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JotPsych Notes
JotPsych Notes: from the Medical Group Management Association conference

Note templates for each visit type, in 5 steps

Start with your three most common visit types, and try the templates with one clinician before the rest of your clinicians switch.

Each of your prescribers charts the med check a different way, and many don't finish notes until after clinic. One template for each visit type gives every note the same sections. Preset text leaves less to type.

One note template for each of three behavioral health visit types
a suggested starting point; highlighted lines carry preset text
Med check

Interval history

Side effects: preset checklist

Mental status exam

Plan and next visit

Intake

Reason for referral

History

Consent reviewed: preset statement

Diagnosis and plan

Therapy hour

Session focus

Interventions: preset list

Response

Plan for the next session

Each highlighted line appears in the note before your clinician types, such as the med check's side-effect checklist. Your clinician reviews those lines instead of typing them.

  1. Pick the three visit types your clinicians chart most. Count last month's visits on your schedule by type, and start with your top three, such as the med check, the intake, and the therapy hour.
  2. Give each visit type one template with set sections. Agree on the sections and their order with your clinicians. Chandani Narula, a practice administrator at Hartford Healthcare Medical Group, wants every clinician on the same template for the same kind of care, and allows small changes. "A little bit of tweak here and there is understandable," Narula said.
  3. Add preset text for the parts that repeat. Your intake template can carry a consent statement, and your therapy template a list of interventions. Narula's neurology clinics keep a preset phrase, added with one click, for each reason a patient books a Botox injection.
  4. Make each template the default for its visit type. Set the default once. Then the right template opens for every visit you book. Your clinicians don't pick a template by hand.
  5. Try the templates with one clinician, and time the notes. Time that clinician's notes before you switch, and again a month after. Narula runs each change in one office first: "I always run it with my one office, which is going to give me least resistance." Then switch your other clinicians.

In a 2024 national study of outpatient physicians, notes took 2.3 hours of EHR time on average for every 8 hours of scheduled patients.

Average physician EHR time by task, per 8 hours of scheduled patients
hours per 8 hours of scheduled patients, on average across 200,081 outpatient physicians at 396 organizations in the United States, all on one EHR vendor's software, November 2021 to April 2022
2.3 hrs
1.1 hrs
0.8 hrs
0.8 hrs
0.8 hrs
Notes (documentation)
Chart review
Orders
Inbox
Other

Holmgren and colleagues measured EHR time for 200,081 outpatient physicians from November 2021 to April 2022. On average, notes took more of that time than any other task, so a physician's notes are the first EHR task to time.

Set a default note template on each appointment type, and JotPsych drafts the visit's note in that template.

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Sources:
  1. Chandani Narula, practice administrator, Hartford Healthcare Medical Group, “Clicks to Capacity: A 90-Day EHR Optimization Playbook,” session A5, Medical Group Management Association (MGMA) 2026 Annual Conference, San Antonio, September 28, 2026.
  2. A. Jay Holmgren, Christine A. Sinsky, Lisa Rotenstein, and Nate C. Apathy, “National Comparison of Ambulatory Physician Electronic Health Record Use Across Specialties”, Journal of General Internal Medicine 39, no. 14 (2024): 2868 to 2870.