In Medical-Surgical and Telemetry units across both campuses (340 beds, ~120 nursing staff per shift), nurse managers spend 4+ hours per week manually reconciling patient handoff documentation across three disconnected systems, leading to delayed care transitions and an 18% error rate in shift-change orders, resulting in delayed discharges averaging 2.1 hours per patient, contributing to ED boarding and an estimated $1.8M annually in avoidable length-of-stay costs. The target is a unified handoff workflow where clinical documentation flows automatically between EHR, bed management, and nursing assignment systems — reducing reconciliation time to under 30 minutes and errors below 3%, within must integrate with existing epic ehr; cannot disrupt current bcma workflows; union contract limits mandatory training to 4 hours per quarter.
Owner: VP Clinical Operations