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Case Study

How Horizon Hospice Used Moonset to Reclaim Time and Boost Census Capacity

By partnering with Moonset Health, Horizon has increased its census capacity and reduced nurses' charting time. Many nurses reported a major reduction in the mental strain of charting.

Results at a glance

1–2 hrsSaved per nurse per day
MajorityStaff adoption rate
IncreasedCensus capacity

Key outcomes

  • Reduced documentation burden
  • Improved compliance accuracy
  • Increased focus on patients
  • More consistent notes across the team

Company

A Legacy of Compassion

Over the years, Horizon Hospice—Spokane's only 5-star rated hospice (as recognized by Medicare in May 2023)—noticed a growing challenge: charting demands only seemed to be increasing over the years. Despite advances in electronic medical records (EMRs), documentation remained a significant burden for nurses. Horizon wasn't alone in this; healthcare professionals everywhere are facing the same issue.

With the rapid evolution of AI, Horizon recognized an opportunity: could a modern, hospice-specific tool finally make charting easier, faster, and more accurate? They set out to find a solution that met a clear set of criteria: it had to be designed for the unique realities of hospice care, ensure the secure handling of sensitive information, and be easy for nurses to use.

By partnering with Moonset Health, Horizon took a major step forward. The results have been better than they imagined.

Challenge

The "Time Tax" on Patient Care

Like many healthcare organizations, Horizon had grown used to the ever-increasing "time tax" of documentation. Nurses routinely spent significant portions of their day completing charts, often long after visits had ended. This wasn't unique to Horizon; it was standard practice throughout the industry. Still, it was clear that the status quo needed to change.

Leadership saw that advances in AI presented a real opportunity to improve the nurse experience and elevate patient care. The challenge was finding the right tool to make it happen.

"We weren't interested in just any AI solution—there are plenty out there in healthcare. What we needed was a partner that deeply understood, and a tool that was designed for, the unique nuances and sensitivity of hospice work. Moonset stood out because it combined clinical understanding with exceptional user experience, airtight security, and a level of simplicity that made adoption seamless for our team."

Dan RenzCOO, Horizon Hospice

Solution

AI That Works Alongside Nurses

Horizon implemented Moonset Health's AI-powered charting assistant, designed specifically for hospice care. The tool listens securely during nurse-patient visits and then quickly generates accurate, compliant clinical notes, freeing nurses from their screens and allowing them to focus on care.

  • Faster Documentation

    The most mentally taxing parts of charting for most nurses (narrative notes) can be completed shortly after visits, not delayed until later.

  • Improved Compliance and Accuracy

    Real-time capture reduces reliance on clinician memory. Comprehensive AI quality assurance ensures all relevant body systems are charted and automatically detects clinically-evidenced decline.

  • More Focus on Patients

    Nurses can stay present with patients, without screen or notetaking distractions.

Results

Time, Satisfaction, and Patient Capacity

The adoption of Moonset Health's AI charting solution delivered immediate results across the organization.

1. Time Reclaimed & Improved Job Satisfaction

Most Horizon nurses report saving 1–2 hours per day when using Moonset. This has helped streamline their workday and reduce overall documentation load. In addition to time savings, the most consistent feedback Horizon nurses report is that Moonset alleviates the huge mental strain of charting, allowing them to devote more energy to their patients.

2. Increased Efficiency

Some of Horizon's nurses have, of their own volition, taken on a higher patient load because they know they can serve more patients without compromising care. One case manager regularly added more than three patients to her normal caseload while still being able to complete charting faster than before.

"I've been able to add three more patients to my caseload and still get everything done on time. Moonset's AI helps me focus on my patients, not paperwork."

Mia C., Case Manager

3. Better Admissions Experience

Admissions nurses found the tool especially helpful, given the heavy documentation demands of a hospice admission, and it is allowing them to be more present with families.

"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."

Jenny B., Admissions Nurse

Conclusion

A Huge Step Forward

Moonset has made a meaningful difference in the daily experience and capacity of Horizon's nurses and, thereby, in the care of Horizon's patients. By using Moonset, Horizon has taken a meaningful step toward improving nurse satisfaction, patient care, and operational efficiency.