Article Figures & Data
Tables
- Table 1.
Patient Demographics of Tasks Among Visits to Scribed and Nonscribed Providers Before and After Scribe Implementation
Tasks of Scribed Providers Tasks of Nonscribed Providers PreN = 14,206 PostN = 13,439 P-Value PreN = 217,481 PostN = 227,285 P-Value N % N % N % N % Patient Demographics Female 9559 68.69 8929 66.47 < .0001 132909 61.97 141531 62.31 .018 Male 4357 31.31 4504 33.53 81579 38.03 85605 37.69 Age (years) .25 < .0001 < 20 2389 17.17 2386 17.76 25307 11.80 26696 11.75 21 to 54 7584 54.50 7159 53.29 106250 49.54 114930 50.60 55 to 64 2134 15.33 2100 15.63 38562 17.98 40553 17.85 ≥ 65 1809 13.00 1788 13.31 44369 20.69 44957 19.79 Language of care .54 .058 English 10782 77.59 10373 77.28 158694 74.05 168558 74.30 Non-English 3114 22.41 3050 22.72 55602 25.95 58293 25.70 Race/ethnicity .0024 .0004 Black 2016 14.49 1876 13.97 32067 14.95 33806 14.88 Hispanic 2037 14.64 2168 16.14 34523 16.10 36323 15.99 White 6291 45.21 6084 45.29 96546 45.01 101391 44.64 Other 3572 25.67 3305 24.60 51352 23.94 55616 24.49 Patient complexity Complex care management 1801 13.01 1569 11.91 .0064 25679 12.05 21722 9.73 < .0001 In-patient hospital admission (≥ 1) 1382 9.98 1090 8.28 < .0001 22638 10.62 17942 8.04 < .0001 - Table 2.
Time to Task Response (in Hours) Among Scribed and Nonscribed Providers Before and After Scribe Implementation*
Patient Message N = 74,865 Results N = 219,386 Prescription Request N = 178,160 N Mean SD P-Value N Mean SD P-Value N Mean SD P-Value Scribed providers (n = 5) Pre 2525 5.86 0.18 5252 5.43 0.21 6429 2.20 0.13 Post 2589 6.97 0.20 .60 4716 5.67 0.20 .39 6134 2.24 0.14 .62 Nonscribed providers (n = 74) Pre 32737 4.60 0.16 103987 7.56 0.22 80757 3.04 0.12 Post 37014 4.44 0.16 .034 105431 7.67 0.22 .17 84840 3.06 0.12 .58 ↵* All comparisons conducted using a t-test.
SD, standard deviation.
- Table 3.
Unadjusted and Adjusted Models Comparing Change in Time to completion for Out-of-Visit Tasks Among Scribed and Nonscribed Providers Before and After Scribe Implementation
Patient MessageN = 74,865 ResultsN = 219,386 Prescription RequestN = 178,160 Estimate SE P-Value Estimate SE P-Value Estimate SE P-Value Unadjusted models Period*Scribed 1.06 1.10 .52 1.02 1.06 .79 1.02 1.04 .59 Adjusted models* Patient messageN = 73,443 ResultsN = 214,708 Prescription RequestN = 171,506 Period*Scribed 1.09 1.10 .34 1.02 1.06 .72 1.06 1.04 .19 ↵Period*scribed reflects the interaction between scribed status and period (pre to post implementation), isolating the impact of scribes after implementation compared to before implementation.
* Controlling for provider characteristics (gender, race, panel size, percent full time equivalent in clinical care), patient demographics (age, gender, race/ethnicity), and patient complexity (complex care management program enrollment and at least 1 inpatient admission).
SE, standard error.
Appendix Table 1. Characteristics of Scribed and Nonscribed Providers
ScribedN = 5 NonscribedN = 74 P-Value N % N % Female 5 100.0% 51 68.9% .1387 Race/ethnicity .1774 Asian 2 40.0% 8 10.8% Black 1 20.0% 6 8.1% Hispanic/Latino 0 0.0% 1 1.4% White 2 40.0% 59 79.7% Provider type .5077 NP 0 0.0% 6 8.1% MD 5 100.0% 68 91.9% Specialty .7277 Adult 2 40.0% 33 44.6% Family 1 20.0% 24 32.4% Dual family and adult 0 0.0% 2 2.7% Pediatrics 1 20.0% 11 14.9% Adult/pediatrics 1 20.0% 4 5.4% Out-patient clinical FTE .2719 1 FTE 4 80.0% 33 44.6% 0.75 to < 1 FTE 1 20.0% 25 33.8% < 0.75 FTE 0 0.0% 16 21.6% Training response year .2302 Mean (SD) 2008 (7) 2001 (12) Median (range) 2010 2004 CHA tenure start .2952 Mean (SD) 2010 (6) 2006 (8) Median (range) 2012 2007.5 CHA, Cambridge Health Alliance; FTE, full-time equivalent; SD, standard deviation; NP, nurse practitioner; MD, doctor of medicine.
