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Proactively Tracking and Improving Chart Closure Rates
St. Charles Health System

Proactively Tracking and Improving Chart Closure Rates

St. Charles discovered charting backlogs that were flying under the radar and started tracking closure rates and adjusting workloads to help providers stay on top of the load.

Created in partnership with St. Charles Healthcare

Publish Date: 04/05/2023

Cost to Implement:  0 - No Cost

Time to Implement:  0 - 6 Months

Program Goals

  • Track charts closed with 72 hours and hold providers accountable to that standard
  • Adjust workload to make charting more manageable

Organization Outcomes

  • Advanced practice providers at 98th percentile for more than 50% same-day ambulatory chart closure
  • Providers at 81st percentile for less than five hours a week of at-home charting

Collaborative-Verified Best Practices

  • Clinician Relationships & Communication
  • Shared Ownership and Governance

Keys to Success

  • Proactively track chart closure rates and follow up with providers who are falling behind
  • Adjust in-basket workload by specialty and location
  • Pool in-basket and patient messages to equitably distribute the workload

What St. Charles Health System Did

St. Charles Healthcare (St. Charles) created a transparent reporting system to track chart closure rates and adjusted workflow burdens to make in-basket burdens more equitable.

How St. Charles Health System Did It

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Clinician Relationships and Communication, Shared Ownership and Governance

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These perspectives are shared to facilitate better collaboration and communication between members of the Arch Collaborative. We encourage organizations to thoughtfully adjust their current operations based on their own experience, the findings of this research, and other complementary sources of information.

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Arch Collaborative case studies are focused on highlighting success that Collaborative participants achieve with or through healthcare technology. They are meant to briefly advertise member success and act as starting points for ongoing communication and collaboration between member organizations.

Case studies are typically published when (1) a verified outcome is recorded (and often verified through the Collaborative survey) and (2) the approach or steps to achieving that outcome aren’t commonly known and would be helpful to other organizations.

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