Physician: Dr. Reyes
Specialty: Internal Medicine
Rounding Locations: 8 Skilled Nursing Facilities, New Jersey
EHR: PointClickCare
Solution: CascadeMD Dictation & Documentation Platform
Background
As a physician rounding at multiple skilled nursing facilities (SNFs) daily, I was accustomed to the grind of fragmented documentation and inefficient communication with my billing team. My days were packed with patient visits, but my nights were often spent catching up on documentation — typing progress notes, clarifying encounter details, and trying to remember what I did eight hours earlier.
Each facility used PointClickCare (PCC), but none had a streamlined way for me to enter documentation directly into the EHR without being physically at a terminal. I either wrote notes by hand or dictated them on my phone, only to later transcribe or re-type everything. That left gaps in timeliness, risked inaccuracies, and delayed billing.
The Problem
My biggest pain points fell into three categories:
Documentation Delay & Duplication
- I was documenting hours after patient encounters. That meant I had to recall specifics from memory and often repeated steps by typing notes into multiple systems. Even when I dictated, I had to manually transfer the information later.
Workflow Interruptions
- Switching between apps, notes, emails, and spreadsheets broke my clinical rhythm. I’d often spend time looking up which patients I saw and what services I provided just to confirm things for billing.
Billing Inefficiency
- There was no automated handoff to my billing team. I had to send texts, emails, or scanned copies of notes — which introduced delays and errors, especially when facilities were behind on uploading the official documentation into PointClickCare.
Why I Chose CascadeMD
I first heard about CascadeMD from a colleague who described it as “dictation that actually works with PCC.” That caught my attention. I was tired of traditional dictation tools that simply captured audio but left the rest of the work to me.
What stood out to me about CascadeMD:
- It integrated directly with PointClickCare — no copy/pasting, no third-party portals.
- The mobile app was clean, fast, and secure.
- It automated delivery of visit data to billing, based on my note content.-
- It let me review and finalize notes on the go, all from my phone.
Implementation Experience
The onboarding process was simple. Within 48 hours of saying yes, I was fully configured. I was given secure access tied to each facility I round at, and my patient lists auto-populate based on the facility’s PointClickCare system.
Now, I start rounds by opening the CascadeMD app, selecting the patient, and dictating directly into the note template. I do a quick self-review, make any edits, and submit. Within seconds, the note is:
- Synced to the patient’s chart in PointClickCare
- Automatically parsed for visit details like CPT codes, diagnoses, and date-of-service
- Sent to my billing team in a structured format, no extra steps needed
Results
Since implementing CascadeMD, the change has been night and day:
I estimate I’ve reclaimed 5–10 hours a week that I used to spend catching up on documentation. My billing team has significantly fewer questions, and my notes are more thorough, because I’m capturing details while they’re fresh.
Physician’s Perspective
“CascadeMD doesn’t just save time, it lets me practice medicine the way I want to. I see the patient, dictate the note, and move on. My documentation is done when I leave the room. I’ve never felt more efficient rounding across SNFs.” — Dr. Reyes
