Single Sign On: Saving time and improving efficiency
Al Jalila Children’s is the first dedicated children’s hospital in the United Arab Emirates. The state-of-the-art medical facility was created under the directives of His Highness Sheikh Mohammed bin Rashid Al Maktoum, vice president and prime minister of the UAE, and ruler of Dubai, to affirm his belief that all children should have an equal opportunity for success in life, and the treatment of children suffering from illness or disease should not be subject to geographical chance. In 2016, the hospital made a strategic partnership with Cerner Middle East to manage its IT services and implement world-class electronic health record (EHR) system, Cerner Millennium®.
Initially, all clinicians in the hospital were given two separate user credentials: one to access the computer and another one to access Cerner applications. Every time they required access to a medical record, they needed to log into both the computer and Cerner Millennium applications individually. This led to an unnecessary delay and additional steps or clicks required before reaching the desired patient chart. In addition to this, the computer and Millennium applications are secured after a period of inactivity requiring clinicians to log in again whilst they are busy with patients and the computer is idle for few minutes. This caused unnecessary delays in returning to the patient chart they were working on. Occasionally, clinicians may forget their login credentials as they had to memorize two different user credentials for both the computer and Cerner applications. Precious time spent on all these tasks could have been used for other important tasks of care delivery.
The total time taken to access the patient chart was between two minutes 27 seconds, and three minutes 21 seconds on average when computer is switched off. An average of ten clicks was required to reach the patient record.
To save time for clinicians, improve the user experience, and enhance efficiency of the EHR access workflow, a single sign-on (SSO) solution was implemented across the hospital. The solution consists of a sign-on device, encrypted ID card and software integrated with Millennium applications. The solution enables clinicians to access the EHR with a single tap on the SSO device attached to the computer using their staff ID card. This bypasses typing in different user credentials and making unnecessary clicks, allowing users near-instant access to various applications.
The solution eliminates the need for multiple entries of user logins and re-authentications into the EHR system, multiple steps to access the applications and wait times for the appropriate applications to be accessed. It provides a quick system of access, allowing clinicians to promptly get to the point of productivity, saving time and improving the patient care delivery experience.
”For the anesthesia team it is a great step forward, as we’re working in so many different environments and have to use so many different computers to do our daily work with Cerner.
Manual logins are very time consuming, especially if the screen locks while we’re busy with the patient and then coming back for documentation.
It’s mainly time saving. We can deal more with appropriate documentation in the HIS or we have more time dealing with our patient.”
- Dr. Alexander Klingmann, pediatric anesthesiologist, Al Jalila Children’s Specialty Hospital
The solution improved efficiency of the EHR access workflow by reducing the amount of time spent and the number of clicks required by clinicians to access the patient chart each time. Clinicians can now access the system and lock sessions simply by tapping their ID badges on the sign-on device attached to their workstations.
In addition, clinicians can access the same patient chart they were working on either in the same workstation or any other in the hospital. This provides clinicians with easy access to the required information when they need it which in turn improves efficiency of clinical care delivery.