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Electronic Medical Record Adoption Model (EMRAM)SM

Facilitate your progress towards paperless.

This is a critical time for health IT. Hospitals and other eligible providers have until 2015 to demonstrate meaningful use of certified Electronic Medical Record (EMR) technology before being penalized. In order to qualify for incentive payments under ARRA, providers must use certified EMRs. Vendors of EMR systems or EMR modules must ensure their products have the features and functionality to be certified, and to enable meaningful use.

Unsure of where to begin? Start by analyzing your situation, charting your accomplishments and comparing your progress. HIMSS Analytics has devised the EMR Adoption Model, an 8-step process that allows you to track your progress against healthcare organizations across the country and view all scores in the HIMSS Analytics® Database.

United States EMR Adoption Model SM
Stage Cumulative Capabilities 2013 Q4 2014 Q1
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 2.9% 3.1%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 12.5% 13.3%
Stage 5 Closed loop medication administration 22.0% 24.2%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 15.5% 15.7%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 30.3% 27.7%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 7.6% 7.2%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 3.3% 3.2%
Stage 0 All Three Ancillaries Not Installed 5.8% 5.6%
Data from HIMSS Analytics® Database ©2012 N = 5458 N = 5449
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 2013 Q4 2014 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 0.6% 0.6%
Stage 5 Closed loop medication administration 0.0% 0.5%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.8% 3.6%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.2% 32.5%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 29.1% 28.9%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.5% 14.5%
Stage 0 All Three Ancillaries Not Installed 19.8% 19.4%
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.
US Ambulatory EMR Adoption Model SM
Stage Cumulative Capabilities 2013 Q4
Stage 7 HIE capable, sharing of data between the EMR and community based EHR, business and clinical intelligence 4.33%
Stage 6 Advanced clinical decision support, proactive care management, structured messaging 3.27%
Stage 5 Personal health record, online tethered patient portal 5.58%
Stage 4 CPOE, Use of structured data for accessibility in EMR and internal and external sharing of data 0.76%
Stage 3 Electronic messaging, computers have replaced the paper chart, clinical documentation and clinical decision support 11.39%
Stage 2 Beginning of a CDR with orders and results, computers may be at point-of-care, access to results from outside facilities 27.29%
Stage 1 Desktop access to clinical information, unstructured data, multiple data sources, intra-office/informal messaging 37.64%
Stage 0 Paper chart based 9.73%
Data from HIMSS Analytics® Database ©2013
N = 23,241
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.

Free to all providers, EMRAM scores may be obtained through participation in the HIMSS Analytics Annual Study. Once you have your EMRAM score, you can:

  • Begin to meet application requirements and become operational stage by stage, working toward the final level, Stage 7
  • Compare your progress with other organizations, and also across departments within your organization
  • Align IT initiatives with your overall business strategy and shape strategy for future IT investments

Ready to move your organization forward and get your
FREE EMRAM score?
Find out more about participating in the Annual Study.

“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

Learn more about the EMR Adoption Model, how it is used and its advantages. Watch the Video.
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.