Accelerating Primary Care on legacy athenaPractice — without an EHR migration

S10.AI streamlined documentation on a legacy athenaPractice install, cutting charting time, boosting visit capacity and improving note quality — without forcing a costly EHR migration.

Clinician

Dr. Bradford S. Wainer

President & Lead Physician

Practice

Primary Care Associates

Multi-physician primary care group

EHR integration

athenaPractice (legacy)

Live in <7 days

Compliance

HIPAA · SOC 2

BAA included

The challenge

Primary care practices on legacy, non-cloud EHRs face heavy documentation hurdles — high visit volume, multimorbidity, longitudinal care.

Before S10.AI, clinicians spent 30–45 minutes per encounter documenting histories, assessments, orders and patient education.

Before S10.AI

Charting on a legacy athenaPractice install consumed 2–3 hours after every clinic day.
An EHR migration was off the table — too expensive, too disruptive, too risky for a busy primary-care panel.
Note quality was inconsistent and HCC capture was leaking real RVU on every encounter.

After S10.AI

Deployed CRUSH on the existing athenaPractice install via RPA-driven write-back — no schema changes, no migration.
Specialty-tuned primary-care templates went live on day one, with HCC and chronic-care prompts inline.
Voice-preserving model trained against Dr. Wainer's own dictation style in the first week.

Strategic implementation

How S10.AI was configured for this practice — without changing the clinician's workflow.

Phase 01

Advanced primary-care review

Tailored HPI/ROS/exam and A/P structures for hypertension, diabetes, dyslipidemia, COPD/asthma, depression/anxiety, geriatrics and preventive care.

Phase 02

Legacy EHR integration

EHR-agnostic insertion of structured notes, problem-list updates, health maintenance and draft orders/codes into athenaPractice — no migration, no downtime.

Phase 03

Coding & orders prep

Agent-prepared ICD-10/CPT/HCPCS suggestions, quality measures (HEDIS, MIPS) and draft orders (labs, imaging, vaccines, referrals) for clinician verification.

Phase 04

Care-plan templates

Standardized documentation for lifestyle counseling, medication titration, shared decision-making and patient instructions.

Phase 05

Inbox & follow-up support

Summarization and drafting for refills, results, patient messages and care-gap outreach to reduce after-hours burden.

Specialty-specific wins

What this team got that a generic AI scribe couldn't deliver.

Auto-documentation of chronic disease and preventive care workflows (AWV, immunizations, screenings).
Interpretation of labs and vitals trends with baselines/targets, drafting evidence-aligned A/P.
Integrated support for vaccinations, care gaps and quality reporting.
Templates for lifestyle counseling: sleep, nutrition, physical activity, tobacco cessation, stress management.

The measurable shift

-72%

Charting time per visit

From 10–12 min to under 3 min, signed in-room.

+15%

Visit capacity

Three additional patients booked per day, every day.

+18%

HCC code capture

Risk-adjustment and chronic-care codes captured cleanly per visit.

What the research says

AI-driven documentation efficiency

AI documentation tools have demonstrated significant efficiency improvements in clinical settings. A Stanford Health Care study with 48 physicians over three months showed statistically significant reductions in task load and burnout, plus moderate improvements in usability.

Source · PubMed · Fierce Healthcare

Impact on burnout & patient satisfaction

A Mass General Brigham pilot reported a 40% reduction in burnout over six weeks; MultiCare clinicians reported a 63% drop in burnout and 64% improvement in work-life balance after ambient scribe rollout.

Source · McKnight's Home Care

EHR & safeguards

Integration

athenaPractice (legacy / on-prem, formerly GE Centricity). Integrated without migration.

Safeguards

Clinician-in-the-loop verification for all notes, orders and codes. Privacy and security aligned to healthcare standards (HIPAA, SOC 2 Type II).