Variable Impact of Medical Scribes on Physician Electronic Health Record Documentation Practices: A Quantitative Analysis Across a Large, Integrated Health-System

References

1. 1.↵
   1. Eschenroeder HC,
   2. Manzione LC,
   3. Adler-Milstein J,
   4. et al

   . Associations of physician burnout with organizational electronic health record support and after-hours charting. J Am Med Inform Assoc 2021;28:960–6.

   OpenUrlPubMed
2. 2.↵
   1. Gardner RL,
   2. Cooper E,
   3. Haskell J,
   4. et al.

   Physician stress and burnout: The impact of health information technology. J Am Med Inform Assoc. 2019;26:106–14.

   OpenUrlCrossRefPubMed
3. 3.↵
   1. Adler-Milstein J,
   2. Zhao W,
   3. Willard-Grace R,
   4. Knox M,
   5. Grumbach K

   . Electronic health records and burnout: time spent on the electronic health record after hours and message volume associated with exhaustion but not with cynicism among primary care clinicians. J Am Med Inform Assoc 2020;27:531–8.

   OpenUrlCrossRefPubMed
4. 4.↵
   1. Khairat S,
   2. Coleman C,
   3. Ottmar P,
   4. Jayachander DI,
   5. Bice T,
   6. Carson SS

   . Association of electronic health record use with physician fatigue and efficiency. JAMA Netw Open 2020;3:e207385.

   OpenUrl
5. 5.↵
   1. Shanafelt TD,
   2. West CP,
   3. Sinsky C,
   4. et al

   . Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clin Proc 2019;94:1681–94.

   OpenUrlCrossRefPubMed
6. 6.↵
   1. Rotenstein LS,
   2. Holmgren AJ,
   3. Downing NL,
   4. Bates DW

   . Differences in total and after-hours electronic health record time across ambulatory specialties. JAMA Intern Med 2021;181:863–5.

   OpenUrl
7. 7.↵
   1. Tran B,
   2. Lenhart A,
   3. Ross R,
   4. Dorr DA

   . Burnout and EHR use among academic primary care physicians with varied clinical workloads. AMIA Jt Summits Transl Sci Proc 2019;2019:136–44.

   OpenUrl
8. 8.↵
   1. Fong A,
   2. Iscoe M,
   3. Sinsky CA,
   4. et al

   . Cluster analysis of primary care physician phenotypes for electronic health record use: retrospective cohort study. JMIR Med Inform 2022;10:e34954.

   OpenUrl
9. 9.↵
   1. Gellert GA,
   2. Ramirez R,
   3. Webster SL

   . The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA 2015;313:1315–6.

   OpenUrlCrossRefPubMed
10. 10.↵
    1. Bossen C,
    2. Chen Y,
    3. Pine KH

    . The emergence of new data work occupations in healthcare: the case of medical scribes. Int J Med Inform 2019;123:76–83.

    OpenUrl
11. 11.↵
    1. Mishra P,
    2. Kiang JC,
    3. Grant RW

    . Association of medical scribes in primary care with physician workflow and patient experience. JAMA Intern Med. 2018;178:1467–72.

    OpenUrl
12. 12.↵
    1. Pozdnyakova A,
    2. Laiteerapong N,
    3. Volerman A,
    4. et al

    . Impact of medical scribes on physician and patient satisfaction in primary care. J Gen Intern Med 2018;33:1109–15. 2018/07/01.

    OpenUrlCrossRef
13. 13.↵
    1. McCormick BJ,
    2. Deal A,
    3. Borawski KM,
    4. et al

    . Implementation of medical scribes in an academic urology practice: an analysis of productivity, revenue, and satisfaction. World J Urol 2018;36:1691–7.

    OpenUrl
14. 14.↵
    1. Danila MI,
    2. Melnick JA,
    3. Curtis JR,
    4. Menachemi N,
    5. Saag KG

    . Use of scribes for documentation assistance in rheumatology and endocrinology clinics: impact on clinic workflow and patient and physician satisfaction. J Clin Rheumatol 2018;24:116–21.

    OpenUrl
15. 15.↵
    1. Imdieke BH,
    2. Martel ML

    . Integration of medical scribes in the primary care setting: improving satisfaction. J Ambul Care Manage 2017;40:17–25.

    OpenUrl
16. 16.↵
    1. Gidwani R,
    2. Nguyen C,
    3. Kofoed A,
    4. et al

    . Impact of scribes on physician satisfaction, patient satisfaction, and charting efficiency: a randomized controlled trial. Ann Fam Med 2017;15:427–33.

    OpenUrlAbstract/FREE Full Text
17. 17.↵
    1. Koshy S,
    2. Feustel PJ,
    3. Hong M,
    4. Kogan BA

    . Scribes in an ambulatory urology practice: patient and physician satisfaction. J Urol 2010;184:258–62.

    OpenUrlCrossRefPubMed
18. 18.↵
    1. Piersa AP,
    2. Laiteerapong N,
    3. Ham SA,
    4. et al

    . Impact of a medical scribe on clinical efficiency and quality in an academic general internal medicine practice. BMC Health Serv Res 2021;21:686.

