Documentation Challenges in Hospital Medicine

• Managing 15-20 patient panels with daily notes for each
• Writing comprehensive discharge summaries under time pressure
• Structured sign-out and handoff documentation for cross-cover
• Capturing complexity and acuity for accurate billing
• Coordinating documentation across multiple consulting services

Note Types for Hospital Medicine

• Admission H&P

  Comprehensive history and physical with problem-based assessment and plan

• Progress Notes

  Daily SOAP notes organized by problem with overnight events and plan updates

• Discharge Summaries

  Complete discharge documentation with hospital course, reconciled medications, and follow-up

• Handoff Notes

  Structured sign-out with active issues, anticipatory guidance, and code status

Key Features for Hospital Medicine

• Problem-Based A&P

  Automatically organizes assessment and plan by active problem list

• Rounding Mode

  Multi-patient encounter tracking for efficient morning rounds

• Discharge Automation

  Generates discharge summaries pulling from the entire admission

• Billing Optimization

  Captures complexity to support appropriate inpatient E&M levels

• Handoff Generation

  Structured I-PASS sign-out from the day's documentation

Stats

• 2+ hrs - Saved Daily
• 90 sec - Discharge Summary
• 97% - Coding Accuracy
• $65K+ - Revenue Captured/Yr

Testimonial

I round on 18 patients a day. Scribeable builds my progress notes while I talk to patients, and my discharge summaries are done before the patient leaves. I haven't stayed late in months.