The University of South Alabama Medical Center (USA) engaged Hit That Noggin to optimize the inpatient provider experience for the Children’s and Women’s Hospital General Pediatrics group.
USA’s General Pediatrics content was outdated and had been inadequately designed when initially implemented. Their workflow mPages weren’t functional due to poor integration with corresponding Dynamic Documentation templates, among other issues. A provider could not have feasibly started and finished an admission, progress, or discharge note without navigating multiple times outside the workflow mPage to other portions of the chart. Their group had largely stopped using the workflow mPages and instead were directly opening their note template to complete documentation.
project timeline: 6 months
We began the project by analyzing the gaps between USA’s current configuration and Cerner’s standard content. This gap analysis was paired with initial planning meetings where we gathered specific pain points and needs from providers within the General Pediatrics group. We adopted an approach where we incorporated Cerner Model where it made sense to do so and supplemented it in places where the client’s needs superseded standard configuration.
We continued to hone and refine the General Pediatrics workflow through weekly meetings with the HTN project team and subject matter experts. This included nine different residents, mid-levels, and attending physicians from their group; engaging with a diverse group allowed us to gather a broad spectrum of ideas and opinions as well as spread the providers’ project time commitment more evenly to avoid creating a burdensome time commitment for any individual provider.
Throughout the course of the project we also collaborated with numerous ancillary groups that are key to the General Pediatrics group’s patient care. It was integral to our success that we didn’t silo our project team and instead approached the optimization with a broader focus to ensure cohesion with all the care providers that the General Pediatrics group works in coordination with.
During three different go-lives we iteratively deployed our new content. This allowed us to introduce new functionality and meet education needs at a pace that was manageable for our providers. Each go-live was followed by a period of go-live support where we documented, troubleshot, and resolved issues in real time. After updates were deemed stable we conducted extensive handoff meetings with USA’s IT department to ensure they understood the changes made in the domain and how to maintain the new configuration.
Hit That Noggin:
- Implemented three optimized General Pediatrics workflow mPages for admission, progress, and discharge documentation. Included new Shared Content components allowing providers share their ROS, Hospital Course, Plan, PE, and Patient Instructions across users.
- Created new structured documentation for specialized intake assessments.
- Implemented a new Nursing Discharge Workflow for nursing users to create an integrated Patient Instructions document.
- Created English and Spanish versions of the Patient Instructions Dynamic Documentation template.
- Updated Quick Orders mPage contents based off of provider ordering behavior audits.