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Participants reported greater satisfaction with clinic workflow when a scribe was present and that they no longer felt rushed. A scribe makes that time more efficient and increases satisfaction for doctor and patient alike.Ī 2018 University of Chicago study measured physician satisfaction with the scribe program in a primary care clinic. It is lower for those who order a lot of lab testing and radiology (assuming the revenue from these tests are recovered by those physicians), and higher for others. The number of new patients or return visits needed to recoup costs varies depending on the type of specialty. “And for returning patient visits, it’s two or three patients per day.” “We found that an average of 1.3 new patient visits per day was required to recover the cost of a scribe at the one-year point,” Laiteerapong added. I don’t know anyone who became a doctor to do those things. A scribe allows doctors to focus on thinking and talking and listening, and not on the typing and clicking and ordering. “But the idea is that you’re actually spending that time more focused on the patient. “The idea that you have to see more patients can be really scary,” Laiteerapong said. Studies show that physicians with scribes can increase their availability by as much as 20%, which is about the same amount of time that it takes to see the two or three additional patients. However, most practices are made up of a combination of Medicare, Medicaid and privately insured patients, making it possible to reach that break-even point even sooner. Based on that, Laiteerapong and her team determined the number of additional visits needed to have 90% certainty of breaking even one year after hiring a scribe. The research assumed that every patient visit would be reimbursed by Medicare.

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“And we did it for a total of 30 specialties, plus physician assistants and nurse practitioners.” The study was published October 6, 2020, in Annals of Internal Medicine. “We did an economic evaluation, a pretty common technique for healthcare administrators,” Laiteerapong said. This research also indicates that the initial cost of employing a medical scribe can be offset in a year or less, after which the possibility of increased profit follows. It gives physicians more time to treat patients, add new ones and schedule more return visits.

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New research led by Neda Laiteerapong, MD, Associate Professor of Medicine at the University Chicago Medicine, indicates the real value of adding this healthcare professional to a medical practice. However, there might be a solution: the medical scribe. Requirements for electronic health records are greater now than ever, and that burden is exacerbating the problem of physician burnout.