At Highland Pediatrics in Chattanooga, TN, Dr. Allen Coffman sees up to 23 patients a day, most of whom are adolescents with complex behavioral and medical needs. With 22 providers across two locations, Highland is a high-volume, high-complexity clinic that previously relied on paper templates, handwritten notes, and labor-intensive end-of-day charting.

Before Stream

Each visit meant flipping between printed forms, scribbled notes, and multiple rounds of transcription. Nurses prepared charts manually, and Allen often stayed hours late assembling complete documentation. Complex visits—especially those with overlapping behavioral and chronic issues—meant hours of editing and risked documentation gaps.

Turning Point

Now, Dr. Coffman simply records each consult on Stream. Documentation is auto-generated, often needing only light edits. The result? More accurate notes, higher billing levels, and a dramatic reduction in end-of-day burnout. Nurses now prep patient data in the morning, and Allen spends more time face-to-face with patients—less time behind a screen.

Quick Benefits at a Glance

✅ 2+ hours saved daily on documentation

✅ Higher note quality with fewer missed action items

✅ Easier template control and consistent formatting

✅ More presence with patients during complex visits

✅ 98% of clinic documentation now captured on Stream

Why It Matters

For Allen, Stream has transformed documentation from a burden into a background task. It’s not just about efficiency—it’s about presence. He now engages more fully with patients, manages emotional visits with less fatigue, and still wraps up most charting by day’s end. “We’ve gone from donkey-and-cart level documentation to space shuttle,” he says. “It’s a 10 out of 10 change.”