HE Williams has put out an LED patient room fixture that has ambient and examination lighting levels. The LEDs are by Philips and have a 5 year warranty. Also included:
1. 100 footcandle on the bed in exam mode
2. Optional, integral emergency
3. Anti-microbial powder coat paint
http://hewilliams.com/lighting%20guide/LGV41479.pdf
And the fixture are Made in the USA! Call me if you would like me to bring a sample over.
-Shad