SHM Converge Scientific Abstract ePoster Gallery-Implementation of Ehr Documentation Tool for Bedside Interdisciplinary Rounds

Pdf Summary

This project describes the design and pilot implementation of a real-time EHR documentation tool, the “FIT Navigator,” used during bedside interdisciplinary rounds at UC San Diego Health.<br /><br />The goal was to make key information discussed during rounds immediately available in the electronic record while also supporting three broader aims: improving communication of care plans and discharge needs, monitoring fidelity to the Focused Interdisciplinary Team (FIT) rounding model, and assessing effects on patient flow and care quality.<br /><br />A multidisciplinary team from hospital medicine, nursing, IT, and transformational healthcare created a simple embedded navigator with click-box fields to document:<br />- whether FIT rounds occurred and who attended,<br />- invasive device de-escalation considerations,<br />- the medical reason for continued hospitalization,<br />- patient flow issues such as level of care, discharge barriers, and estimated discharge date.<br /><br />Two clinical nurse leaders entered data during rounds using a laptop workstation or tablet. The tool was piloted for five months on two hospital medicine units, largely serving oncology and palliative care patients.<br /><br />The pilot found the navigator easy to use and not disruptive to clinical discussion. It helped ensure quality measures were addressed for all patients, allowed non-attendees to review round content, supported charge nurses with discharge planning and staffing, and made it easier to identify opportunities for retraining or resource advocacy. Over the pilot period, patient flow metrics improved, including better estimated discharge date accuracy and a reduction in average length of stay.<br /><br />Overall, the project concluded that integrating an EHR-based documentation tool into bedside interdisciplinary rounds can strengthen rounding fidelity, improve access to care plan information, and support quality improvement efforts.

Asset Subtitle

Constance R. Chace

Meta Tag

Author List Constance R. Chace, Daniel Bouland, Emma Hilbourn, Eric Lundin, Lilian Chan, Maryann Dobrota, Paula Aragon, Pedro Ramos, Sarah Horman, Wendy Floren

Category Innovations

Concept Electronic Health Record

Concept Patient Flow

Concept Estimated Discharge Date

Concept Length of Stay

Concept Documentation Tool

Distinguished Non-Finalist

Presenter Organization UC San Diego

Presenting Author Constance R. Chace

Track Technology in Hospital Medicine

Keywords

EHR documentation tool

FIT Navigator

bedside interdisciplinary rounds

electronic health record

care plan communication

discharge planning

patient flow

rounding fidelity

length of stay

quality improvement

Electronic Health Record

Patient Flow

Estimated Discharge Date

Length of Stay

Documentation Tool