The nation’s "Most Wired" hospitals are making progress towards greater health information technology adoption, especially in terms of computerized physician order entry, according to Hospitals & Health Networks’ 2011 Most Wired Survey results.
The 2011 Most Wired Survey was conducted in cooperation with <a href="/directory/mckesson" target="_blank" class="directory-item-link">McKesson</a> Corporation, HIT Exchange, the College of Healthcare Information Management Executives (CHIME) and the American Hospital Association. The survey was conducted between Jan. 15 and March 15, and asked hospitals and health systems nationwide to answer questions regarding their IT initiatives. Respondents completed 530 surveys, representing 1,388 hospitals -- roughly 24 percent of all U.S. hospitals.
[See also: Most Wired 2010 and news.com/news/most-wired-hospitals-2009-named">Most Wired 2009]ong><br />
As a field, hospitals are focused on expanding and adopting certain kinds of IT, such as computerized physician order entry (CPOE), to promote improved patient care and data collection. Most Wired hospitals have made great strides forward in this area with the survey results revealing strong advances in CPOE.
Among other key findings of this year's survey:
- Sixty-seven percent of Most Wired hospitals ordered medications electronically, in comparison to 46 percent of the total responders. Fifty-eight percent of all organizations reported that they have implemented computerized standing orders based on treatment protocols that have been scientifically proven to be effective; in the Most Wired group, 86 percent have implemented such standing orders.
- A greater reliance on digital records puts pressure on chief information officers (CIOs) to ensure data can be restored quickly in the event that systems go down. Eighty-two percent of the Most Wired hospitals and 57 percent of all surveyed hospitals can restore clinical data within 24 hours after a power loss.
- Most Wired hospitals are leading in the use of encryption on movable devices to safeguard information. All Most Wired hospitals encrypt data for laptops and 76 percent encrypt smartphones, in comparison to 85 percent of total responders that use encryption on laptops and 57 percent on smartphones.</li>
<p>"Greater adoption of IT can bring important new tools to our efforts to improve the safety and quality of care in hospitals, and better coordinate care across settings," says Rich Umbdenstock, president and CEO of the AHA. "To promote further use of information technology, we are aggressively working to remove regulatory barriers, and provide clarity in areas such as the meaningful use criteria."
Strides are also being made in the integration of the electronic health records with digital clinical imaging, according to survey results. Progress in the areas of digital dictation, structured reporting and voice recognition with picture archiving and communication systems is also being made. Under these systems, clinicians receive faster diagnostic results that can improve aspects of patient care.
"Most hospitals look beyond short-term drivers of meaningful use and view technology as part of a powerful toolkit to support their long-term goals for clinical quality improvement and preparation for reform," said Patrick Blake, executive vice president and group president, McKesson Technology Solutions, a sponsor of the survey. "Using all aspects of an electronic health record, including CPOE, is becoming the expected standard of care in many communities. As a result, we continue to see growth in those areas."
Click to the next page to see a full list of Most Wired 2011 winners.
Click this image to see a data visualization of the Most Wired hospitals distributed by state:
The 2011 Most Wired List
Advocate Health Care in Oak Brook, Ill.
Allina Hospitals & Clinics in Minneapolis
AnMed Health in Anderson, S.C.
Anne Arundel Medical Center in Annapolis, Md.
Atlantic Health System in Morristown, N.J.
Aurora Health Care in Milwaukee
Banner Health in Phoenix
Baptist Health South Florida in Coral Gables, Fla.
Baton Rouge (La.) General Medical Center
Battle Creek (Mich.) Health System
Battle Creek (Mich.) VA Medical Center
Baystate Health in Springfield, Mass
Beaufort (S.C.) Memorial Hospital
Beckley (W.Va.) VA Medical Center
Berkshire Health Systems in Pittsfield, Mass.
Blanchfield Army Community Hospital in Fort Campbell, Ky.
Bon Secours Richmond (Va.) Health System
Bridgeport (Conn.) Hospital
Cancer Treatment Centers of America in Schaumburg, Ill.
Carilion Clinic in Roanoke, Va.
Carolinas HealthCare System in Charlotte, N.C.
Centra in Lynchburg, Va
CentraState Healthcare System in Freehold, N.J.
Children's Medical Center in Dallas
Children's Memorial Hospital in Chicago
Christ Hospital in Cincinnati
Cincinnati Children's Hospital Medical Center
Citizens Memorial Healthcare in Bolivar, Mo.
Community Health Network in Indianapolis
Covenant Health in Knoxville, Tenn.
Crittenton Hospital Medical Center in Rochester, Mich.
Crozer-Keystone Health System inSpringfield, Pa.
Deaconess Medical Center in Spokane, Wash.
Denver Health & Hospital Authority
Detroit Medical Center
Elliot Health System in Manchester, N.H.
