Skip to main content
Erschienen in: Current Allergy and Asthma Reports 10/2020

01.10.2020 | Telemedicine and Technology (J Portnoy, Section Editor)

Scribes, EHRs, and Workflow Efficiencies in Allergy Practices

verfasst von: Annette F. Carlisle, Saul M. Greenbaum, Mike S. Tankersley

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 10/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

In the ever-changing healthcare system, along with new advancements in the field of allergy, the workflow for the allergist continues to evolve requiring more time spent doing non-clinical duties such as documentation and reviewing reimbursement challenges in the midst of busy clinics. The use of electronic medical records and medical scribes has emerged as tactics to aid the clinic’s workflow and efficiency in the modern allergy and immunology clinic.

Recent Findings

The practicing allergist can implement various additional strategies in their office workflow to maximize and synthesize good medicine and good business. Optimal use of office staff, electronic health records, and various workflow efficiencies has been shown to improve job satisfaction and reduce physician burnout.

Summary

By utilizing these methods and integrating them into their practices, allergists will be able to meet the demands of the healthcare system and still provide patients with evidence based, compassionate, and cost-effective care.
Literatur
2.
Zurück zum Zitat Atherton J. History of medicine: development of the electronic health record. AMA J Ethics. 2011;13(3):186–9.CrossRef Atherton J. History of medicine: development of the electronic health record. AMA J Ethics. 2011;13(3):186–9.CrossRef
4.
Zurück zum Zitat Frenkel L. Electronic health records-applications for the allergist/immunologist: all that glitters is not gold. Allergy Asthma Proc. 2016;37(4):273–8.CrossRef Frenkel L. Electronic health records-applications for the allergist/immunologist: all that glitters is not gold. Allergy Asthma Proc. 2016;37(4):273–8.CrossRef
5.
Zurück zum Zitat Menachemi N, Collum T. Benefits and drawbacks of electronic health record systems. Risk Manag Healthc Policy. 2011;4:49–55. Menachemi N, Collum T. Benefits and drawbacks of electronic health record systems. Risk Manag Healthc Policy. 2011;4:49–55.
6.
Zurück zum Zitat Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. J Am Med Assoc. 1998;280(15):1311–6.CrossRef Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. J Am Med Assoc. 1998;280(15):1311–6.CrossRef
7.
Zurück zum Zitat Bates DW, Teich JM, Lee J, Seger D, Kuperman GJ, Ma'Luf N, et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc. 1999;6(4):313–21.CrossRef Bates DW, Teich JM, Lee J, Seger D, Kuperman GJ, Ma'Luf N, et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc. 1999;6(4):313–21.CrossRef
8.
Zurück zum Zitat • King J, Patel V, Jamoom EW, Furukawa MF. Clinical benefits of electronic health record use: national findings. Health Serv Res. 2014;49(2):392–404 An Important study illustrating cost saving benefits of electronic health record use.CrossRef • King J, Patel V, Jamoom EW, Furukawa MF. Clinical benefits of electronic health record use: national findings. Health Serv Res. 2014;49(2):392–404 An Important study illustrating cost saving benefits of electronic health record use.CrossRef
9.
Zurück zum Zitat Ledwich LJ, Harrington TM, Ayoub WT, Sartorius JA, Newman ED. Improved influenza and pneumococcal vaccination in rheumatology patients taking immunosuppressants using an electronic health record best practice alert. Arthritis Rheum. 2009;61(11):1505–10.CrossRef Ledwich LJ, Harrington TM, Ayoub WT, Sartorius JA, Newman ED. Improved influenza and pneumococcal vaccination in rheumatology patients taking immunosuppressants using an electronic health record best practice alert. Arthritis Rheum. 2009;61(11):1505–10.CrossRef
10.
Zurück zum Zitat Kucher N, Koo S, Quiroz R, Cooper JM, Paterno MD, Soukonnikov B, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969–77.CrossRef Kucher N, Koo S, Quiroz R, Cooper JM, Paterno MD, Soukonnikov B, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969–77.CrossRef
11.
