How Fraser Street Medical saved 60–90 minutes per MOA per day

A structured Quality Improvement project with 10 Medical Office Assistants (MOAs) at a high-volume primary care clinic in British Columbia, Canada.

Published March 2026

10 MOAs1 month pilotPrimary careBC, Canada

Workflow efficiency

+34%

Time saved daily

60-90 min

per MOA

Cognitive load

+50%

improvement

Annual time recovered

6-10 weeks

per MOA

The challenge

Nearly half of an MOA's workday was spent on documentation

Before implementation, each MOA was spending approximately 4.9 hours per day on documentation-related tasks, including emails, EMR messaging, task notes, and document processing. That left little time for patient-facing work.

TaskPer taskDaily volumeDaily time
Email responses3.1 min18~56 min
EMR tasks / internal messaging2.6 min25~65 min
Task notes / internal documentation2.8 min22~62 min
Document / fax labeling and processing2 min54~108 min
Total documentation burden per MOA~4.9 hrs/day
The approach

A structured, measurable Quality Improvement cycle

This project was conducted as part of the BC Practice Support Program (PSP) Quality Improvement. Every number below comes from the same survey, run before and after.

1

Baseline capture

Pre-implementation survey of all 10 MOAs measuring subjective workflow scores and objective time-per-task data across four documentation categories.

2

Implementation

Installation, training, and one month of real-world workflow integration. The AI keyboard was used within existing systems with no disruption to daily operations.

3

Re-measurement

Post-implementation survey repeating the same instruments. Subjective scores and task-level time were recalculated to determine objective impact.

Results

Measurable improvement across every metric

Daily documentation time per MOA

Before (keyboard only)~4.9 hrs/day
After (with AI keyboard)~3.4–3.9 hrs/day

Total documentation time decreased by 21–31%, saving 60–90 minutes per MOA per day.

Workflow efficiency

+34%improvement
6.4/108.6/10

Speed of routine tasks

+38%improvement
6.3/108.7/10

Cognitive load reduction

+50%improvement
5.6/108.4/10

Tool satisfaction

+31%improvement
6.7/108.8/10

Annualized impact

260–390 hours recovered per MOA per year, the equivalent of 6–10 full work weeks. For a team of 10 MOAs, that represents 2,600–3,900 hours of reclaimed capacity annually, without hiring additional staff.

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From the team

What the MOAs had to say

This tool alone has significantly reduced the time I spend on documentation every day.

Medical Office Assistant

I can now respond to patient emails and messages in a fraction of the time.

Medical Office Assistant

It makes writing referral letters and specialist communications dramatically faster.

Medical Office Assistant

I feel much less mentally fatigued after a full day of documentation.

Medical Office Assistant

The suggestions are clear, professional, and help me write better messages.

Medical Office Assistant

It reduces repetitive typing and lets me focus more on helping patients.

Medical Office Assistant

Once you start using it, it quickly becomes part of your normal workflow.

Medical Office Assistant

This is one of the most practical tools we've adopted to improve efficiency in the clinic.

Medical Office Assistant

Frequently asked questions

How does an AI keyboard work in a medical office?

An AI keyboard drafts emails, task notes, EMR messages and document labels inside the systems a clinic already runs. Staff speak or type a rough version, the AI cleans it up, and a person reads and sends every message.

How long does it take for staff to learn AI-assisted typing?

The MOAs were using it daily within the first week. It types into the systems they already had, so there was nothing new to learn.

What types of documentation can be handled with an AI keyboard?

Email replies, EMR messages, task notes, referral letters and fax labelling. Admin work, not clinical notes.

What ROI can a clinic expect from AI-assisted documentation?

Each MOA saved 60 to 90 minutes a day in this pilot: 260 to 390 hours a year, or 6 to 10 full work weeks. Across a team of 10 MOAs that is 2,600 to 3,900 hours a year, with no extra hires.

How much does an AI keyboard cost for a medical office?

Vibe Typer is free to start, with no card, so a clinic can run its own pilot first. Pro is $8 per user per month billed annually ($96 a year), or $10 per user per month month-to-month, for unlimited use.

See it in your clinic

Want the same hour back, every day?

Vibe Typer runs inside the systems your team already uses. Free to start, no card, nothing to migrate.