University of Iowa Hospital and Clinics and Lakeland HealthCare in St. Joseph, Mich., are the third and fourth delivery systems to win 2014 Enterprise Davies Awards for excellence in use of health information technology, particularly electronic health records.

HIMSS in recent days also honored Truman Medical Centers in Kansas City, Mo., and Marina Salud in Spain with Enterprise awards, as well as bestowing a Community Health Organization Davies Award to Community Health Centers Inc. of central Florida.

Three-hospital Lakeland HealthCare became fully operational on an Epic EHR by early 2012 and during the next two years generated a return on investment of nearly $22 million, according to a case study submitted to HIMSS. Quality of care improvements include: cutting transcription related adverse drug events from 30 prior to the EHR to 0 in 2013; raising immunization tracking rates from 25 percent in October 2011 to 39 percent two years later; decreasing sepsis mortality by seven percent three months after implementation; improving radiation safety with software that prompted 26 imaging cancellations or changes in about a year; identifying patients due for a prostate specific antigen (PSA) test; and decreasing the fall rate by nearly 12 percent and falls with injury by 24 percent in 2012.

University of Iowa Hospitals and Clinics is using data analytics and nearly 500 best practice alerts, significantly reducing instances of venous thrombosis, sepsis and pneumonia, according to its case study. Adverse drug events have fallen sharply, adherence to pediatric immunization guidelines are up 50 percent, compliance with CMS Surgical Care Improvement Project measures rose from 32 percent in 2007 to 96 percent in 2012, preoperative antibiotic order errors were reduced by 71 percent, and surgical history and physicals compliance increased from less than 50 percent to 98 percent.

More information and case studies are available here.

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