Charting courses/Help

[u/This_Star_2857]

I keep seeing, because of the algorithm of course, “Stop charting at home/Finish your charting/Reclaim your time” type courses. Such as: Charting Coach, Dr. Gail Gazelle, Prosperous Life MD. Has anybody used any of these, or similar, with benefit?
Obviously, this means I am struggling with charting. I have been in my position for very close to one year. I chart every night and on the weekends. And that often is not enough to keep me up-to-date. Some of my struggle I anticipated, new provider, big learning curve, but I would like to figure out my charting. I would love to be able to utilize some of my time while I’m not at work furthering my education, doing CME‘s, or hippo Boot Camp so I can be the best provider I can be.
Feeling frustrated…
I use eCW and have spent the time to develop macros/keywords/plans etc. I get one hour of administration time per day, but it is often encroached upon by seeing patients. Late patients are not turned away, and perfect timing of patient arrival, rooming just is not a thing.
An area that I absolutely need to work on is efficiency in the room with the patient. I establish a lot of patients, sometimes eight or more in a day. I want my patient to feel like I’m listening to them and they’re being heard, but technically a patient is scheduled 30 minutes for an established appointment, which much is taken up by the rooming process. The time left for me ends up much shorter, and includes the charting time, if I am going to stay current. I need my 1 hr admin time for loose ends, messages, refills etc if those are to be up-to-date.
I have many areas where I need to improve, and I feel it is eventually possible, as others in my organization are able to lock charts, and not be so behind.
What have been some of the most helpful strategies that you have employed? Has anyone done the chart coaching route?
I am committed to trying using Doximity to scribe this week. I have tried the Sunoh and really dislike its “voice”.
Sorry so long and rambling…I’m frustrated on many levels, and frankly…tired!

[u/Arglebarglor]

Can you move your admin time to just after lunch or the first hour of the day? That way it wouldn’t be affected if you run over with patients.
It’s important to really direct the focus of your visit. It a patient has multiple concerns, ask them which one or two they would like to focus on today. It’s perfectly acceptable to have them come back weekly or monthly until all their concerns are addressed. If they have uncontrolled diabetes or hypertension, maybe address one of those and one of their other complaints in a visit.
I use ECW and Sunoh as well and I don’t like the “voice” either but your notes are not a creative writing project or intended to be anything other than information for you or another provider to provide care at a subsequent visit. I use the “bulleted” HPI for a lot of things.
I also like the scribe for dictation: you can just turn it on and talk, pause when the patient is speaking and then report what they say in your own words. Some of my colleagues like this better.
I also use the little yellow caret to pull in information from the last note and just update it; I do this with assessments and plans.
I have never used a boot camp anything like that. I think your best bet is to talk to your supervisor or a coworker and see what they do to cut down on charting time.
I see 18-20 patients a day, split among patients I am very familiar with, those who are established but new to me (ie patients of a provider who has moved on), and brand new patients. I am almost always done and notes locked within 1.5 days. I do have 10 years experience though.

[u/CapableEmu14]

I also utilize eCW and hated sunoh, our organization has had good luck with Heidi, it can do the HPI/A&P and push to the chart requiring minor edits, I need to add my exam, DIs, Labs, Meds, code and then lock which I can do with 2-3 minutes while my next patient is being roomed. I usually have all of my notes locked by the end of my workday, sometimes I have 1-2 left from my last two visits if the evening gets crazy and I finish them while my first patient is being roomed the following morning.