Tag: Practice Management

Ultrasound plays a central role in modern obstetrics and maternal–fetal medicine. From routine screening to high-risk pregnancy management, it is one of the most frequently used diagnostic tools in women’s health. 

But as ultrasound’s role has expanded, so has the complexity of how findings are documented, interpreted, and shared across care teams. This is where many organizations are facing a growing challenge. 

The Hidden Impact of Reporting Variability 

Ultrasound reports are a primary communication tool between clinicians, referring providers, and multidisciplinary teams. Yet in many organizations, reporting practices vary widely — from differences in terminology and structure to inconsistencies in how findings are documented across providers. 

These variations may seem minor in isolation. But over time, they create friction that affects: 

  • how quickly reports are interpreted
  • how easily findings are compared across visits
  • how reliably data can be used for research and quality improvement

In high-volume and high-acuity environments, the friction adds up — impacting efficiency, communication, and clinical confidence. 

Why Standardization Alone Isn’t Enough 

Many organizations attempt to solve variability by introducing more rigid templates or documentation requirements. While these approaches can improve consistency, they often introduce new challenges — limiting flexibility and creating workarounds that reintroduce inconsistency. 

The solution is standardization without rigidity – creating documentation systems that ensure consistency while still supporting clinical judgment and real-world workflows. 

What High-Performing Ultrasound Programs Do Differently 

Our latest whitepaper explores how leading organizations are addressing variability by rethinking how ultrasound documentation is structured and managed. 

These programs focus on: 

  • creating consistent reporting frameworks without restricting clinicians 
  • aligning terminology across providers to reduce ambiguity 
  • reducing documentation burden while maintaining accuracy 
  • capturing data in a way that supports both care and analysis 

Together, these approaches help reduce variability while improving communication, efficiency, and data usability. 

A Framework for Modern Ultrasound Documentation 

The whitepaper outlines a practical framework for improving ultrasound reporting, grounded in real clinical workflows. It examines how structured templates, consistent terminology, and efficient documentation approaches can reduce variability while preserving the nuance required in complex cases. 

It also explores how these changes impact not just documentation, but the broader clinical ecosystem — from referrals and longitudinal care to research and quality initiatives. 

Learn More 

Standardization Without Rigidity offers a practical, clinician-focused perspective on one of the most overlooked challenges in ultrasound workflows — and how addressing it can improve both efficiency and care delivery. 

Download the whitepaper to explore the full analysis and framework. 

Why Efficiency Slips After Go-Live — and How to Prevent It 

Clinical software plays a critical role in modern healthcare delivery. From scheduling and documentation to reporting and analytics, these systems are essential to daily operations. Most organizations invest significant time and care into implementation to ensure everything works as intended from day one. 

But implementation is only the beginning. 

As practices grow and workflows evolve, the effort required to maintain efficiency often increases. New features are released, teams change, and informal workarounds begin to take hold. Over time, the system continues to function, but the time and attention needed to manage it quietly grows — often drawing focus away from patient care, staff retention, and long-term planning. 

The Challenge of Sustaining Efficiency

Our latest whitepaper explores why efficiency can slip after go-live, even when software is well implemented. The issue is rarely the technology itself. More often, it’s the lack of structured opportunities to revisit workflows, reinforce training, and translate system data into actionable insight. 

In ultrasound, these challenges are especially pronounced. High exam volumes, time-sensitive care, and the precision required in specialties like OB/GYN and maternal-fetal medicine leave little margin for inefficiency. Small workflow gaps can compound quickly, affecting throughput, consistency, and clinician experience. 

What High-Performing Practices Do Differently

The whitepaper highlights how leading practices approach software as a living system — one that requires ongoing alignment with real-world use. These organizations prioritize: 

Regular workflow reviews informed by actual user behavior 

  • Built-in training refreshers to maintain consistency as teams change 

Ongoing performance visibility through meaningful analytics

Together, these practices help sustain efficiency without adding administrative burden. 

