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
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Timeline Journey: Paper-based Documentation
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Notes Documentation Future Vision
Paper
Pros:
1
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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