A Time-Motion Study of Primary Care Physicians' Work in the Electronic Health Record Era.

Background And Objectives: Electronic health records (EHRs) have had mixed effects on the workflow of ambulatory primary care. In this study, we update previous research on the time required to care for patients in primary care clinics with EHRs.

Methods: We directly observed family physician (FP) attendings, residents, and their ambulatory patients in 982 visits in clinics affiliated with 10 residencies of the Residency Research Network of Texas.

The Full Scope of Family Physicians' Work Is Not Reflected by Current Procedural Terminology Codes.

Background: The purpose of this study was to characterize the content of family physician (FP) clinic encounters, and to count the number of visits in which the FPs addressed issues not explicitly reportable by 99211 to 99215 and 99354 Current Procedural Terminology (CPT) codes with current reimbursement methods and based on examples provided in the CPT manual.

Methods: The data collection instrument was modeled on the National Ambulatory Medical Care Survey. Trained assistants directly observed every other FP-patient encounter and recorded every patient concern, issue addressed by the physician (including care barriers related to health care systems and social determinants), and treatment ordered in clinics affiliated with 10 residencies of the Residency Research Network of Texas.

Are state Medicaid application enrollment forms readable?

We sought to assess readability and layout characteristics of state-issued Medicaid enrollment applications. We attempted to locate Internet-based Medicaid enrollment applications from each of the 50 states and the District of Columbia. Readability of each Medicaid enrollment application "Signature" page was calculated using McLaughlin's Simplified Measure of Gobbledygoop formula, while layout characteristics were assessed utilizing criteria included in the User-Friendliness Tool.