A Practical Framework for Assessment 

To help organizations evaluate where they stand, the whitepaper includes a checklist designed for practice managers and IT leaders. It prompts reflection on workflow alignment, feature adoption, training cadence, data visibility, and the time teams spend maintaining systems versus using them. 

Learn More 

Protecting Your Clinical Software Investment offers a practical look at how healthcare organizations can preserve efficiency long after go-live — and how proactive optimization supports better use of time, technology, and people. 

Download the whitepaper to explore the full analysis and checklist. 

Lee Health, one of Southwest Florida’s growing regional health systems, had a challenge familiar to many growing healthcare organizations: keeping pace with rising patient volumes and expanding care locations — all while maintaining consistency and safety in women’s health imaging. 

Across more than 30 sites, ultrasound workflows were fragmented and paper-based. Reports could take up to a week to complete, and sharing studies across facilities was difficult. As the system prepared for continued growth, it needed a modern foundation that could support collaboration and scale. 

That’s when Lee Health turned to AS Software’s cloud-based ultrasound reporting and workflow platform, purpose-built for women’s health. 

The move to AS Cloud was a system-wide redesign of how ultrasound care is delivered. 

  • Reports are now completed within 24 hours (vs. 4-7 days before), with physicians able to review and sign off from anywhere 
  • Real-time collaboration allows the system’s clinical educator to view scans remotely and guide sonographers in the moment, improving training and accuracy 
  • Patients see results immediately in MyChart, strengthening communication and trust 
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“I can now provide real-time feedback to our sonographers while they consult on current cases. It’s elevated both the speed and quality of our clinical decision-making.”
– Matthew Atack, Clinical System Educator, Lee Health

Beyond faster reporting, digitization has created a foundation for long-term innovation: 

  • Standardized workflows mean sonographers and physicians across every site work from the same playbook, improving consistency and reducing duplicate imaging 
  • Expanded educational capacity supports the upcoming OB/GYN residency program (launching 2026) and strengthens Lee Health’s partnership with local universities to build a regional pipeline of specialists 
  • Collaboration with Johns Hopkins Medicine extends high-risk maternal care into the community through shared access to the same AS platform 
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“AS Software gives our sonographers and physicians the tools they need to do their jobs more accurately and efficiently.”
– Matthew Atack, Clinical System Educator, Lee Health

Lee Health’s experience demonstrates how cloud technology can help healthcare systems not only improve speed, but elevate quality, safety, and opportunity. With one connected platform for women’s health ultrasound, they’ve built a model that scales — from local clinics to academic partnerships and beyond. 

Read the full case study to see how digital innovation is transforming women’s health ultrasound at Lee Health — and what it takes to make change system-wide.

Ultrasound has long been valued as a safe, cost-effective imaging modality. But in today’s healthcare environment, it has evolved far beyond its traditional role in obstetrics and gynecology. It’s now central to cardiology, vascular care, oncology, musculoskeletal medicine, and is increasingly used at the point of care in emergency and critical settings.

This shift is good news for patients — ultrasound is non-invasive, widely accessible, and produces results faster than many other imaging methods. But for health systems, the expansion comes with challenges. Growing exam volumes, more complex imaging datasets, and the migration of services into outpatient and ambulatory settings mean that traditional ways of managing ultrasound no longer scale.

Despite these changes, many organizations are still managing ultrasound through fragmented, legacy systems. These disconnected platforms create operational drag at every level:

  • Costs rise as IT teams maintain multiple vendor contracts and duplicate infrastructure
  • Clinicians waste time toggling between systems or repeating studies when priors aren’t accessible.
  • Compliance risks increase as reporting delays put organizations at odds with evolving interoperability mandates.
  • Revenue is lost when manual charge capture and incomplete documentation drive denials and reimbursement delays

Remaining siloed is no longer just inefficient — it’s a strategic risk.

