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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 Q1
Stage 7 HIE capable, sharing of data between the EMR and community based EHR, business and clinical intelligence 4.54%
Stage 6 Advanced clinical decision support, proactive care management, structured messaging 3.96%
Stage 5 Personal health record, online tethered patient portal 5.50%
Stage 4 CPOE, Use of structured data for accessibility in EMR and internal and external sharing of data 1.29%
Stage 3 Electronic messaging, computers have replaced the paper chart, clinical documentation and clinical decision support 11.50%
Stage 2 Beginning of a CDR with orders and results, computers may be at point-of-care, access to results from outside facilities 27.08%
Stage 1 Desktop access to clinical information, unstructured data, multiple data sources, intra-office/informal messaging 38.98%
Stage 0 Paper chart based 7.15%
Data from HIMSS Analytics® Database ©2014
N = 24,269
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, 1st Quarter, 2014

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Hospital Type Segment Mean Min Max Median Number
Academic/Teaching 5.1750 0.0800 7.0710 5.1500 209
NonAcademic 4.0797 0.0000 7.0710 4.2255 5,240
General Medical/Surgical 4.4790 0.0000 7.0710 4.3970 3,177
Others 3.6220 0.0000 7.0710 4.0875 2,272
Rural 3.5870 0.0000 7.0390 4.1390 1,176
Urban 4.2688 0.0000 7.0710 4.3060 4,273
IDS 4.1834 0.0000 7.0710 4.2400 3,642
Independent Hospital 3.9972 0.0000 7.0710 4.2740 1,807
Critical Access 3.5972 0.0000 7.0550 4.1390 1,341

Expand for Canada »

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, 1st Quarter, 2014

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Bed Segment Mean Min Max Median Number
0-100 Beds 3.6544 0.0000 7.0710 3.5495 2,894
101-200 Beds 4.3733 0.0000 0.0000 4.3165 982
201-300 Beds 4.6864 0.0800 7.0710 5.1015 606
301-400 Beds 4.6940 1.1190 7.0710 5.1025 396
401-500 Beds 4.8263 2.1030 7.0710 5.1180 230
501-600 Beds 5.2366 3.1180 7.0710 5.1500 149
600+ Beds 5.2063 2.1780 7.0710 5.1500 192

Expand for Canada»

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, 1st Quarter, 2014

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Regions (U.S. Census Defined) Mean Min Max Median Number
East North Central 4.5726 0.0000 7.0710 5.0870 852
East South Central 3.6787 0.0000 7.0310 3.4300 454
Middle Atlantic 4.3153 0.0000 7.0710 4.3400 493
Mountain 3.8335 0.0000 7.0710 3.6160 436
New England 4.7763 0.0000 7.0630 5.1100 204
Pacific 4.1740 0.0000 7.0710 4.2280 592
South Atlantic 4.2477 0.0000 7.0710 4.2755 824
West North Central 4.1087 0.0000 7.0710 4.3110 723
West South Central 3.6489 0.0000 7.0710 3.5020 871

All Hospitals, 1st Quarter, 2014

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All Hospitals Mean Min Max Median Number
Total 4.1217 0.0000 7.0710 4.2550 5,449

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, 1st Quarter, 2014

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United States Mean Min Max Median Number
Alaska 3.8261 0.0210 6.0710 4.1460 17
Alabama 3.7035 0.0000 6.0630 3.5500 101
Arkansas 3.4771 0.0000 6.0710 3.3620 87
Arizona 4.4591 0.0890 7.0630 4.2910 87
California 4.1133 0.0000 7.0710 4.0910 393
Colorado 4.5869 0.0500 7.0710 5.0700 89
Connecticut 4.6201 1.0790 7.0630 4.3005 32
District of Columbia 3.6941 1.0000 6.0400 4.2920 11
Delaware 5.2500 3.1500 7.0470 5.1500 9
Florida 4.2219 0.0000 7.0710 4.0910 255
Georgia 3.9911 0.0000 7.0310 3.5340 156
Hawaii 4.1690 0.0050 7.0470 4.3500 23
Iowa 4.6523 0.0420 7.0710 5.0940 121
Idaho 3.7382 0.0690 6.0710 3.7920 42
Illinois 4.5916 0.0000 7.0710 5.0950 199
Indiana 4.4311 0.0000 7.0550 5.0940 151
Kansas 3.1246 0.0000 6.0630 3.4220 141
Kentucky 4.0052 0.0000 7.0310 3.4025 108
Louisiana 3.5500 0.0000 6.0710 3.4500 150
Massachusetts 4.6789 0.0000 7.0630 5.1100 81
Maryland 4.8062 1.0870 6.0710 5.1100 49
Maine 5.0129 3.2310 6.0710 5.1030 39
Michigan 4.5744 0.0050 7.0630 4.3560 154
Minnesota 4.7026 0.0050 7.0710 5.0975 136
Missouri 4.5215 0.0000 7.0630 5.0870 137
Mississippi 3.3615 0.0100 6.0710 3.4300 101
Montana 2.9468 0.0000 6.0710 3.4070 57
North Carolina 4.4448 0.0550 7.0630 4.3580 125
North Dakota 2.9386 0.0100 6.0710 3.4540 45
Nebraska 3.7348 0.0100 7.0080 3.8205 90
New Hampshire 4.4446 2.1100 6.0710 4.3820 27
New Jersey 4.4588 0.0000 6.0710 5.1180 87
New Mexico 3.5698 0.0000 6.0550 3.4340 39
Nevada 2.6748 0.0000 7.0160 3.2160 44
New York 4.4933 1.2510 6.0710 4.3520 199
Ohio 4.5612 0.0000 7.0710 5.1100 212
Oklahoma 3.5996 0.0050 6.0710 3.6120 123
Oregon 4.2768 0.0420 7.0710 4.3500 62
Pennsylvania 4.0839 0.0000 7.0710 4.2240 207
Rhode Island 4.9796 2.1850 6.0710 6.0320 11
South Carolina 3.7916 0.0000 6.0710 3.5100 75
South Dakota 4.5225 0.0210 6.0710 5.1000 53
Tennessee 3.6388 0.0000 6.0710 3.4180 144
Texas 3.7190 0.0000 7.0710 3.5100 511
Utah 3.6814 0.5950 6.0710 3.5400 51
Virginia 5.0392 0.0000 7.0710 5.1570 90
Vermont 5.5171 4.3360 6.0710 5.5710 14
Washington 4.4164 0.0050 7.0710 4.3760 97
Wisconsin 4.7179 1.1550 7.0710 5.0905 136
West Virginia 3.4072 0.0000 7.0710 3.4580 54
Wyoming 3.9105 0.0050 7.0390 3.5250 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 2013 Q4 2014 Q1
Stage 7 2.9% 3.1%
Stage 6 12.5% 13.3%
Stage 5 22.0% 24.2%
Stage 4 15.5% 15.7%
Stage 3 30.3% 27.7%
Stage 2 7.6% 7.2%
Stage 1 3.3% 3.2%
Stage 0 5.8% 5.6%
Total Hospitals n = 5458 n = 5449

Expand for Canada»

EMRAM Trended 2013 Q4 2014 Q1
Stage 7 0.0% 0.0%
Stage 6 0.6% 0.6%
Stage 5 0.0% 0.5%
Stage 4 3.8% 3.6%
Stage 3 32.2% 32.5%
Stage 2 29.1% 28.9%
Stage 1 14.5% 14.5%
Stage 0 19.8% 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.