How a scribe tool linked to Epic EHR is helping ease physician burnout

In surveys Massachusetts Basic Physicians Group carried out of its physicians, the healthcare group discovered that 46 % exhibited some extent of burnout. When requested what contributed to that burnout, they blamed the executive burden added to the work of affected person care.


Chief amongst these administrative burdens was documenting within the digital well being document. Many physicians had been spending two hours or extra after every medical session documenting within the EHR.

In consequence, they had been lacking household occasions and staying up late at evening typing medical notes. And within the workplace, they had been too burdened so as to add new sufferers to their panels or give attention to bettering care and outcomes of their present sufferers.

In brief, they had been dropping the enjoyment of working towards medication, and Massachusetts Basic Physicians Group wanted a solution to relieve the burden of documenting ambulatory medical encounters, stated Dr. David Y. Ting, chief medical info officer and a working towards doctor on the group.


The group already had a relationship with vendor IKS Well being, which had demonstrated success in permitting physicians to delegate and centralize medical duties – in that case, transferring medicines from the legacy EHR to the present Epic system.

Constructing on the seller’s medical delegation skills, Massachusetts Basic Physicians Group engaged IKS Well being to implement its digital scribe know-how, dubbed Scribble. Scribble gives a hybrid technical-human system the place a doctor makes use of a safe machine to acquire an encrypted audio recording of the affected person encounter, with the affected person’s consent.

The recording is accessed by an IKS Well being doctor companion, who then synthesizes a whole, concise medical word within the EHR, prepared for the Mass Gen doctor to assessment, edit if crucial, and signal. As well as, IKS Well being coders assessment the documentation and supply billing and coding steerage.

“The workflow releases our physicians to give attention to – and even take pleasure in – the patient-doctor interplay, relatively than fret over how they might doc sophisticated histories and detailed exams,” Ting stated. “And in distinction to live-scribe options that require putting an extra particular person within the examination room, the Scribble answer suffers neither from the necessity to develop the scale of examination rooms nor the trouble of managing and scheduling tons of of extra employees with the accompanied excessive charges of turnover.”


There are lots of scribe know-how distributors available on the market. These distributors embody iScribeMD, Physicians Angels, Scribe America, Scribe Healthcare Applied sciences, Scribe Expertise Options and Skywriter MD.


At the moment, round 200 physicians at Massachusetts Basic Physicians Group use Scribble, representing about 90 % of the first care workforce and about 10 % of the whole medical workforce.

“We rolled Scribble out to our main care and medicine-pediatrics groups first, with the notion of gaining expertise with a normal specialty that would then be utilized throughout different specialties, the place our present focus lies,” Ting defined. “We additionally selected main care as a result of they had been among the many most burned-out of our physicians.”

“Sufferers word that our docs are extra attentive to them, and fewer distracted by the pc within the examination room.”

Dr. David Y. Ting, Massachusetts Basic Physicians Group

The group started by attaching omnidirectional microphones to examination room workstations and labored with info methods to vet and add the Scribble recorder to the hospital’s suite of medical functions.

Finally, it labored with IKS Well being to develop and transition to an Android app that’s deployed on cheap single-purpose tablets, encrypted and managed by the group’s enterprise mobility administration service. The swap to a mobility answer has meant that Scribble is now out there wherever docs go.

“For implementation, we standardized the affected person consent and medical workflows, and created coaching movies and in-person coaching classes to make sure our physicians and employees had been totally versed in how you can combine this new strategy into workplace workflow and tradition,” Ting stated.

“We additionally labored with our enterprise transformation workforce to create a typical implementation timeline that offers our physicians a number of weeks to regularly transition from conventional documentation and coding to a totally scribed mannequin,” he added.

Integration with the Epic EHR was a lightweight raise, Ting defined, because the group’s hospital already had safety templates for inpatient and ambulatory scribes, and IKS Well being’s doctor companions enter their information straight into accepted coded and free-text fields within the EHR. Scribble is EHR agnostic: the physicians group has companion organizations on completely different platforms that additionally use Scribble.

Click on on web page 2 beneath to learn how physicians are saving time, seeing extra sufferers, and extra.

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