Milestones and Numbers:

  • 1974: Documented scribe use with nurses
  • 2001: Medicare “appropriate scribe use”
  • 2004: Birth of the industry, local market share
  • 2006: Demonstrated synergy scribes+EHR
  • 2008: 1 National scribe company at ACEP
  • 2009: Scribe Academic Textbook
  • 2010: Community college and online scribe curriculum
  • 2010: Impact of Scribes on Emergency Department Revenue
  • 2011:  Joint Commission recognizes scribes
  • 2012: 12 scribe companies at ACEP
  • 2013: 20% of all EDs with >100k patients/year, use scribes
  • 2014:  CMS FAQ 9058 MU. Certified scribes can do CPOE, outpatient; CMS recognizes CMSS Scribes Outpatient
  • 2014:  CAAHEP recognizes Medical Scribe Specialist and ACMSS Sponsoring Organization
  • 2014:  15,000 scribes nationally; market = 125 million
  • 2015:  CAAHEP Medical Scribe Specialist standards approved
  • 2020:  100,000 scribes nationally
 

Physician pain points:

  • Charts are misplaced/missing in 30% of office visits
  • Average visit generates 13 additional pieces of paper
  • One visit requires $10 to track/file paper charts
  • Average paper chart weighs 1.5 lbs.

Source: Committee On Improving the Patient Record Institute of Medicine