From Document Burden to Documentation Excellence

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VP Care Transformation and Innovation

HCA Healthcare Corporation of America

William Dan Roberts, RN, APN, PHD

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

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Meet Our Speaker

William Dan Roberts

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Conflict of Interest

William Dan Roberts, RN, APN, PhD

Has no real or apparent conflicts of interest to report.

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Agenda

• Documents as the foundation of care delivery: Our History

• Manifesto of Easy: Electronic Records

• Realities of the Complexity of Purpose

• Time of Reckoning

• Future of Documentation

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Learning Objectives

• From our shared reality, discuss how documentation burden impacts the

future of nursing

• From futuristic visioning, outline how artificial intelligence and machine

learning are used to minimize documentation burden

• From our collective reckoning, discuss regulatory implications related to

documentation changes

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Timeline Journey: Documents to Documentation to Futuristic Vision

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Paper Electronic ProductionAdvanced

Computation

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Timeline Journey: Documents to Documentation to Futuristic Vision

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Notes Documentation Future VisionElectronic Records Data and Reporting Compliance Computation

Paper Electronic ProductionAdvanced

Computation

#HIMSS21

Timeline Journey: Documents to Documentation to Futuristic Vision

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Notes Documentation Future VisionElectronic Records Data and Reporting Compliance Computation

#HIMSS21

Timeline Journey: Paper-based Documentation

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Notes Documentation Future Vision

Paper

Pros:

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Keepers:

3

Cons:

2

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Timeline Journey: Electronic Documentation

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Future VisionElectronic Records Data and Reporting Compliance

Pros:

1

Keepers:

3

Cons:

2

Electronic

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Timeline Journey: Production Documentation

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Future VisionCompliance Computation

Production

Pros:

1

Keepers:

3

Cons:

2

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Timeline Journey: Computational-supported Documentation

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Future VisionComputation

Advanced Computation

Pros:

1

Keepers:

3

Cons:

2

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Timeline Journey: Computation to Transformation

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Future Vision

Advanced Computation

Care Transformation and Innovation

Opportunities for Our Future

#HIMSS21

Timeline Journey: Computation to Transformation

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Future Vision

Advanced Computation

Care Transformation and Innovation

Opportunities for Our Future

Pros:

1

Keepers:

3

Cons:

2

#HIMSS21

Burden and Futuristic Documentation

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Binding Core

Tenets

PERSON PROCESS

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Burden and Futuristic Documentation

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Binding Core

Tenets

PERSON COMPUTER

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Burden and Futuristic Documentation

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Binding Core

Tenets

PERSON COMPUTER

#HIMSS21

Burden and Futuristic Documentation

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Binding Core

Tenets

PERSON COMPUTER

#HIMSS21

Burden and Futuristic Documentation

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Binding Core

Tenets

Simplify Transactions

Support on Demand

Anticipate

Real-time

Choice

Context Uniqueness

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Questions

• What is your internalized vision? Is it anchored in “why” you do work?

• Can you connect the dots of the binding core tenets and your vision?

• Are we appropriately innovating to meet the shifting paradigms?

• Are you adequately prepared to be an informed challenger of the status quo?

You can reach me on Twitter @WmDanRoberts, where my views are exclusively my own, or on LinkedIn as William Dan Roberts, PhD

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