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<h3>Why Use Scribes</h3>
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<p class="sub">There are many reasons why physicians and medical providers choose to bring medical scribes into their facilities. A well trained scribe will undoubtedly increase efficiency, reimbursement, compliance and patient satisfaction.</p>
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<li class="active"><a class="i-div" href="#service-one" data-toggle="tab"> Efficiency </a></li>
<li><a class="a-div" href="#service-two" data-toggle="tab"> Reimbursement </a></li>
<li><a class="w-div" href="#service-three" data-toggle="tab"> Compliance </a></li>
<li><a class="t-div" href="#service-four" data-toggle="tab"> Satisfaction </a></li>
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<h4>Improvements</h4>
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<li>Two-thirds of a primary care physician's day is spent on clerical work that could be done by someone else, according to Health Affairs Journal. This leads to an unfortunate decrease in the productivity of a doctor.</li>
<li>Scribes significantly increase physician productivity and save an average of three minutes per visit and typically accommodate four extra patients per day.</li>
<li>With productivity improvements alone, the return on investment of our scribe program is typically three to four times the investment.</li>
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<h4>Role of the Scribe</h4>
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<li>Scribes are the interface between an EMR and a physician. They are not just a transcriptionist. Their role as physician assistant reduces the burden of complying with documentation.</li>
<li>A scribe guides the process of completing a thorough EMR record for each patient encounter. This is a sample of some typical scribe tasks:
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<li>Document +/- elements of history and physical exam</li>
<li>Document vital signs</li>
<li>Keep track of lab values and radiology results</li>
<li>Pull pertinent past medical records</li>
<li>Enter discharge information</li>
<li>Compose work excuse notes</li>
<li>Write prescriptions and orders to be signed off by physician</li>
<li>Document when consultants are paged and call back</li>
<li>Enter findings from re-exams</li>
<li>Filter interruptions from support staff and phone calls</li>
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<h4>Practice/ED Metrics</h4>
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<li>Improve patient throughput and "time to doctor"</li>
<li>Improve Patient Satisfaction scores</li>
<li>Decrease the patients who "left without being seen"</li>
<li>Improve Hospital Consumer Assessment of Healthcare Providers &amp; System scores</li>
<li>Increase in office staff productivity</li>
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<h4>Revenue Capture</h4>
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<li>Improve coding/billing</li>
<li>Decrease overtime physician hours - time spent completing charts at the end of shift</li>
<li>Increase Relative Value Units</li>
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<h4>Electronic Health Records</h4>
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<li>Completion of all required and recommended fields</li>
<li>Capture and import laboratory/radiology results</li>
<li>Document critical care</li>
<li>Document conversations with consultants and PCPs</li>
<li>Expand Medical Decision Making (MDM)</li>
<li>CMS compliance with meaningful use Stages 1, 2, &amp; 3</li>
<li>Prepare disposition and diagnosis</li>
<li>Transition to ICD-10 implementation</li>
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<h4>Regulatory</h4>
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<li>Federal regulatory standards with regards to CMS and HIPAA</li>
<li>Capture documentation of National Quality Measure outcomes</li>
<li>Meaningful Use (medication reconciliation, family history and other criteria)</li>
<li>PQRS reporting</li>
<li>The Joint Commission (TJC) records compliance</li>
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<h4>Focus on Patient Care</h4>
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<li>The objective of our scribe program is to help medical providers focus on medical care instead of documentation.</li>
<li>Scribes afford the opportunity to engage in more interpersonal communication with the patient. Our scribes allow a doctor to sit down, make more eye contact, and convey other positive nonverbal cues to show the patient they are listening.</li>
<li>Managing the workflows and keeping the physician more organized has a positive, indirect impact upon other staff. This gives way to a better work environment.</li>
<li>Prepping the doctor before each encounter, reminding them of the particular patient&#146;s name and chief complaint, reassures the patient and conveys a message of physician engagement and interest.</li>
<li>Verbalizing to the scribe what should be documented while the patient is present allows the opportunity for the patient to ask questions or seek clarification about their diagnosis and the plan for their care.</li>
<li>Increase physician satisfaction in the workplace, and reduce burn-out by keeping the physician engaged in what they love to do &#150; being a physician, not a clerk.</li>
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