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Current EMRAMSM Scores

United States EMR Adoption Model SM
Stage Cumulative Capabilities 2014 Q3 2014 Q4
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 3.4% 3.6%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 16.5% 17.9%
Stage 5 Closed loop medication administration 29.5% 32.8%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 14.5% 14.0%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 23.9% 21.0%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 5.3% 5.1%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 2.5% 2.0%
Stage 0 All Three Ancillaries Not Installed 4.4% 3.7%
Data from HIMSS Analytics® Database ©2014 N = 5453 N = 5467
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 Q3 2014 Q4
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 0.0% 0.2%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 0.6% 0.6%
Stage 5 Closed loop medication administration 0.6% 0.6%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.4% 3.9%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.1% 31.7%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 29.5% 29.6%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.6% 14.4%
Stage 0 All Three Ancillaries Not Installed 19.1% 19.0%
Data from HIMSS Analytics® Database ©2014 N = 638 N = 641
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 Q4
Stage 7 HIE capable, sharing of data between the EMR and community based EHR, business and clinical intelligence 6.21%
Stage 6 Advanced clinical decision support, proactive care management, structured messaging 7.59%
Stage 5 Personal health record, online tethered patient portal 7.30%
Stage 4 CPOE, Use of structured data for accessibility in EMR and internal and external sharing of data 1.00%
Stage 3 Electronic messaging, computers have replaced the paper chart, clinical documentation and clinical decision support 12.00%
Stage 2 Beginning of a CDR with orders and results, computers may be at point-of-care, access to results from outside facilities 28.12%
Stage 1 Desktop access to clinical information, unstructured data, multiple data sources, intra-office/informal messaging 32.66%
Stage 0 Paper chart based 5.12%
Data from HIMSS Analytics® Database ©2014
N = 30,354
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, 2014

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 5.4261 0.0800 7.0710 6.0470 210
NonAcademic 4.5306 0.0000 7.0710 5.0940 5,257
General Medical/Surgical 4.9453 0.0000 7.0710 5.1340 3,168
Others 4.0409 0.0000 7.0710 4.2660 2,299
Rural 4.0404 0.0000 7.0390 4.2930 1,090
Urban 4.6956 0.0000 7.0710 5.1100 4,377
IDS 4.6477 0.0000 7.0710 5.1100 3,729
Independent Hospital 4.3875 0.0000 7.0710 4.4340 1,738
Critical Access 4.0457 0.0000 7.0630 4.3000 1,345

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 2.4944 0.0560 6.0550 2.2100 75
NonAcademic 1.9907 0.0000 7.0150 2.1255 566
General Medical/Surgical 1.9692 0.0000 6.0710 2.1260 546
Others 2.5121 0.0560 7.0150 2.2020 95

EMR Scores by Bed Size, 4th Quarter, 2014

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Bed Segment Mean Min Max Median Number
0-100 Beds 4.0945 0.0000 7.0710 4.2900 2,910
101-200 Beds 4.8365 0.0000 7.0710 5.1185 978
201-300 Beds 5.1052 0.0800 7.0710 5.1500 600
301-400 Beds 5.1999 2.2000 7.0710 6.0160 404
401-500 Beds 5.4037 2.2290 7.0710 6.0390 238
501-600 Beds 5.4160 3.1940 7.0710 6.0310 143
600+ Beds 5.6038 0.0000 7.0710 6.0560 194

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Bed Segment Mean Min Max Median Number
0-100 Beds 1.8221 0.0000 6.0160 2.0790 436
101-200 Beds 2.2688 0.0000 4.2850 2.1910 79
201-300 Beds 2.4219 0.0300 6.0710 2.2580 41
301-400 Beds 2.7724 0.1450 7.0150 2.2790 39
401-500 Beds 2.8198 0.0720 6.0550 3.1710 16
501-600 Beds 3.0437 1.1400 6.0550 3.1320 15
600+ Beds 2.7972 1.1150 4.3850 3.1710 15

EMR Scores by Region, 4th Quarter, 2014

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Regions (U.S. Census Defined) Mean Min Max Median Number
East North Central 4.8864 0.0000 7.0710 5.1190 854
East South Central 4.1767 0.0000 7.0310 4.3180 456
Middle Atlantic 4.5945 0.0000 7.0710 5.0950 492
Mountain 4.3817 0.0000 7.0710 4.3500 437
New England 4.9917 0.2400 7.0630 5.1340 203
Pacific 4.7131 0.0000 7.0710 5.1020 593
South Atlantic 4.7877 0.0000 7.0710 5.1180 835
West North Central 4.4530 0.0050 7.0710 5.0860 724
West South Central 4.2085 0.0000 7.0710 4.3620 873

All Hospitals, 4th Quarter, 2014

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All Hospitals Mean Min Max Median Number
Total 4.5650 0.0000 7.0710 5.0940 5,467

Expand for Canada»

