Hi Matthew, Thanks so much for the opportunity to present to the ANIA San Diego Chapter. Here is a little bit more about the talk:
Summary: This team completed implementation of a digital tool for electronic signature at four Emergency Departments within nine months. With 600 ED discharges per day, this equates to over 200,000 pieces of paper saved per year. Nurse adoption of new workflows was measured for the first month by comparing pre and post completion rates of paper versus electronic forms. For the four EDs, the paper form completion rate was 90%. After the first month with the electronic form, the completion rate was 86%.
The use of the iPads was well received. Nurses report that the process is "easy to use," and "saves trees." Nurses have asked that additional forms be available on the iPad. Efforts continue to make the log in/out process to the iPads easier for our nurses. The impact to our document imaging department has resulted in reduced overall scanning time by 1.5 minutes per document.
Keys to Success:
- Cultivated support of all levels of ED Nurse Leadership
- Assisted by Revenue Cycle Division who funded iPads for Nursing
- Piloted at one ED to confirm workflows and number of iPads
- Obtained local ED contacts and advanced clinician super users
- Developed multiple training modalities
- Incorporated lessons learned from the pilot to later implementations
- Engaged bedside nurses for feedback resulting in form layout and workflow improvements
- Developed pre-live checklist
- Provided go live support across all shifts
- Shadowed each nurse's first discharge using the new workflow
- Set up multiple checkpoints post go live with reports to monitor workflow acceptance
Next Steps: Our organization is transitioning to a new, single platform EHR in 2024. Data and learnings from this project will be incorporated into the implementation process. We continue to be curious about the amount of paper still used and are highlighting opportunities for adoption of digital tools.
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Judy Martin
Program Mgr. Clinical Informatics, System
Sharp HealthCare
Coronado CA
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Original Message:
Sent: 01-23-2023 23:38
From: Matthew Binder
Subject: Feb 8th Chapter Meeting and Board Election open for nominations!
Happy New Year members!
We have our first Chapter meeting of the year Wednesday February 8th at 530pm. Judy Marin, Program Manager, Clinical Informatics, Sharp Healthcare will be presenting "Hospital Scanning Reduction Project - ED Discharge Instructions Signature Page." You will earn 1 Free CE for this meeting. Please register :
http://community.ania.org/sandiego/ and mark your calendar!
Link for Flyer Also, we are having our board elections for the ANIA San Diego Regional Chapter. We are accepting applications / nominations starting now through the end of February! The chapter website has an announcement off to the left with the application and email to us! Please reach out to us here by email or a board member if you have any questions. Deadline for application Tuesday, Feb 28th.
Lastly, if you wish to present your topic, presentation, or project for an hour for one CE, we would love to have you after a chapter meeting!
Matthew
President, ANIA San Diego
*Remember to renew your ANIA membership!
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Matthew Binder BSN RN CCRN
Critical Care Nurse
Scripps Health
San Diego CA
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