Elizabeth A. Gilman MD , Christopher Aakre MD , Adam Meyers MBA , Nerissa Collins MD , Chrissy VerNess MA , Brian Dougan MD , Xiomari Davis MEd , Lindsey Philpot PhD, MPH , Priya Ramar MPH , Ivana Croghan PhD , Darrell R. Schroeder MS , Erin Pagel MS, MHI , Karthik Ghosh MD , Ryan T. Hurt MD, PhD
{"title":"发展访问促进者的角色,以协助医生在门诊咨询医疗实践","authors":"Elizabeth A. Gilman MD , Christopher Aakre MD , Adam Meyers MBA , Nerissa Collins MD , Chrissy VerNess MA , Brian Dougan MD , Xiomari Davis MEd , Lindsey Philpot PhD, MPH , Priya Ramar MPH , Ivana Croghan PhD , Darrell R. Schroeder MS , Erin Pagel MS, MHI , Karthik Ghosh MD , Ryan T. Hurt MD, PhD","doi":"10.1016/j.mayocpiqo.2023.04.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To decrease the electronic health record (EHR) clerical burden and improve patient/clinician satisfaction, allied health staff were trained as visit facilitators (VFs) to assist the physician in clinical and administrative tasks.</p></div><div><h3>Patients and Methods</h3><p>From December 7, 2020, to October 11, 2021, patients with complex medical conditions were evaluated by an internal medicine physician in an outpatient general internal medicine (GIM) consultative practice at a tertiary care institution. A VF assisted with specific tasks before, during, and after the clinical visit. Presurvey and postsurvey assessments were performed to understand the effect of the VF on clinical tasks as perceived by the physician.</p></div><div><h3>Results</h3><p>A total of 57 GIM physicians used a VF, and 41 (82%) physicians and 39 (79%) physicians completed the pre-VF and post-VF surveys, respectively. Physicians reported a significant reduction in time reviewing outside materials, updating pertinent information, and creating/modifying EHR orders (<em>P</em><.05). Clinicians reported improved interactions with patients and on-time completion of clinical documentation. In the pre-VF survey, “too much time spent” was the most common response for reviewing outside material, placing/modifying orders, completing documentation/clinical notes, resolving in-baskets, completing dismissal letters, and completing tasks outside of work hours. In the post-VF survey, “too much time spent” was not the most common answer to any question. Satisfaction improved in all areas (<em>P</em><.05).</p></div><div><h3>Conclusion</h3><p>VFs significantly reduced the EHR clinical burden and improved GIM physician practice satisfaction. This model can potentially be used in a wide range of medical practices.</p></div>","PeriodicalId":94132,"journal":{"name":"Mayo Clinic proceedings. Innovations, quality & outcomes","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/88/main.PMC10196913.pdf","citationCount":"0","resultStr":"{\"title\":\"Development of a Visit Facilitator Role to Assist Physicians in an Ambulatory Consultative Medical Practice\",\"authors\":\"Elizabeth A. Gilman MD , Christopher Aakre MD , Adam Meyers MBA , Nerissa Collins MD , Chrissy VerNess MA , Brian Dougan MD , Xiomari Davis MEd , Lindsey Philpot PhD, MPH , Priya Ramar MPH , Ivana Croghan PhD , Darrell R. Schroeder MS , Erin Pagel MS, MHI , Karthik Ghosh MD , Ryan T. Hurt MD, PhD\",\"doi\":\"10.1016/j.mayocpiqo.2023.04.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To decrease the electronic health record (EHR) clerical burden and improve patient/clinician satisfaction, allied health staff were trained as visit facilitators (VFs) to assist the physician in clinical and administrative tasks.</p></div><div><h3>Patients and Methods</h3><p>From December 7, 2020, to October 11, 2021, patients with complex medical conditions were evaluated by an internal medicine physician in an outpatient general internal medicine (GIM) consultative practice at a tertiary care institution. A VF assisted with specific tasks before, during, and after the clinical visit. Presurvey and postsurvey assessments were performed to understand the effect of the VF on clinical tasks as perceived by the physician.</p></div><div><h3>Results</h3><p>A total of 57 GIM physicians used a VF, and 41 (82%) physicians and 39 (79%) physicians completed the pre-VF and post-VF surveys, respectively. Physicians reported a significant reduction in time reviewing outside materials, updating pertinent information, and creating/modifying EHR orders (<em>P</em><.05). Clinicians reported improved interactions with patients and on-time completion of clinical documentation. In the pre-VF survey, “too much time spent” was the most common response for reviewing outside material, placing/modifying orders, completing documentation/clinical notes, resolving in-baskets, completing dismissal letters, and completing tasks outside of work hours. In the post-VF survey, “too much time spent” was not the most common answer to any question. Satisfaction improved in all areas (<em>P</em><.05).</p></div><div><h3>Conclusion</h3><p>VFs significantly reduced the EHR clinical burden and improved GIM physician practice satisfaction. This model can potentially be used in a wide range of medical practices.</p></div>\",\"PeriodicalId\":94132,\"journal\":{\"name\":\"Mayo Clinic proceedings. Innovations, quality & outcomes\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/88/main.PMC10196913.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Mayo Clinic proceedings. 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Development of a Visit Facilitator Role to Assist Physicians in an Ambulatory Consultative Medical Practice
Objective
To decrease the electronic health record (EHR) clerical burden and improve patient/clinician satisfaction, allied health staff were trained as visit facilitators (VFs) to assist the physician in clinical and administrative tasks.
Patients and Methods
From December 7, 2020, to October 11, 2021, patients with complex medical conditions were evaluated by an internal medicine physician in an outpatient general internal medicine (GIM) consultative practice at a tertiary care institution. A VF assisted with specific tasks before, during, and after the clinical visit. Presurvey and postsurvey assessments were performed to understand the effect of the VF on clinical tasks as perceived by the physician.
Results
A total of 57 GIM physicians used a VF, and 41 (82%) physicians and 39 (79%) physicians completed the pre-VF and post-VF surveys, respectively. Physicians reported a significant reduction in time reviewing outside materials, updating pertinent information, and creating/modifying EHR orders (P<.05). Clinicians reported improved interactions with patients and on-time completion of clinical documentation. In the pre-VF survey, “too much time spent” was the most common response for reviewing outside material, placing/modifying orders, completing documentation/clinical notes, resolving in-baskets, completing dismissal letters, and completing tasks outside of work hours. In the post-VF survey, “too much time spent” was not the most common answer to any question. Satisfaction improved in all areas (P<.05).
Conclusion
VFs significantly reduced the EHR clinical burden and improved GIM physician practice satisfaction. This model can potentially be used in a wide range of medical practices.