How Bridgeway Senior Healthcare Turned Progress Notes From a Burden Into a Clinical Asset

The challlenge

When Progress Notes Get Written From Memory

Progress notes are a crucial part of the daily work in a skilled nursing facility (SNF):

1. They give the whole clinical team a clear and granular picture of each resident's condition, so care can be adjusted appropriately.
2. They serve as the official legal record for the provided care.
3. CMS reviews them to check whether Medicare Part A claims are medically necessary.

Despite their importance, progress notes are a burden in most SNFs. Nurses spend their shifts with residents, then sit down to document after shift handoff, writing notes from memory. As they write everything at once, the progress notes are short, lack detail and the pressure to finish before the shift officially ends comes on top.

Jason Dugenio, CIO at Bridgeway Senior Healthcare, describes the challenge in the webinar: “Our nurses were documenting at the end of the shift, from memory, at a workstation that pulled them away from residents. The note gets written hours after the care happens, and every one of those hours costs you accuracy and detail.”

The problem with this approach: The time gap between care and documentation costs accuracy and completeness, meaning they also couldn’t always fulfill their actual purpose. Like most operators, Bridgeway had treated the end-of-shift note as the cost of doing business. Until they found voize.

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The solution

Documenting at the Bedside, Not After the Fact

voize is the AI companion for nurses that enables them to document right at the point of care. A nurse speaks what happened right after it happens, and voize captures it, structures it, and writes it directly into the EHR. For progress notes, that approach makes a huge difference.

Andrew Badayos, Director of Nursing at Bridgeway, gives a real-life anecdote: “One of my nurses documented four medication refusals over a single day, each one captured with voize right after it happened. Read together, they told the whole story of how she managed that resident, and gave us what we needed to revisit the care plan.”

Jason explains why this is so important: “That's the difference between a note that says 'refused meds' and a record that shows a pattern. One is a checkbox. The other is what a physician, a surveyor, or a Medicare auditor actually needs to see. It’s a complete, defensible picture of how that resident was managed, and it's exactly what the care team needs to decide whether the plan has to change.”

Better documentation means better, more coordinated care for residents. It also puts the facility in a stronger position for the next CMS survey and for defending its Medicare claims.

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The collaboration

Side by Side From Day One

Go-live at Bridgeway started weeks before June 1st, with early buy-in from the clinical team led by the Director of Nursing. “I've watched good technology fail because it arrived on the floor as an IT decision. This one arrived as a nursing decision. The DON led it, the nurses saw it weeks before go-live, and some started using it before onboarding was finished. That's what buy-in actually looks like", as Jason says.

The rollout stayed narrow by design: three workflows, 15 nurses trained across the first few days, and the voize team on the floor for the entire first week. Some nurses started using voize on their own before formal onboarding had even wrapped up.

Fabio Schmidberger, voize CEO, underlines the importance of being close to the team on the floor: “We've done hundreds of successful implementations, so we know what successful change management requires. Being on the floor with the team is the best way to understand the challenges of each facility and make sure that voize actually serves the nurses.”

Since then, Bridgeway and voize have rolled out new functionalities and workflows step by step. The more the AI companion can do, the more the nurses can focus on providing the best care for the residents.

Curious what voize can do in your facility? Book a demo now.

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