Time spent completing medical notes outside of clinic |
Provider sessions with scribes at five clinics with scribe programme |
Provider sessions without scribes at five clinics with scribe programme |
Daily provider survey |
July 2016–December 2016 |
Self-report and recall bias |
Incomplete notes at 72 hours |
Clinics with scribes |
Clinics without scribes |
EHR-generated incomplete notes report |
January 2016–November 2016 |
Intervention group data includes sessions and visits without scribes. This analysis excluded hospital-based clinic where aggregated data combined providers who did and did not use scribes. |
Visit length with provider |
Provider sessions with scribes at five clinics with scribe programme |
Provider sessions without scribes at five clinics with scribe programme |
EHR-generated provider cycle time report |
January 2016–November 2016 |
At one clinic, scribes were used only for visit types for complex patients, new patients or for providers with longer cycle times. Scribes were among staff who recorded patient visit status in the EHR during scribed visits. This analysis excluded the hospital-based clinic where providers with scribes used them for all sessions. |
Patient satisfaction |
Patients receiving primary care from clinics with scribes |
Patients receiving primary care from clinics without scribes |
Clinician and Group Consumer Assessment of Healthcare Providers and Systems survey |
January 2016–November 2016 |
Low response rate, limited to English-speaking and Spanish-speaking patients. This analysis excluded hospital-based clinic where aggregated data combined providers who did and did not use scribes. |