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VA health care: Additional action needed to assess the medical scribe pilot : report to congressional committees
VA health care: Additional action needed to assess the medical scribe pilot : report to congressional committees
Why GAO did this study. Medical scribes document patient health information in electronic health records during patient visits. By assisting providers, medical scribes may reduce providers’ documentation burden and allow them to focus on their patients. However, VA researchers have found that limited information is available on provider productivity and patient satisfaction when using scribes. To assess the impact of using scribes on provider efficiency, among other things, the VA MISSION Act of 2018 directed VA to increase the use of medical scribes through a 2-year pilot. The VA MISSION Act also included a provision for GAO to report on the pilot. This report (1) examines VHA’s design of the pilot and (2) describes lessons learned that VHA identified from the pilot. GAO reviewed VA and VHA pilot documentation and interviewed VHA officials, VA researchers, and contractors, as well as pilot coordinators from three VA medical centers that participated in the pilot. GAO selected the medical centers for geographic diversity and to include each specialty care area where VHA assigned scribes for the pilot. What GAO Recommends. GAO is making one recommendation, that VHA assess the scalability of the medical scribe pilot. VA concurred with GAO’s recommendation and identified actions to address it.
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