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NoteSwift CEO discusses “The Financial Cost of Physician Burnout” on Healthcare IT Today

NoteSwift CEO Wayne Crandall is featured on Healthcare IT Today—the newest site from the team behind EMRandEHR.com and HealthcareScene.com—discussing The Financial Cost of Physician Burnout.

From the article:

Over 54% of doctors are now expressing mild to severe levels of burnout, which affects both their personal health and the quality of care they can provide. Burnout leads to poor job satisfaction, negative workplace culture, increased medical errors, and a poor patient experience.

But the negative impact of physician burnout doesn’t end there—recent studies have begun measuring the financial impact of physician burnout on small practices, hospitals, and health systems.

Consider the following numbers:

Download the free white paper: Physician Burnout by the Numbers

Dr. Christine Sinsky, vice president of professional satisfaction at the American Medical Association, sees the clear connection between physician burnout and EHR requirements.

“We have to recognize the exacting toll that the first generation of electronic health records have had on physicians,” Sinsky said.

“I would identify it as one of the most important drivers of physician burnout.”

Atrius Health, Massachusetts’ largest independent physician group, has announced a very interesting strategy to reduce burnout—they are attempting to reduce the total number of mouse clicks required by their physicians by 1.5 million a year.

How can this strategy be effective? Because EHR workflows have become bloated, increasingly regulated, and directly connected to reimbursement, which forces physicians to handle most of the tasks. Making the EHR workflow simpler, more intuitive, with less clicks and more accuracy is a primary way we can all help physicians reduce levels of burnout and improve patient care at the same time.

Read the full post, “The Financial Cost of Physician Burnout,” on Healthcare IT Today.

Want to see how NoteSwift is helping physicians reduce burnout by reducing clicks and saving time on EHR documentation? Contact us to schedule a demonstration of Samantha, the real-time transcriptionist.

 

JAMIA study asks: What is the most accurate & efficient way to input data into an EHR?

A recent study conducted by the Journal of American Medical Informatics Association, referenced in the 2018 ONC report, “Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs,” asked a simple but important question: which is a more accurate and efficient way to input data into an EHR—speech recognition software, or manual typed entry?

Most people would assume that speech recognition would be both more efficient and more accurate, but the results of the study point in a surprisingly different direction.

The study focused on emergency department physicians—each physician was assigned 8 standardized clinical documentation tasks using a commercial EHR and Dragon Medical. These tasks were split between simple and complex tasks, and levels of efficiency and accuracy were measured for each task completion.

The results of these tests show that medical speech recognition on its own does not improve the efficiency of entering patient documentation. The numbers are quite surprising and are not inflated due to experience with the EHR or speech recognition.

For the tasks undertaken in the study, creating EHR clinical documentation with the assistance of speech recognition was nearly 20% slower for both simple and complex tasks.

In addition, there were far more system/integration errors, including network transmission delays of the speech recognition or data going to the incorrect location in the chart. The report further emphasizes that these errors could be avoided with more seamless integration of the speech recognition products or more speech-friendly EHR design.

And this is the important caveat to the study’s findings: Speech Recognition itself can be much more efficient and accurate for inputting data into the EHR, but this requires better integration between EHRs and speech recognition solutions.

The benefits of better integration is clarified in the study’s conclusion discussion—the authors write that the combination of speech recognition and natural language processing found time and usability benefits within EHR use. The report further defines that if EHR companies would help design their EHRs with speech recognition in mind (versus just keyboard and mouse), additional efficiencies will be realized, particularly in the area of system integration.

The take away here is important: EHRs have grown into more complex applications due to various regulatory requirements, payer needs and the desire to improve patient outcomes. As a result, stand-alone speech recognition requires additional functionality and integration to be of value to the input process of patient records.

The need for a fully integrated solution to help reduce the burden of entering patient documentation is the only way to add this kind of valuable functionality, save physicians time, and reduce input errors. There are 3 primary needs to ensure these user efficiencies are achieved:

  • Medical speech recognition must be used with the proper input device for the task of capturing the clinicians’ words and converting those into text.
  • Artificial Intelligence and Natural Language Processing technologies must be employed to intelligently take the text from the speech recognition software and parse out the structured data elements the EHR is expecting.
  • Seamless integration must occur with the EHR via their own supplied interfaces (APIs) so the resulting data, both narrative and structured, is placed in the proper areas of the EHR without having to navigate from screen to screen and with the required coding in place.

