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Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study

OBJECTIVE: Scribes have been used in the emergency department to improve physician productivity and patient interaction. There are no controlled, prospective studies of scribe use in the clinic setting. METHODS: A prospective controlled study compared standard visits (20 minute follow-up and 40 minu...

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Autores principales: Bank, Alan J, Obetz, Christopher, Konrardy, Ann, Khan, Akbar, Pillai, Kamalesh M, McKinley, Benjamin J, Gage, Ryan M, Turnbull, Mark A, Kenney, William O
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745291/
https://www.ncbi.nlm.nih.gov/pubmed/23966799
http://dx.doi.org/10.2147/CEOR.S49010
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author Bank, Alan J
Obetz, Christopher
Konrardy, Ann
Khan, Akbar
Pillai, Kamalesh M
McKinley, Benjamin J
Gage, Ryan M
Turnbull, Mark A
Kenney, William O
author_facet Bank, Alan J
Obetz, Christopher
Konrardy, Ann
Khan, Akbar
Pillai, Kamalesh M
McKinley, Benjamin J
Gage, Ryan M
Turnbull, Mark A
Kenney, William O
author_sort Bank, Alan J
collection PubMed
description OBJECTIVE: Scribes have been used in the emergency department to improve physician productivity and patient interaction. There are no controlled, prospective studies of scribe use in the clinic setting. METHODS: A prospective controlled study compared standard visits (20 minute follow-up and 40 minute new patient) to a scribe system (15 minute follow-up and 30 minute new patient) in a cardiology clinic. Physician productivity, patient satisfaction, physician–patient interaction, and revenue were measured. RESULTS: Four physicians saw 129 patients using standard care and 210 patients with scribes during 65 clinic hours each. Patients seen per hour increased (P < 0.001) from 2.2 ± 0.3 to 3.5 ± 0.4 (59% increase) and work relative value units (wRVU) per hour increased (P < 0.001) from 3.5 ± 1.3 to 5.5 ± 1.3 (57% increase). Patient satisfaction was high at baseline and unchanged with scribes. In a substudy, direct patient contact time was lower (9.1 ± 2.0 versus 12.9 ± 3.4 minutes; P < 0.01) for scribe visits, but time of patient interaction (without computer) was greater (6.7 ± 2.1 versus 1.5 ± 1.9 minutes; P < 0.01). Subjective assessment of physician–patient interaction (1–10) was higher (P < 0.01) on scribe visits (9.1 ± 0.9 versus 7.9 ± 1.1). Direct and indirect (downstream) revenue per patient seen was $142 and $2,398, with $205,740 additional revenue generated from the 81 additional patients seen with scribes. CONCLUSION: Using scribes in a cardiology clinic is feasible, produces improvements in physician–patient interaction, and results in large increases in physician productivity and system cardiovascular revenue.
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spelling pubmed-37452912013-08-21 Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study Bank, Alan J Obetz, Christopher Konrardy, Ann Khan, Akbar Pillai, Kamalesh M McKinley, Benjamin J Gage, Ryan M Turnbull, Mark A Kenney, William O Clinicoecon Outcomes Res Original Research OBJECTIVE: Scribes have been used in the emergency department to improve physician productivity and patient interaction. There are no controlled, prospective studies of scribe use in the clinic setting. METHODS: A prospective controlled study compared standard visits (20 minute follow-up and 40 minute new patient) to a scribe system (15 minute follow-up and 30 minute new patient) in a cardiology clinic. Physician productivity, patient satisfaction, physician–patient interaction, and revenue were measured. RESULTS: Four physicians saw 129 patients using standard care and 210 patients with scribes during 65 clinic hours each. Patients seen per hour increased (P < 0.001) from 2.2 ± 0.3 to 3.5 ± 0.4 (59% increase) and work relative value units (wRVU) per hour increased (P < 0.001) from 3.5 ± 1.3 to 5.5 ± 1.3 (57% increase). Patient satisfaction was high at baseline and unchanged with scribes. In a substudy, direct patient contact time was lower (9.1 ± 2.0 versus 12.9 ± 3.4 minutes; P < 0.01) for scribe visits, but time of patient interaction (without computer) was greater (6.7 ± 2.1 versus 1.5 ± 1.9 minutes; P < 0.01). Subjective assessment of physician–patient interaction (1–10) was higher (P < 0.01) on scribe visits (9.1 ± 0.9 versus 7.9 ± 1.1). Direct and indirect (downstream) revenue per patient seen was $142 and $2,398, with $205,740 additional revenue generated from the 81 additional patients seen with scribes. CONCLUSION: Using scribes in a cardiology clinic is feasible, produces improvements in physician–patient interaction, and results in large increases in physician productivity and system cardiovascular revenue. Dove Medical Press 2013-08-09 /pmc/articles/PMC3745291/ /pubmed/23966799 http://dx.doi.org/10.2147/CEOR.S49010 Text en © 2013 Bank et al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Ltd, provided the work is properly attributed.
spellingShingle Original Research
Bank, Alan J
Obetz, Christopher
Konrardy, Ann
Khan, Akbar
Pillai, Kamalesh M
McKinley, Benjamin J
Gage, Ryan M
Turnbull, Mark A
Kenney, William O
Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study
title Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study
title_full Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study
title_fullStr Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study
title_full_unstemmed Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study
title_short Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study
title_sort impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745291/
https://www.ncbi.nlm.nih.gov/pubmed/23966799
http://dx.doi.org/10.2147/CEOR.S49010
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