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Current EMRAMSM Scores

United States EMR Adoption Model SM
Stage Cumulative Capabilities 2013 Q3 2013 Q4
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 2.2% 2.9%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 11.1% 12.5%
Stage 5 Closed loop medication administration 20.9% 22.0%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 15.1% 15.5%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 31.9% 30.3%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 8.4% 7.6%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 3.5% 3.3%
Stage 0 All Three Ancillaries Not Installed 6.9% 5.8%
Data from HIMSS Analytics® Database ©2012 N = 5437 N = 5458
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 Q3 2013 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% 0.6%
Stage 5 Closed loop medication administration 0.2% 0.0%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.8% 3.8%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.0% 32.2%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 29.1% 29.1%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.5% 14.5%
Stage 0 All Three Ancillaries Not Installed 20.0% 19.8%
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.

EMR/SEHR Adoption Model Scores by Hospital Type, 4th Quarter, 2013

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 5.0718 0.0800 7.0710 5.1385 210
NonAcademic 3.9821 0.0000 7.0710 4.1350 5,248
General Medical/Surgical 4.3908 0.0000 7.0710 4.3265 3,186
Others 3.5098 0.0000 7.0710 3.4440 2,272
Rural 3.4587 0.0000 7.0390 3.4860 1,155
Urban 4.1758 0.0000 7.0710 4.2380 4,303
IDS 4.0904 0.0000 7.0710 4.0910 3,627
Independent Hospital 3.8926 0.0000 7.0710 4.2240 1,831
Critical Access 3.4461 0.0000 7.0550 3.4620 1,340

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 2.4627 0.0560 6.0550 2.2790 75
NonAcademic 1.9379 0.0000 6.0560 2.1190 565
General Medical/Surgical 1.9280 0.0000 6.0560 2.1190 547
Others 2.4195 0.0560 6.0550 2.2100 93

EMR Scores by Bed Size, 4th Quarter, 2013

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Bed Segment Mean Min Max Median Number
0-100 Beds 3.5580 0.0000 7.0710 3.4540 2,900
101-200 Beds 4.2705 0.0000 7.0710 4.2395 982
201-300 Beds 4.5947 0.0800 7.0710 4.3900 608
301-400 Beds 4.6236 1.1190 7.0710 4.4190 396
401-500 Beds 4.7375 2.1030 7.0710 5.1020 231
501-600 Beds 5.0990 2.1780 7.0710 5.1500 148
600+ Beds 5.0663 2.1780 7.0710 5.1420 193

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Bed Segment Mean Min Max Median Number
0-100 Beds 1.7795 0.0000 6.0160 2.0625 436
101-200 Beds 2.2598 0.0000 4.3370 2.1870 79
201-300 Beds 2.4113 0.0300 6.0560 2.2260 42
301-400 Beds 2.5361 0.1450 6.0470 2.2240 36
401-500 Beds 2.8389 0.0720 6.0550 3.1710 17
501-600 Beds 2.7806 1.1400 4.3090 3.0470 13
600+ Beds 2.8381 1.1150 4.3850 3.2080 17

EMR Scores by Region, 4th Quarter, 2013

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Regions (U.S. Census Defined) Mean Min Max Median Number
East North Central 4.4567 0.0000 7.0710 4.3900 852
East South Central 3.5791 0.0000 7.0310 3.4220 458
Middle Atlantic 4.2591 0.0000 7.0710 4.2980 493
Mountain 3.7572 0.0000 7.0710 3.5020 436
New England 4.6708 0.0000 7.0630 5.0870 206
Pacific 4.0995 0.0000 7.0710 4.1620 591
South Atlantic 4.1968 0.0000 7.0710 4.2390 826
West North Central 3.9593 0.0000 7.0710 4.1910 723
West South Central 3.5220 0.0000 7.0710 3.4220 873

All Hospitals, 4th Quarter, 2013

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All Hospitals Mean Min Max Median Number
Total 4.0240 0.0000 7.0710 4.1700 5,458

Expand for Canada»

