with a super good company, who is offering the right amount per lines and have an abundance of work, but I work for a company that pays only pennies and I mean literally pennies and I've been working for them for years, trying to keep them on float. I feel loyal to them but with the new company's demands with the workload, I am not going to be able to keep up with the company that offers pennies.  I just don't know how to tell them good-bye....
At the end of the interview, the decision
was up to Mr. Trump, not Randall. In the business world, you protect your own position and interest, and he showed Mr. Trump that he was indeed tough enough to do that. This is not "Survivor," taking someone to the final two.

As far as Rebecca goes, she is indeed a very impressive 23-year-old. Her exposure from the show will take her far, perhaps farther than the Trump organization. However, she is still quite young. The right candidate was selected for this position.
Decision on taking a job

I took 3 documents in Word and the program calculated the amount of characters with spaces and without spaces.  I divided the character counts by 65 to get a line count.  I then multiplied the line count with spaces by 8 cents per line and the one without spaces by 9 cents per line.  In all 3 cases, you are better off taking the job at the lower rate counting spaces. 


Example:  1 document 4339 characters without spaces, 5179 with spaces.  Divide each by 65 comes out to be 67 lines without spaces, 80 lines with spaces. 


65 lines x 9 cents = $6.03


80 lines x 8 cents = $6.40


The others came out with a discrepancy of 78 cents and $2.16. 


I did other size documents and none of them came out where you were getting a better deal by being paid the higher line rate with no spaces.


I hope this helps.


They should post their decision
on one of the 'sticky' messages so it is always at the top of the boards...all of them!
You made the right decision nm
Crass.
Tough decision
I have been an MT for just over 20 years. I don't think I would ever consider QA. Knowing the poor quality of many (not all) of the MTs these days keeps me from even considering it. Knowing that the reports that I personaly end up sending to QA are the worst of the worst, I would think that is what other seasoned MTs are sending.....which means YES you are getting nothing but garbage coming your way. Inexperienced MT work *plus* don't-give-a-crap-except-for-my-line-count MT work *plus* really tough stuff from experienced MTs *equals* NOT FOR ME!!!

When I get ready to sit down and work I HOPE there are some good dictators in my future.....being QA I could almost bet I'm going to have a crappy day. I for one could not take that day in and day out. Plus the money is so much better in MT. I am going to try ASR soon, so a mixture of ME and MT. We'll see how I like that. Good luck with your decision.

Another thought would be that I might consider QAing for a hospital that has their employees at home, NOT a national company. Like the university hospital where I used to work. If I knew the quality of the MTs was up there, and that the MT supervisor tries his/her best to get onto the horrible dictators.

Best of luck with your decision.
Difficult decision

Hi,


It sounds like, despite all the problems, that you love him and want to remain a family, particularly for the sake of your son. 


Without disrespecting that, what I would suggest is that you tell your husband to either grow up already (and pull his weight around the house while he is at it) or please go ahead and divorce you and marry his mama. 


In the meantime, make sure that your name is not on his credit card bills, etc. and that you DO expect him to provide child support while he is absent from the family, the home, the marriage.  If he fails or refuses, take him to court--that should make him wake up and smell the coffee and grow up fast.  Otherwise, let mama figure out how to manage his payee check with that new expense. 


HTH. 


editorial decision

I think combining the measurement with the unit of measure is an editorial decision. I personally like it, for I think it is more clear, and you never have to worry about the measure and the unit being on different lines (with auto wrapping as in all word processors). I believe its origin stems from the scientific community.


You would never see 2 " for 2 inches, but it is 2". By the same token:


10mg, or 5cc or 1L seems more clear than:


10 mg, 5 cc or 1 L.


10mg qid. Seems very clear. It is just an editorial decision. No right, no wrong, just an attempt at greater/unmistable clarity.


Same editorial factors are working in writing 0.125mg and never .125mg without the 0. Leaving the 0 off can lead to misunderstanding: To the fast reader the . could be a fly speck, the the 0.125 is unmistakable. I think clarity ought to be the goal, and not strictly historical considerations.


vJoe


again editorial decision
Not an issue of right or wrong, just an editorial preference/decision.

You prefer:
1 tab 10 mg p.o. t.i.d.

Other prefer:
1Tab 10mg po tid

To me the second is easier to read and is clearer. To you the first is.

vJoe
questioning decision...

Can any of you that have been at this for a long period of time answer me this question?  When you first started out...did you feel overwhelmed?  How long does it take a person to really see if this is something they'll be good at?  I find myself getting headaches really easy and only after a few hours of typing.  I feel fatigued.  Is it normal to feel this way in the beginning and what suggestions do you have to help?  When do you feel that things are finally settling down and you start to move along at a normal pace? I'll give it a few months I guess...I'd think at that point I would have a pretty good idea if this is something I'm going to be productive at or not.



