"Nearly a third of physician practices are using AI scribes and others are working to add the tool, in an effort to cut down on administrative work.

If your practitioner suggests using an AI scribe at your next appointment, here are three things to keep in mind."

https://kffhealthnews.org/news/article/healthq-ai-scribes-notetaker-doctor-visit-data-privacy/

#healthcare #AI #HealthIT #consent #data

Can I Opt Out of Having My Doctor Take Notes With AI? - KFF Health News

Your doctor might ask to have an AI tool listen during your next appointment. If you opt in, you will likely get more of your doctor’s attention. But the technology is not perfect. Here’s what to know.

KFF Health News
@bich I genuinely wonder, as someone who used to have to take IT calls from physicians still charting at 11p-1a their time, if a real solution to get these care providers to bed on time is ever going to present itself

@circuitsunfish

I remember an article that explored high-performing clinic practices. One physician had two nurses. One would room the patient, get the initial history, then step out to discuss the patient with the physician. They would return, the nurse would scribe as the physician assessed the patient and provided a plan. The physician would step out to check in with the 2nd nurse/patient while the 1st nurse provided after visit instructions. This seemed great.

https://www.annfammed.org/content/11/3/272

@bich having a live scribe is indeed great! Unfortunately the only practices the company I worked for served that could afford live scribes had very low Medicaid populations and mostly served highly affluent patients themselves.
@bich like having so much nursing staff to be able to have two per provider is incredible. And that they can take on charting/scribing. The practices I worked with didn't have enough staff to do that, if a nurse called out then their colleagues would have to handle multiple providers each day. The providers themselves barely have enough time during a visit to offer care to patients, which frustrates everyone. And then everyone ends up effectively pulling a second workday with all the charting to catch up on and upcoming appointments to prep for after hours. Idk maybe my problem is with the problems with solvently operating a medical practice in the current times

@circuitsunfish
I wonder if a lot of it isn't the insurance industry. If they're challenging everything, then it seems to me that the notes have to be more detailed.

@bich

@vervain @bich that's a part of it, also if providers prescribe too many controlled substances (ADHD medications, steroids, pain medications, just to name a few) they may get audited and have to attest that their patients genuinely need the care.

Sometimes if they order too many tests they get flagged for unnecessary billing (because they just have to make extra money that way via fraud apparently?)

But if they order too few tests that's also not good and they can get flagged

If they keep vaccines on site they have to attest to the storage conditions and they need to use them by the time they would expire

If their patients have a lot of x condition then there could be questions like why are they all so y (the answer is usually poverty and institutional barriers to health)

It just sucks on every side, every rock you lift has the worst kind of anaerobic scum and no fun isopods

@circuitsunfish @vervain @bich
"It just sucks on every side, every rock you lift has the worst kind of anaerobic scum and no fun isopods"
I am ded
@noodle @vervain @bich i'm here all week