S10.AI streamlines documentation on legacy athenaPractice, cutting charting time, boosting capacity, and improving note quality—without EHR migration.
Primary Care Documentation Challenges
Primary care practices on legacy, non‑cloud EHRs face documentation hurdles due to high visit volume, multimorbidity, and longitudinal care. At Primary Care Associates, Dr. Bradford Wainer leads a multi‑physician team on athenaPractice (legacy/on‑prem). The practice was burdened by time‑intensive charting, manual coding, and inconsistent note structures—especially for chronic disease management, preventive services, and complex care plans.
Before implementing S10.AI, clinicians often spent 30–45 minutes per encounter documenting histories, assessments, orders, and patient education. Annual wellness visits and multi‑condition follow‑ups could push documentation to 60–90 minutes after hours due to manual data entry and coding in the legacy EHR.
Specialized Implementation
S10.AI Medical Scribe and Agents were customized to the needs of a primary care group operating on athenaPractice:
Advanced Primary Care Review: Tailored HPI/ROS/exam and A/P structures for hypertension, diabetes, dyslipidemia, COPD/asthma, depression/anxiety, geriatrics, and preventive care.
Legacy EHR Integration: EHR‑agnostic insertion of structured notes, problem list updates, health maintenance, and draft orders/codes into athenaPractice without migration or downtime.
Coding and Orders Prep: Agent‑prepared ICD‑10/CPT/HCPCS suggestions, quality measures (e.g., HEDIS, MIPS), and draft orders (labs, imaging, vaccines, referrals) for clinician verification.
Care Plan Templates: Standardized documentation for lifestyle counseling, medication titration, shared decision‑making, and patient instructions.
Inbox and Follow‑up Support: Summarization and drafting for refills, results, patient messages, and care gap outreach to reduce after‑hours burden.
Implementation Results
After three months of implementation, Primary Care Associates achieved:
Documentation Time Reduction: From 40–45 minutes to about 10–15 minutes per patient.
Improved Note Quality: Standardized, comprehensive notes aligned to clinician preferences.
Increased Capacity: 2–3 additional patient slots per provider per day.
Provider Satisfaction: Marked improvement tied to reduced after‑hours work and consistent documentation.
Primary Care–Specific Benefits
S10.AI delivered targeted support for comprehensive primary care:
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
EHR: athenaPractice (legacy/on‑prem, formerly GE Centricity); integration achieved without migration.
Safeguards: Clinician‑in‑the‑loop verification for all notes, orders, and codes; privacy and security aligned to healthcare standards.
Dr. Wainer’s Experience
“In a busy primary care setting on a legacy EHR, accuracy and speed are everything. S10.AI lets us keep our existing system while closing charts faster and with more consistency. It captures our conversations, organizes the clinical story, and prepares coding—so my team can spend more time with patients, not the keyboard.”
— Dr. Bradford S. Wainer, DO, President of Primary Care Associates
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