We don't need no stinking spreadsheets
This is Blog Post #290
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Let me show you a simple, reproducible, fourth grade math demonstration of the power of team based care and up-staffing the back office. Along the way you will begin to sense the staggering waste in the current practice of medicine, caused in part by industry standards like the MGMA annual staffing survey.
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The reason EMR is killing doctors is simple -- OVERWHELM
Doctors were never meant to handle both
1) the complex interactions and thought processes of diagnose and treat, teach and manage patients
2) AND the digital documentation of those interactions via any one of the current truly demonic user interfaces.
The implementation of EMR doubled the workload on the doctors.
Most employers did not staff up to handle it. Instead, relying on annual staffing surveys to show them the average back office staffing ratio is the same as it was back in paper chart days - 1 Doc + 1 Medical Assistant.
That's right, the work load doubled without a change in the number of hands on deck. The documentation falls on the doctor simply because:
- we are ultimately liable for what is in the chart
- we don't punch the clock and stop working at 5PM
It is as if someone designed the system of care specifically to burn out doctors and now they use industry averages to reinforce the travesty. You can't design a more perfect meat grinder for the average doctor and now it is considered the standard of care.
- Two hours in the chart for each one hour of face time with patients - "Pajama time"
- Burnout rate in US physicians hovering at 50%
- It's a healthcare delivery failure of epic proportions