Kansas City, Mo.-based Truman Medical Centers and delivery system Marina Salud in Spain have won 2014 Enterprise HIMSS Davies Awards of Excellence for use of health information technology, particularly electronic health records.

The awards, given since 1994, are named in memory of Nicholas Davies, M.D., a practicing physician and a member of the Institute of Medicine’s Committee on Improving the Patient Record report that facilitated improvements in EHRs. Davies died in an airplane crash in 1991.

Truman Medical includes two hospitals totaling about 600 beds, with more than 50 outpatient clinics, behavioral health programs, a long-term care facility and the Jackson County health department. The safety net organization provides 11 percent of uncompensated care in Missouri.

Initiatives to improve care and outcomes, supported by EHRs and other technologies, include decreasing the percent of patients discharged with pressure ulcers from 5.67 percent to 0.58 percent, reducing development of venous thromboembolisms from 1.54 per 1,000 patient days to 0.36, a 40 percent reduction in patient falls and a 26 percent cut in adverse drug events, according to information the organization gave HIMSS.

Marina Salud serves the Marina Alta region of Spain on the Mediterranean coast. The organization includes a 206-bed hospital and 36 ambulatory facilities, treating 150,000 individuals on a per-capital basis.

Since the EHR was implemented in 2008, hospitalization rates for patients with congestive heart failure and CHF readmission rates have been cut by one-third. Hospitalizations and readmission rates for COPD patients also are significantly down.

A new scheduling system helped improve care coordination and consultation delays fell by 70 percent over a four-year period, according to the hospital. Adopting best practices reduced routine unnecessary X-rays of patients under age 60 by 95 percent. Other improvements: Sepsis mortality has fallen by 40 percent, all patients have nursing care plans initiated, auto-population of certain data elements cut the time it takes to generate discharge reports, and better integration saves 15 minutes when transferring a patient to a different unit.

HIMSS on Nov. 18 announced a Community Health Organization Davies Award to Community Health Centers Inc. of Central Florida. Additional Davies Awards are expected to be announced this month for ambulatory and public health organizations.

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