At NoteSwift, we’re passionate about meeting this need for physicians. Our fully integrated solution, Samantha, is available now with seamless interfaces using the EHRs APIs into many EHRs. Samantha works with any speech recognition software and provides the artificial intelligence, natural language processing, and complete “out-of-box” seamless integration necessary to not only save physicians hours of time, but also improve the accuracy of their EHR notes and better patient outcomes.

This study is another example of the fact that technology alone does not make our health care better. However, when we can bring together powerful technologies like speech recognition, artificial intelligence, and natural language processing into integrated solutions, we can create better EHR workflows for physicians and help them focus on what’s most important—caring for patients.

Click here to access the complete ONC report: Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.

Click here to access the complete JAMIA study: Efficiency and safety of speech recognition for documentation in the electronic health record.

 


About Wayne Crandall

Wayne Crandall’s career in technology spans sales, marketing, product management, strategic development and operations. Wayne was a co-founder, executive officer, and senior vice president of sales, marketing and business development at Nuance Communications and was responsible for growing the company to over $120M following the acquisition of Dragon and SpeechWorks.

Wayne joined NoteSwift, Inc. at its inception, working with founder Dr. Chris Russell to build the team from the ground up. As President & CEO, Wayne has continued to guide the company’s growth and evolution, resulting in the development of the industry’s first AI-powered, real-time EHR transcriptionist, Samantha(TM).

New White Paper: Physician Burnout by the Numbers

It’s no secret physician burnout is a serious problem:
  • 88% of physicians surveyed said they felt “moderately to severely” stressed and burned out on a given workday (1)
  • More than 80% of physicians surveyed said their organization is doing “nothing” to help them deal with stress and burnout (1)
  • Physician burnout is linked to a 16% decrease in patient satisfaction and an 11% increase in reported medical errors (2)

In a new white paper, Physician Burnout by the Numbers: Examining the Power of A.I. to Reduce Physician Burnout, NoteSwift partnered with Dr. Robert Van Demark, Jr., to explore how artificial intelligence technology has to potential to significantly reduce physician burnout.

In this paper, you’ll find the following:
  • Compilation of recent data and studies on the symptoms and causes or physician burnout
  • Research connecting physician burnout to employee retention
  • Examination of how EHR use contributes to the burnout crisis
  • A look ahead to emerging solutions to this crisis

Dr. Van Demark, Jr., a board-certified orthopedic surgeon and Clinical Professor, Section Head of Orthopedic Surgery at the University of South Dakota – Sanford School of Medicine, has been practicing medicine for more than four decades, and is an advocate of A.I. in healthcare.

“As a practicing physician, I’ve felt the weight of added regulations, new technologies, and the pressures that come with our daily work,” explains Dr. Van Demark, Jr. “Like you, my goal is to focus on improving patient care, and I believe our way forward looks brighter with emerging A.I. solutions.”

Click here to download the free white paper: Physician Burnout by the Numbers: Examining the Power of A.I. to Reduce Physician Burnout.

 

Sources:

(1) VITAL WorkLife & Cejka Search (2015). 2015 Physician Stress and Burnout Survey.
(2) Advisory Board (2016). Combating Physician Burnout; Five Insights to Help Restore the Balance.

Samantha for athenaClinicals EHR Product Update – October 2018

We’ve released several exciting new features recently, making Samantha for athenaClinicals EHR an even more robust and effective solution to the pervasive problem of physician burnout.

Please don’t hesitate to reach out at any time with questions. You can also click here to schedule a live demo of Samantha for athenaClinicals EHR for your practice.

New Features & Product Enhancements

  • Previous Encounter Templates: Users can now dictate, “apply template previous encounter” in both Review of Systems and Exam sections of the note to automatically apply the values applied during the patient’s previous visit.
  • Applying “All Normal” to Templates: Users can now dictate “apply [template name] all normal” and Samantha will automatically update the template, instead of the user having to manually navigate through each section and select “Normal.” 
  • Note Section Templates: Users who commonly dictate the same note sections for each patient encounter can now use Note Section Templates to automatically pre-fill the section headers, making it easier to dictate the note.
  • Support Added for Additional Note Sections: Samantha now supports Order Sets, Patient Instructions, Discussion Notes, Patient Education, and Surgical History. 
  • Improved Speech Recognition Performance: We’ve improved Samantha’s speech recognition performance to make it easier to document.
  • Improved Matching Ability: We’ve made improvements to Samantha’s matching capabilities, resulting in better terminology matches and fewer displays of the Corrections Window. 
  • Improved Overall Speed: We’ve made improvements to Samantha’s speed, including at log-in, launch, and microphone handling, to make the documentation process even faster.
  • Dragon Medical One (DMO) is now supported: Users can dictate directly into the Samantha Soap Note window using DMO.

