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Current EMRAMSM Scores

United States EMR Adoption Model SM
Stage Cumulative Capabilities 2014 Q1 2014 Q2
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 3.1% 3.2%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 13.3% 15.0%
Stage 5 Closed loop medication administration 24.2% 27.5%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 15.7% 15.3%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 27.7% 25.4%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 7.2% 5.9%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 3.2% 2.8%
Stage 0 All Three Ancillaries Not Installed 5.6% 4.9%
Data from HIMSS Analytics® Database ©2014 N = 5449 N = 5447
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 Q1 2014 Q2
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% 0.5%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.6% 3.6%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.5% 32.5%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 28.9% 28.9%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.5% 14.5%
Stage 0 All Three Ancillaries Not Installed 19.4% 19.4%
Data from HIMSS Analytics® Database ©2014 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 2014 Q2
Stage 7 HIE capable, sharing of data between the EMR and community based EHR, business and clinical intelligence 4.30%
Stage 6 Advanced clinical decision support, proactive care management, structured messaging 5.83%
Stage 5 Personal health record, online tethered patient portal 5.56%
Stage 4 CPOE, Use of structured data for accessibility in EMR and internal and external sharing of data 1.23%
Stage 3 Electronic messaging, computers have replaced the paper chart, clinical documentation and clinical decision support 11.42%
Stage 2 Beginning of a CDR with orders and results, computers may be at point-of-care, access to results from outside facilities 30.74%
Stage 1 Desktop access to clinical information, unstructured data, multiple data sources, intra-office/informal messaging 34.29%
Stage 0 Paper chart based 6.63%
Data from HIMSS Analytics® Database ©2014
N = 26,008
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.

EMR/SEHR Adoption Model Scores by Hospital Type, 2nd Quarter, 2014

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 5.2820 0.0800 7.0710 6.0310 209
NonAcademic 4.2397 0.0000 7.0710 4.3270 5,238
General Medical/Surgical 4.6562 0.0000 7.0710 5.1020 3,178
Others 3.7525 0.0000 7.0710 4.1430 2,269
Rural 3.7499 0.0000 7.0390 4.1830 1,193
Urban 4.4283 0.0000 7.0710 4.4200 4,254
IDS 4.3686 0.0000 7.0710 4.3600 3,653
Independent Hospital 4.0988 0.0000 7.0710 4.3000 1,794
Critical Access 3.7512 0.0000 7.0550 4.2035 1,340

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 2.4642 0.0560 6.0550 2.2790 75
NonAcademic 1.9695 0.0000 6.0710 2.1250 565
General Medical/Surgical 1.9570 0.0000 6.0710 2.1260 547
Others 2.4418 0.0560 6.0550 2.2100 93

EMR Scores by Bed Size, 2nd Quarter, 2014

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Bed Segment Mean Min Max Median Number
0-100 Beds 3.7972 0.0000 7.0710 4.1515 2,890
101-200 Beds 4.5566 0.0000 7.0710 5.0870 980
201-300 Beds 4.8738 0.0800 7.0710 5.1225 602
301-400 Beds 4.8735 2.1400 7.0710 5.1260 406
401-500 Beds 5.0200 2.2100 7.0710 5.1350 231
501-600 Beds 5.2983 3.1940 7.0710 5.1960 149
600+ Beds 5.3466 2.4500 7.0710 6.0470 189

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Bed Segment Mean Min Max Median Number
0-100 Beds 1.8185 0.0000 6.0160 2.0780 436
101-200 Beds 2.2649 0.0000 4.2850 2.1910 79
201-300 Beds 2.4157 0.0300 6.0710 2.2260 42
301-400 Beds 2.5393 0.1450 6.0470 2.2240 36
401-500 Beds 2.8458 0.0720 6.0550 3.1710 17
501-600 Beds 2.7818 1.1400 4.3240 3.0470 13
600+ Beds 2.8465 1.1150 4.3850 3.2080 17

EMR Scores by Region, 2nd Quarter, 2014

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Regions (U.S. Census Defined) Mean Min Max Median Number
East North Central 4.6458 0.0000 7.0710 5.0950 853
East South Central 3.8548 0.0000 7.0310 3.5100 455
Middle Atlantic 4.4091 0.0000 7.0710 4.3690 491
Mountain 3.9927 0.0000 7.0710 4.1530 437
New England 4.8320 0.0000 7.0630 5.1100 204
Pacific 4.4948 0.0000 7.0710 4.3785 594
South Atlantic 4.4299 0.0000 7.0710 4.3670 824
West North Central 4.2097 0.0000 7.0710 4.3940 722
West South Central 3.8522 0.0000 7.0710 4.1830 867

All Hospitals, 2nd Quarter, 2014

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All Hospitals Mean Min Max Median Number
Total 4.2797 0.0000 7.0710 4.3400 5,447

Expand for Canada»

