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Carolinas HealthCare System

Carolinas HealthCare System ED providers reduce time in EHR with improved charting efficiency

Carolinas HealthCare System leaders wanted to transition providers across 20 emergency departments (ED) — including academic, rural, trauma and urban facilities — to a more efficient electronic health record (EHR) experience. In March 2017, after running a pilot program for more than a year, the health system implemented ED LaunchPoint™ and Dynamic Documentation™ for providers and saw improvements with simpler access to ED-relevant information and charting. As of June 2017, providers spent 20 percent less time1 in the EHR per patient, despite a 6.4 percent increase in patient volume.

ED LaunchPoint presents ED patient information for emergency clinicians while saving time by eliminating clicks. This allows more focus on the patient and was one of several factors that helped the Charlotte, North Carolina health system decrease chart openings by 15 percent.

To ensure a successful implementation, the Carolinas team created a 15-minute web-based training (WBT) video; additionally, they monitored a pilot group of ED providers one month before implementation to identify problem areas.

“For all the feedback we've had over the years that the electronic health record (EHR) caused providers to spend more time in front of a computer documenting than they spend with patients, we have now definitively crossed that off the list of commentaries and given a minute and a half back per patient,” said Matthew Sullivan, MD, ED physician, associate chief medical informatics officer. “This was a tremendous effort from our team, and they did an outstanding job.”

Collaboration between the Cerner ED team and Carolinas staff allowed for effective execution of a successful implementation, becoming one of the largest groups — with more than 375 ED providers — using ED LaunchPoint and Dynamic Documentation.

“I think in the future what we’re going to see is people beginning to adopt new workflows and new tools, because there’s value to providers,” said Sullivan. “It provides value to their patients, staff, or to them. As soon as you can do that, I think everybody’s going to be a lot happier in their work, and that’s why I go to work every day.”

1Data pulled from Cerner’s Lights On Network®

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Client outcomes were achieved in respective settings and are not representative of benefits realized by all clients due to many variables, including solution scope, client capabilities and business and implementation models.