Zurück zum Zitat McDonald CJ, Hui SL, Tierney WM. Effects of computer reminders for influenza vaccination on morbidity during influenza epidemics. MD Comput. 1992;9(5):304–12.PubMed McDonald CJ, Hui SL, Tierney WM. Effects of computer reminders for influenza vaccination on morbidity during influenza epidemics. MD Comput. 1992;9(5):304–12.PubMed
12.
Zurück zum Zitat Makam AN, Lanham HJ, Batchelor K, et al. The good, the bad and the early adopters: providers' attitudes about a common, commercial EHR. J Eval Clin Pract. 2014;20(1):36–42.CrossRef Makam AN, Lanham HJ, Batchelor K, et al. The good, the bad and the early adopters: providers' attitudes about a common, commercial EHR. J Eval Clin Pract. 2014;20(1):36–42.CrossRef
13.
Zurück zum Zitat Alkureishi M, Wei Wei L, Lyons M. Impact of electronic medical record use on the patient–doctor relationship and communication: a systematic review. J Gen Intern Med. 2016;31(5):548–60.CrossRef Alkureishi M, Wei Wei L, Lyons M. Impact of electronic medical record use on the patient–doctor relationship and communication: a systematic review. J Gen Intern Med. 2016;31(5):548–60.CrossRef
14.
Zurück zum Zitat Zeiger RS, Schatz M, Li Q, Solari PG, Zazzali JL, Chen W. Real-time asthma outreach reduces excessive short-acting beta-agonist use: a randomized study. J Allergy Clin Immunol Pract. 2014;2:445–456.e5.CrossRef Zeiger RS, Schatz M, Li Q, Solari PG, Zazzali JL, Chen W. Real-time asthma outreach reduces excessive short-acting beta-agonist use: a randomized study. J Allergy Clin Immunol Pract. 2014;2:445–456.e5.CrossRef
15.
Zurück zum Zitat Blumenthal K, Park M, Macy E. Redesigning the allergy module of the electronic health record. Ann Allergy Asthma Immunol. 2016;17:126–31.CrossRef Blumenthal K, Park M, Macy E. Redesigning the allergy module of the electronic health record. Ann Allergy Asthma Immunol. 2016;17:126–31.CrossRef
16.
Zurück zum Zitat Cowie M, Blomster J, Curtis L, et al. Electronic health record to facilitate clinical research. Clin Res Cardiol. 2017;106:1–9.CrossRef Cowie M, Blomster J, Curtis L, et al. Electronic health record to facilitate clinical research. Clin Res Cardiol. 2017;106:1–9.CrossRef
17.
Zurück zum Zitat Coorevits P, Sundgren M, Klein GO, Bahr A, Claerhout B, Daniel C, et al. Electronic health records: new opportunities for clinical research. J Intern Med. 2013;274:547–60.CrossRef Coorevits P, Sundgren M, Klein GO, Bahr A, Claerhout B, Daniel C, et al. Electronic health records: new opportunities for clinical research. J Intern Med. 2013;274:547–60.CrossRef
18.
Zurück zum Zitat Cheng D, Scodellaro T, Uahwatanasakal W, South M. An electronic medical record in pediatric medical education: survey of medial students’ expectations and experiences. Appl Clin Inform. 2018;9:809–16.CrossRef Cheng D, Scodellaro T, Uahwatanasakal W, South M. An electronic medical record in pediatric medical education: survey of medial students’ expectations and experiences. Appl Clin Inform. 2018;9:809–16.CrossRef
19.
Zurück zum Zitat Fleming NS, Becker ER, Culler SD, et al. The impact of electronic health records on workflow and financial measures in primary care practices. Health Serv Res. 2014;49(1 Pt 2):405–20.CrossRef Fleming NS, Becker ER, Culler SD, et al. The impact of electronic health records on workflow and financial measures in primary care practices. Health Serv Res. 2014;49(1 Pt 2):405–20.CrossRef
21.
Zurück zum Zitat Gao R, et al. Effect of medical scribes on outpatient oncology visits at a multidisciplinary Cancer center. JCO Oncol Pract. 2020;16:e139–47.CrossRef Gao R, et al. Effect of medical scribes on outpatient oncology visits at a multidisciplinary Cancer center. JCO Oncol Pract. 2020;16:e139–47.CrossRef
23.
Zurück zum Zitat Salzberg L. Physician well-being: improving office efficiency. F P Essent. 2018;471:16–9. Salzberg L. Physician well-being: improving office efficiency. F P Essent. 2018;471:16–9.
24.
Zurück zum Zitat • Walker K, et al. Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial. BMJ. 2019;364:l121 A thorough study illustrating cost saving, burnout avoidance, and benefits of scribes. • Walker K, et al. Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial. BMJ. 2019;364:l121 A thorough study illustrating cost saving, burnout avoidance, and benefits of scribes.
