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Current EMRAMSM Scores

United States EMR Adoption Model SM
Stage Cumulative Capabilities 2014 Q2 2014 Q3
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 3.2% 3.4%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 15.0% 16.5%
Stage 5 Closed loop medication administration 27.5% 29.5%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 15.3% 14.5%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 25.4% 23.9%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 5.9% 5.3%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 2.8% 2.5%
Stage 0 All Three Ancillaries Not Installed 4.9% 4.4%
Data from HIMSS Analytics® Database ©2014 N = 5447 N = 5453
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 Q2 2014 Q3
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% 0.6%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.6% 3.4%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.5% 32.1%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 28.9% 29.5%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.5% 14.6%
Stage 0 All Three Ancillaries Not Installed 19.4% 19.1%
Data from HIMSS Analytics® Database ©2014 N = 640 N = 638
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 Q3
Stage 7 HIE capable, sharing of data between the EMR and community based EHR, business and clinical intelligence 4.37%
Stage 6 Advanced clinical decision support, proactive care management, structured messaging 6.92%
Stage 5 Personal health record, online tethered patient portal 6.88%
Stage 4 CPOE, Use of structured data for accessibility in EMR and internal and external sharing of data 1.16%
Stage 3 Electronic messaging, computers have replaced the paper chart, clinical documentation and clinical decision support 11.36%
Stage 2 Beginning of a CDR with orders and results, computers may be at point-of-care, access to results from outside facilities 30.24%
Stage 1 Desktop access to clinical information, unstructured data, multiple data sources, intra-office/informal messaging 33.20%
Stage 0 Paper chart based 5.86%
Data from HIMSS Analytics® Database ©2014
N = 27,081
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, 3rd Quarter, 2014

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 5.3395 0.0800 7.0710 6.0310 209
NonAcademic 4.3658 0.0000 7.0710 4.4050 5,244
General Medical/Surgical 4.7741 0.0000 7.0710 5.1100 3,175
Others 3.8861 0.0000 7.0710 4.2080 2,278
Rural 3.9183 0.0000 7.0710 4.2510 1,209
Urban 4.5413 0.0000 7.0710 5.0940 4,244
IDS 4.4712 0.0000 7.0710 5.0620 3,684
Independent Hospital 4.2615 0.0000 7.0710 4.3540 1,769
Critical Access 3.9390 0.0000 7.0550 4.2740 1,339

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 2.4653 0.0560 6.0550 2.2100 75
NonAcademic 1.9742 0.0000 6.0710 2.1250 563
General Medical/Surgical 1.9619 0.0000 6.0710 2.1270 545
Others 2.4427 0.0560 6.0550 2.2020 93

EMR Scores by Bed Size, 3rd Quarter, 2014

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Bed Segment Mean Min Max Median Number
0-100 Beds 3.9358 0.0000 7.0710 4.2200 2,901
101-200 Beds 4.6826 0.0000 7.0710 5.1100 973
201-300 Beds 4.9505 0.0800 7.0710 5.1340 602
301-400 Beds 4.9757 2.1500 7.0710 5.1340 403
401-500 Beds 5.1748 2.2290 7.0710 5.1500 234
501-600 Beds 5.3657 3.1940 7.0710 6.0235 148
600+ Beds 5.4483 3.1540 7.0710 6.0550 192

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Bed Segment Mean Min Max Median Number
0-100 Beds 1.8202 0.0000 6.0160 2.0790 435
101-200 Beds 2.2649 0.0000 4.2850 2.1910 79
201-300 Beds 2.4165 0.0300 6.0710 2.2260 42
301-400 Beds 2.6129 0.1450 6.0470 2.2450 35
401-500 Beds 2.8471 0.0720 6.0550 3.1710 17
501-600 Beds 2.9149 1.1400 6.0550 3.0470 13
600+ Beds 2.7334 1.1150 4.3850 3.1710 17

EMR Scores by Region, 3rd Quarter, 2014

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Regions (U.S. Census Defined) Mean Min Max Median Number
East North Central 4.8166 0.0000 7.0710 5.1100 854
East South Central 4.0507 0.0000 7.0310 4.2220 456
Middle Atlantic 4.5109 0.0000 7.0710 4.4240 490
Mountain 4.1597 0.0000 7.0710 4.2425 438
New England 4.8870 0.0000 7.0630 5.1185 204
Pacific 4.5519 0.0000 7.0710 4.4600 594
South Atlantic 4.5001 0.0000 7.0710 5.0860 829
West North Central 4.3262 0.0000 7.0710 5.0380 723
West South Central 3.9982 0.0000 7.0710 4.2700 865

All Hospitals, 3rd Quarter, 2014

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All Hospitals Mean Min Max Median Number
Total 4.4031 0.0000 7.0710 4.4360 5,453

Expand for Canada»

