Table 1.

Barriers and Potential Solutions to Digital Scribe Implementation

Barriers to Digital Scribe Implementation:	Potential Solutions:
Upfront costs	• Staged furlough of medical scribes and/or telescribes • Increased clinic efficiency may offset implementation costs within a short timeframe
Time-intensive training period for physicians with risk of digital scribe adoption-related burnout	• Vendor super user, role-based, and process-based training • Financial compensation for training • Reduced patient census and/or addition of additional trainees during implementation period
Linguistic variation and unique medical jargon use	• Adaptability to linguistic differences • Integration of medical jargon into the medical note • Compatibility with different types of clinical encounters (e.g. health maintenance, procedure, subspecialty visit)
Medicolegal compliance	• Quality checks when utilizing digital scribe technology to ensure accuracy and reduce automation bias • HIPAA-certified technology • Protected database of raw files • Adverse event reporting process
Interoperability with existing computer systems	• Buy-in from EHR providers • In house Help Desk training to address and rectify technological issues