Use of information technology applications for drug ordering, medication alerts and other tasks varies widely among U.S. hospitals, according to a survey to be released Tuesday in... Hospitals & Health Networks, the journal of the American Hospital Association, the Wall Street Journal reports. The study -- which measured IT use among physicians, nurses and pharmacists -- was conducted through a partnership of Hospitals & Health Networks, IDX Systems, Accenture and the College of Healthcare Information Management Executives. To determine the 100 "most wired" hospitals and health systems in the United States, researchers reviewed 502 surveys representing 1,255 hospitals. The report also identifies the 25 most-improved, the 25 most-wireless and the 25 most-wired small and rural hospitals.
Findings
Researchers found that physicians at 41% of the most-wired hospitals use computerized systems for drug ordering, compared with 27% of all hospitals surveyed and 8% of the 100 least-wired hospitals. In addition, 28% of all prescription drug orders at the most-wired hospitals were electronic, up from 27% in 2004 and more than twice the average of all hospitals surveyed. At the least-wired hospitals, less than 2% of medication orders were entered electronically. Electronic medication alerts also are more common at the most-wired hospitals, according to the report. In an independent analysis, conducted by Solucient, researchers compared mortality rates for the most-wired hospitals with other hospitals and found that health systems that have invested significantly in IT have risk-adjusted mortality rates that are 7.2% lower than other hospitals. However, researchers said the analysis does not establish a causal relationship between IT and mortality rates. Alden Solovy, executive editor of Hospitals & Health Networks, said, "Clinical IT is not the sole salvation of a hospital's quality, but taken in context and applied directly, information technology is a very powerful tool" (Kawakami, Wall Street Journal, 7/12).
The rankings are available online.
An "Ask The Experts" on health IT with Jill Braden Balderas, managing editor of kaisernetwork; David Brailer, national coordinator for health IT; Winston Price, president of the National Medical Association; and Dean Rosen, director of health policy for Senate Majority Leader Bill Frist (R-Tenn.), is available online at kaisernetwork.
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Findings
Researchers found that physicians at 41% of the most-wired hospitals use computerized systems for drug ordering, compared with 27% of all hospitals surveyed and 8% of the 100 least-wired hospitals. In addition, 28% of all prescription drug orders at the most-wired hospitals were electronic, up from 27% in 2004 and more than twice the average of all hospitals surveyed. At the least-wired hospitals, less than 2% of medication orders were entered electronically. Electronic medication alerts also are more common at the most-wired hospitals, according to the report. In an independent analysis, conducted by Solucient, researchers compared mortality rates for the most-wired hospitals with other hospitals and found that health systems that have invested significantly in IT have risk-adjusted mortality rates that are 7.2% lower than other hospitals. However, researchers said the analysis does not establish a causal relationship between IT and mortality rates. Alden Solovy, executive editor of Hospitals & Health Networks, said, "Clinical IT is not the sole salvation of a hospital's quality, but taken in context and applied directly, information technology is a very powerful tool" (Kawakami, Wall Street Journal, 7/12).
The rankings are available online.
An "Ask The Experts" on health IT with Jill Braden Balderas, managing editor of kaisernetwork; David Brailer, national coordinator for health IT; Winston Price, president of the National Medical Association; and Dean Rosen, director of health policy for Senate Majority Leader Bill Frist (R-Tenn.), is available online at kaisernetwork.
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