Journal of Healthcare Management - March/April 2014 - (Page 138)

J o u r n al of H ealt H care M anage Ment 59:2 M arcH /a pril 2014 How much time do clinical practitioners spend documenting? The perceptions regarding the amount of time spent documenting provide insight into the workload for each role in the organization. Answers for selection were provided in 0.5-hour increments; thus, mean values were not calculated. Wide variation in the amount of time spent authoring documentation was found across both the IP and ED settings. Bedside RNs reported the largest burden of documenting, with 62% of respondents indicating that they document more than 3 hours per day. This group is followed by prescribers, of whom 40% indicated that they document more than 3 hours per day. Managers perceived that they spend the least amount of time documenting, with 59% reporting that they document 1 hour or less per day. To evaluate and better understand the impact that type of unit and team member work location can have on the perceived differences in time spent reviewing and documenting, we subcategorized respondents by work area. We found no statistically significant difference among the amount of time spent reviewing or documenting in the EHR between five subcategories: ancillary, critical care, step-down, medical/ TA B L E 4 Inpatient Clinician Use of Information Accessed From the EHR (%) Prescribers RN-Bedside Ancillary Discharge Planners Overall Make clinical decisions for patient 95 86 69 50 80 Evaluate response to treatment 84 77 70 50 70 Review other disciplines' documentation 84 66 66 62 67 Understand plan of care 68 75 79 81 72 Understand overall condition 83 85 94 89 84 Effectively communicate and collaborate 81 82 81 96 80 Learn more about patient 65 80 83 62 72 Plan for discharge 58 56 39 92 51 Regulatory requirements 11 25 8 37 21 Review and sign off 28 25 36 12 19 Patient medication list 46 49 15 46 39 To give report 10 52 56 4 28 Order clarification 20 44 25 39 34 138

Table of Contents for the Digital Edition of Journal of Healthcare Management - March/April 2014

Journal of Healthcare Management - March/April 2014
Contents
Interview With Marna P. Borgstrom, FACHE, President and Chief Executive Officer, Yale New Haven Health System, and Chief Executive Officer, Yale-New Haven Hospital, Connecticut
Specialties: Missing in Our Healthcare Reform Strategies?
Costs and Benefits of Transforming Primary Care Practices: A Qualitative Study of North Carolina’s Improving Performance in Practice
Governing Board, C-suite, and Clinical Management Perceptions of Quality and Safety Structures, Processes, and Priorities in U.S. Hospitals
Use of Electronic Health Record Documentation by Healthcare Workers in an Acute Care Hospital System
Why Hospital Improvement Efforts Fail: A View From the Front Line

Journal of Healthcare Management - March/April 2014