0:00:00my name is alan back a medical director research that you know the heart and
0:00:04vascular clinic aligned of health care in saint paul minnesota
0:00:08an associate professor in cardiology university of minnesota
0:00:12i like to talk with you about some research we've done using medical scribes inner
0:00:16cardiology click
0:00:19although some emergency positions have been using scribe successfully for years there's very little data
0:00:24in the medical literature about the use of scribes particularly in the context setting
0:00:29and there are no prospect of studies assessing their value
0:00:33we performed a prospective study a comparing standard care described here
0:00:39during standard clear follow visit or twenty minutes a new patient visits were forty minutes
0:00:44during scribe care file this is where fifteen minutes and you patient visits for thirty
0:00:50minutes
0:00:52scraper for many tasks that are typically performed by position before the visit they prepared
0:00:58the no put in historical and test information during the visit they transcribe the history
0:01:05the impression i and after the visit a typed in patient instructions
0:01:10did billing a code and other fish was unable to look at the node make
0:01:16modifications inside a phone
0:01:20we analyze sixty five hours of patient care using standard care in sixty five hours
0:01:26with describes a spread our model for cardiologists
0:01:30position productivity is measured by patients seen per hour increased by fifty nine percent and
0:01:36work are we use generated increased by fifty seven percent
0:01:40now this was a true increase in productivity because we were at near maximal productivity
0:01:45with our standard care and during scribe here the patient visits were completed during the
0:01:49allotted time frame and physicians didn't need to stay after clinic to complete their documentation
0:01:57patience s factual is very high during both scribe and standard care visits
0:02:02position haitian interaction was assessed by a an experienced performance improvement manager
0:02:08and was graded to be
0:02:10better during scribe care as compared to normal care
0:02:14decision spent less time in the visit with the patient or time and focus direct
0:02:19attention on the patience
0:02:22direct and indirect revenue generated from visits increased by two hundred five thousand dollars from
0:02:29the eighty one additional patients seen over the sixty five hour timeframe
0:02:34we subsequently incorporate this ascribe system into our standard care for ten physicians
0:02:42several position to used to remain after clinic for two to three hours to complete
0:02:46their documentation worn out leaving on time expressed mark satisfaction with this
0:02:51a one physician decided not to cut back to eighty percent i'm from full time
0:02:55because she was able to get home and see her children
0:02:59these staff have noted patients are very happy that they feel like they're being seen
0:03:04on time and the patient flow in the clinic is much better
0:03:09in summary we feel that the use of medical scribes the benefits are all parties
0:03:14involved and patients get more attention and more focused care from their positions
0:03:20they also better access to care their physicians because of increased slots available on position
0:03:25schedules
0:03:27positions can improve job satisfaction in clinic a better access to care to care for
0:03:33their patience a better work life balance reduced paperwork
0:03:37and the increase productivity based hate
0:03:41describes a great training in fact approximately twenty five percent of the
0:03:46initial first your medical school class university of minnesota train describes originally
0:03:53the healthcare system becomes much more efficient increases revenue by seeing more patients not by
0:03:58ordering more tasks and it reduces costs increase productivity
0:04:03we think the user described in the clinic is an important option for improving the
0:04:08quality of economics of healthcare