    OpenUrl
19. 19.↵
    1. Zallman L,
    2. Finnegan K,
    3. Roll D,
    4. Todaro M,
    5. Oneiz R,
    6. Sayah A

    . Impact of medical scribes in primary care on productivity, face-to-face time, and patient comfort. J Am Board Fam Med 2018;31:612–9.

    OpenUrlAbstract/FREE Full Text
20. 20.↵
    1. Zallman L,
    2. Altman W,
    3. Chu L,
    4. et al

    . Do medical scribes help primary care providers respond more quickly to out-of-visit tasks? J Am Board Fam Med 2021;34:70–7.

    OpenUrlAbstract/FREE Full Text
21. 21.↵
    1. Ziemann M,
    2. Erikson C,
    3. Krips M

    . The use of medical scribes in primary care settings: a literature synthesis. Med Care. 2021;59:S449–S456.

    OpenUrlCrossRefPubMed
22. 22.↵
    1. Nguyen OT,
    2. Turner K,
    3. Apathy NC,
    4. et al

    . Primary care physicians' electronic health record proficiency and efficiency behaviors and time interacting with electronic health records: a quantile regression analysis. J Am Med Inform Assoc 2022;29:461–71.

    OpenUrl
23. 23.↵
    1. Florig ST,
    2. Corby S,
    3. Rosson NT,
    4. Devara T,
    5. Weiskopf NG,
    6. Gold JA,
    7. Mohan V

    . Chart completion time of attending physicians while using medical scribes. AMIA Annu Symp Proc 2021;2021:457–65.

    OpenUrl
24. 24.↵
    1. Gold JA,
    2. Becton J,
    3. Ash JS,
    4. Corby S,
    5. Mohan V

    . Do you know what your scribe did last spring? The impact of COVID-19 on medical scribe workflow. Appl Clin Inform 2020;11:807–11.

    OpenUrl
25. 25.↵
    1. Florig ST,
    2. Corby S,
    3. Devara T,
    4. Weiskopf NG,
    5. Mohan V,
    6. Gold JA

    . Medical record closure practices of physicians before and after the use of medical scribes. JAMA 2022;328:1350–2.

    OpenUrl
26. 26.↵
    1. Overhage JM,
    2. McCallie D

    . Physician time spent using the electronic health record during outpatient encounters. Ann Intern Med 2020;172:169–74.

    OpenUrlCrossRefPubMed
27. 27.↵
    1. Rule A,
    2. Bedrick S,
    3. Chiang MF,
    4. Hribar MR

    . Length and redundancy of outpatient progress notes across a decade at an academic medical center. JAMA Netw Open 2021;4:e2115334-e2115334.

    OpenUrl
28. 28.↵
    1. Lowry C,
    2. Orr K,
    3. Embry B,
    4. et al

    . Primary care scribes: writing a new story for safety net clinics. BMJ Open Qual 2017;6:e000124.

    OpenUrlAbstract/FREE Full Text
29. 29.↵
    1. Cho J,
    2. Sanchez K,
    3. Ganor O,
    4. et al

    . Utilizing a physician scribe in a pediatric plastic surgical practice: a time-driven activity-based costing study. Plast Reconstr Surg Glob Open 2019;7:e2460.

    OpenUrl
30. 30.↵
    1. Dusek HL,
    2. Goldstein IH,
    3. Rule A,
    4. Chiang MF,
    5. Hribar MR

    . Clinical documentation during scribed and non-scribed ophthalmology office visits. Ophthalmol Sci 2021;1:100088.

    OpenUrl
31. 31.↵
    1. Gao RW,
    2. Dugala A,
    3. Maxwell J,
    4. et al

    . Effect of medical scribes on outpatient oncology visits at a multidisciplinary cancer center. JCO Oncol Pract 2020;16:e139–e147.

    OpenUrl
32. 32.↵
    1. Rahhal R,
    2. Goad L,
    3. Bishop W

    . Impact of a medical scribe program on outpatient pediatric gastroenterology clinic. J Pediatr Gastroenterol Nutr. 2021;72:220–5.

    OpenUrl
33. 33.↵
    1. Jhaveri P,
    2. Abdulahad D,
    3. Fogel B,
    4. et al

    . Impact of scribe intervention on documentation in an outpatient pediatric primary care practice. Acad Pediatr 2022;22:289–95.

    OpenUrl
34. 34.↵
    1. Ullman K,
    2. McKenzie L,
    3. Bart B,
    4. et al

    . The effect of medical scribes in emergency departments: a systematic review. J Emerg Med 2021;61:19–28.

    OpenUrl
35. 35.↵
    1. Ash JS,
    2. Corby S,
    3. Mohan V,
    4. et al

    . Safe use of the EHR by medical scribes: a qualitative study. J Am Med Inform Assoc 2021;28:294–302.

    OpenUrl
36. 36.↵
    1. Corby S,
    2. Gold JA,
    3. Mohan V,
    4. et al

    . A sociotechnical multiple perspectives approach to the use of medical scribes: a deeper dive into the scribe-provider interaction. AMIA Annu Symp Proc 2019;2019:333–42.