Emory Healthcare in Atlanta
Fort Madison (Iowa) Community Hospital
Franklin Memorial Hospital in Farmington, Maine
Geisinger Health System in Danville, Pa.
Genesis Health System in avenport, Iowa
Grand View Hospital in Sellersville, Pa.
Greenville (S.C.) Hospital System University Medical Center
Greenwich (Conn.) Hospital
Hampton (Va.) VA Medical Center
Harris County Hospital District in Houston
Hartford (Conn.) Hospital
HCA in Nashville
HealthAlliance Hospital in Leominster, Mass.
HealthPartners in Bloomington, Minn.
Henry County Health Center in Mount Pleasant, Iowa
Hunterdon Healthcare System in Flemington, N.J.
Inova Health System in Falls Church, Va.
Intermountain Healthcare in Salt Lake City
Jackson Health System in Miami
Lake Chelan (Wash.) Community Hospital
Lawrence (Kan.) Memorial Hospital
Lehigh Valley Health Network in Allentown, Pa.
Lowell (Mass.) General Hospital
Loyola University Medical Center in Maywood, Ill.
Madigan Army Medical Center in Tacoma, Wash.
Maimonides Medical Center in Brooklyn, N.Y
Main Line Health in Bryn Mawr, Pa.
Maine Medical Center in Portland, ME
Mason General Hospital in Shelton, Wash.
Massena (N.Y.) Memorial Hospital
Mayo Clinic in Rochester, Minn.
MedCentral–Mansfield (Ohio) Hospital
MedCentral–Shelby (Ohio) Hospital
MedStar Health in Columbia, Md.
Memorial Hermann Healthcare System in Houston
Memorial Sloan-Kettering Cancer Center in New York City
Memorial University Medical Center in Savannah, Ga.
Mercy Medical Center in Cedar Rapids, Iowa
Meridian Health in Neptune, N.J.
Meriter Hospital in Madison, Wis.
Methodist Health System in Dallas
Methodist Medical Center of Illinois in Peoria, Ill.
MidState Medical Center in Meriden, Conn.
Ministry Saint Clare's Hospital in Weston, Wis.
Montefiore in Bronx, N. Y.
MultiCare Health System in Tacoma, Wash.
Nemaha County Hospital in Auburn, Neb.
Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del.
North Mississippi Health Services in Tupelo, Miss.
NorthShore University HealthSystem in Evanston, Ill.
Northwestern Memorial Hospital in Chicago
Oklahoma Heart Hospital South Campus in Oklahoma City
Oklahoma Heart Hospital in Oklahoma City
Orlando (Fla.) Health
Health Othello (Wash.) Community Hospital
Otsego Memorial Hospital in Gaylord, Mich.
Palmetto Health in Columbia, S.C.
Peninsula Regional Medical Center in Salisbury, Md
Poudre Valley Health System in Fort Collins, Colo.
Providence Holy Family Hospital in Spokane, Wash.
Providence Mount Carmel Hospital in Colville, Wash.
Providence Sacred Heart Medical Center & Children's Hospital in Spokane, Wash.
Providence St. Joseph's Hospital in Chewelah, Wash.
Pullman (Wash.) Regional Hospital
Richard L. Roudebush VA Medical Center in Indianapolis
Riverside Health System in Newport News, Va
Rush University Medical Center in Chicago
Saint Francis Hospital and Medical Center in Hartford, Conn
Saint Joseph Medical Center in Mishawaka, Ind.
Saint Luke's Health System in Kansas City, Mo.
Salem (Va.) VA Medical Center
Sauk Prairie Memorial Hospital & Clinics in Prairie du Sac, Wis.
Sentara CarePlex Hospital in Hampton, Va.
Sisters of Mercy Health System in Chesterfield, Mo.
Spooner (Wis.) Health System
St. Joseph's Hospital Health Center in Syracuse, N.Y.
St. Luke's Magic Valley Regional Medical Center in Twin Falls, Idaho
St. Luke's Rehabilitation Institute in Spokane, Wash.
St. Vincent's Birmingham (Ala.)
Stanford (Calif.) Hospital & Clinics
Stony Brook (N.Y.) University Medical Center
Summa Health System in Akron, Ohio
Texas Health Resources in Arlington, Texas
ThedaCare in Appleton, Wis.
Truman Medical Centers in Kansas City, Mo.
Unity Health Center in Shawnee, Okla.
University Health System in San Antonio
University Health Systems of Eastern Carolina in Greenville, N.C.
University of California Davis Health System in Sacramento
University of California San Diego Health System
University of Illinois Medical Center in Chicago
University of Iowa Hospitals & Clinics in Iowa City
University of Kansas Hospital in Kansas City
University of Missouri Health Care in Columbia
University of New Mexico Hospitals in Albuquerque
University of Pittsburgh Medical Center
University of Wisconsin Hospital and Clinics in Madison
UT Southwestern Medical Center in Dallas
VA Mid-Atlantic Health Care Network (VISN 6) in Durham, N.C.
