Ambulatory EMR Adoption ModelSM
The waiting is over…
The A-EMRAM is the next generation tool in monitoring EMR adoption in ambulatory settings. This new evaluation model creates a framework for dialogue among your key stakeholders. It helps you focus on key IT systems that need to be implemented for achieving higher levels of access, quality, efficiency and safety.
|
Stage
|
Cumulative
Capabilities
|
2012
Q4 |
2013
Q1 |
| Stage 7 |
Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP |
1.9%
|
1.9%
|
| Stage 6 |
Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS |
8.2%
|
9.1%
|
| Stage 5 |
Closed loop medication administration |
14.0%
|
16.3%
|
| Stage 4 |
CPOE, Clinical Decision Support (clinical protocols) |
14.2%
|
14.4%
|
| Stage 3 |
Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology |
38.3%
|
36.3%
|
| Stage 2 |
CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable |
10.7%
|
10.1%
|
| Stage 1 |
Ancillaries - Lab, Rad, Pharmacy - All Installed |
4.3%
|
4.2%
|
| Stage 0 |
All Three Ancillaries Not Installed |
8.4%
|
7.8%
|
|
Data from HIMSS Analytics® Database ©2012
|
N = 5458 |
N = 5441 |
|
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.
|
|
Stage
|
Cumulative
Capabilities
|
2012
Q4 |
2013
Q1 |
| 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 |
0.5%
|
0.5%
|
| Stage 5 |
Closed loop medication administration |
0.3%
|
0.3%
|
| Stage 4 |
CPOE, Clinical Decision Support (clinical protocols) |
2.3%
|
2.2%
|
| Stage 3 |
Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology |
33.8%
|
33.6%
|
| Stage 2 |
CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable |
25.3%
|
26.9%
|
| Stage 1 |
Ancillaries - Lab, Rad, Pharmacy - All Installed |
14.8%
|
14.8%
|
| Stage 0 |
All Three Ancillaries Not Installed |
23.0%
|
21.7%
|
|
Data from HIMSS Analytics® Database ©2012
|
N = 640 |
N = 640 |
|
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.
|
|
Stage
|
Cumulative
Capabilities
|
2013 Q1 |
| Stage 7 |
HIE, data sharing with community based EHR, robust business and clinical intelligence |
0.96% |
| Stage 6 |
Advanced CDS, proactive care management, population health management |
1.2% |
| Stage 5 |
Patient engagement |
5.17% |
| Stage 4 |
CPOE, physician documentation with CDS, external data exchange |
0.69% |
| Stage 3 |
E-prescribing, nursing documentation, medication reconciliation, CDS |
10.06% |
| Stage 2 |
CDR, access to results from outside facilities |
27.67% |
| Stage 1 |
Access to clinical information, unstructured data, multiple data sources |
4.51% |
| Stage 0 |
Paper chart based |
49.75% |
Data from HIMSS Analytics® Database ©2013
|
N = 18,318
|
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.
|
Designed for the unique needs of the ambulatory setting.
HIMSS Analytics created the A-EMRAM due to a combination of compliance, market trends and healthcare delivery factors impacting your ambulatory setting today.
- More than 70% of all healthcare activities involve a face-to-face physician visit
- More than 26% of healthcare expenditures relate to ambulatory care
- Incentive-eligible facilities have a methodology for demonstrating meaningful use
- A new industry metric will help ‘push the market’ towards Stage 7 with available software from leading edge suppliers
Software and healthcare providers reviewed the A-EMRAM during its development providing valuable feedback to HIMSS Analytics. This guidance helped establish realistic and achievable metrics for each stage. Just as with hospitals, HIMSS Analytics will conduct on-site visits to verify the Stage 7 ranking.
How to get started.
A-EMRAM scores may be obtained through your participation in the HIMSS Analytics Annual Study. Once you have your A-EMRAM score, you can:
- Start meeting application requirements and become operational stage by stage, working toward the final level, Stage 7
- Compare your progress with other ambulatory facilities
- Align IT initiatives with your overall business strategy and shape strategy for future IT investments
- Map your progress in meeting meaningful use requirements to gain funding
Visit our FAQs to learn more.
Ready to move your facility forward and get
your A-EMRAM score?
E-mail or call us at 866.546.2900.
