Aiva Nurse Assistant

And the Dawn of Voice Charting

Today’s nurses are overburdened with administrative tasks in the EHR and other systems.  This burden detracts from the quality of patient care and adds to nursing overtime, but just as importantly it contributes to nurses’ stress, burnout and turnover.

Voice assistance is proven to streamline documentation tasks for physicians, but nurses unique needs have been ignored – until now.

Aiva Nurse Assistant is an all-in-one mobile app that reduces nurses' administrative burden by letting them use their voice to execute high-frequency tasks – starting with real-time charting but including many others.  The lighter burden allows nurses to spend more time on direct patient care, practice at the top of their license and bring back the joy to their work.

The Challenge for Nurses

A few numbers tell the story of how overwhelmed many nurses feel with all the tasks and systems they deal with every day.

  • Nurses document 600-800 data points in the EHR during a 12-hour shift. 1
  • US nurses spend 25% to as much as 41% of their shift on documentation. 2
  • Documentation burden is linked to clinician burnout. 3
  • 45% of inpatient nurses plan to leave their jobs in the next 6 months. 4

And it’s been getting worse, not better. Every year, nurses are asked to capture more types of data, handle more equipment and learn new types of interfaces.

“We’ve had a history in healthcare of pushing technology out to nurses without really ensuring it supports nursing workflow and practice,” says Kathleen Harmon, MS, RN, and Aiva’s Clinical Innovation Advisor, in a recent interview with AVIA Health. 5 “This can compromise adoption and leave nurses feeling frustrated and unsupported.”

The Challenge for Healthcare Systems

The problem of overburdened nurses hits hospitals at multiple levels – not only staff wellbeing and retention, as discussed earlier, but also patient satisfaction 6 and outcomes 7, staff wellbeing and retention, regulatory compliance and overtime cost.

Here, too, a few statistics point to the urgency of reducing the administrative load on nurses:
5% - 25%
Increase in patient satisfaction for every 25% increase in nurse satisfaction. 8
$56,300
Cost per bedside RN turnover. 9
86%
The portion of hospital CEOs cite RN shortage as major concern. 10
Up to
$70,000
Cost of non-compliance related to hospital-acquired pressure injury (HAPI). 11
30% - 45%
Increase in overtime as a percentage of total hospital labor cost. 12
Technology is needed to assist nurses, but the past 20 years has seen much more attention paid to physician needs, including voice documentation.  Today, health systems are starting to prioritize nurse' wellbeing and efficiency up there with doctors.

A Nurse-Built Solution

Aiva has worked with nurses from our hospital clients to develop a tool that reduces their administrative burden. Nurse Assistant is an AI powered mobile app that lets nurses use their voice to interact more quickly and easily with all of the systems on their unit.

“We're excited to finally have technology designed with nurses' needs in mind,” said Peachy Hain, Executive Director of Nursing at Cedars-Sinai Medical Center, which is piloting Nurse Assistant. “Our modeling suggests that Nurse Assistant will save our staff a lot of time on high-frequency charting tasks as well as other tasks like accessing patient data, setting reminders and controlling other systems we use throughout the day.” 13

For example, current projections suggest that documenting the repositioning of a patient could be reduced from 3 minutes today to 33 seconds using voice.

With Nurse Assistant, there’s no need to log or badge into a workstation, click your way down to the right patient, flowsheet and row and manually enter data.  You simply tell Assistant what you’re recording and confirm it and it then appears instantly in the correct flowsheet row -- with no need to go into the EHR later to submit the data.

Nurse Assistant also handles multiple commands across different flowsheets, so you can enter one data point at a time or as many as you like.

Integrations are the key

Aiva works with EHRs like Epic and Cerner, but charting is just one of the tasks Nurse Assistant tackles for nurses.  They can use conversational voice or text to interact with the types of systems shown below, most of which Aiva has been connected to for years.

How to Measure Success

Just as overburdening nurses hurts health systems in many ways, lifting that administrative burden helps in many ways as well.  Here is a look at how initial Aiva clients are planning to use Nurse Assistant and measure impact.

Streamlining these different tasks can make a meaningful impact.  Aiva created a Savings Calculator to estimate two areas of savings:  how much time Nurse Assistant can give back to staff and how much money a hospital can save by lowering turnover through reduced admin burden.

To see Nurse Assistant in action, watch this brief demo – shot in an actual Aiva client environment.

Getting Started

Aiva clients follow a similar playbook to deploy Nurse Assistant:

  • Identify the highest-frequency tasks to voice enable first.
  • Identify the first facility best-suited to adopt the Nurse Assistant mobile app.
  • Engage the Nursing Informatics and Interfaces teams to map Assistant commands to flowsheet rows.
  • Perform QA and then floor testing.
  • Train nurses and incorporate into ongoing nurse education.
  • Launch facility-wide.
  • Launch system-wide.

Deployments typically take 3 months.  Once Nurse Assistant is live, Aiva works with clients to expand to new units and add additional functionality.  In a short time, nurses are standardized on an easy, all-in-one app, saying goodbye to the screens and keyboards that kept them from direct patient care.

Learn More

Listen to AVIA Chief Insights Officer Sonia Singh interview Aiva CEO Sumeet Bhatia and Clinical Innovation Advisor Kathleen Harmon (MS, RN) about Aiva Nurse Assistant.

If you’re new to Aiva and want to learn more, please provide your contact info.

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