Since the 1960s, ED doctors have been able to increase the time they spend with patients and improve their individual productivity by augmenting the velocity of the medical record through assisted documentation with ED scribes. As the medical profession has transitioned from paper to the digital medical record, the gains in efficiency through the utilization of ED scribes have given doctors a solution to offset the productivity losses stemming from the time-consuming click-intensive nature of the EHR. By 1) tracking down ancillary medical data, 2) documenting elements of the patient encounter, and 3) facilitating communication between ED staff and the ED doctor, scribe-assisted ED physicians are able to mitigate their burden to document, and focus on patient care at the bedside.

The financial return on investment has been measured in multiple articles that have reported on, for instance, improvements in provider-generated RVUs/hour, patients treated/hour, decrease in downcodes, improvement in the number of patients left without being seen, decrease in dictation costs and more (see “Benefits” below). In the emergency department, there is only one constant predictor of profitability: patient to provider staffing ratios. Having an integrated ACMSS scribe program will allow ED management to increase the provider staffing ratio, thus replacing some high cost overhead (provider hours) with low cost provider efficiency enhancers (ACMSS medical scribes). An ACMSS scribe program will naturally uncover redundancy in the existing provider schedule, which has lead many of our clients to comfortably reduce provider hours or eliminate an entire shift, resulting in significant gains in their ROI.

Every hospital practice is unique and we at ACMSS understand that, so our company conforms to the specific characteristics of your workplace. Twenty-four hour coverage is available; you may also have as many scribes as you wish for overlapping physician coverage. And yes even holidays get covered. New EHR? We will train and orient all new hires to your specific medical documentation.

Integration
Here we work with you to help identify your current deficiencies, get connected with your billing company to find out how we can benefit you the most, and optimize the EHR use and workflow at your facility.

Recruitment
Through our sophisticated and proprietary national recruitment resources, our experienced project leaders will identify and hire the most qualified personnel possible in your unique region of the country. Though some regions might be impossible for other companies, our status as the industry leader makes us the most desirable choice for medical scribes in every market in the country. This allows us the luxury of selecting only the best applicants, and graduating only those who meet our highest standards for excellence in professional medical documentation.

Scribe Training
Over the years, patient, physician and scribe feedback have shaped the process by which ACMSS trains prospective medical scribes. By offering a competitive salary and unique medical experience, a job at ACMSS is very appealing to local pre-medical college students and recent graduates.

The scribe training program consists of three distinct steps:

Step 1 is a demanding 2-week classroom training and orientation course designed to get the medical scribe “up to speed” for his or her first day of initial collaboration with the hospital.

Step 2 is a supervisory period during which a highly experienced scribe provides training shifts and offers immediate review and feedback of the new medical scribes work.

Step 3 is continuous, and consists of regular re-assessments that provide for indefinite and constant review of the scribe’s effectiveness and allows the scribe to always keep up-to-date with a dynamic workplace environment. In all, each scribe receives a minimum of 120 hours of training and may receive much more depending on the scenario.