    OpenUrl
37. 37.↵
    1. Rule A,
    2. Florig ST,
    3. Bedrick S,
    4. Mohan V,
    5. Gold JA,
    6. Hribar MR

    . Comparing scribed and non-scribed outpatient progress notes. AMIA Annu Symp Proc 2021;2021:1059–68.

    OpenUrl
38. 38.↵
    1. Jones CE,
    2. Fox ED,
    3. Holsten SB,
    4. et al

    . Burnout reduction in acute care surgeons: Impact of faculty schedule change at a level 1 trauma and tertiary care center. J Trauma Acute Care Surg 2022;93:439–45.

    OpenUrl
39. 39.↵
    1. Sieja A,
    2. Markley K,
    3. Pell J,
    4. et al

    . Optimization sprints: improving clinician satisfaction and teamwork by rapidly reducing electronic health record burden. Mayo Clin Proc 2019;94:793–802.

    OpenUrlPubMed
40. 40.↵
    1. Sieja A,
    2. Whittington MD,
    3. Patterson VP,
    4. et al

    . The influence of a sprint optimization and training intervention on time spent in the electronic health record (EHR). JAMIA Open 2021;4:ooab073.

    OpenUrl
41. 41.↵
    1. Bank AJ,
    2. Obetz C,
    3. Konrardy A,
    4. et al

    . Impact of scribes on patient interaction, productivity, and revenue in a cardiology clinic: a prospective study. Clinicoecon Outcomes Res 2013;5:399–406.

    OpenUrlCrossRefPubMed
42. 42.↵
    1. Bank AJ,
    2. Gage RM

    . Annual impact of scribes on physician productivity and revenue in a cardiology clinic. Clinicoecon Outcomes Res 2015;7:489–95.

    OpenUrlCrossRefPubMed
43. 43.↵
    1. Mojeski JA,
    2. Singh J,
    3. McCabe J,
    4. Colegio OR,
    5. Rothman I,
    6. Paragh G

    . An institutional scribe program increases productivity in a dermatology clinic. Health Policy Technol 2020;9:174–6.

    OpenUrl
44. 44.↵
    1. Zhong CS,
    2. Mostaghimi A,
    3. Nambudiri VE

    . Impact of medical scribes on dermatology trainee and attending experience. Dermatol Online J 2019;25.
45. 45.↵
    1. Nambudiri VE,
    2. Watson AJ,
    3. Buzney EA,
    4. Kupper TS,
    5. Rubenstein MH,
    6. Yang F-SC

    . Medical scribes in an academic dermatology practice. JAMA Dermatol 2018;154:101–3.

    OpenUrl
46. 46.↵
    1. Nambudiri VE,
    2. Watson AJ,
    3. Rubenstein MH,
    4. Kupper TS,
    5. Yang F-SC

    . Association of patient satisfaction with medical scribe use in an academic dermatology practice. JAMA Dermatol 2018;154:480–2.

    OpenUrl
47. 47.↵
    1. Platt J,
    2. Altman W

    . Can medical scribes improve quality measure documentation? Article. J Fam Pract 2019;68:E1–E7.

    OpenUrlPubMed
48. 48.↵
    1. Miksanek TJ,
    2. Skandari MR,
    3. Ham SA,
    4. et al

    . The productivity requirements of implementing a medical scribe program. Ann Intern Med 2021;174:1–7.

    OpenUrl
49. 49.↵
    1. Tai-Seale M,
    2. Olson CW,
    3. Li J,
    4. et al

    . Electronic health record logs indicate that physicians split time evenly between seeing patients and desktop medicine. Health Aff (Millwood) 2017;36:655–62.

    OpenUrlAbstract/FREE Full Text
50. 50.↵
    1. Sinsky C,
    2. Colligan L,
    3. Li L,
    4. et al

    . Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties. Ann Intern Med 2016;165:753–60.

    OpenUrlCrossRefPubMed
51. 51.↵
    1. Sinsky CA,
    2. Beasley JW

    . Medical scribes and electronic health records. Letter. JAMA 2015;314:519.

    OpenUrl
52. 52.↵
    1. Schiff GD,
    2. Zucker L

    . Medical scribes: salvation for primary care or workaround for poor EMR usability? J Gen Intern Med 2016;31:979–81.

    OpenUrlPubMed
53. 53.↵
    1. Micek MA,
    2. Arndt B,
    3. Baltus JJ,
    4. et al

    . The effect of remote scribes on primary care physicians' wellness, EHR satisfaction, and EHR use. Healthc (Amst) 2022;10:100663.

    OpenUrl
54. 54.↵
    Centers for Medicare & Medicaid Services (US). Revisions to payment policies under the Medicare physician fee schedule, quality payment program and other revisions to part B for CY 2019. Regulation CMS-1693-F. November 22, 2018. Accessed August 8, 2023. Available at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Federal-Regulation-Notices-Items/CMS-1693-F.