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Compliance | Reducing Documentation Time

 In chiropractic patient experience, chiropractic software

 ComplianceA case of writer’s cramp

Is there a way for Dr. Ben to spend less time on documentation and more time with his patients?

Ben sat at his desk shaking out his hand, which had cramped up after 10 minutes of concentrated writing. He knew how important it was to provide accurate documentation of patient visits but capturing every detail in writing, then making Luisa type it into the computer, was eating up valuable time for both of them. Plus, Luisa was forever complaining about his handwriting, which he admitted was difficult to read.

There was a knock on his office door. “Come in!” he called.

Luisa entered with a smile. “Hello, Dr. Ben, I was wondering if you had a moment,” she asked.

“Of course, Luisa, what’s on your mind?” Ben asked.

“I’ve been working on entering your patient notes from last week and it’s taking me a long time,” she explained. “I know you try to be thorough but there are times when I need to extrapolate certain tidbits of information based on what I know about the patients.”

“Well, we’re all taught when we go into medicine that if we don’t write it down, it didn’t happen,” said Ben. “I do try to capture every detail I can.”

“And I do appreciate your efforts,” said Luisa. “But I’m not just dealing with the SOAP notes – I need to include images, forms – such as Medicare, intake and verification of benefits – lengthy tests and more.”

“How much time would you say this is taking you in any given week?” asked Ben.

“I haven’t tracked my time but it takes hours,” said Luisa. “Not just in typing and attaching related documents, but also in touching base with you when I have questions that I can’t figure out from your notes or past patient records. That takes time away from your day – and your patients – as well.”

“It used to be so much simpler,” mused Ben. “When I opened this practice, I could scribble myself some notes, stuff them in the patients’ paper files and forget about them until the next patient visit. I was able to spend so much more time with my patients!”

“It’s not just about spending time with the patients,” said Luisa. “Our goal is to help patients get better, and to feel so much better that they feel compelled to bring family and friends who may be suffering to see you as well.”

“That’s true – we need happy, referring patients to make the practice grow,” agreed Ben. “I wish there was a way to keep accurate, compliant notes in less time.”

“You mean besides taking that handwriting course I’m always nagging you about?” teased Luisa.

Is there a way to reduce the investment of time in documentation so that Dr. Ben can focus on his practice and his patients?

Disclaimer: For HIPAA compliance, all characters appearing in this post are fictitious. Any resemblance to actual persons or actual events is purely coincidental.

Read more about the Genesis Chiropractic Software fast documentation.

View another blog about documentation and SOAP notes.

Chiropractic Software Features Blog

Showing 5 comments
  • Andrew Kropff
    Reply

    Documentation is a big challenge to practice owners. It takes time away from helping patients, but it has to be done well to remain compliant. Like other aspects of running a practice, it’s a juggling act of balancing time. But before you can manage resources, you have to measure them.

  • Robin Kortman
    Reply

    As a coach at Vericle Inc., I hear providers tell me their first priority
    is helping patients and wanting to increase the time they have with patients,
    but now they have to document everything in great details in order to stay
    compliant and/or to get paid which can be very time consuming. Vericle is a electronic system that helps a
    practice with workflow and accountability, always striving to improve features
    to streamline process for practices, the documentation platform continues to be
    improved upon to assist providers to minimize their documentation time allowing
    provider to spend more time with patients.

  • Charles Pritchard
    Reply

    Dr. Ben can spend more time treating patients and providing higher quality care by investing in a software that is easy to use, intuitive, saves time and is more compliant. I work with many providers who have invested this time and are reaping the rewards of being able to have more face time with the patients.

  • Heather Miller
    Reply

    When I talk with my providers the two items I hear about the most are wanting to be able to spend more time with patients and fast, complainant documentation. These 2 items really go hand in hand the less time you can spend documenting the more time you can spend with patients. At Vericle we are constantly updating our documentation to stay complainant and to make documenting more efficient.

  • Michelle Corrigan
    Reply

    Dr. Ben and Luisa have not tracked their documentation time, so they do not realize how much time they are losing. If D.Ben spends 5 minutes writing and Luisa spends 5 minutes typing it, they are losing 10 minutes a patient. If they see 200 patients a week, they are losing a combined total of over 33 hours a week. With their current process, how can Dr. Ben be sure each visit is documented? Implementing a full practice management solution that includes an electronic medical record would not only reduce the documentation time, but include automation/accountability to ensure each visit is documented.

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