Consider doctors office: Physicians have 30 min appointment slots starting at 8 AM to 6 PM Physicians spend 90 min (1.5 hrs.) each day on electronic medical records and 30 min on claims processing/questions related to medical insurance Typically, physicians have 75 percent appointments booked in advance, which leads to frequent cancellations. One out of 6 patients do not show up Even though appointment slots are 30 min, physicians spend on average 23 minutes with patient. Out of those 23 min, say 5 min could be done by nurse How much of physicians work is value added