Administrative Task Time

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The Second Annual Practice Profitability Index surveyed around 5000 physicians and found the following percentages of time physicians spend on administrative work every week, according to the report:

• 0 to 10 percent of time— 9 percent
• 11 to 20 percent of time — 20 percent
• 21 to 30 percent of time — 28 percent
• 31 to 40 percent of time — 20 percent
• 42 to 50 percent of time — 12 percent
• More than 50 percent of time — 11 percent

I am going to move past the obscene part that 11% of docs spend more than 50% of their time on useless crap  Here is the bigger question I have?  Who spends less than 10 percent of their time on administrative work?  The cited article doesn’t say but it is either Direct Primary Care docs, of which there are few, or doctors who have scribes.  I am finding that more and more specialists using scribes now.  Once again, due to cost, it is becoming a system of the have and the have nots.  No hospital will pay for family docs to have scribes.  And no family doctor can afford one.  Once again we lose.

Which brings me to a joke.  Or maybe it is a Match Game question.   I know the punch line part but I need you to give me the first part.  Here goes.

“You may find a ______ with a _____ before you see a family doctor with a scribe”.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  7 comments for “Administrative Task Time

  1. Rwatkins
    June 11, 2014 at 8:02 pm

    You may see an AAFP executive with knowledge of the real world before you see a family doc with a scribe.

  2. LadyDi
    June 11, 2014 at 11:46 am

    You may find a politician with an ability to tell the truth before you see a family doc with a scribe.

    You may find a hospital administrator with an appreciation of the emergency room physician before you see a family doc with a scribe.

    • Kurt
      June 11, 2014 at 4:14 pm

      You will see Satan with Frostbite before you see a primary care doc with a scribe.

  3. Steve Roberts
    June 11, 2014 at 10:08 am

    You may see a health care administrator with any sense regarding patient care before you see a family doc with a scribe.

  4. Sir Lance-a-lot
    June 11, 2014 at 7:09 am

    “Who spends less than 10 percent of their time on administrative work?”

    I do, baby.

    Urgent care, salary, no administrative bullshit, no referrals, no prior auths.
    Just see the patient, type the note, see the next patient, go home at the end of the day.

    • Vance
      June 11, 2014 at 9:27 am

      You may see a dermatologist with a pickup before you see a family doc with a scribe.

      You may see a pathologist with a personality before you see a family doc with a scribe.

      You may see a radiologist with an ability to converse with patients before you see a family doc with a scribe.

      You may see a surgeon with humility before you see a family doc with a scribe.

      No time to do more…

    • Pat
      June 11, 2014 at 11:58 am

      Bingo. Thats my version of “cash only”

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