Several powerful forces are converging to make modernization urgent:

  • Utilization growth: Imaging volumes are projected to rise by 10–14% over the next decade
  • Workforce strain: Ultrasound exams in the U.S. increased by 55% from 2011–2021, but the number of sonographers grew by only 44%, leaving open positions rising by more than a third
  • Regulatory pressure: The 21st Century Cures Act and FHIR adoption timelines are raising the bar on patient data access and interoperability.

For leaders, these trends mean one thing: ultrasound can no longer be treated as a departmental tool. It must be managed as an enterprise asset.

Modernization doesn’t have to mean replacing everything at once. The most successful health systems start with clear governance and measurable targets — things like report turnaround times, first-pass clean claim rates, and percentage of priors retrieved at the point of care. They prioritize vendor-neutral platforms that work across EHRs, PACS, and devices, and they stage rollouts to prove value quickly

Our new white paper, The Future of Ultrasound in Enterprise Health Systems, explores these trends in depth. Inside, you’ll find:

  • Data on the forces driving ultrasound’s rapid growth.
  • The economic and workforce risks of staying siloed.
  • Practical steps to modernize ultrasound IT — without disrupting care delivery.

As the 2025 budget planning cycle approaches, healthcare organizations are tasked with making critical financial decisions that will shape the future of their operations. This process isn’t just about balancing expenses; it’s about making smart, strategic choices that drive growth, improve patient outcomes, and ensure long-term sustainability.

So, where do you start? The key to a successful budget is aligning your financial plan with the broader goals of your practice. Whether you’re aiming to expand services, improve patient care, or invest in new technologies, your budget should reflect these priorities. It can feel overwhelming, but a tool like our Business Case Template can help. It guides you through building a structured, compelling case for your financial decisions, making sure they stay connected to your practice’s overall vision.

Free Business Case Template
Need inspiration to get started? Use this template + examples for your resource justification.

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Now, let’s get into the practical steps. Budgeting may seem like a daunting task, but breaking it down into four key areas can make the process more manageable:

  1. Set Clear Priorities: Start by using your data to identify where your practice needs the most support to meet your goals or growth. Whether it’s expanding services to meet increasing patient demand or investing in technology to improve efficiency, make sure your budget reflects these priorities.
  2. Engage Stakeholders Early: Budget planning works best when it’s a collaborative effort. Bring administrators, clinicians, and financial staff into the conversation early on. This not only ensures that all perspectives are heard but also helps you uncover opportunities for cost savings or growth that you might not have considered.
  3. Utilize Data-Driven Insights: Leverage the data your practice collects to make informed decisions. The insights shared by Dr. Ruma and Caleb King on the importance of data in healthcare, underscore the value of using data analytics to drive decision-making. Incorporating these insights into your budget process can lead to more strategic investments and better outcomes.
  4. Build Flexibility into Your Budget: In healthcare, change is inevitable. Whether it’s a surge in patient volume, new regulations, or technological shifts, your budget needs to be adaptable. By planning for some flexibility, you give your practice the breathing room to adjust to whatever comes your way.

Once you have a solid budget plan in place, how do you know if it’s working? This is where key performance metrics come in. These metrics not only guide your budgeting decisions, but also allow you to track progress over time. Here are some that should be on your radar:

