This document discusses how medical scribes and voice recognition technology can help physicians spend more time interacting with patients rather than their electronic health records (EHRs). It notes that using scribes and Dragon Transcription software can increase the number of patient visits physicians can conduct per day by 9% and free up their time spent on documentation. Finally, the document provides sources for the market size of over 900,000 physicians and one billion annual patient visits in the United States that could benefit from these technologies.
15. Appendix – Research/Assumptions
-slide 3: visit breakdown by time: http://www.ncbi.nlm.nih.gov/pubmed/23595927
2013 paper in Journal of General Internal Medicine that studied how internal medicine
interns spent their time
-slide _: market size: http://kff.org/other/state-indicator/total-active-physicians/
includes both PCPs and Specialists, recent as of Jan 2016
-slide _: number of patient visits : http://www.cdc.gov/nchs/fastats/physician-visits.htm
includes both hospital and physician office visits, as of 2012
-slide _: Dragon productivity impact:
http://www.nuance.com/healthcare/pdf/cs_healthcare_slocum-dickson.pdf
case study found that medical group practice physicians were able to add 1-2 additional
patient visits per day
-slide _: Scribe productivity impact: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598196/
2016 paper in ClinicoEconomic Outcomes Research Journal, looked at the productivity
of cardiology clinic with and without scribes
Editor's Notes
Hi, we’re Argot and we want to show you how we’re impacting the physician-patient interaction.
Dr. Belner is a cardiologist seeing his patient Daphne today. Ideally, both he and Daphne want an interaction that’s
Clear. Focused. Personal. However, today’s doctors have less capacity to be engaged with the patient. Why is this?
During a typical visit, up to 40% of the doctor’s time is spent entering data into the EHR instead of interacting with the patient, which means that doctors, who just want to care for their patients, can’t do that effectively. (25 seconds)
What Dr. Belner needs is a tool that would enable him to talk directly with his patient but also provide a useable medical note at the end of the visit.
So we built it: a system that transcribes the physician-patient interaction and then uses natural language processing to turn patient words into clinical language. The physician can view the generated record, edit if necessary, and push to the EHR.
Let’s see what this looks like when Dr. Belner uses it during Daphne’s visit.
NLP then identifies the key phrases, matches it with clinical terminology, which can then be inputted into the HER.
Argot will improve both productivity and the bottom line. By reducing documentation time, physicians will be able to see more patients and therefore bring in more revenue. Data on existing products on the market indicate that practitioners expect to experience a 9% increase in patient visits. For Dr. Beldnen , this would mean $250,000 more per year in addition to improved quality of care and patient satisfaction.
There are other products in the market that try to achieve similar outcomes. But compared to transcription software and medical scribes, Argot distinguishes itself through its ability to directly transcribe the patient’s words, resulting in an uninterrupted conversation.
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This technology would benefit hundreds of thousands of physicians in the US in addition to Dr. Belden.
Each of those physicians would purchase Argot through a license-based business model. We believe that one day all physicians can use Argot, but we plan on rolling it out by specialty by complexity , criticality of illness and magnitude of impact. Cardiologists such as Dr. Belden would be prime candidates as our initial customers.
With time becoming an increasingly scarce resource, Argot would enable physicians like Dr. Belden to not only maximize productivity but also provide clear, focused, and personal care to his patients.