All Hospitals Mean Min Max Median Number
Total 2.0275 0.0000 6.0710 2.1340 640

EMR Scores by State/Province, 2nd Quarter, 2014

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United States Mean Min Max Median Number
Alaska 4.1535 0.0210 6.0710 4.1605 18
Alabama 3.8169 0.0000 6.0630 4.1140 101
Arkansas 3.7572 0.0000 6.0710 4.1310 87
Arizona 4.5664 0.0000 7.0630 4.3530 88
California 4.4421 0.0000 7.0710 4.3375 392
Colorado 4.6770 0.0500 7.0710 5.0780 89
Connecticut 4.7116 1.0790 7.0630 4.3200 32
District of Columbia 3.6977 1.0000 6.0400 4.2940 11
Delaware 5.5390 3.1500 7.0470 6.0310 9
Florida 4.5258 0.0000 7.0710 4.3500 256
Georgia 4.1488 0.0290 7.0310 4.2725 156
Hawaii 4.2034 0.0050 7.0470 4.3500 23
Iowa 4.6685 0.0420 7.0710 5.1000 121
Idaho 3.8580 0.0690 6.0710 4.1340 42
Illinois 4.6306 0.0000 7.0710 5.1020 199
Indiana 4.4993 0.0000 7.0550 5.0950 151
Kansas 3.3311 0.0000 6.0630 4.1060 141
Kentucky 4.0612 0.0000 7.0310 3.4100 108
Louisiana 3.5851 0.0000 6.0710 3.4500 150
Massachusetts 4.7367 0.0000 7.0630 5.1260 81
Maryland 4.8264 1.0870 6.0710 5.1100 49
Maine 5.0129 3.2310 6.0710 5.1030 39
Michigan 4.6298 0.0050 7.0630 4.4120 154
Minnesota 4.8682 0.0050 7.0710 5.1300 136
Missouri 4.5333 0.0000 7.0630 5.0870 138
Mississippi 3.5292 0.0100 6.0710 3.4960 102
Montana 3.2257 0.0000 6.0710 3.6120 57
North Carolina 4.5315 0.0550 7.0630 5.0865 124
North Dakota 3.0499 0.0100 6.0710 3.4700 45
Nebraska 3.8663 0.0100 7.0080 4.1460 88
New Hampshire 4.4460 2.1400 6.0710 4.3820 27
New Jersey 4.5586 0.0000 6.0710 5.1180 87
New Mexico 3.7671 0.0000 6.0550 3.4940 39
Nevada 2.9768 0.0000 7.0160 3.3285 44
New York 4.5566 0.3250 6.0710 4.3680 199
Ohio 4.6197 0.0000 7.0710 5.1100 213
Oklahoma 3.7651 0.0050 6.0710 4.1130 122
Oregon 4.9529 0.0420 7.0710 5.1180 63
Pennsylvania 4.2025 0.0000 7.0710 4.2750 205
Rhode Island 5.2351 2.4450 6.0710 6.0320 11
South Carolina 4.0056 0.0000 6.0710 4.2820 75
South Dakota 4.5225 0.0210 6.0710 5.1000 53
Tennessee 3.9573 0.0000 6.0710 3.5210 144
Texas 3.9683 0.0000 7.0710 4.2700 508
Utah 3.8441 0.5950 6.0710 3.5800 51
Virginia 5.1377 0.0000 7.0710 5.1570 90
Vermont 5.5829 4.3360 6.0710 6.0115 14
Washington 4.5423 0.0050 7.0710 5.0585 98
Wisconsin 4.8897 1.1550 7.0710 5.1100 136
West Virginia 3.5677 0.0000 7.0710 3.6120 54
Wyoming 3.9590 0.0200 7.0390 4.1470 27
Proprietary & Confidential to HIMSS Analytics® LLC

Expand for Canada»

Province Mean Min Max Median Number
Alberta 2.6177 1.1150 3.1840 3.0870 97
British Columbia 2.4030 0.0180 6.0160 2.1910 81
Manitoba 0.6141 0.0000 4.3370 0.0770 67
New Brunswick 3.0578 2.1230 4.2310 3.1630 20
Newfoundland and Labrador 2.5795 0.0550 3.2380 3.1100 30
Northwest Territories 2.1210 2.1190 2.1270 2.1190 4
Nova Scotia 2.4957 0.1110 3.2230 2.1710 34
Nunavut 0.5025 0.0050 1.0000 0.5025 2
Ontario 2.7071 0.0000 6.0710 2.5730 123
Prince Edward Island 4.2850 4.2850 4.2850 4.2850 7
Quebec 1.3788 0.0000 4.2240 1.1410 114
Saskatchewan 0.8235 0.0000 2.0920 0.1200 59
Yukon Territory 3.1230 3.1230 3.1230 3.1230 2
Proprietary & Confidential to HIMSS Analytics® LLC

EMRAM Trended, Summary

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EMRAM Trended 2014 Q1 2014 Q2
Stage 7 3.1% 3.2%
Stage 6 13.3% 15.0%
Stage 5 24.2% 27.5%
Stage 4 15.7% 15.3%
Stage 3 27.7% 25.4%
Stage 2 7.2% 5.9%
Stage 1 3.2% 2.8%
Stage 0 5.6% 4.9%
Total Hospitals n = 5449 n = 5447

Expand for Canada»

EMRAM Trended 2014 Q1 2014 Q2
Stage 7 0.0% 0.0%
Stage 6 0.6% 0.6%
Stage 5 0.5% 0.5%
Stage 4 3.6% 3.6%
Stage 3 32.5% 32.5%
Stage 2 28.9% 28.9%
Stage 1 14.5% 14.5%
Stage 0 19.4% 19.4%
Total Hospitals n = 640   n = 640  

EMRAM, Year Over Year

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EMRAM Trended 2012 2013
Stage 7 1.9% 2.9%
Stage 6 8.2% 12.5%
Stage 5 14.0% 22.0%
Stage 4 14.2% 15.5%
Stage 3 38.3% 30.3%
Stage 2 10.7% 7.6%
Stage 1 4.3% 3.3%
Stage 0 8.4% 5.8%
Total Hospitals n = 5458 n = 5458

 

“The EMR Adoption Model has been of vital importance to me to help substantiate our EMR progress to my constituents. Demonstrating our progress through the various stages of adoption has helped support our initiatives to the board, my CEO and medical staff leadership.” – Susan R Cerrone, CIO at Roger Williams Medical Center

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.