Documentation Redesign and Technology Innovation

Documentation and Practice Streamlining Subgroup

Our Goals

1. 25% Reduction in RN Active Time Spent in the Record by 2025
2. Improve patient safety and quality through regulatory partnerships
3. Implement shared System-wide principles and documentation policies
4. Utilize Prescriptive Analytics Workflows
5. Encourage a more meaningful EHR interaction

We Want to Hear Your Ideas!

Healthcare team members will be able to share their ideas throughout the life of this project.

The path toward a renewed connection with the work we love starts with the feedback from the front line. It starts with a deep understanding of all the barriers to optimizing the care you are able to provide. The initial focus is removing waste, distractions, redundancies and barriers to your ability to provide efficient and effective care to our patients.

Out of over 500 My Voice Matters Submissions, over 40% have been used to make real changes in the record.

We hear you, we see you. Your voice is our path forward.

 

Relief Bundle 5 Go Live - 2/16/23

Bundle 5 Presentation

Policy Changes Flyer

Readiness Checklist

Huddle Flyer

Impact Document

What's Changing?

These ideas are directly from the voice of the frontline. We are listening, and we are excited to announce two new changes to the medical record.

Current Practice	Streamlined Practice
Wound and Drain Reassessment: Some departments require q 4 hour documentation for wounds/drains This documentation is completed for each individual drain and/or wound.	Wound and Drain Reassessment: Add reassessment row to the top of the drain and wound groups Allow nurses to document their reassessment was unchanged from their previous assessment or unchanged with exceptions to the previous assessment for all respective wounds and/or drains.
ED Behavioral Assessment: System-wide EDs are utilizing the IP BH Assessment, which contains unnecessary rows that do not pertain to the ED patient.	Changed to PES Mental Status Exam: Streamlined Exam, reducing unneeded rows for ED documentation.

What's Next?

Documentation Redesign:

• ED BH Documentation (Feb 2022)
• Drain and Wound Attestation (Feb 2022)
• Safe-T (Feb 2023)
• MRI Checks (May 2023)
• Reduction of duplication in the record 

Alignment of NPC and UDCs:

Novemeber 2022 – February 2023

 

Enhancing Nursing Experience and Efficiency in EMR:

January 2023 – June 2023

• Optimizing the Brain
• System Survey: Nurse Satisfaction and Barriers
• Discovery of current system efforts
• Engaging CEPD and Informatics partners
• Using change management principles to ensure adoption

Prescriptive Analytics and AI for Patient Flow and Discharge:

Partnership with iHarbor UMMS Center for Innovation

June 2023 – December 2023

• Implementation of New Workflows at UMSJMC
• Innovation and Documentation of Implementation process
• Deploy playbook for implementation in other system hospitals

What Have we Done so Far?

You can find the Toolkits for our past Relief Bundles for streamlining documentation.