  • Operational Efficiency: Operational metrics, such as average wait times, appointment scheduling efficiency, and resource utilization, are critical indicators of how smoothly your practice is running. Improvements in these areas can lead to cost savings and better patient experiences, both of which are important considerations during budget planning.
  • Technology Adoption and ROI: Investing in new technology is often a significant part of the budget. It’s important to track the return on investment (ROI) for these technologies. For instance, are your cloud-based solutions improving data accessibility and patient care? The insights shared by Dr. Ruma at Perinatal Associates of New Mexico and Caleb King from AS Software in this article highlight how harnessing data through advanced technology can transform healthcare practices, making a strong case for investing in innovative solutions.
  • Patient Satisfaction and Outcomes: Patient satisfaction scores and clinical outcomes are not just metrics for quality—they are also indicators of the effectiveness of your care delivery and patient engagement strategies. These metrics should be closely monitored and factored into your budget decisions, especially when considering investments in areas like staff training, patient communication tools, or new diagnostic equipment.
  • Patient Volume and Retention Rates: Understanding your patient volume trends and retention rates is fundamental to evaluating the growth of your practice. Are you attracting new patients? Are existing patients returning for follow-up care? Tracking these metrics can help you identify opportunities for expanding services or improving patient engagement.
  • Revenue per Patient: This metric gives insight into the financial health of your practice. By analyzing revenue per patient, you can assess the effectiveness of your billing processes and identify areas where additional services or improved efficiency could enhance profitability.

The 2025 budget planning cycle is a pivotal time for your healthcare practice. By focusing on strategic priorities, leveraging key growth metrics, and utilizing data-driven insights, you can create a budget that not only meets your immediate needs but also positions your practice for long-term success. Remember, the budget you create today will be the foundation of your practice’s future—make it count.

When seeking approval on a new software solution to improve operational, financial, or clinical outcomes, a business case can help you gain executive support and guide your healthcare organization through the process of selecting, adopting, and adapting to proposed new technologies.

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“A well-thought-out business case offers an opportunity for clinicians to bring about evidenced-based change in clinical practice. It is a powerful tool that can have a significant impact on healthcare services and patient outcomes … the role of a business case is to justify the need for change, argue its value, gain support from leadership, and illustrate how it can be sustainably implemented.”
British Journal of Hospital Medicine

A business case is a comprehensive document that outlines the justification for undertaking a particular project, purchase, initiative, or change within an organization. It serves as a tool for better decision-making, providing a structured and evidence-based rationale for investing resources, time, and effort.

Your business case should clearly communicate the potential benefits, risks, and costs associated with the proposed action, enabling stakeholders and decision-makers to make informed decisions.

Free Business Case Template
Need inspiration to get started? Use this template + examples for your new software justification.

Download for Free
components of a business case

  • Engage key stakeholders and help them see the importance of the opportunity.
  • Help decision-makers understand why the chosen solution is superior and establish a framework for ongoing performance measurement.
  • Demonstrate financial implications and advantages.
  • Provide information on potential challenges and how they will be addressed throughout implementation and beyond.

“Nearly 80% of doctors have experienced a distressing patient event in the last year, and many go on to suffer from depression, anxiety, and PTSD.” (AAMC)

Physicians face a unique set of challenges that can take a toll on their mental and physical health. Due to the nature of their profession, they are likely to experience traumatic and distressing events, sometimes daily.  

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“Exposure to traumatic events is an unavoidable part of medical practice. From the beginning of medical education when students first lay eyes on cadavers through their later years as seasoned physicians, the very nature of medicine is to come closer to death and serious injury than the rest of society. Physicians also experience traumatic events such as workplace violence at rates higher than most occupations. When natural and man-made disasters occur, hospitals and physicians bear the brunt of caring for those injured and sickened.”

Physician Mental Health and Well-Being

And according to the Journal of Patient Safety, a majority of providers involved in adverse clinical events suffer from troubling memories, experiencing anxiety, anger, remorse and distress. (AAMC) 

In addition to the exposure to traumatic events that can cause PTSD and increased stress, the pressure and demanding nature of medical practice contribute to burnout. Long hours, high patient volumes, and administrative burdens are further exacerbating the mental health challenges faced by healthcare professionals. 

“A record 93% of surveyed physicians say they feel burned out on a regular basis, 49% say their workload has become unsustainable, and only 38% say they believe their practice is on solid financial footing.” (athenahealth) 

Physicians may downplay their emotional responses to distressing situations, leading to underreporting of trauma-related symptoms. This normalization can perpetuate a culture of silence around mental health issues and prevent individuals from seeking help. 

