Maybe I am reading these past few days of comments wrong, but I think I am hearing that some photographers are taking on the challenge of IT integration completely in addition to the photography tasks - and maybe even less photography than IT. Then leaving photography behind once EMR setup has been completed and (if not cast out) focusing on the IT? Is the photography being done by others during and after the transition? Is this a career change from photographer to IT (forced initially by EMR startup)? I personally have transitioned from personal secretary to legal secretary to medical receptionist to ophthalmic tech/photographer in my 30+ years of working. Don't know what comes next. I can completely understand the lack of respect given by some institutions (been there, done that, only option is to move on to a hopefully more appreciating environment.) Just an observation Lori _____ From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Thomas C. Monego Sent: Tuesday, March 27, 2012 7:10 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: The other side of the gripe from Denice Barsness I'm having a rebound effect right now, I signed on for an EMR project, for my regular pay plus a bonus. After 2 years a period of extremely long hours doing very engaging work, we went live, then a month of 80+ hour weeks we went into what is called maintenance phase. We were now expected to either go back to our old positions or stay with the group. Due to complex reasons we lost our entire upper management, the decisions were made by HR, I experienced conditions similar to what Anton experienced. That I had certification on the Epic program didn't matter, that I had the build for two of the components of the program, ophthalmology and electronic prescribing didn't matter, 30+ years of experience in my specialty didn't matter, Because I didn't have an IT degree I was asked to take a 30% pay cut. I asked for the next level up which was a 12% pay cut and was told I didn't deserve a promotion. So now I can return to ophthalmology, though they have said they don't have my leaving salary in their budget or go consult for Epic Ambulatory & Kaleidoscope and get paid well but live on an airplane. The latter is looking more favorable. This attitude has made us lose 60% of the build group, the rest of us are looking. tom From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Eric Kegley Sent: Tuesday, March 27, 2012 6:36 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: The other side of the gripe from Denice Barsness Amen Denice. That is not only the problem with socialized medicine but the problem with socialism as a whole. When the producers find out that the get penalized and the consumers found out that they can consume without producing, dumbs down the whole system. I want to get rewarded for my excellent work ethic, not have money, honor or whatever taken away from me to equalize the field. That's also the problem with participation trophies. It cheapens the trophy for the first place team because "everyone gets one". These are my views and do not reflect the views of my employer (necessarily :-) ). EK Eric Kegley, CRA, COA Director of Ophthalmic Imaging Retina Consultants of Houston 6560 Fannin St., Suite 750 Houston, TX 77030 Main 713 524-3434 Fax 713 524-3220 _____ From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] <mailto:%5bmailto:optimal-bounce@xxxxxxxxxxxxx%5d> On Behalf Of CPMC Ophthalmic Diagnostic Center Sent: Tuesday, March 27, 2012 4:45 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: The other side of the gripe from Denice Barsness Ah, you've just highlighted the problem with socialized medicine. Without responsibility and accountability, there is no sense of doing the right thing. The system I fear the most with Obamacare. While in principle, socialized medicine sounds great. In practice, not so much. Ask those in Canada, the UK, Australia, Russia. How's that working for you? If you don't have a vested interest in the financial outcome, then the less work the better. My two cents. Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS Ophthalmic Diagnostic Center CPMC Department of Ophthalmology 2100 Webster Street Suite 212 San Francisco CA 94115 (415) 600-3937 FAX (415) 600-6563 From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] <mailto:%5bmailto:optimal-bounce@xxxxxxxxxxxxx%5d> On Behalf Of Anton Drew Sent: Tuesday, March 27, 2012 2:23 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: The other side of the gripe from Denice Barsness THAT, Denice is the crux of the problem here, I work in a government hospital where THEY DON'T value your expertise and skills. ALL of our docs INCLUDING the Director are private Consultants who just come in once a week or fortnight for a 3 hour session and then they're gone. They treat the staff as though they were their own private practice staff. HOW can a unit be run by a Director who is only there for one 3 hour session every 2 weeks AND during the busiest Retinal Clinic when their is no time to grab him to discuss udgrading equipment/software, or talk about staffing issues, workload etc.. It is like speaking to a brickwall. They just don't get it !!! Just don't want to "play their game anymore". Anton On 28/03/2012, at 2:34 AM, CPMC Ophthalmic Diagnostic Center wrote: Having the good fortune of working in a great institution that actually values our work, we in turn can reflect those feelings of good will onto our patients. They are truly the lucky ones to be the benefit of all of this great technology. My two cents. D. 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