Among other advantages, Apple enables him to take notes on an iPad rather than a computer during patient visits. His vendor of choice is Apple, because its products work well with each other and with his EHR. Wolf stressed the importance of using the latest technology and obtaining devices from the same vendor so they integrate seamlessly. I no longer feel like I’m on that hamster wheel, where I have to see more and more patients.” In many cases, I can meet the criteria for a 99214-level visit, even for something simple.” Doing so, he adds, has led to “a significant improvement in the quality of my life.
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“The software is set up so I can document quickly and for maximum reimbursement. “When patients come to see me, I’m already thinking about what template I’m going to use and what text I’ll put in there,” he said. To achieve those ends, Wolf has developed templates in his EHR for common conditions and automated elements of the text software with tools such as dictation and text expansion software. “If I could find a way to insert text explaining what I’ve done for a patient into the progress notes, I’d get credit for it and not have to keep retyping it.” “With computers, anything you have to do repeatedly can be automated, and I realized I was repeating the same instructions for simple things like urinary tract or upper respiratory infections,” he said. One of the most important steps he’s taken to become more efficient has been to automate the clinical note-taking process.
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(I’m) always asking: How can we do this faster? How can we pare this process down?” Wolf said. Family physician Robert Wolf, M.D., described how he uses some of these tools in his practice during a discussion with Sarah Pastoor, M.D., director of primary care advancement for EHR manufacturer Elation Health.
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However, even as one new technology has heightened professional dissatisfaction among clinicians, other tools are emerging to help alleviate it. A 2016 survey of 6,375 primary care physicians that was published in Mayo Clinic Proceedings found that EHR users faced a higher risk of burnout than nonusers. In a 2020 Medical Economics® survey, 31% of respondents cited paperwork as the leading cause of their feelings of burnout, which is more than twice the percentage of the second-leading cause. A technology that was supposed to make clinicians’ lives easier instead has created frustration and feelings of alienation from the practice of medicine and contributed to worrisome levels of burnout. Robert Wolf, M.D., Wolf Medical Group, Rising Sun, Marylandįrom billing and documentation to responding to messages in patient portals, doctors today - especially those practicing primary care - face an avalanche of paperwork, and much of it is tied to EHRs.
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Sara Pastoor, M.D., director, primary care advancement, Elation Health Understand the role of technology in building an optimized clinical workflow and delivering more effective patient care.ĭiscuss with Robert Wolf, M.D., at Wolf Medical Group how his practice reduced administrative burden and achieved a more effective clinical workflow by leveraging a clinical-first EHR and associated technology. Identify best practices to alleviate the most common clinical and administrative burdens in your practice. However, obtaining the right tools and maximizing their benefits requires planning and understanding what technology can and can’t do for your practice. For growing numbers of clinicians, these are the reasons for giving up the practice of medicine entirely.įortunately, there is now a wide array of technological tools and services physicians can use to ease the burden of documentation and other billing and administrative tasks while also improving practice workflow and clinical decision-making. A 2018 study in Annals of Family Medicine found that physicians spend an average of 90 minutes per day outside of work hours on EHR-related tasks. Electronic health records (EHRs), clinical documentation for billing and meeting administrative and regulatory requirements are among the major sources of frustration for primary care doctors.