Sorry for all the questions.....I guess I am feeling uneasy and was hoping for some reassurance or words of wisdom from none other than another MT. 


need to make a decision....help pls
I have tested this week with Medware, Execuscribe, and JLG. Offers from all, not heard much current info on any of these. Any input would be appreciated TY!
Have made a decision that
when dictation is too fast to decipher and doc is an ESL, will leave blanks without hesitation. I am responsible for accurately transcribing what I hear. I will no longer take responsibility for dictation of that which cannot be dictated. If they ask why so many blanks, I will tell them.

I am trancribing for a new doctor. No sample notes. NO IDEA WHAT HE IS SAYING. But, will no longer make it my responsibility.

Guess I have snapped!
decision made
Well I got told today right before I left work that my transcription i do for my department is being sent away anyways.  That pretty much made my decision for me.  I am getting a lot of support and even from my boss right now.  I am going to go ahead and take the at home job and use my left over vacation that i get once I quit and save that for my leave when i have the baby.  I feel happy yet scared but i just can't work there anymore.  My whole reason for having that job was to do the transcription and it has just dwindled for the past few years and now its going to be gone!!!   Most of it is going to this company i am going to be working for.  hey maybe I will get my own transcription back that i am losing!!!  Thanks for listening and please keep giving me your take on things!  
I would certainly base my decision around what
What are your hobbies or activities that you really enjoy? Look for a way to find training/employment in those areas.

It's not too late to go back to school at all. Though it will take some time and investment. You might discover your perfect interest along the way!

I'd open an Internet Cafe that serves gourmet baked goods, sandwiches, etc. :)


Help in making decision

I would like to know: are there jobs for MT's that you can work PT as in: log on, take the work you can do for the day, turn it in, and get paid for it? What I'm wanting to know is if PT work is available to work at your convenience or is it always told to you when and how much you need to work?


Thank you in advance for your response. I feel like I have read so much about MT's but can't seem to find this out!


Decision Process.....
I am in the process of taking on some part-time work, along with my account that I currently have.  I have had offers from several good companies, two of them are paying me 10 cpl, another 8 cpl per gross line, one 9 cpl and another 8.5 cpl.  The two that pay 10 cpl are super-nice to deal with, really they all have been great and that's what's making this decision so hard.  I'd like to just accept them all, but know that's just not possible.  These are all IC positions, so other than the pay difference, what else would you look at to determine which to go with?  BTW, all are for flexible shifts and are all IC positions.  Thanks for the advice.
Personal Decision for me because...
Two reasons.  NUMBER ONE -  This is not all about me. This is a USA issue with me first.  We are only part of what is going on here.  I have a new U.S. job, great.  I still care about the MTs going through what I went through.  I also care about the other millions of jobs that are offshored, those employees just like you and I, and the impact that has on this country.  NUMBER TWO - I have recently signed a severance agreement.  This was basically a nice financial agreement when I got layed off that stated I was to keep my mouth shut about the company and its practices now and in the future.  It was a nice settlement and  I have done that.  However, I can run my mouth from a different angle - an American citizen who is fed up with the whole process and I figure the bigger the numbers I can quote - the more notice will be taken.  I do not HAVE to mention a specific industry to be heard.  I wish I could say something about confidentiality though, but I guess you guys will take care of that for me.  I prefer to remain very anonamous.
It's his decision to make so you have to respect that.
:)
Not shallow. It's a big decision to make. sm
What color was your hair?.  If it was dark, you'll probably have to touch it up every 3 to 4 weeks.  If you choose to go blonde, you should be able to get away with every 4 to 6 weeks for touchup.  I had brown hair, turned white rather than gray.  I use Preference by Loreal.  It works well.  Like another poster said, it is a good idea to contact representatives of one of the OTC brands.  They are very helpful.  Should be able to find toll-free numbers on their websites.  If it was me, I think I would have a professional do it the first time, someone you trust. 
I know it's not the best financial decision, but (see message)
I have no money problems and can afford to have payments each month.

I lease strictly out of convenience. I don't like to own a car for more than a few years. I don't want to deal with the hassle of selling a car once I no longer want it or deal with repairs. I want a car that's always under warranty and that I can give back easily when I'm done with it.

If I were not financially stable, I would definitely purchase a reliable used car, but where I am in life right now, I just don't need to. Leasing is a convenience for me, and it's one that I'm willing and able to pay for.