 

Want more information about Samantha for athenaClinicals EHR? Email samantha@noteswift.com, or click here to schedule a live demo for your practice.

 

New athenahealth Research Cites Need for Technology Solutions to Combat Physician Burnout

New research by athenahealth reinforces the need for a technology-focused approach to combating the pervasive problem of physician burnout, with one-in-five physicians reporting that their EHR directly contributes to burnout.

“The goal of every physician is to have an impact on patients’ lives, whether by cutting them open to fix a problem, curing them with medicine, or educating them to preserve the health and well-being that remains,” says athenahealth Chief Medical Officer Todd Rothenhaus, MD, in a recent athenainsight article, Technology’s Role in Fixing Physician Burnout.

“Cutting, curing, and educating; that’s all there is. Everything outside of the conversation the doctor has with the patient, the decisions they make together, and the procedures they perform, is wasted work for the physician.”

A recent Medscape survey of 15,000 practicing physicians found that as many as two-thirds of the physicians polled experience some level of depression or burnout. 56% of the physicians polled said “fewer bureaucratic tasks” would help alleviate the problem, while 39% suggested “fewer work hours” would be beneficial.

“There is no more compelling argument for health IT growth and innovation than the risk we currently face: the demise of the physician and the unhappiness of doctors nationwide,” says Dr. Rothenhaus. “Our challenge, together, is to make technology the solution rather than the cause.”

Technology has a unique potential to take on the cumbersome administrative and clerical tasks that directly contribute to physician burnout. NoteSwift Founder and Chief Medical Officer Dr. Chris Russell created NoteSwift for exactly that reason — to remove the clerical burden of EHR documentation so he could get back to what he loved about practicing medicine: caring for patients.

SamanthaTM, the award-winning EHR Virtual Assistant from NoteSwift, Inc., allows physicians to complete an entire patient note from a single screen, by simply dictating or typing the entire narrative of the patient encounter and letting Samantha’s A.I.-driven technology:

  • intelligently parse the input,
  • identify structured data elements,
  • ensure the information is entered in terminology the EHR expects,
  • intuitively assign all required codes,
  • prepare orders and e-prescriptions for sign-off, and
  • automatically place all of the data into the correct fields, check boxes, and menus of the EHR.

Physician burnout is a huge problem, and it’s not going away. Schedule a virtual demo of Samantha for athenaClinicals to see how she can alleviate the clerical burden of EHR documentation to reduce physician burnout, saving users 6-8 hours a week on charting while improving reporting accuracy.

For more information, please contact us.

Samantha by NoteSwift selected as Allscripts 2018 Innovation Winner & May 2018 Allscripts “App of the Month”

Samantha, the EHR Virtual Assistant from NoteSwift, was selected as the Allscripts ADP 2018 Innovation Award Winner, and has been named Allscripts App of the Month for May 2018.

Allscripts VP & General Manager Tina Joros penned a blog post featuring our revolutionary AI-driven technology:

Physician burnout is a well-documented issue. More than 40% of over 15,500 physicians polled in a recent MedScape study reported experiencing burnout. Three of the top reasons cited in the study related to clerical tasks and the time burden of EHR documentation:

  • Too many bureaucratic tasks (e.g., charting, paperwork) – 56%
  • Spending too many hours at work – 39%
  • Increasing computerization of practice (EHRs) – 24%

This is a significant problem facing hospitals, health networks and medical practices of all sizes and specialties, and Allscripts is committed to designing and integrating with technology that minimizes the clerical burden of EHR documentation.

For example, one solution that has been shown to help ease the burden of EHR documentation is speech recognition, which helps with inputting the narrative of the note and navigating the EHR. But Dr. Chris Russell, a practicing neurologist, realized that technology needs to go beyond dictation to truly help providers.

It needs to intelligently understand the narrative, identify the required structured data elements, ensure terminology is correct and automatically place data into all the appropriate areas of the EHR — without having to manually click through every screen and option.

SamanthaTM, The EHR Virtual Assistant from NoteSwift, Inc. does exactly that.

Read the full post, “Adding artificial intelligence to speech recognition for more efficient EHR documentation,” on the Allscripts blog.

Want to learn more about how Samantha’s patent-pending technology can help alleviate the burden of EHR documentation to reduce physician burnout?

Register for the Allscripts App of the Month Webinar next Wednesday, May 30 at 1:00 pm EST to hear first-hand from Neurologist and NoteSwift founder Dr. Chris Russell about how Samantha has helped him save both time and money while increasing reporting accuracy and improving outcomes.