How we helped Horizon Hospice Slash Documentation Time and Boost Patient Capacity
Spokane's top-rated hospice was facing a burnout crisis fueled by documentation. By partnering with Moonset Health, they eliminated 1-3 hours of charting per nurse, per day, dramatically improving job satisfaction and allowing for an immediate increase in patient caseloads.
Results at a Glance
Time Saved
1-3 hours per nurse, per day
Productivity
Up to 15% increase in patient caseload capacity per nurse
Staff Adoption
Rapidly became the new standard of practice
Key Outcome
Reduced nurse burnout and improved retention
A Legacy of Compassion
For nearly three decades, Horizon Hospice has been a pillar of compassionate, high-quality hospice care in Spokane, Washington. As the city's sole 5-star-rated hospice and Washington's #1 provider for in-home care minutes, Horizon's commitment to patient-first service is unparalleled. However, a hidden operational crisis threatened the very foundation of their care model: the administrative burden on their nursing staff.
The "Time Tax" on Patient Care
Despite Horizon’s best-in-class care, its nursing staff was drowning in documentation. The standard industry EMR systems, coupled with rising regulatory requirements, created a significant administrative bottleneck. This "time tax" had severe consequences:
Nurse Burnout: Charting consumed hours of personal time, stretching into evenings and weekends and stealing time away from family and rest.
Delayed Documentation: Nurses were often forced to save all documentation for the end of a long day, increasing the risk of inaccuracies and potential compliance issues.
Mission Drift: Frustration was widespread. As leadership recognized, nurses join hospice to care for people in their most vulnerable moments, not to battle cumbersome software.
"At Horizon, we’ve always prioritized quality of care. When I saw how much time nurses were losing to charting, it felt like the system was stealing time away from what matters most—patients and families. Moonset gave us a way to change that almost overnight."
— Dan Renz, Chief Operating Officer, Horizon Hospice
AI Charting Built for Humans
Horizon partnered with Moonset Health to implement an advanced AI-powered charting solution specifically engineered for the hospice environment. The goal was to remove the technology barrier between nurses and patients.
Moonset Health's intuitive AI assistant acts as an ambient clinical scribe. It securely listens to the nurse-patient conversation during a visit and automatically generates a comprehensive, accurate, and compliant clinical note. This seamless process allowed nurses to:
Eliminate After-Hours Charting: Documentation is completed moments after a visit, not hours later.
Focus on the Patient: Maintain eye contact and human connection without the distraction of a screen or keyboard.
Ensure Accuracy and Compliance: The AI captures detailed information, ensuring every note is thorough, audit-ready, and meets rigorous standards.
A Transformative Impact on Care and Culture
The adoption of Moonset Health's AI charting solution delivered immediate and profound results across the organization.
1. Immediate Time Savings: 1-3 Hours Reclaimed Per Nurse, Per Day
Within weeks, nurses using the solution reported saving between one and three hours daily. This translated to over 10 hours per week of reclaimed time, effectively eliminating the need for after-hours charting and drastically reducing administrative fatigue.
2. Measurable Productivity Gains
The time savings were reinvested directly into patient care. One case manager, Mia, found the efficiency gains so significant that she could expand her personal mission.
"I’ve been able to add two more patients to my caseload and still get everything done on time. Moonset’s AI helps me focus on my patients—not paperwork."
— Mia, Case Manager Nurse
3. Streamlined Critical Workflows
The admissions process, one of the most documentation-intensive workflows in hospice, was revolutionized. The ability to generate notes quickly and accurately allowed admissions nurses to be more present and supportive for families during a critical time.
"Admissions are one of the most critical and documentation-heavy parts of our work. Moonset has made the process faster and smoother, which lets me focus on the family in front of me."
— Jennifer, Admissions Nurse
4. Enhanced Morale and Staff Retention
The impact on job satisfaction was overwhelming. Nurses credited the AI solution as a primary factor in reducing burnout. The tool quickly went from a pilot program to an indispensable part of the daily workflow for a majority of the staff, who embraced it with enthusiasm. As multiple nurses stated, "AI is the future of charting."