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 | 2011 Q3 | 2011 Q4 |
|---|---|---|---|
| Stage 7 | Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP | 1.1% | 1.2% |
| Stage 6 | Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS | 4.4% | 5.2% |
| Stage 5 | Closed loop medication administration | 7.1% | 8.4% |
| Stage 4 | CPOE, Clinical Decision Support (clinical protocols) | 13.2% | 13.2% |
| Stage 3 | Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology | 46.1% | 44.9% |
| Stage 2 | CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable | 12.6% | 12.4% |
| Stage 1 | Ancillaries - Lab, Rad, Pharmacy - All Installed | 5.9% | 5.7% |
| Stage 0 | All Three Ancillaries Not Installed | 9.6% | 9.0% |
| Data from HIMSS Analytics® Database ©2012 | N = 5299 | N = 5337 | |
| Canada EMR Adoption Model SM | |||
| Stage | Cumulative Capabilities | 2011 Q3 | 2011 Q4 |
|---|---|---|---|
| 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 | 0.2% | 0.2% |
| Stage 4 | CPOE, Clinical Decision Support (clinical protocols) | 2.3% | 2.3% |
| Stage 3 | Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology | 34.5% | 36.5% |
| Stage 2 | CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable | 22.0% | 20.4% |
| Stage 1 | Ancillaries - Lab, Rad, Pharmacy - All Installed | 14.4% | 14.5% |
| Stage 0 | All Three Ancillaries Not Installed | 26.2% | 25.6% |
| Data from HIMSS Analytics® Database ©2012 | N = 641 | N = 641 | |
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
