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Annual Study

Stay ahead of the curve.

Participation in the Annual Study gives you exclusive access to a database of the most accurate and current market intelligence available in the nation. This data is available only to participating providers, data you can use to improve processes and advance your organization.

Completing the study also gives you an EMR Adoption ModelSM score, your special ranking you can work against in the pursuit of achieving meaningful use.

Annual Study Insights

  • The Annual Study collects information systems data relating to software and products and hardware inventory, and answers to specialty questions relating to clinician use of healthcare information technology.
  • The study relates the current status of EMR implementation of more than 5,300 healthcare providers nationwide. The aggregate information is de-identified and shared with other healthcare providers who also complete the study to enable and encourage collaboration as well as advance healthcare IT initiatives overall.
  • Departments may work together to streamline completion of the study, and HIMSS Analytics offers one-on-one personal assistance to help guide you through the study process/answer questions/offer options to streamline completion.

The Annual Study Advantage

Achieving operational efficiency takes a thorough plan, superior tools and clear vision. You need to be able to spot trends and opportunities, and deliver insight for advancements and planning. When you participate in HIMSS Analytics’ Annual Study, you’ll receive a wealth of valuable resources that can enrich your view of healthcare IT and take your organization to the next level, including:

  • Your EMRAM Score
  • An ARRA Hospital Scorecard
  • Benchmarking Reports
  • Up to four Market Intelligence Reports
  • Software Market Share and Software Installation Status Report
  • Three chapters of The Essentials of the US Hospital IT Market
  • The Annual Report of the US Hospital IT Market

Visit our FAQs to learn more.

United States EMR Adoption Model SM
Stage Cumulative Capabilities 2014 Q2 2014 Q3
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 3.2% 3.4%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 15.0% 16.5%
Stage 5 Closed loop medication administration 27.5% 29.5%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 15.3% 14.5%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 25.4% 23.9%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 5.9% 5.3%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 2.8% 2.5%
Stage 0 All Three Ancillaries Not Installed 4.9% 4.4%
Data from HIMSS Analytics® Database ©2014 N = 5447 N = 5453
PLEASE NOTE: These graphics are an abbreviated version of the HIMSS Analytics EMR Adoption Model. All organizations must secure permission to post our model on any public notices and to obtain their score they must complete the HIMSS Analytics study prior to validation of their score.
Canada EMR Adoption Model SM
Stage Cumulative Capabilities 2014 Q2 2014 Q3
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 0.0% 0.0%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 0.6% 0.6%
Stage 5 Closed loop medication administration 0.5% 0.6%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.6% 3.4%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.5% 32.1%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 28.9% 29.5%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.5% 14.6%
Stage 0 All Three Ancillaries Not Installed 19.4% 19.1%
Data from HIMSS Analytics® Database ©2014 N = 640 N = 638
PLEASE NOTE: These graphics are an abbreviated version of the HIMSS Analytics EMR Adoption Model. All organizations must secure permission to post our model on any public notices and to obtain their score they must complete the HIMSS Analytics study prior to validation of their score.
US Ambulatory EMR Adoption Model SM
Stage Cumulative Capabilities 2014 Q3
Stage 7 HIE capable, sharing of data between the EMR and community based EHR, business and clinical intelligence 4.37%
Stage 6 Advanced clinical decision support, proactive care management, structured messaging 6.92%
Stage 5 Personal health record, online tethered patient portal 6.88%
Stage 4 CPOE, Use of structured data for accessibility in EMR and internal and external sharing of data 1.16%
Stage 3 Electronic messaging, computers have replaced the paper chart, clinical documentation and clinical decision support 11.36%
Stage 2 Beginning of a CDR with orders and results, computers may be at point-of-care, access to results from outside facilities 30.24%
Stage 1 Desktop access to clinical information, unstructured data, multiple data sources, intra-office/informal messaging 33.20%
Stage 0 Paper chart based 5.86%
Data from HIMSS Analytics® Database ©2014
N = 27,081
We expect the % distribution across the stages to fluctuate until our sample size includes all tethered ambulatory facilities.

PLEASE NOTE: These graphics are an abbreviated version of the HIMSS Analytics EMR Adoption Model. All organizations must secure permission to post our model on any public notices and to obtain their score they must complete the HIMSS Analytics study prior to validation of their score.

To participate in the Annual Study contact us at: 866-546-2900 or itexec.services@himssanalytics.org.

Why should you participate in the Annual Study?
Because the more you put in, the more you get out.

“HIMSS Analytics’ EMR data helps us explain and justify plans and initiatives with upper management.” – Jim Begin, Director of Information Technology at Golden Valley Memorial Hospital



More Insight and Intelligence!
Download the
Annual Study Sell Sheet
If you are a healthcare provider and would like more information on how to obtain your hospital’s EMRAM score, e-mail us or call us at
866-546-2900.