Case Study

Greater Baltimore Medical Center

Located in Towson, Maryland, Greater Baltimore Medical Center (GBMC) has served the Baltimore metro area since 1965. This full-service acute and sub-acute care facility has 310 beds and last year had 72,000 annual clinical outpatient visits, 65,000 emergency visits and 26,700 annual inpatient visits

Several years ago, GBMC decided to implement the OnBase enterprise content
management system from Hyland Software to get more patient documents into electronic
health records (EHRs). However, getting patient forms into this application required time
consuming, error-prone manual indexing. In addition, the hospital wanted to reduce its
forms-related cost and paper output, not to mention improving the patient experience by
minimizing the amount of information that patients must fill in at the point of registration.

To overcome its paper forms challenges and advance the EHR initiative, GBMC selected
an e-forms on demand solution from Access.

When an admissions clerk registers a patient in MEDITECH Magic, they simply click a
button and all the required forms are generated with patient demographics applied. This
means that patients no longer fill out redundant information on multiple forms.

“The Access system takes the burden off of our admissions staff because it automatically
assembles a forms packet based on patient and registration type,” says Cherie Patterson,
patient access applications trainer at GBMC.

In addition to pre-filling demographics on e-forms, the Access system applies bar codes
with unique patient and forms identifiers. The OnBase system recognizes these bar codes,
and sends the forms into the right place in the corresponding patient’s EHR.

“The bar-coded forms provided by the Access system removes the step of manually
indexing each paper form before it goes into Hyland OnBase,” Patterson says. “This saves
several minutes per patient packet, adding up to 455 work days saved each year."

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Taking E-Forms to the Next Level with Electronic Patient Signature

Since deploying Access’s e-forms on demand solution, the number of forms required at
registration and the complexity of these forms increased. One such new document is the
four-page permission acknowledgement form. This cut into the time and paper savings
provided by the Access system and inhibited the patient experience, prompting GBMC to
implement Access’s electronic patient signature solution.

Now, instead of sifting through the pages of their registration packet after they’ve filled
in their information, a patient simply goes to one of GBMC’s 20 cordless, battery-free
STU-500 signature tablets, provided by Wacom, the world’s leading provider of electronic
signature hardware, and applies their e-signature. The Access solution captures this, along
with biometric data, time and date information, and other data that proves this unique
patient authorized their forms in the admissions area.

“The combination of Access’s e-forms and electronic patient signature solutions and Wacom signature tablets has created a fast, paperless registration process,” Patterson says. “It has furthered reduced our paper costs, and several patients have commented on how much better their registration experience is now.”

Paper-Free Admissions

Instead of printing two copies of patient forms—one for the patient and one for their chart—
GBMC now asks if patients want a copy. Most say “no,” helping GBMC to save money
and reduce its environmental footprint even more than the existing savings achieved by
switching to e-forms on demand.

“With our Access and Wacom solution we’ve greatly reduced our paper output and waste,” Patterson says. “Ninety-seven percent of patients decline a copy of their forms packet, so there’s less inconvenience for them, too.”

Another plus of the Access and Wacom offering is that, unlike many e-signature setups,
it does not require third-party software to be installed and managed at each LCD pad.
A server-based approach makes it easy for GBMC to administer the solution. And as biometrics, time and date stamps, and other e-signature data is immediately accessible from a secure electronic repository, GBMC could easily provide this during an e-Discovery proceeding or audit, safeguarding the hospital. Signatures are tamper-proof, ensuring the integrity of patient data.

A Positive Vendor Relationship

Selecting top quality software is a must for hospitals, but the relationships they have
with vendors are equally important. Access and Wacom worked closely with GBMC to
determine its e-forms and electronic patient signature needs, and, according to Patterson,
continue to provide exemplary support

"Access and Wacom have proven products and great customer service,” she says. “We’re confident that they will continue to help us further our EHR project and paperless initiative.”


Download the Case Study

“The combination of Access’s eForms and electronic patient signature solutions and Wacom signature tablets has created a fast, paperless registration process.”


Quick Facts

Location: Towson, MD 

Integration: MEDITECH, Hyland OnBase, Wacom LCD pads

Focus: Filling paper gaps with HIS and ECM integration, bedside consent forms, mobility

Departments: Registration, admissions and clinical floors

Access solutions: Access Passport, Intelligent eForms, Electronic Signatures and Enterprise Integration


Elimination of manual forms indexing saves 455 workdays per year.

Combination of Access solutions and Wacom signature tablets creates a paperless registration and bedside consent process.

Adding electronic patient signatures to forms with prefilled demographics improves the patient experience.

Hospital now generates eForms on demand and patients almost always decline a physical copy.