All Hospitals Mean Min Max Median Number
Total 2.0320 0.0000 6.0710 2.1355 638

EMR Scores by State/Province, 3rd Quarter, 2014

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United States Mean Min Max Median Number
Alaska 4.2177 0.0210 6.0710 4.2690 18
Alabama 4.0893 0.0000 6.0710 4.3060 101
Arkansas 3.9431 0.0000 6.0710 4.2105 86
Arizona 4.7272 0.0000 7.0630 5.0870 88
California 4.5161 0.0000 7.0710 4.3505 392
Colorado 4.8648 0.0530 7.0710 5.0870 89
Connecticut 4.8830 1.0790 7.0630 4.7850 32
District of Columbia 3.8689 1.0000 6.0400 4.3320 11
Delaware 5.5612 3.3500 7.0470 6.0310 9
Florida 4.5883 0.0000 7.0710 4.7655 256
Georgia 4.2581 0.0290 7.0310 4.3220 157
Hawaii 4.0733 0.0050 7.0470 4.3425 24
Iowa 4.7886 0.0420 7.0710 5.1020 122
Idaho 4.0332 0.0700 6.0710 4.1540 43
Illinois 4.7728 0.0000 7.0710 5.1100 199
Indiana 4.6122 0.0000 7.0550 5.1020 151
Kansas 3.4412 0.0000 6.0710 4.1550 141
Kentucky 4.1529 0.0000 7.0310 3.8660 108
Louisiana 3.7187 0.0000 6.0710 4.1380 149
Massachusetts 4.7714 0.0000 7.0630 5.1260 81
Maryland 4.8944 1.0870 6.0710 5.1100 50
Maine 5.0131 3.2150 6.0710 5.1100 39
Michigan 4.8870 0.0050 7.0630 5.1225 154
Minnesota 4.9440 0.0050 7.0710 5.1800 136
Missouri 4.6974 0.0000 7.0630 5.0950 137
Mississippi 3.7067 0.0100 6.0710 3.5345 102
Montana 3.4068 0.0000 6.0710 4.1600 57
North Carolina 4.6182 0.0000 7.0630 5.1020 126
North Dakota 3.1625 0.0100 6.0710 3.4950 45
Nebraska 4.0462 0.0550 7.0230 4.1690 89
New Hampshire 4.5200 2.1400 6.0710 4.4360 27
New Jersey 4.5555 0.0000 6.0710 5.1180 87
New Mexico 3.8370 0.0000 6.0550 3.5800 39
Nevada 3.2283 0.0000 7.0160 3.4470 44
New York 4.7108 0.3250 6.0710 4.4440 199
Ohio 4.8008 0.0000 7.0710 5.1340 213
Oklahoma 3.9984 0.0050 6.0710 4.1600 122
Oregon 5.0328 0.0420 7.0710 5.1180 63
Pennsylvania 4.2970 0.0000 7.0710 4.3625 204
Rhode Island 5.2351 2.4450 6.0710 6.0320 11
South Carolina 4.0757 0.0000 6.0710 4.2900 75
South Dakota 4.5295 0.0210 6.0710 5.1000 53
Tennessee 4.1896 0.0000 6.0710 4.3660 145
Texas 4.0894 0.0000 7.0710 4.3410 508
Utah 3.9237 0.5950 6.0710 3.6120 51
Virginia 5.1422 0.0000 7.0710 5.1640 91
Vermont 5.6486 4.3360 6.0710 6.0230 14
Washington 4.5648 0.0050 7.0710 5.0700 97
Wisconsin 5.0507 1.1550 7.0710 5.1260 137
West Virginia 3.6036 0.0000 7.0710 3.8630 54
Wyoming 4.2058 0.0200 7.0390 4.2770 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 2.4022 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 2.7094 0.0000 6.0710 2.4050 121
Prince Edward Island 4.2850 4.2850 4.2850 4.2850 7
Quebec 1.3968 0.0000 4.2240 1.1485 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 Q2 2014 Q3
Stage 7 3.2% 3.4%
Stage 6 15.0% 16.5%
Stage 5 27.5% 29.5%
Stage 4 15.3% 14.5%
Stage 3 25.4% 23.9%
Stage 2 5.9% 5.3%
Stage 1 2.8% 2.5%
Stage 0 4.9% 4.4%
Total Hospitals n = 5447 n = 5453

Expand for Canada»

EMRAM Trended 2014 Q2 2014 Q3
Stage 7 0.0% 0.0%
Stage 6 0.6% 0.6%
Stage 5 0.5% 0.6%
Stage 4 3.6% 3.4%
Stage 3 32.5% 32.1%
Stage 2 28.9% 29.5%
Stage 1 14.5% 14.6%
Stage 0 19.4% 19.1%
Total Hospitals n = 640   n = 638

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.