All Hospitals Mean Min Max Median Number
Total 2.0496 0.0000 7.0150 2.1370 641

EMR Scores by State/Province, 4th Quarter, 2014

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United States Mean Min Max Median Number
Alaska 4.3191 0.0210 6.0710 4.3245 18
Alabama 4.2574 0.0800 6.0710 5.0150 101
Arkansas 4.0123 0.0800 6.0710 4.2525 86
Arizona 4.7610 0.0000 7.0630 5.0980 88
California 4.6902 0.0000 7.0710 5.0950 391
Colorado 5.1139 0.0530 7.0710 6.0310 89
Connecticut 4.8828 1.0790 7.0630 4.7850 32
District of Columbia 4.1246 2.3070 6.0400 4.3320 11
Delaware 5.5161 3.3500 7.0470 5.5905 10
Florida 5.0284 0.0640 7.0710 6.0160 258
Georgia 4.5654 0.0870 7.0310 5.0790 157
Hawaii 4.3715 0.0050 7.0470 5.1020 24
Iowa 4.8914 0.0420 7.0710 5.1080 122
Idaho 4.4232 0.0700 6.0710 4.3210 43
Illinois 4.8697 0.0800 7.0710 5.1100 199
Indiana 4.6802 0.0050 7.0550 5.1100 151
Kansas 3.7043 0.0180 6.0710 4.2130 142
Kentucky 4.2264 0.0000 7.0310 4.2535 108
Louisiana 3.8926 0.0180 7.0630 4.3050 149
Massachusetts 4.9751 0.2400 7.0630 5.1420 80
Maryland 5.0632 1.3440 6.0710 5.1265 50
Maine 5.0165 3.2150 6.0710 5.1100 39
Michigan 4.9650 0.0000 7.0710 5.1260 155
Minnesota 4.9925 0.0050 7.0710 5.1920 136
Missouri 4.8401 1.0450 7.0630 5.1020 136
Mississippi 3.8076 0.0250 6.0710 4.1145 102
Montana 3.5279 0.0000 6.0710 4.2070 57
North Carolina 4.7662 0.0550 7.0630 5.1180 126
North Dakota 3.3017 0.0100 6.0710 3.5020 45
Nebraska 4.1123 0.0550 7.0230 4.2705 90
New Hampshire 4.6601 2.1400 6.0710 5.0710 27
New Jersey 4.6350 0.0800 6.0710 5.1190 87
New Mexico 4.4862 0.0800 6.0630 5.0860 39
Nevada 3.5788 0.0250 7.0160 4.1710 43
New York 4.8402 0.3250 6.0710 5.1100 199
Ohio 4.8805 0.0000 7.0710 5.1345 212
Oklahoma 4.1170 0.0210 6.0710 4.2110 122
Oregon 5.1587 2.1480 7.0710 6.0080 63
Pennsylvania 4.3400 0.0000 7.0710 4.3870 206
Rhode Island 5.2351 2.4450 6.0710 6.0320 11
South Carolina 4.2704 0.0050 6.0710 4.7655 76
South Dakota 4.6276 0.0210 6.0710 5.1000 53
Tennessee 4.3432 0.0000 6.0710 5.0780 145
Texas 4.3541 0.0000 7.0710 5.0700 516
Utah 3.9252 0.5900 6.0710 3.6120 51
Virginia 5.2735 0.0050 7.0710 6.0310 91
Vermont 5.7150 4.3360 6.0710 6.0310 14
Washington 4.6740 0.0050 7.0710 5.0940 97
Wisconsin 5.0582 1.0160 7.0710 5.1260 137
West Virginia 4.0165 0.0000 7.0710 4.2890 56
Wyoming 4.4586 0.2320 7.0390 5.1000 27
Proprietary & Confidential to HIMSS Analytics® LLC

Expand for Canada»

Province Mean Min Max Median Number
Alberta 2.6219 1.1150 3.1840 3.0870 97
British Columbia 2.4029 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 2.6456 0.0870 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 2.8032 0.0000 7.0150 3.0460 123
Prince Edward Island 4.2850 4.2850 4.2850 4.2850 7
Quebec 1.3968 0.0000 4.2240 1.1485 114
Saskatchewan 0.8236 0.0000 2.0920 0.1200 59
Yukon Territory 2.0770 2.0450 2.0930 2.0930 3
Proprietary & Confidential to HIMSS Analytics® LLC

EMRAM Trended, Summary

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EMRAM Trended 2014 Q3 2014 Q4
Stage 7 3.4% 3.6%
Stage 6 16.5% 17.9%
Stage 5 29.5% 32.8%
Stage 4 14.5% 14.0%
Stage 3 23.9% 21.0%
Stage 2 5.3% 5.1%
Stage 1 2.5% 2.0%
Stage 0 4.4% 3.7%
Total Hospitals n = 5453 n = 5467

Expand for Canada»

EMRAM Trended 2014 Q3 2014 Q4
Stage 7 0.0% 0.2%
Stage 6 0.6% 0.6%
Stage 5 0.6% 0.6%
Stage 4 3.4% 3.9%
Stage 3 32.1% 31.7%
Stage 2 29.5% 29.6%
Stage 1 14.6% 14.4%
Stage 0 19.1% 19.0%
Total Hospitals n = 638 n = 641

EMRAM, Year Over Year

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EMRAM Trended 2013 2014
Stage 7 2.9% 3.6%
Stage 6 12.5% 17.9%
Stage 5 22.0% 32.8%
Stage 4 15.5% 14.0%
Stage 3 30.3% 21.0%
Stage 2 7.6% 5.1%
Stage 1 3.3% 2.0%
Stage 0 5.8% 3.7%
Total Hospitals n = 5458 n = 5467

 

“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.