UCSF Center for Healthcare Value - Caring Wisely 2.0

Crowd-sourcing innovative cost savings ideas from the front lines of care delivery systems

Liberalizing scanning of OSH records into APEX to unit clerks

Idea Status: 

Problem: Inefficient mgmt of scanning records/paperwork into APEX at UCSF


Issue: Currently (to my knowledge), only the Admissions office at Parnassus and Mt Zion has the technical capability and authority to scan pertinent paperwork (advance directives, POLST forms, OSH records, etc) into a pt's APEX record (presumedly this is to standardize input and limit excess scanning).  Given the lack of transparency of this process, most staff and providers are unaware of this (and/or do not have the time to go down to Admissions, esp to ensure high-yield labeling of records in the column headings), and subsequently:

(1) records received frequently never get scanned into APEX (and lead to repeat requests on subsequent admissions, wasted printed paper, and/or time wasted searching for these in the paper charts);

(2) consultants/other team members either duplicate this work or are reliant on the person requesting the records to accurately transcribe pertinent findings into their notes

 

Idea: Training all unit clerks to be able to scan records into authorized scanners. This (in addition to better advertising the Care Everywhere option), would likely improve the highly inefficient process providers currently need to navigate, improve patient care, and decrease staff time/resources.

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