Streamline Charting for General Nursing Postpartum and Newborn Visits
St. Croix County Public Health completed a quality improvement (QI) project focused on increasing efficiency of daily operations, specifically public health nurse (PHN) documentation time. The health department had recently transitioned into a Results Only Work Environment (ROWE). While examining the goals (desired results) of the General Postpartum/Newborn Home Visit Program, PHNs began questioning the program’s documentation process. Data were being entered into a system that was no longer used to measure outcomes, resulting in duplicate charting. The PHNs involved in the program organized as a QI team and set an aim statement with a goal to decrease PHN charting time for this program by 25%. The PHNs used a fishbone diagram to identify root causes and a new documentation process. This new process was found to reduce PHN documentation time by 37%. The health department adopted the proposed change and incorporated it into a new documentation policy and procedure.
Reyzer, S. Public Health Quality Improvement Exchange. Streamline Charting for General Nursing Postpartum and Newborn Visits. Fri, 03/29/2013 - 19:34. Available at http://phqix.org/content/streamline-charting-general-nursing-postpartum-and-newborn-visits. Accessed April 14, 2021.