Rolling Out Structured Evidence Across a Six-Hospital Network

Harrow District Health Network operates six hospitals across a single metropolitan region, each with its own charting conventions built up over two decades.

The rollout sequenced by department rather than by site, starting with critical care, where the cost of ambiguous documentation was already visible in daily rounds.

Fourteen months in, override rates on flagged findings dropped by a third — not because clinicians trusted the system more, but because they could finally see why it disagreed with them.