25.
Zurück zum Zitat McCormick BJ, Deal A, Borawski KM, Raynor MC, Viprakasit D, Wallen EM, 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.CrossRef McCormick BJ, Deal A, Borawski KM, Raynor MC, Viprakasit D, Wallen EM, 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.CrossRef
26.
Zurück zum Zitat Pozdnyakova A, Laiteerapong N, Volerman A, Feld LD, Wan W, Burnet DL, et al. Impact of medical scribes on physician and patient satisfaction in primary care. J Gen Intern Med. 2018;33:1109–15.CrossRef Pozdnyakova A, Laiteerapong N, Volerman A, Feld LD, Wan W, Burnet DL, et al. Impact of medical scribes on physician and patient satisfaction in primary care. J Gen Intern Med. 2018;33:1109–15.CrossRef
28.
Zurück zum Zitat Bastani A, Shaqiri B, Palomba K, Bananno D, Anderson W. An ED scribe program is able to improve throughput time and patient satisfaction. Am J Emerg Med. 2014;32:399–402.CrossRef Bastani A, Shaqiri B, Palomba K, Bananno D, Anderson W. An ED scribe program is able to improve throughput time and patient satisfaction. Am J Emerg Med. 2014;32:399–402.CrossRef
29.
Zurück zum Zitat Taylor L, Waller M, Portnoy J. Telemedicine for allergy services to rural communities. J Allergy Clin Immunol Pract. 2019;7(8):2554–9.CrossRef Taylor L, Waller M, Portnoy J. Telemedicine for allergy services to rural communities. J Allergy Clin Immunol Pract. 2019;7(8):2554–9.CrossRef
31.
Zurück zum Zitat • Russell HG, Tankersley MS. Recombinant zoster vaccine administration in an allergy and immunology practice. Ann Allergy Asthma Immunol. 2020;124(5):517–8 An important study illustrating the ease with which practicing allergists can implement recommended adult vaccines into their daily routine. • Russell HG, Tankersley MS. Recombinant zoster vaccine administration in an allergy and immunology practice. Ann Allergy Asthma Immunol. 2020;124(5):517–8 An important study illustrating the ease with which practicing allergists can implement recommended adult vaccines into their daily routine.
32.
Zurück zum Zitat Russell HG, Tankersley MS. Increasing clinic efficiency: lean allergy. J Allergy Clin Immunol Pract. 2019;7(8):2946–7.CrossRef Russell HG, Tankersley MS. Increasing clinic efficiency: lean allergy. J Allergy Clin Immunol Pract. 2019;7(8):2946–7.CrossRef
33.
Zurück zum Zitat dos Reis Pimentel RAG, Oliveira G, Loureiro e Lemos CSFC. Accelerated subcutaneous immunotherapy in pediatric population – systematic review. Pulmonology. 2018;24(3):182–93.CrossRef dos Reis Pimentel RAG, Oliveira G, Loureiro e Lemos CSFC. Accelerated subcutaneous immunotherapy in pediatric population – systematic review. Pulmonology. 2018;24(3):182–93.CrossRef
34.
Zurück zum Zitat Winslow AW, et al. Comparison of systemic reactions in rush, cluster, and standard-build aeroallergen immunotherapy. Ann Allergy Asthma Immunol. 2016;117(5):542–5.CrossRef Winslow AW, et al. Comparison of systemic reactions in rush, cluster, and standard-build aeroallergen immunotherapy. Ann Allergy Asthma Immunol. 2016;117(5):542–5.CrossRef
36.
Zurück zum Zitat Russell HG, Tankersley MS. SCIT adherence: making IT happen! J Allergy Clin Immunol Pract. 2019;7(7):2505–6.CrossRef Russell HG, Tankersley MS. SCIT adherence: making IT happen! J Allergy Clin Immunol Pract. 2019;7(7):2505–6.CrossRef
Metadaten
Titel
Scribes, EHRs, and Workflow Efficiencies in Allergy Practices
verfasst von
Annette F. Carlisle
Saul M. Greenbaum
Mike S. Tankersley
Publikationsdatum
01.10.2020
Verlag
Springer US
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 10/2020
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-020-00950-4

Weitere Artikel der Ausgabe 10/2020

Current Allergy and Asthma Reports 10/2020 Zur Ausgabe

Otitis (D Skoner, Section Editor)

Role of Allergy in Eustachian Tube Dysfunction

Otitis (D Skoner, Section Editor)

Otitis Media and Inborn Errors of Immunity

Telemedicine and Technology (J Portnoy, Section Editor)

Telemedicine Pays: Billing and Coding Update

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.