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Resource Overview

The process of finding and hiring the best-qualified candidate for a Quality and/or Health IT job in your health center is time-intensive and challenging. Having job vacancies or recruiting the wrong person can cost the organization in terms of real money, time spent, morale, and productivity. Successful hiring requires refining the recruitment process, which includes analyzing the requirements of a job, attracting employees to that job, screening and selecting applicants, and hiring the new employee to the organization.

This section includes resources to help you define and refine your recruiting methods.  These are tools that have been tested by health centers in the field and are proven to work. These resources reflect the combined experience of several successful health centers around the country.

Also available are templates for Health IT Job Functions and samples of Health IT Job Descriptions.

Health IT Staff Recruitment Tools
Remote Scribes, Transcription, Talk-to-Type, and Virtual Assistants

Remote Scribes, Transcription, Talk-to-Type, and Virtual Assistants

Tools for Decreasing Documentation Burden in the EHR; Developed October 2019

Electronic Health Records (EHRs) have replaced obsolete paper medical charts and records, and their ability to exchange health information electronically have helped organizations provide higher quality and safer care for patients. Notably, EHRs help providers better manage care for patients and provide better health care by providing accurate, up-to-date, and complete information about patients at the point of care and enabling quick access to patient records for more coordinated, efficient care. Other advantages include helping promote legible, complete documentation and accurate, streamlined coding and billing and improving patient and provider interaction and communication, as well as health care convenience. However, despite their numerous advantages, EHRs can create an overload of documentation and clerical responsibilities for physicians, placing an increased demand on physicians’ time and compromise efficiency. Medical dictation, transcription, and scribing services have become an increasingly popular solution to address this hindrance to quality of care. These documentation methods provide many benefits and potentially lower costs. This resource introduces different transcription, scribing, and dictation services, and reasons why health centers should consider using them to reduce the burden of EHR documentation.

The Challenge of Documenting Data and Medical Record Quality

Despite massive effort and investment in health information systems and technology, and many years of widespread availability, the full promised benefits of EHRs are far from fruition. In 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act promised to provide more than $35 billion in incentives to promote and expand the adoption and use of EHRs. The adoption of EHRs is widespread; as of 2018 UDS reporting, more than 97% of health centers are using EHRs at all sites with all providers. However, significant barriers to their use remain, notably, physician frustrations and burnout related to the technology. Physicians report that the primary advantages of EHRs include improvements in documentation (63%) and collections (39%), improved clinical operations (34%), and improved patient satisfaction (32%).The negative impacts of EHRs are most apparent in patient encounters – physicians reported decreased face-to-face time with patients (70%) and decreased ability to see more patients (57%).

As administrative responsibilities increase, clinical documentation is often the first task to end up suffering. The EHR has created additional administrative burdens on providers such as the need to perform data entry while trying to engage with the patient during the health care visit. Providers have become frustrated and distracted with the documentation requirements, which further hinder connection and communication with the patient. The American Medical Association (AMA) and other groups note that physician burnout is a systemic problem requiring examination and improvements in the system-of-care delivery. Medical record production technologies may be the key to achieving the goal of creating better and timely medical records, while at the same time increasing cost effectiveness. Studies have shown that the utilization of services like medical scribes or voice recognition strengthened the patient and provider experience and is associated with lower rates of burnout. Furthermore, there is evidence that despite the higher overhead costs, additional documentation services can increase clinician productivity, lower billing errors, and foster work-life balance, retention, and wellness.

The obvious demand has driven innovators to provide a solution, and has manifested in scribing tools and resources with distinct modalities, with varying balances between using human capital and technology. This resource assess the strengths and weaknesses of these tools to provide guidance to health centers.

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Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Chris Espersen, HITEQ Advisory Committee member and Independent Contractor and Past President of Midwest Clinicians Network; Shane McBride, Independent Contractor and Past Vice President of Quality and Clinical Systems at South End Community Health Center; Chris Grasso, Associate Director for Informatics & Data Services- The Fenway Institute; and Ed Phippen, Principal - Phippen Consulting, LLC.

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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