Scribes and Problems with the Healthcare System

Posted on April 8, 2014 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In a recent #HITsm chat we had a pretty good discussion about scribes and their place in healthcare. I know a lot of people that are really big proponents of scribes, but I also know many people who are against them.

During the discussion, the question was asked if scribes mask the problems of the EHR software. This was my reponse:

If I were to do that tweet again, I might replace healthcare system with reimbursement system. Scribes are a mask to the fundamental problems with how we pay for healthcare. I’ve always loved to think about what an EHR would look like if it didn’t have to worry about billing. It would be a completely different system than what we have with EHRs today.

The reality is that doctors want to get paid and so EHRs have to deal with billing. Plus, now they have to deal with meaningful use regulation as well. Add those two together and you can understand why scribes are so popular with doctors.

Every single EHR would be better and easier to use if they were just worrying about providing a tool to doctors that lets them document the visit and ensure quality patient care. However, until that happens (which is never) scribes and other alternative methods to document are going to be very popular with many physicians.