In response to these challenges, it’s essential for healthcare institutions to prioritize the implementation of comprehensive strategies aimed at supporting the mental health of their physicians.  

By addressing the root causes of traumatic stress and job-related stressors, and taking steps to support physicians and promote well-being, hospitals can create a supportive environment that fosters resilience, reduces burnout, and promotes the overall well-being of their medical professionals. 

“The issuing of measures to reduce traumatic stress symptoms is a chance for hospitals to promote mental health, work ability and commitment to the company by their employed physicians. Further programs to reduce job-related stress, especially constant work interruptions, could be an additional improvement for the physicians’ mental health.” (BMC Psychiatry.) 

Cognitive, behavioral, and mindfulness-based approaches are effective in reducing stress in medical students and practicing physicians. There is emerging evidence that these models may also contribute to lower levels of burnout in physicians. (The Journal of Nervous and Mental Disease) 

Cognitive Interventions

Cognitive interventions focus on identifying and changing dysfunctional thought patterns and beliefs that contribute to anxiety and burnout. This approach is based on cognitive-behavioral therapy (CBT) principles. For physicians, cognitive interventions might involve challenging unrealistic expectations, perfectionism, catastrophizing thoughts, and other cognitive distortions common in high-stress environments. By teaching medical professionals to recognize and reframe negative thoughts, cognitive interventions aim to reduce anxiety and prevent burnout by promoting more adaptive coping strategies. 

Behavioral Interventions 

Behavioral interventions target specific behaviors that contribute to anxiety and burnout among physicians. These interventions might include strategies such as time management techniques, relaxation training, assertiveness training, and boundary-setting skills. By teaching physicians to manage their behaviors more effectively, interventions can help reduce stressors, increase resilience, and improve overall well-being. 

Mindfulness Interventions 

Mindfulness interventions involve cultivating present-moment awareness and non-judgmental acceptance of one’s thoughts, feelings, and bodily sensations. Practices such as mindfulness meditation, mindful breathing, body scans, and mindful movement are commonly used in these interventions. Mindfulness has been shown to reduce anxiety, improve emotional regulation, enhance resilience to stress, and decrease burnout among medical professionals by fostering a greater sense of self-awareness and composure. 

Peer support programs play a crucial role in mitigating physician stress and burnout by providing a supportive environment for physicians to connect, share experiences, and seek assistance.  

For example, the Center for Professionalism and Peer Support developed a 1:1 peer support program that helps clinicians after significant emotionally stressful events, offering a safe way for clinicians talk about their experience and emotions with an empathetic peer.  

The intended outcomes are “to help the impacted clinician with emotional healing and wellness, to facilitate early reporting of adverse events, and to enable and promote compassionate and transparent disclosure and apology.” (Brigham and Women’s Hospital) 

By fostering a culture of peer support and collaboration, healthcare organizations can create a supportive environment that enhances the mental health and resilience of their medical professionals. 

Leveraging technology to automate tasks, streamline workflows, and support physician well-being can help mitigate the impact of stress and burnout on medical professionals. 

Healthcare professionals often spend a significant amount of time on administrative tasks, such as documentation, data entry, and scheduling appointments. Implementing technology that automates these documentation processes can allow physicians to spend more time on patient care and less on paperwork.  

Clinical decision support systems can provide diagnostic assistance and treatment guidelines to healthcare providers. By integrating clinical decision support tools into EHR systems, physicians can access real-time clinical information, alerts, and reminders, helping them make informed decisions and avoid errors. This not only improves patient safety but also reduces cognitive load and decision-making fatigue among physicians. 

Efficient workflows reduce the likelihood of bottlenecks, errors, and delays. By optimizing processes such as patient intake, referral management, and diagnostic testing, healthcare organizations can improve throughput and reduce wait times for both patients and providers. This not only enhances the overall patient experience but also reduces frustration and stress among physicians. 

