Handling more than 1 million patient visits each year, including more than 100,000 in its emergency department—rated as one of the busiest in the nation— Cleveland’s MetroHealth System prides itself on providing high-quality care, enabled by health information technology.

The integrated health system has been a pioneer in the implementation and use of healthcare IT. In fact, it was the first public health system in the country to install an Epic electronic health record; it went live with the system in 1999 and was fully deployed enterprise-wide in 2009 throughout all ambulatory clinics, inpatient areas, and the ED.

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