For physicians, it’s been a brutal decade working in U.S. healthcare. In many ways, they’re at the crucible of everything that’s wrong with our fractured, uncoordinated, dysfunctional system.
They’ve borne the brunt of sweeping regulatory changes, disruptive new technology systems, confusing payment model transitions, a global pandemic that strained them to the breaking point, and, more recently, have assumed daunting responsibilities around population health and health equity. And through it all, their time with patients has decreased while their time handling the business and administrative side of healthcare has ballooned.
Fortunately, I believe that real help for reducing the burden on physicians is finally here. And it’s come in an unexpected package – Artificial Intelligence has arrived.
The burnout crisis
Physician burnout peaked in 2021, at the height of the global pandemic, when 63% reported burnout, up from 38% the year before.
More recently, the 2023 Medscape physician burnout and depression report entitled, “I Cry but No One Cares” found that 53% of surveyed physicians experience burnout while 23% experience depression. 62% of those physicians said their burnout had lasted longer than a year. The AMA and a 2023 Physician Foundation report found similar numbers.
The personal and physical impact on physicians is hugely concerning and even tragic (including health and relationship problems and increases in substance abuse and suicide) while the impact on care affects us all.
It is debatable that burned out physicians are prone to make more errors and face challenges in working collaboratively with others on their care teams. However, they actually experience less empathy and engagement with their patients. Importantly, burned out physicians are also more likely to quit their jobs or the practice of medicine entirely, at a time when physician shortages are ratcheting up the pressure on healthcare organizations everywhere.
All of this profoundly impacts care quality, outcomes, experience, and costs.
We know who did it
Systemic problems always have complex interwoven causes. But in the case of physician burnout, the biggest culprit is relatively obvious and easy to identify.
Physicians are telling us quite plainly that they are overwhelmed by administrative tasks. In the Medscape report, 61% make that claim.
According to Becker’s, physicians spend an average of 15.5 hours per week on administrative paperwork with 9 of those hours devoted to EHR documentation. They’re scheduling appointments and referrals, recording notes, and clicking boxes on charts to ensure they’re reimbursed correctly.
Technology was supposed to improve workflows and processes to enhance productivity but the EHR systems have done the exact opposite. Designed to support billing systems, they’re simply ungainly and inefficient at the care side of the equation where physicians are forced to spend many hours completing documentation. And they also fail to provide physicians the insights, relevant data, or records for evidence-based best practices that could actually help them while engaging with patients.
If we could take the EHR documentation burden away from physicians, we would significantly free up their time, reduce burnout, and help them focus on patient care.
So, how do we fix it?
Over the past decade, a patchwork digital tech sector has arisen to remove pop-ups, reduce alerts, automate entries, speed up searches, and tie processes together. But it’s asking a lot of physicians to add to their technology load with new tools and interfaces.
Unless those tools make their interface as easy as talking to another human.
Human scribes have proven helpful in reducing physician administrative burden. According to the AMA, having a scribe in the room can reduce burnout by as much as 27%. But this is not as easy a solution to implement as one might think. Have you seen the average size of the examination room? Getting another person in there makes for a crowded elevator. Then, there’s the intimacy problem. Health conversations can be difficult with another person listening in and taking notes. Not to mention the challenge of getting enough trained people available whenever the physician needs them.
Alternatively, a well-trained AI model is exceptionally good at processing the conversation between a physician and patient, transcribing it, ordering the conversation into appropriate notes, performing the necessary documentation for claims, initiating referrals for lab tests, images, specialists, and so on.
Plus, an AI model takes up very little space in the room and will be an unnoticed presence!
Few technological advances have taken the world by storm like generative AI. The reason is simple. Unlike other technology interfaces, AI uses the most basic one of all – human language. Anyone can tap the power of generative AI simply by asking questions. In turn, generative AI models can take in human language and instantly organize the information, initiate processes, augment gaps, conduct searches, and generate insights.
That’s what makes AI so useful to physicians – not just a lift for administrative burden, but a support without parallel. It’s the most powerful, useful, and transformative digital technology healthcare has ever seen. Its adoption rate will be head-spinning. The early adopters of AI will outpace their peers and these physicians and their patients will be the beneficiaries.
Abhinav Shashank is Cofounder and CEO of Innovaccer, a leading San Francisco-based healthcare IT company dedicated to accelerating innovation in healthcare. He cofounded Innovaccer to fulfill his vision to unlock the value of data through a common cloud framework (the Innovaccer platform), enabling healthcare stakeholders to unify patient data across systems and care settings—including 80+ EHR interfaces—and leverage unified patient records to drive integrated workflows, coordinated care, and analytic insights crucial to effective value-based care delivery. He is committed to bringing joy back to the practice of medicine and patient care, and to exploring new frontiers of technology to further enhance healthcare experiences for providers and patients alike. Abhinav is a champion of accelerated healthcare innovation and transformation that improves clinical, financial, and operational outcomes for providers, payers, and life sciences organizations.
