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View Diary: Electronic Medical Records: A Primer (118 comments)

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  •  Perhaps they should use a personalized (0+ / 0-)

    USB ID key.

    When you leave your station you would have to remove your USB ID key.

    When you return, plug the USB ID key in again and go to work in two seconds.

    The key also would control data access and say if the keyholder was an OB/GYN would tend to favor the presentation of OB/GYN data. Patient psychiatric  data would not be accessible.

    •  The USB key might be on a string (0+ / 0-)

      tied to a hospital ID card necklace.

    •  oh, but that costs money (0+ / 0-)

      we are a small rural hospital.

      Your idea is spot on....


      we coders, as part of our local 1199 union just lost about 10 days per year off our alotted time off. They told us that we can either get a pay raise (to match national levels) OR continue on with our current time off rate.

      I was not part of negotiations nor did I know the details until after the ink was dry.

      We lost about 10 days per year of time off, and have now gone to PTO. PTO seems really cool, as long as the rate at which you accumulate time is good. I am in the first tier of accumulation since I have only been with the hospital 3 1/2 years. So, I lost accumulated time. My salary went up a scoch, but now I only have 40 days per year in total for vacation, sick, holiday and personal time. If I break my leg, I basically kiss my vacation time goodbye.

      Anyway, the hospital resents spending any money. We have ONE set of code books for a 7 person staff of medical coders. I work at a different office from the rest, and bought my own diagnosis coding book. I still have to save up to buy the procedure coding book.  We have no reference materials at all. I use Wikipedia to look up medical information when I'm not familiar with what the doctor used as a diagnosis or procedure.

      So, although your idea is awesome, and I am familiar with the concept, it won't happen for us for the forseeable future.

      “Quickly, bring me a beaker of wine, so that I may wet my mind and say something clever.”-Aristophanes

      by karma13612 on Sun Feb 26, 2012 at 02:41:08 PM PST

      [ Parent ]

      •  PTO (0+ / 0-)

        Do you not get weekends off? I think I get 10 days vacation, 8 holidays, and 6 six days per year..

        I'd definitely rather have 10 more paid holidays than a slight raise, though!

        •  Oh sure, we work 5 day work weeks (0+ / 0-)

          Yes, we get weekends off.

          Generally, when discussing time off, you don't normally also count your weekly time off. At least not in any job I've had up til now!

          When people discuss their time off, they are talking above and beyond their normal 2 days per week considered their weekend.

          So, aside from weekends, you only are alotted 24 days off in a whole calendar year??

          Well, I feel a bit better if that's the case!! Wow!

          Then again, we have been under a mandatory overtime flag since May of 2011. Most of the coders have been doing 8 hours OT per week. I just can't. I have been doing 5 hours per week OT. The money is nice, but I am perpetually tired.  And now with less time off per year, it's only going to get worse.

          The thing about PTO is that everything is in one bucket of accruing time. I tend towards 'saving', like I do with money. So, until I have a huge bucket of time saved up, I won't feel safe using any of it because I am afraid if I get sick or injured I won't have enuf of a buffer. Then I have to go on short term disability, and the state pays such a pittance, it will be a financial hardship. Before, the sick time was in a separate 'bucket' and I had plenty saved up. Now we can't touch that time unless we first are sick for 5 days using the new PTO. So, no reward for having been a loyal healthy employee who only called in sick if I was really sick. I didn't just call in sick to hang out and avoid work.

          In essence, we are forced to chose between being sick or having enuf time to actually take a vacation once in a while. To recharge the batteries.

          Compared to Europe where they get a minimum of 4 weeks per year off, we are treated like slaves in this great land of ours. Been like that for years. We don't value the quality of life, we value the almighty buck.

          “Quickly, bring me a beaker of wine, so that I may wet my mind and say something clever.”-Aristophanes

          by karma13612 on Mon Feb 27, 2012 at 06:08:18 PM PST

          [ Parent ]

        •  oh, and you might want to (0+ / 0-)

          clarify the sick time off.

          In some places, they have a limit of so many 'occurances' per year.

          That's different than 'days' per year.

          If you are alotted so many occurances, that can mean that you can be sick "x number of times' per year. Each occurance can be for however many 'days' it takes to recover.

          You could be out in Jan for 3 days with a stomach flu.
          Then in May for 2 days with a sore neck.
          In June, you might have sprain your ankle and be out 4 days.

          In September you got an early flu for 4 days.
          In October, you might have been in a car accident and broken your leg and been out for 10 days.

          If I was unlucky enuf to have all those mishaps in a years, that would be 23 days taken from my bucket of 40 days. That would leave me 17 days for vacation, and holidays.

          But, that only amounted to 5 'occurances' according to other methods of acruing and alotting sick time at more generous places of employment.

          “Quickly, bring me a beaker of wine, so that I may wet my mind and say something clever.”-Aristophanes

          by karma13612 on Mon Feb 27, 2012 at 06:18:02 PM PST

          [ Parent ]

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