![]() ![]() These doctors work hard just to ‘keep their doors open’ and that’s no exaggeration. “And I know many pediatricians who make considerably less. “The median income for pediatricians is about $180,000 per year,” he noted. However, when you must see 30 patients a day, just to remain solvent, the clerical workload is much higher. “If each patient for a sub-specialist requires an extra minute or two to chart because of an inefficient EHR, it's not the end of the world. “Sub-specialists have much lower patient volume than a typical pediatric practice.” he said. While this AMA study did not include pediatricians, Hart’s experience in the industry suggests that the medical specialties such as pediatrics require more time on electronic health record keeping. The Nature of Pediatrics Requires More Time for EHR “The physician can enter fundamental data, such as ‘how many patients do I see every day’ and ‘how much revenue do I generate per patient’ and then enter ‘how much time does it take for me to chart each day?’ The tool then calculates how much this EHR truly costs the physician in terms of time, money.or both. The PCC website has an innovative tool for pediatricians to calculate their EHR return on investment. It is sad that almost no one is talking about this and this is why job satisfaction among pediatricians and general practice physicians is so low.” Calculating the Cost of EHR In the past ten years, many, if not most, pediatricians have added an hour or two to their daily work schedule. “Whenever I consult with medical practices, I am constantly surprised by how many hours a pediatrician spends charting at home. The ‘one size fits all’ EHR does not work well. They are general ‘tools’ which are designed to appeal to a broad set of medical specialties. ![]() “In fact, most EHR platforms are not designed specifically for pediatricians. “The results from this AMA study did not surprise me,” he said in a recent interview. For the past 25 years, Chip has been the leader of the Pediatric Solutions team at Physicians Computer Company (PCC) which develops pediatric-specific practice management and medical record software. Additionally, another 1-2 hours of personal time were spent each night doing additional clerical work.Ĭhip Hart is an industry observer who has seen, first-hand, how much non-clinical time is necessary for doctors to meet the requirements of maintaining electronic health records. Researchers observed 57 physicians in four specialties (family medicine, internal medicine, cardiology, and orthopedics) and found that for every hour of direct clinical face time with patients, nearly two additional hours are spent on EHR and desk work within the clinic day. Physicians spend twice as much time completing electronic health records (EHR) as they do treating patients, according to a new study by the American Medical Association. ![]()
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