NCT03854955

Brief Summary

This project involves the implementation of a device-based scribe service (iScribes) for patient encounters. The objective of the proposed study is to track and compare the allocation of physician time and associated quality metrics with and without the use of iScribes. We anticipate that the use of iScribes will reduce the amount of physician time spent away from the patient (e.g., charting, dictating).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Aug 2018

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 20, 2018

Completed
Same day until next milestone

Study Start

First participant enrolled

August 20, 2018

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 26, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 26, 2018

Completed
3 months until next milestone

First Posted

Study publicly available on registry

February 26, 2019

Completed
Last Updated

February 26, 2019

Status Verified

February 1, 2019

Enrollment Period

3 months

First QC Date

August 20, 2018

Last Update Submit

February 25, 2019

Conditions

Foot & Ankle

Keywords

iScribespatient satisfactiondevice based scribe

Outcome Measures

Primary Outcomes (1)

  • Total physician time spent on the encounter but not with the patient.

    The total physician time spent on the encounter, including medical documentation, but not including time spent directly interacting with the patient.

    Duration of patient visit (up to 1 day).

Secondary Outcomes (1)

  • Patient satisfaction.

    Duration of patient visit (up to 1 day).

Study Arms (2)

iScribes

EXPERIMENTAL

Device-based scribing service used for dictation and documentation.

Other: iScribes

Traditional Dictation

NO INTERVENTION

Standard dictation and documentation methods used.

Interventions

iScribesOTHER

Device-based scribing service.

iScribes

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ≥ 18 years of age
  • Written informed consent is obtained
  • New patient visit

You may not qualify if:

  • Patient refuses
  • Patient is lacking decisional capability

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

Related Publications (14)

  • Waters S, Edmondston SJ, Yates PJ, Gucciardi DF. Identification of factors influencing patient satisfaction with orthopaedic outpatient clinic consultation: A qualitative study. Man Ther. 2016 Sep;25:48-55. doi: 10.1016/j.math.2016.05.334. Epub 2016 Jun 4.

    PMID: 27422597BACKGROUND

  • Teunis T, Thornton ER, Jayakumar P, Ring D. Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction. Clin Orthop Relat Res. 2015 Jul;473(7):2362-8. doi: 10.1007/s11999-014-4090-z. Epub 2014 Dec 5.

    PMID: 25475717BACKGROUND

  • Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001. Available from http://www.ncbi.nlm.nih.gov/books/NBK222274/

    PMID: 25057539BACKGROUND

  • Patterson BM, Eskildsen SM, Clement RC, Lin FC, Olcott CW, Del Gaizo DJ, Tennant JN. Patient Satisfaction Is Associated With Time With Provider But Not Clinic Wait Time Among Orthopedic Patients. Orthopedics. 2017 Jan 1;40(1):43-48. doi: 10.3928/01477447-20161013-05. Epub 2016 Oct 18.

    PMID: 27755644BACKGROUND

  • Sinsky C, Colligan L, Li L, Prgomet M, Reynolds S, Goeders L, Westbrook J, Tutty M, Blike G. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann Intern Med. 2016 Dec 6;165(11):753-760. doi: 10.7326/M16-0961. Epub 2016 Sep 6.

    PMID: 27595430BACKGROUND

  • Wenger N, Mean M, Castioni J, Marques-Vidal P, Waeber G, Garnier A. Allocation of Internal Medicine Resident Time in a Swiss Hospital: A Time and Motion Study of Day and Evening Shifts. Ann Intern Med. 2017 Apr 18;166(8):579-586. doi: 10.7326/M16-2238. Epub 2017 Jan 31.

    PMID: 28135724BACKGROUND

  • Bank AJ, Gage RM. Annual impact of scribes on physician productivity and revenue in a cardiology clinic. Clinicoecon Outcomes Res. 2015 Sep 30;7:489-95. doi: 10.2147/CEOR.S89329. eCollection 2015.

    PMID: 26457055BACKGROUND

  • Koshy S, Feustel PJ, Hong M, Kogan BA. Scribes in an ambulatory urology practice: patient and physician satisfaction. J Urol. 2010 Jul;184(1):258-62. doi: 10.1016/j.juro.2010.03.040. Epub 2010 May 16.

    PMID: 20483153BACKGROUND

  • Bastani A, Shaqiri B, Palomba K, Bananno D, Anderson W. An ED scribe program is able to improve throughput time and patient satisfaction. Am J Emerg Med. 2014 May;32(5):399-402. doi: 10.1016/j.ajem.2013.03.040. Epub 2014 Mar 15.

    PMID: 24637134BACKGROUND

  • Misra-Hebert AD, Rabovsky A, Yan C, Hu B, Rothberg MB. A Team-based Model of Primary Care Delivery and Physician-patient Interaction. Am J Med. 2015 Sep;128(9):1025-8. doi: 10.1016/j.amjmed.2015.03.035. Epub 2015 Apr 23.

    PMID: 25912207BACKGROUND

  • Heaton HA, Nestler DM, Jones DD, Varghese RS, Lohse CM, Williamson ES, Sadosty AT. Impact of Scribes on Billed Relative Value Units in an Academic Emergency Department. J Emerg Med. 2017 Mar;52(3):370-376. doi: 10.1016/j.jemermed.2016.11.017. Epub 2016 Dec 14.

    PMID: 27988262BACKGROUND

  • Heaton HA, Castaneda-Guarderas A, Trotter ER, Erwin PJ, Bellolio MF. Effect of scribes on patient throughput, revenue, and patient and provider satisfaction: a systematic review and meta-analysis. Am J Emerg Med. 2016 Oct;34(10):2018-2028. doi: 10.1016/j.ajem.2016.07.056. Epub 2016 Jul 28.

    PMID: 27534432BACKGROUND

  • Shultz CG, Holmstrom HL. Response: Re: The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions. J Am Board Fam Med. 2016 May-Jun;29(3):423-4. doi: 10.3122/jabfm.2016.03.160043. No abstract available.

    PMID: 27170804BACKGROUND

  • Reuben DB, Knudsen J, Senelick W, Glazier E, Koretz BK. The effect of a physician partner program on physician efficiency and patient satisfaction. JAMA Intern Med. 2014 Jul;174(7):1190-3. doi: 10.1001/jamainternmed.2014.1315. No abstract available.

    PMID: 24819399BACKGROUND

MeSH Terms

Conditions

Patient Satisfaction

Condition Hierarchy (Ancestors)

Treatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Kamran Hamid, MD,MPH

    Rush University Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle Investigator, M.D. MPH

Study Record Dates

First Submitted

August 20, 2018

First Posted

February 26, 2019

Study Start

August 20, 2018

Primary Completion

November 26, 2018

Study Completion

November 26, 2018

Last Updated

February 26, 2019

Record last verified: 2019-02

Data Sharing

IPD Sharing
Will not share

Locations

US(1)