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Uniontown Hospital

Transcription costs cut by more than an estimated $200,000

Leaders at Uniontown Hospital in Uniontown, Pennsylvania knew they needed to make a change within their documentation process. Providers spent too much time documenting patient notes, while the hospital paid too much for a third-party transcription service. After working with Continuous Advancement Services, the hospital began saving more than an estimated $200,000 per year using Dynamic Documentation™.

In July 2017, 185 users began using the solution. Continuous Advancement Services worked with Uniontown leaders to develop four specialty workflows to use with Dynamic Documentation to optimize chart review methods and help staff create new notes.

Dynamic Documentation benefited our staff by allowing all caregivers, and even case managers, to review documentation in near real-time,” said Linda Burstynowicz, MD, executive director of medical services.

Switching to Dynamic Documentation ended Uniontown staff’s reliance on paper notes and reduced the amount they paid a third-party transcription service to transcribe notes.

“Margins are tight in every hospital, so costs need to be monitored,” said Kathy Simpson, executive director of revenue cycle.

Estimates show that over the course of a year, Uniontown Hospital will save more than $206,000 using the new transcription method.1

“It was a direct, immediate and dramatic savings,” said Karen Keniston, director, health information management.

While saving time and money, the switch also helped improve patient care by allowing notes to quickly display in the electronic health record.

“Everyone doing direct patient care is now aware of what is going on with the patient at all times,” said Burstynowicz. “All the documentation is legible. Those are game changers and improve patient safety immensely.”

Prior to implementation, staff received training on the best ways to utilize the new solution and then received more help from Cerner coaches as they began the process. Uniontown Hospital leaders expect to see more staff utilize Dynamic Documentation, further reducing costs from a third-party transcription service.

“We’ll continue to refine it, and increase satisfaction with Dynamic Documentation,” said Keniston.

For more information on best documentation practices, please visit our Model Experience page.

1 Baseline of Aug. 16 – Nov. 15, 2017. Post-implementation data from Nov. 16, 2017 – Feb. 15, 2018.

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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.