VA Northeast Region 4 in Albany, N.Y.
VA Palo Alto (Calif.) Health Care System
VA Region 3, Office Information & Technology in Ann Arbor, Mich.
VA Southeast Network—VISN 7 in Duluth, Ga.
Valley Hospital and Medical Center in Spokane Valley, Wash.
Valley Hospital in Ridgewood, N.J.
Vanderbilt University Medical Center in Nashville, Tenn.
Veterans In Partnership Healthcare Network (VISN 11) in Ann Arbor, Mich.
Via Christi Health in Wichita, Kan.
W. G. (Bill) Hefner VA Medical Center in Salisbury, N.C.
Washington DC VA Medical Center in Washington, D.C.
WellStar Health System in Marietta, Ga.
White River Junction (Vt.) VA Medical Center
Whitman Hospital & Medical Center in Colfax, Wash.
William W. Backus Hospital in Norwich, Conn.
Womack Army Medical Center in Fort Bragg, N.C.
WVU Healthcare in Morgantown, W.Va.
Yale–New Haven Hospital in New Haven, Conn.
Click on next page to see The Most Wired-Small and Rural list.
The Most Wired–Small and Rural
Broadlawns Medical Center in Des Moines, Iowa
Carson City (Mich.) Hospital
Central Peninsula Hospital in Soldotna, Alaska
CGH Medical Center in Sterling, Ill.
Columbia Memorial Hospital in Astoria, Ore.
Concord (N.H.) Hospital
Coulee Medical Center in Grand Coulee, Wash.
Dublin (Ohio) Methodist Hospital
Duncan (Okla.) Regional Hospital
Elizabethtown (N.Y.) Community Hospital
Evergreen (Ala.) Medical Center
Kewanee (Ill.) Hospital
Lincoln Hospital & North Basin Medical Clinics in Davenport, Wash.
Marshall County Hospital in Benton, Ky.
Memorial Healthcare in Owosso, Mich.
Mercy Hospital Cadillac (Mich.)
Mid-Valley Hospital in Omak, Wash.
Munson Medical Center in Traverse City, Mich.
Sarah Bush Lincoln Health System in Mattoon, Ill.
St. Elizabeth Hospital in Enumclaw, Wash. Sunnyside (Wash.) Community Hospital
Trinity Health in Minot, N.D.
Tri-State Memorial Hospital in Clarkston, Wash.
Union Hospital Clinton (Ind.)
Union Hospital in Dover, Ohio
Click on the next page to see the 2011 Innovator Award winners.
The 2011 Innovator Award Winners
Avera Health in Sioux Falls, S.D.
Baptist Health South Florida in Coral Gables
Program: A Hotline to Health Care
University of Pittsburgh Medical Center (UPMC)
Program: Online eVisits: Increasing Convenience with Reduced Cost for Patients and Providers
The 2011 Innovator Award Finalists
Lehigh Valley Health Network in Allentown, Pa.
Program: Nontraditional Pain Management, A Cool Alternative
Lehigh Valley Health Network in Allentown, Pa.
Program: TeleBurn Evolution
Texas Health Resources in Arlington
Program: Reducing Venous Thromboembolism Using Clinical-Decision Support
Additional coverage of the Most Wired Innovator Award recipients will appear in the August issue of H&HN.
Click on the next page to see Most Improved hospitals.
The 2011 Most Improved List
Akron (Ohio) General Medical Center
Aspirus Wausau (Wis.) Hospital
Barnes-Jewish Hospital in Saint Louis
Carle Foundation Hospital in Urbana, Ill.
Central Maine Medical Center in Lewiston, Maine
Chester County Hospital in West Chester, Pa.
Children’s Hospital Colorado in Aurora
Cooper University Hospital in Camden, N.J.
Exeter (N.H.) Health Resources
Gaston Memorial Hospital in Gastonia, N.C.
Gundersen Lutheran in La Crosse, Wis.
Guthrie Health in Sayre, Pa.
Hallmark Health in Melrose, Mass.
Hancock Regional Hospital in Greenfield, Ind.
John D. Dingell VA Medical Center in Detroit
Kaiser Permanente in Oakland, Calif.
Knapp Medical Center in Weslaco, Texas
Northwest Community Hospital in Arlington Heights, Ill.
Ohio State University Medical Center in Columbus
Renown Health in Reno, Nev.
Samaritan Healthcare in Moses Lake, Wash.
Union Hospital in Terre Haute, Ind.
University of Arkansas for Medical Sciences in Little Rock
VA Central California Health Care System in Fresno
Wake Forest Baptist Medical Center in Winston-Salem, N.C.