All Hospitals Mean Min Max Median Number
Total 1.9994 0.0000 6.0560 2.1310 640

EMR Scores by State/Province, 4th Quarter, 2013

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United States Mean Min Max Median Number
Alaska 3.8226 0.0210 6.0710 4.1460 17
Alabama 3.5981 0.0000 6.0630 3.4910 102
Arkansas 3.3700 0.0000 6.0710 3.3500 87
Arizona 4.4460 0.0890 7.0630 4.2910 87
California 4.0677 0.0000 7.0710 4.0900 393
Colorado 4.4416 0.0500 7.0710 4.3900 89
Connecticut 4.4947 1.0790 7.0230 4.2850 33
District of Columbia 3.6886 1.0000 6.0400 4.2920 11
Delaware 5.2483 3.1500 7.0470 5.1500 9
Florida 4.1865 0.0000 7.0710 4.0910 255
Georgia 3.9707 0.0000 7.0310 3.5180 156
Hawaii 4.1637 0.0050 7.0470 4.3350 23
Iowa 4.4978 0.0420 7.0710 5.0790 121
Idaho 3.7136 0.0690 6.0560 3.7920 42
Illinois 4.5251 0.0000 7.0710 5.0150 199
Indiana 4.2293 0.0000 7.0550 4.3700 151
Kansas 3.0513 0.0000 6.0630 3.4140 141
Kentucky 3.8165 0.0000 7.0310 3.3670 109
Louisiana 3.3486 0.0000 6.0710 3.3460 152
Massachusetts 4.5970 0.0000 7.0630 5.1065 82
Maryland 4.8226 1.0870 6.0710 5.1100 49
Maine 4.9060 3.2310 6.0710 5.0870 39
Michigan 4.4189 0.0050 7.0630 4.2740 154
Minnesota 4.6730 0.0660 7.0710 5.0665 136
Missouri 4.3577 0.0000 7.0630 4.2470 137
Mississippi 3.3341 0.0100 6.0710 3.4230 101
Montana 2.8774 0.0000 6.0710 3.3300 57
North Carolina 4.2964 0.0100 7.0630 4.2485 126
North Dakota 2.8618 0.0100 6.0710 3.4060 45
Nebraska 3.6405 0.0100 7.0080 3.5060 90
New Hampshire 4.2070 2.0860 6.0630 4.2570 27
New Jersey 4.3882 0.0000 6.0710 5.0950 87
New Mexico 3.5049 0.0000 6.0470 3.4340 39
Nevada 2.6403 0.0000 7.0160 3.1965 44
New York 4.4629 1.2510 6.0710 4.3420 199
Ohio 4.4899 0.0000 7.0710 5.0935 212
Oklahoma 3.5005 0.0000 6.0710 3.5000 123
Oregon 4.1779 0.0420 7.0710 4.3280 62
Pennsylvania 4.0090 0.0000 7.0710 4.1620 207
Rhode Island 4.9796 2.1850 6.0710 6.0320 11
South Carolina 3.7065 0.0000 6.0710 3.4470 75
South Dakota 3.7573 0.0210 6.0710 4.1530 53
Tennessee 3.5582 0.0000 6.0710 3.4140 146
Texas 3.6047 0.0000 7.0710 3.4380 511
Utah 3.6245 0.5950 6.0710 3.4600 51
Virginia 5.0172 0.0000 7.0710 5.1420 91
Vermont 5.5148 4.3360 6.0710 5.5630 14
Washington 4.2127 0.0050 7.0710 4.2790 96
Wisconsin 4.6005 1.1550 7.0710 4.3330 136
West Virginia 3.3257 0.0000 7.0710 3.4185 54
Wyoming 3.6430 0.0050 7.0390 3.4950 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 2.5618 0.0000 6.0560 2.2080 123
Prince Edward Island 4.2850 4.2850 4.2850 4.2850 7
Quebec 1.3782 0.0000 4.2150 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 2013 Q3 2013 Q4
Stage 7 2.2% 2.9%
Stage 6 11.1% 12.5%
Stage 5 20.9% 22.0%
Stage 4 15.1% 15.5%
Stage 3 31.9% 30.3%
Stage 2 8.4% 7.6%
Stage 1 3.5% 3.3%
Stage 0 6.9% 5.8%
Total Hospitals n = 5437 n = 5458

Expand for Canada»

EMRAM Trended 2013 Q3 2013 Q4
Stage 7 0.0% 0.0%
Stage 6 0.5% 0.6%
Stage 5 0.2% 0.0%
Stage 4 3.8% 3.8%
Stage 3 32.0% 32.2%
Stage 2 29.1% 29.1%
Stage 1 14.5% 14.5%
Stage 0 20.0% 19.8%
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.