Our scribes provide a valuable at-your-side service for busy emergency departments, urgent cares, hospitalist, and office settings by increasing overall efficiency, compliance, reimbursement, and patient / doctor satisfaction.
In the context of the ED, a scribe is a non-clinical staff member whose role is to assist with clerical and other non-clinical duties. Duties are largely dependent upon practices and office policies. However, in the most basic sense, scribes are hired to shadow physicians during their interactions with patients and act as transcriptionists or “personal documentation assistants” to contemporaneously document the history and physical exam as it is being performed by the ED physician. Scrivas is uniquely positioned as the only locally staffed and managed scribe company that understands the business of emergency medicine and how scribes can increase efficiency, documentation accuracy, productivity, revenue, and physician longevity. Based on an ananlysis of data by a national billing compay used by our clients, which reviewd the benefits of Scrivas scribes in multiple ED’s, increases in wRVUs, per patient charges, patients per hour, and E&M levels were seen across the board. In the adult emergency room setting, there was a 10% increase in wRVUs, an 8% increase in charges, and a 10% increase in E&M levleing.
The proliferation of Urgent Care Centers cannot be overlooked. Currently, urgent care centers account for 20% of all primary care encounters. This number is expected to grow as more employers and insurance carriers encourage the use of urgent care centers, and as more hospital networks open their own branded urgent care centers or the continued opening of single care focus centers (orthopedic, pediatric, etc.). As patient volume grows, just like in an ED, the need for workflow efficiencies and accurate and timely documentation cannot be minimized. Scrivas has thousands of hours of experience in large hospital branded care centers and individually managed care centers. Scrivas can help improve the overall efficiency of your busy urgent care center. Contact us for a consultation.
The concept and utility of scribes has moved quickly from the emergency department to the inpatient setting. There is ample research to support the use of scribes in the inpatient setting, for either a rounding hospitalist or an admitting hospitalist. Research in hospitalist settings has shown to significantly increase CMI and therefore, revenue. A study conducted from 2012 through 2014 utilizing scribes at two separate hospitals in Illinois, in the inpatient setting, resulted in an increase of the CMI by .26 and .28 at the respective hospitals. Since an increase of CMI by .1 results in an increase in revenue of about $4,500, the financial benefits are obvious. In addition, the hospitalists went from seeing 12 to 14 patients per day to 22 to 24 patients per day, resulting in a reduced number of FTEs per day. Additionally, physicians involved in the study reported a ten-minute savings of documentation per patient. Another case study showed that scribe-assisted physicians still managed to cut the total length of their workdays by 1.3 hours, on average, all due to a reduction in the participating doctors’ record-keeping chores.
In the context of a specialty care and primary care centers, a scribe is a non-clinical staff member whose role is to assist with clerical and other non-clinical duties. Duties are largely dependent upon practices and office policies. However, in the most basic sense, scribes are hired to shadow physicians during their interactions with patients and act as transcriptionists or “personal documentation assistants” to contemporaneously document the history and physical exam as it is being performed by the physician. Multiple independent studies have been published analyzing the impact of scribes in primary, specialty, and outpatient settings. Despite improvements in EHR software, the AMA concluded that for every one hour of patient care provided, two hours of physician administration time is required. The inefficiencies and costs associated with that time are reduced by the addition of a scribe. The return on investment of the scribe program is easily seen when considering the combination of increased patients per hour, improved billing, and a decrease in physician administration time. Scrivas will work with your leadership team to identify the most critical aspects of the documentation challenges, whether it is completion of admission history and physicals (HPIs), discharge summaries, or assisting in physician workflow.
The implementation of a new EHR to your hospitals, urgent care offices, or clinics can be daunting. While most EHRs offer training courses for your physicians and staff, this may not be enough to ensure accurate documentation on day one, nor assisting in the creation of multiple charting templates. While you can hire expensive outside consultants, Scrivas has experience in multiple Go-Lives and can easily assist your physicians and staff as they transition into your new EMR at a much lower cost. We have EMR super-users in Cerner, Athena, ECW, NextGen, Care360, T-system, Sorian, Epic and many more. We can provide your office with scribes at your side that can assist your staff during the transitional period. This allows you to position your physicians and lead medical assistants interacting with patients instead of acting as trainers.