But in the case of our other providers, that would have been cost-prohibitive.” “In their case we used human scribes, which worked because they only came about once a month. “We had thought about using an app or real scribes in the past but hadn’t tried it except with the exception of our specialty providers,” she added. ![]() (The team didn’t consider a desktop app because it had different requirements, so the providers do all their dictation on their PHC cell phones.) In addition, the app was already available on their Petaluma Health Clinic mobile phones, which linked to the clinic’s eClinicalWorks EHR. “People got to test out and play with it, and we showed the app to the provider team to great enthusiasm.” recalled Oryn. In March 2019, the eClinicalWorks’ Scribe was among the apps featured at PHC’s annual Tech-a-Palooza, which the clinic put together to show and coming technologies. Scribe, with which doctors and nurse practitioners (NPs) could dictate their notes, seemed like an ideal test case for Petaluma. Over time the company expanded its goals to include cloud-based solutions for controlling costs, reducing errors, deepening analytics and improving the quality of care. ![]() And among the software it offered clients was Scribe, a mobile speech recognition app.ĮClinicalWorks was founded with a simple proposition in mind: “Rid doctors’ offices of paper and make every connection providers need - to pharmacies, labs, and supply chains.” The mission was to improve communication and workflows by digitizing them. They didn’t have to look far: The vendor for their electronic health record (EHR) was eClinicalWorks, the largest cloud-based healthcare IT company in the country. Oryn and Moore hoped to get some of the benefits of a real-life scribe by exploring some of the newer technology solutions for note-taking and dictation. “We wanted to see if a mobile scribe app would improve the experience for these providers.” “Additionally, human scribes require a significant investment of time and training and you also have turnover” to contend with, according to Jessica Moore, PHC’s director of innovation. The clinic discussed hiring scribes to aid doctors with physical limitations, but it seemed cost-prohibitive. I would love to have some help to get my notes done more quickly.” Since she was slow at typing and suffered from wrist strain, she explained, “I often spend hours outside of clinic time finishing my notes. In addition, she noted, a few providers had injuries that made typing lengthy progress notes difficult.Īmong them was Annie Nichol, a family nurse practitioner for whom patient notes consumed many hours when she was supposed to be off work. ![]() The staff hardest hit were behavioral health providers, who had onerous documentation requirements and had reported note-writing as an area of frustration and dissatisfaction, according to Danielle Oryn, the chief medical informatics officer at Petaluma Health Center (PHC). ![]() Some providers, especially new ones, had difficulty keeping up with all the documentation, and the team was interested in trying out tools that might make a difference.Ĭlinic staff at the California clinic - located in Sonoma County’s riverside city of Petaluma - discussed what could make it easier to compile notes for the visits from the clinic’s 35,000 patients from the city and nearby vineyards, farms, ranches, and coastal hamlets. Petaluma Health Center is known for solving problems at its high-spirited daily huddles and regular brainstorming sessions.īut it discovered one persistent pain point needed some extra time and attention to remedy - the time-consuming process of writing up patient notes for the clinic’s electronic health record.
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