Do Doctors Need EHR 'Scribes'? - InformationWeek

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Do Doctors Need EHR 'Scribes'?
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User Rank: Author
2/12/2014 | 9:39:45 AM
Financial Obstacle
It seems like the financial obstacle to hiring/using these scribes is bigger than the patient-privacy one. No matter the cost-saving justification for these scribes, healthcare organizations still need to come up with the money to pay them as their other costs keep rising. But I wouldn't be averse to having such a helper in the room during doctor consultations, especially if that helper is studying for a medical degree. Think of it as a consultation at a teaching hospital.
Mark Braunstein
Mark Braunstein,
User Rank: Moderator
2/12/2014 | 3:03:05 PM
Re: Financial Obstacle
I hope this proves to be a transitional "technology" that fades away once more physicians figure out how to buy EHRs that are actually efficient for them to chart in.  They may not be the most widely installed, but I do believe they exist.
User Rank: Apprentice
2/13/2014 | 5:28:33 AM
EHR Scribes
This physician says YES! YES!YES! Entering my own data reduces my productivity 50%!!!  I have sitting here on my floor at home 24 records to enter into my EHR from the past 2 days of seeing patients. If there is no better solution than working two days every day to do my records on my own personal time, I will have a heart attack, stroke, sudden death, or mental breakdown. What if, when typewriters were invented, to have secretaries do the typing for the professional had been considered too expensive?

The current "type it yourself" is insane policy. I am tech literate as any medical person. If you have as your goal to put your doctor out of business (or die) keep making them type it themselves.
User Rank: Apprentice
2/13/2014 | 5:39:50 AM
EHR software systems
The need for scribes was more prominent with the implementation of earlier versions of EHR software systems which required someone to fill-up the patient forms. However, with changing technology, newer and more advanced EHR systems have come up which serve the automation purpose of doctors without employing a scribe. Check this out

Doctor management software
User Rank: Apprentice
2/13/2014 | 12:17:12 PM
Isn't that ridiculous that you need to spend extra on the EMR systems, follow all so called meaningful rules  and hire extra  person to type for you, in the mean time, goverrnment and insruance companies are trying all their best to cut your reimbursement!
Ellis Booker
Ellis Booker,
User Rank: Moderator
2/13/2014 | 3:15:26 PM
Voice input? Yeah, maybe some day.
My story doesn't go into it, but speech-to-text voice recognition software simply isn't at the point at which it can be a trustworthy dictation replacement. Add to this the increase by a factor of 10 in the coding that doctors will need to do (under the ICD-10 scheme, which goes live Oct. 1), and there's going to be period of real challenges, data-input-wise.
User Rank: Strategist
2/18/2014 | 2:22:13 AM
EHRs should be made more accessible
The medical fraternity is far from satisfied when it comes to EHR implementation. Last year has been very eventful for the Healthcare IT industry, with the widespread adoption of HIPPA, Hitech regulations and the approaching deadlines for Healthcare organizations to switch to EHRs have definitely led to some systems being implemented in a chaotic manner without due importance given to meaningful use, also aiding to this turmoil is the constantly changing regulatory landscape. Do let me know your views on this.

Having svribes won't solve the issue from its root. It will simply shif the onus from one user to another, and this is like accepting the current state of the systems and tryuing to make the best out of the worst situation. Though the thought is with good intention, one needs an approcah where EHRs are flexible, interoperable and can adapt to changing compliance requirements easily. Following up on this, I came across and registered for a webinar on Healthcare IT: Role of EDI in Affordable Care Act Reforms, it looks a promising one 

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