In late November, I hosted a webinar on Advanced eSignature Solutions for Cerner. Clinicians from more than 700 hospitals – or about 42 percent of Cerner’s client base – registered for the event.


The webinar kicked off with us polling participants about how they administer Informed Consents in their hospitals. You can read the results of the three-question survey here.

I then talked about the varying degrees of electronic signature solutions found in hospital Registration departments.

Lose the lamination

For some, eSignature means the Registration Clerk determines which forms to show a patient, they then give the patient laminated copies of the documents, and finally, they ask the patient to sign their name in a blank box on an LCD screen. Kinda like what you sign at the cash register of your favorite department store.

In the webinar, I refer to this as “signature disassociation.” After all, patients don’t really know what they’re signing. They see a laminated form with critical financial details, and they’re asked to trust that the signature they’re placing in that blank box is truly associated with that laminated form.

Not exactly the peak of confidence or patient experience, right? In fact, some might say using an LCD at Registration actually stands for “lowest common denominator” when it pertains to eSignature technology.

We believe it’s time for hospitals to raise their eSignature standards. So how can a hospital go from LCD to MVP? Great question!

First, we think it starts with tossing out the LCD devices and laminated Consents that foster signature disassociation.

Instead, hospitals should provide digital copies of the entire form on a patient-facing monitor or on a tablet that a patient can hold. This lets them read and interact with the form before they sign. And, because they see their signature actually applied to the electronic form, there’s no feeling of disassociation.

Another way hospitals can raise their eSignature standards? With electronic forms that are auto-selected.

The Registration Clerk can be a high-turnover position in a hospital, which means a lot of training and re-training. Access solves this with a workflow that auto-selects the required hospital forms based on the patient data entered by the Registration Clerk. There’s no need for new – or long-time – employees to remember which form must be signed by which patient.

Lose the leash

In the Cerner webinar, I shared another limiting factor of using LCDs at Registration: motion. As in, there are no stops and starts allowed with basic eSignature technology.

It doesn’t take a medical degree to know that hospitals are a hive of activity and that sometimes, things don’t go according to plan – like getting a patient to sign all their forms before leaving Registration.

An LCD isn’t mobile. In fact, it’s more like a leash because it has to be tethered to a workstation on wheels.

But I’m happy to say there are enough good eSignature technology solutions out there — and, yes, of course Access is chief among them! — where you can lose the leash and take full advantage of the mobility benefits tablets offer.

Using the tablet, clinicians simply scan the patient’s bar-coded wristband. Then, presto! Any patient forms that remain from the registration process automatically populate on the tablet for digital signature.

With just a quick scan, patients can pick up electronically signing documents right where they left off – even if they’re now being treated at the beside.

Go from LCD to MVP

If your hospital relies on an LCD screen for its electronic signature solution, or if you’re just getting started on a paperless path, Access can help you go to the next level.

Contact us to learn how our eSignature solution at Registration can take you from LCD to MVP, and save your hospital time, money and resources, just like other top health care providers are already doing.

Did you miss the Cerner webinar? You can still listen here. Want to attend future Access webinars? Tell us.


Cody Strate

Written by Cody Strate

For more than 10 years, Cody has helped healthcare organizations worldwide eliminate the costs and risks of paper through e-forms and e-signature solutions. In addition to helping others achieve their paperless goals, Cody finds time to put his biochemistry degree to work in the kitchen testing out new recipes on his unsuspecting family.