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Passage

Advocate for ... Greed

Published January 6, 2009 7:42 AM by Jeanne Johnston

I suppose not many MTs have paid attention to AAMT's (yes, I know they're AIrHeaDs now) 3rd edition of their Book of Style because it came out virtually on the heels of the 2nd edition--which was not a great improvement over the 1st edition. Frankly, when Ellen Drake pulled out of the project, I saw no reason to bother. The BOS and various certification gimmicks are obviously the lifeblood for an organization that can't seem to figure out why MTs aren't flocking to join the official ranks--except in India, where MTs are still uninformed enough that they're falling for the notion that all this will buy them a cachet in a field that's paying them the equivalent of about Rs. 5000 (i.e. about $100) a month. (Let's not forget that AAMT also negotiated a deal with Prometrics wherein they get to take the certification test at cut-rate prices because they make less than we do--forget that their cost of living is obviously a fraction of ours and the fact they've already driven our wages and ability to support ourselves into the dumper.) Every time we shell out an increasing amount of money (currently $80 for the book alone), we still get something incredibly counterintuitive and unsearchable. Also, beginning with the latest edition, they have opted not to offer a CD version, claiming it's too difficult to create a workable electronic version. Forget that it's a small feat for anyone to convert the previous CD to a .pdf file, which far easier to navigate than the book or CD, and forget that they should actually have focused efforts at offering an online version (which they could actually amend and improve on the fly) all along. Nope, the old guard has never been terribly adept at keeping up with the times. The reversal on the CD version has been a puzzlement to me, though. Whereas it had previously been offered as both a companion or an alternative to the hard copy version of the reference--and the CD was proving to be increasingly popular with MTs, who found they could either turn it into a text file or simply leave the CD in their drive and save themselves fumbling through the book constantly--there was just something "off" about their claims that the new edition could only appear as a hard copy.

Aha. . . but now the light comes on. Enter Interfix--thanks to their "partnership with the experts at the Association for Healthcare Documentation Integrity (AHDI), InterFix has created the first application that sets universal health data quality standards and deploys them to the workstation level, integrating them into the document creation process"--who can now offer "a fully integrated standards-based knowledge base" for MTs via their can't-live-without-it BenchMark KB, wherein for a mere $199 a year, you get:

* Access to the complete medical reference library from Stedman’s in a single user interface.. (sic)
* A continuously updated national physician database (850,000+)
* Quality alerts library highlight common transcription style errors, including Join Commission dangerous abbreviations.
* AHDI Book of Style in searchable format
* Annual electronic membership to AHDI
* Integration with all popular transcription and EHR platform
s

Hmm. . . Suddenly, it's not so impossible to offer that BOS in an electronic format, eh? Interesting.

I think this proves my point beyond a doubt that The Organization Formerly Known as AAMT--a "professional organization" representing American medical transcriptionists--has now fully embraced its true purpose as a shill for software firms. Clearly, the "fix" has been on for a long time in their partnership with developers and salesmen, and the plan is to virtually corner the market on not only MT resources, but standards--including, no doubt, lobbying pressure (which AAMT has so proudly focused on in recent years) to attempt to make their credentials (for not only MTs, but MTSOs and schools) required and their products the default for transcription platforms and EMRs.

AAMT is officially dead and I challenge them to simply 'fess up and admit they're working against us. Those of you yet to find your lifeboats might want to form a line on the left. For those of you still in need of a style reference, I once again recommend heartily the totally free and infinitely more useful MT Reference Style Guide, created and maintained by MTs for MTs, and gee, whaddya know--easily searchable online.

2 comments

I would like to correct several inaccuracies of this posting.  The Book of Style is available for purchase to AHDI members for $50 (not $80).  A nonmember may purchase the BOS for $70.  AHDI DOES, and always intended to, offer an electronic BOS - the cost is $30, same price for members/nonmembers.  You do not have to purchase the electronic version through BenchMark KB.  Lastly, the 3rd edition was published in 2008, the 2nd in 2002, which in my opinion, is not "on the heels of the 2nd edition."  Many other textbook and reference materials are updated and published every 1-3 years.  

Judy Lichtenberger January 13, 2009 9:14 AM

I posted below, but will resend my post.  I had the same thoughts on the new BOS, which I did purchase, and yes it did come to light about the KB online subscription for $199 annual, yes annual!  A bit much for MTs that have had no increase in pay for at least 10 years, and a constant decline in benefits.

One more question......with all the changes in our field, why are we still being paid by the line when quality is the main focus. With voice recognition, preloaded templates, touch screen, etc., most of the work that is left are ESL dictators that are challenging to say the least, yet we are still required to "produce and be paid by the line" under these circumstances.

Again, I do not see this being demanded of any other health care professional.  Placing an hourly rate with a possible incentive gives me a loud and clear message that I'm worth x-amount per hour.

Previous post:

After 22 years of being an MT and experiencing a continuous downhill decline in my wage, benefits, and respect, I have decided to move into other aspects of HIM and EHR. I do, however, have a burning question to anyone that can possibly shed some light.  

AHIMA provides credentials and professional backing to coding, cancer registrar, healthcare privacy and security personnel, RHIA, RHIT, and their newest certification for health data analysts.  Why has the medical transcriptionists been ignored by AHIMA? There is no AHIMA credential for us.  Why?

Yes, we can be obtain credentials from our own association, AAMT which is now AHDI, however, it is recognized by so few in the industry as valid.  

The medical record is based on transcribed reports.  EHR builds upon the foundation of transcribed reports.  These reports are produced by professionals who understand anatomy, physiology, pharmacology, medical terminology, laboratory and diagnostics, grammar, punctuation and deciphering ESL dictators. So, again, I ask why has the MT been overlooked as a valid healthcare professional by AHIMA?

Below is a direct quote from AHIMA website

http://www.ahima.org/certification/

Why Get Certified?

Certification is a means for showing that a credentialed professional possesses the knowledge and skills necessary for the optimal performance of his or her job. Through credentialing, the practitioner’s employer, peers, and the public are reassured that he or she is both competent and well-informed in the daily and accurate administration of his or her professional duties.

Does this not apply also to Medical Transcriptionists?  Until we are brought under the wing of AHIMA and viewed as healthcare professionals by our own organization, I don't believe things are going to get better for the MT.

Bobbie, , MT At Home for National January 6, 2009 11:18 AM
CA

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