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The Impact of Medical Scribes on Relative Value Units in a Pediatric Primary Care Practice.

Authors
  • Phillips, Troy A1
  • Foley, Kasey A2
  • Levi, Benjamin H3
  • Jhaveri, Pooja4
  • Chuang, Cynthia H5
  • Abdulahad, Denise6
  • Lehman, Erik7
  • Fogel, Benjamin N4
  • 1 Department of Learning and Performance Systems, Penn State University (TA Phillips), State College, Pa. Electronic address: [email protected]
  • 2 Department of Communication Arts and Sciences, Penn State University (KA Foley), State College, Pa.
  • 3 Department of Pediatrics, Penn State College of Medicine (BH Levi, P Jhaveri, D Abdulahad, and BN Fogel), Hershey, Pa; Department of Humanities, Penn State College of Medicine (BH Levi), Hershey, Pa.
  • 4 Department of Pediatrics, Penn State College of Medicine (BH Levi, P Jhaveri, D Abdulahad, and BN Fogel), Hershey, Pa; Penn State College of Medicine (P Jhaveri), Hershey, Pa.
  • 5 Department of Medicine, Penn State College of Medicine (CH Chuang), Hershey, Pa; Department of Public Health Sciences, Penn State College of Medicine (CH Chuang and E Lehman), Hershey, Pa.
  • 6 Department of Pediatrics, Penn State College of Medicine (BH Levi, P Jhaveri, D Abdulahad, and BN Fogel), Hershey, Pa.
  • 7 Department of Public Health Sciences, Penn State College of Medicine (CH Chuang and E Lehman), Hershey, Pa.
Type
Published Article
Journal
Academic pediatrics
Publication Date
Apr 01, 2021
Volume
21
Issue
3
Pages
542–547
Identifiers
DOI: 10.1016/j.acap.2020.05.009
PMID: 32445825
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Our study assessed the impact of adding medical scribes to an academic pediatric primary practice by measuring the relationship between work relative value units (wRVUs) and use of the medical scribe. This is a retrospective comparative study on the effect of medical scribes on average wRVUs per patient encounter. wRVUs were abstracted from procedure codes in the billing system. Six clinicians performed 2277 patient visits included in the study over 2 different time periods during 2017 and 2018. The first period was without the use of medical scribes and the second period included scribes. Average clinician wRVU production per visit increased by 7.68% (P < .001) with medical scribes over the previous period without them. This study shows that scribes contribute to improving the wRVU per visit in a primary pediatric practice. This finding is consistent with other research showing that scribes help increase volume and improve wRVUs for specialists who perform complex procedures. Copyright © 2020 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

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