I sat down with orthopedic surgeon Dr. Mark Casillas to discuss how he uses Mobius Clinic at his medical practice in San Antonio. This is the first of three posts that tell the story of how a suite of software applications helped one physician make their practice more successful, efficient and fulfilling.
When Dr. Casillas enters the exam room he has no trouble initially distinguishing a new patient from their two accompanying family members. This isn’t because the patient’s ailment – a persistently painful ankle – is visibly obvious, but simply because he just saw their photo on the screen of his iPhone 7, where he was reviewing their electronic health record before he walked in.
“I first interact with patients through Mobius Clinic,” Dr. Casillas says, referring to the suite of software applications that work alongside each aspect of his practice. “Mobius tells me when my staff have checked the patient in to a particular room, and I can already see their vital signs, which were automatically added to the EHR.” Using the location of Dr. Casillas’ smartphone, Mobius Clinic avoids confusion by automatically loading the record of the patient checked in to that particular room.
The patient at hand has already seen two different orthopedic surgeons and a pediatrist, has had a previous surgery and comes carrying films from previous exams. They waited six weeks for this appointment and are hoping to finally resolve their ankle pain – Dr. Casillas’ practice is in high demand.
“I try to let them talk first, and once that first update is given I start by taking pictures,” Dr. Casillas explains. After an initial conversation, Dr. Casillas asks the patient to remove their shoes and socks, and he uses his iPhone to take several pictures of their foot and ankle. “These photos go directly into the EHR and are not stored on my phone,” he tells the patient, explaining how image documentation adds a level of detail to their medical record.
Dr. Casillas is taking pictures using Mobius Capture, a desktop and mobile application that seamlessly integrates images into a patient’s medical record. Capture allows Dr. Casillas to document patient ailments with his iPhone’s camera during visits, but it’s also a convenient way to save selected images from the hundreds of cuts often locked up in a PACS (picture archiving and communication system). This patient’s films are a perfect example – Dr. Casillas can review hundreds of slides and quickly store only the important images directly to the EHR.
After the initial conversation and photos, Dr. Casillas does something remarkable – he dictates the patient’s medical history directly into the EHR using a new Mobius Clinic feature called Scribe. This isn’t just convenient, it’s also practical.
“I like dictating the history, physical exam and my plan in front of the patient, because I can pause and ask them, ‘Is there anything I should have added or emphasized?’” As Dr. Casillas has found, “They like to hear that I can dictate everything, and for me it’s a matter of convenience that it’s all documented.”
Using Mobius Scribe to dictate notes produces a triple benefit for Dr. Casillas. He saves time and improves accuracy by not repeating this process from memory after the patient visit, and the patient is given a more active role in their own care by participating directly in the documentation process. Mobius Clinic also streamlines clinical workflow, because the physician’s note is immediately viewable by the rest of the medical team.
As the initial visit wraps up, Dr. Casillas knows that the next step for this patient is to order both a new CT and MRI to better understand the deformity in their ankle. Instead of leaving the exam room to pass along this information to his team, Dr. Casillas just dictates the note into the EHR using his smartphone. Dr. Casillas team receives these notes as actionable tasks on their own Mobius Clinic apps, so they are ready to move forward. “My staff are already working on authorizations while I’m still talking to the patient.”
By using Mobius Clinic from the beginning to the end of his work day, Dr. Casillas can streamline his team’s workflow and focus on what matters – providing excellent, thorough and carefully documented care for his patients. As he puts it, “Mobius Clinic allows practitioners to get from their electronic health record what they wanted in the first place. The bottom line is it allows me to spend more time with the patient and be more efficient in the office.”