Scribes, EHRs, and Workflow Efficiencies in Allergy Practices

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TELEMEDICINE AND TECHNOLOGY (J PORTNOY, SECTION EDITOR)

Scribes, EHRs, and Workflow Efficiencies in Allergy Practices Annette F. Carlisle 1 & Saul M. Greenbaum 1 & Mike S. Tankersley 1,2,3

# Springer Science+Business Media, LLC, part of Springer Nature 2020

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. Keywords Scribes . Electronic health records . Workplace efficiencies . Workflow

Introduction As healthcare in this country continuously evolves and as insurance requirements take their toll on physicians’ time and resources, allergy practices find themselves grasping for new and innovative ideas to keep ahead. Stress in the clinical setting has multiple sources, and perhaps chief among them is the clerical burden. Allergists need to find ways to lower this burden in order to continue to provide exceptional evidencebased medical care while minimizing physician burnout. This paper delineates several strategies for mitigating the clerical workload allergists’ face. Electronic health records (EHRs) have existed in some form for over 50 years and present an opportunity to aid the physician’s search for efficiency by

This article is part of the Topical Collection on Telemedicine and Technology * Mike S. Tankersley [email protected] 1

Department of Pediatrics, Division of Pulmonary, Sleep, Allergy and Immunology, University of Tennessee Health Science Center, Memphis, TN, USA

2

Departments of Medicine and Otolaryngology, University of Tennessee Health Science Center, Memphis, TN, USA

3

The Tankersley Clinic, Memphis, TN, USA

providing a standardized, multi-faceted, legible way to store all components of the patient record in one easily accessible, central location. Other recent developments in clinical productivity include the use of scribes as well as telemedicine that can exist in various shades of engagement within the office setting. By implementing these changes in allergy clinic routines and practices, along with other workplace efficiency improvements, the physician can carry the load of a modern practice and still de