The Wright Center for Graduate Medical Education took an unusual route to its 2015 Ambulatory Davies Award. HIMSS gives the award to organizations that both improve patient outcomes and demonstrate a return on investment. Winners typically use a major EMR vendor's solution, but in the case of the Wright Center, their technology was grown almost entirely in-house.

TWC uses Medent, which it describes as a basic platform that required considerable in-house customization. “It's a canned EHR, we call it,” says EHR manager Tiffany Jaskulski. “We have to program to do what we want.”

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