An analysis of this year's Most Wired Survey results shows for the first time that hospitals leading the way in information technology also have better outcomes. They use a wider array of IT tools to address quality, they conduct a larger percentage of clinical transitions via IT, and a larger precentage of their physicians enter orders themselves.
The nation's 100 Most Wired hospitals and health systems have, on average, risk-adjusted mortality rates that are 7.2 percent lower than other hospitals. The conclusion is valid at the 99 percent confidence level and remains valid even after controlling the data for the size of the hospital and teaching status. However, the analysis does not establish a causal relationship between IT and outcomes.
Since the first release of Most Wired data in 1999, the editors of Hospitals & Health Networks have been asked if additional analysis of Most Wired as a benchmark group would show an association between implementation and use of IT and results. During the last five years, the magazine editors have worked. To address the question. This year's research has three major components.
For the seventh year, Hospitals & Health Networks has named the 100 Most Wired Hospitals and Health Systems. The list is based on responses to the Most Wired Survey and Benchmarking Study.
100 Most Wired
Most Improved
Most Wired-Small and Rural
Most Wireless
Innovator Awards
Past Winners
Figure 1. Full Adoption by Physicians
Figure 2. Access to CPOE
Figure 3. Medications Ordered Electronically
Figure 4. Medication Orders Matched Electronically
Figure 5. Full Adoption of Alerts
Figure 6. Physician Portals for Decision Support
Figure 7. Electronic Surveillance
Figure 8. 2005 Most Wired Survey Respondents vs. U.S. Hospitals
Figure 9. Scoring Distribution
H&HN appreciates the support of many individuals who contributed to the success of the Most Wired Survey and Benchmarking Study, the Innovator Awards and the research and analysis.
The 2005 survey is a joint project of H&HN, IDX Systems Corp., Accenture and the College of Healthcare Information Management Executives.
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This article first appeared in the July 2005 issue of H&HN magazine.