Sarah Baca

Publication Date



The use of high-functioning clinical teams in healthcare, particularly in the primary care setting, has been shown to be associated with many improvements in outcomes for patients and providers (Ladden et al., 2013; Reckrey, et al., 2015; Misra-Hebert et al., 2015; Goldberg et al., 2013). A student from a doctor of nursing practice program was the principle investigator (PI) who designed and implemented a practice improvement project with the providers, receptionist, and nurse volunteer at an urban community clinic serving low-income patients. The practice improvement project to change practice within the clinic to include the use of an altered team structure by adding a documentation scribe. The overall project outcomes were that the addition of a scribe did not impact patient wait times, but did lead to shorter appointment lengths. There were four different providers involved in this project, who all expressed that the addition of a scribe was valuable to practice; providers were able to devote more uninterrupted face-to-face time to patients during appointments, and the inclusion of a scribe reduced the time required to complete chart notes following patient appointments, as was previously required for providers in the clinic. A nurse volunteer worked as the scribe during this practice change project, which did not have an associated monetary cost, as a benefit for the clinic.


Primary care (Medicine); Community health nursing; Community health services

Publication Information

NRS 597 - Practice Improvement Project

Copyright for this work is retained by the author.

Document Type

Doctoral Project