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Hospital Universitari Son Espases

Hospital Universitari Son Espases improves EHR workflows, physician documentation

In late 2016, staff at Hospital Universitari Son Espases (HUSE), an 816-bed hospital located in Mallorca on the Balearic Islands off the Spanish coast, identified workflows that needed improvement.

They found that patient data, including vital signs, laboratory results, medication and allergy information, was dispersed across different areas of the electronic health record (EHR). With the information not centrally located, it took clinicians time to retrieve and review patients’ results.

“Not only was the data dispersed, our reports and orders were also dispersed,” said Antonio Moreno, MD, neurologist. “We also had problems with how we documented in PowerForms.”

In January 2017, HUSE leadership began working with Cerner to implement workflow MPages® and Dynamic Documentation™ into the EHR. This implementation is referred to among HUSE leadership as “the DynDoc Project.”

From January to November 2017, the DynDoc Project was implemented across the hospital in four phases. Phase one consisted of creating templates and workflow specifications by position. Phase two involved implementing preparation and training planning. In phase three, leaders released MPages and Dynamic Documentation to the neurology, general surgery, and internal medicine departments for training and adoption.

In the final phase, the solutions were implemented in rheumatology, outpatient clinics, oncology, and endocrinology for training and adoption.

“HUSE has a good relationship with Cerner, because they have helped us make a lot of changes in our daily workflows and how we work with the EHR,” said Moreno.

Since implementation, the number of documents signed within Dynamic Documentation increased from nearly 2,000 in May 2017 to more than 7,000 in October 2017.1 The number of diagnoses charted in the EHR increased by 23 percent.2 HUSE leadership also reported that average clinician time spent documenting in the EHR, per patient, decreased by 25 percent.3

“Ten years ago, a patient would go visit the doctor, and the doctor would spend time looking for a paper record of what happened before, while trying to figure out why the patient is there now,” said Moreno. “Today, when the patient enters the office, doctors know what happened and can focus more time on the patient visit. All of this is possible with the EHR.

“We can use these tools within the EHR to give better attention to the patient.”

1 Data pulled from Lights On Network®

2 Data pulled from Lights On Network. Based on percent of outpatient encounters with diagnoses, from 1 percent in March 2017 to 24 percent in October 2017.

3 From 21 minutes, 53 seconds in 2016 to 16 minutes, 10 seconds in 2017

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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.