Freeing up time for patient care and enhancing clinical decision-making helps enable physician providers to focus on delivering care to their patients while also prioritizing their own mental and physical health. 

The Physician Support Line is a free and confidential support line providing support for physicians and medical students. No appointment is necessary. 

State Physician Health Programs (PHPs) provide confidential peer-to-peer services to physicians. 

By recognizing the unique stressors faced by physicians and implementing comprehensive strategies to support their mental health, healthcare organizations can foster a culture of resilience, compassion, and well-being. Working together to prioritize physician well-being and creating supportive environments helps create a healthier future for both physicians and the patients they serve. 

Explore how workflow automation can help manage physician distress by enhancing efficiency in your organization: Contact Us 

This business case template can help you articulate and structure the key points of your business case, making it easier to communicate with stakeholders, decision-makers, and team members within your healthcare organization:

  • Ensuring a professional and consistent appearance throughout the presentation
  • Helping stakeholders understand complex concepts
  • Enhancing credibility and confidence in your business case

Download and edit the flexible slides to outline and create your persuasive presentation with tailored information that addresses unique concerns and objectives for your healthcare organization.

Powerpoint Slides from The Business Case Template

For each slide, you will find a completed example of a slide to reference and delete, plus a blank template to use in the final version of your presentation.

Modify the content in a way that works best for your situation and organization. Take out or add additional slides as you see fit.

Getting Buy-In for a New Healthcare Software Solution
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Dr. Michael Ruma, MD, MPH, FACOG is a Maternal-Fetal Medicine Specialist for Perinatal Associates of New Mexico, a leader in outstanding high-risk pregnancy care. Watch as he shares how AS Software helped his practice grow and thrive while saving valuable time previously spent on ultrasound documentation.  

Challenge

Without an automated ultrasound reporting system in use, clinicians at Perinatal Associates of New Mexico were limiting time with patients to manually type ultrasound reports and locally print them. The inefficient ultrasound documentation process was a large time burden hindering growth at the practice. 

Solution

Dr. Ruma engaged AS Software to help drive efficiency by automating and organizing the reporting and review process: 

  • Allowing all images to be easily accessed remotely, from anywhere in the world 
  • Efficiently creating high-quality, succinct reports for referring providers that are easy to read 
  • Quickly faxing and sending information through integration with Greenway EHR
Quote

“A dramatic amount of growth happened over the last decade because AS Software allows us to be highly efficient and organized, with great connectivity to electronic medical records.”
Dr. Michael Ruma
President, Perinatal Associates of New Mexico

Results

AS Software automation significantly reduced the time required to create an ultrasound report from 5-7 minutes to 30-60 seconds. This efficiency enabled the practice to expand services, accommodate more patients, and establish additional offices and satellite sites. In the first year alone, the practice increased its study volume while reducing documentation time by 86%*.

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“We were able to move through the day faster and more efficiently, which allowed us to see more patients and ultimately achieve financial improvement,” noted Dr. Ruma

In the first full year of using AS Software, Perinatal Associates of New Mexico experienced a 23% increase in patient volume, resulting in a $315,000 increase in practice revenue.

Dr. Ruma and the team at Perinatal Associates of New Mexico continue to partner with AS Software to optimize their healthcare practice, achieving significant improvements in staff efficiency, business growth, and patient outcomes.

Learn more about reducing ultrasound documentation time with automation: Get a Demo 

*This percentage is determined conservatively by taking the higher end of the initial timeframe—7 minutes, or 420 seconds—and comparing it to the higher end of the post-automation time of 60 seconds. By subtracting the post-automation time from the pre-automation time, dividing by the pre-automation time, and multiplying by 100, we find that each report now takes 360 seconds less to complete, multiplying savings across each report and significantly increasing the practice’s efficiency.