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EMR Adoption ModelSM

HIMSS Analytics, the authoritative source on EMR Adoption trends, devised the EMR Adoption Model to track EMR progress at hospitals and health systems.  The EMRAM scores hospitals in the HIMSS Analytics Database (derived from the Dorenfest IHDS+ DatabaseTM) on their progress in completing the 8 stages to creating a paperless patient record environment. 

EMR Adoption Model Structure Ensures Objectivity

  • All application capabilities within each stage must be operational before that stage can be achieved.
  • All lower stages must have been achieved before a higher level will be considered as achieved. 
  • A hospital can achieve Stages 3-6 if it has met all of the application requirements for a single patient care service (e.g. single nursing floor, cardiology service).   
  • Using the rules above, additional points are given for the implementation of applications in stages higher than the one fully achieved by the healthcare organization. In this fashion, other implementation paths than those prescribed by the stages can be taken into consideration for correlation with quality and financial research. 

Read a detailed description of the stages

EMR Scores by Hospital Type

2008

Mean

Median

n

Hospital Type Segment

Academic/Teaching

3.1303

3.2105

308

NonAcademic

1.9771

2.1110

4,763

General Medical/Surgical

2.2886

2.2100

3,194

Others

1.6363

2.0150

1,877

Rural

1.1695

1.0390

1,181

Urban

2.3136

2.2100

3,890

IDS

2.2510

2.1960

2,955

Independent Hospital

1.7625

2.0750

2,116

Critical Access

1.1652

1.0400

1,259

EMR Scores by Bed Size

2008

Mean

Median

n

0-100 beds

1.4844

2.0150

2,493

101-200 beds

2.3330

2.2100

1,009

201-300 beds

2.5977

2.3690

623

301-400 beds

2.6989

3.0735

420

401-500 beds

2.7911

3.1390

209

501-600 beds

3.1439

3.2355

138

600+ beds

3.1139

3.2440

179

EMR Scores by Region (U.S. Census Defined)

2008

Mean

Median

n

Regions (U.S. Census Defined)

East North Central

2.2511

2.1960

783

East South Central

2.0153

2.1090

443

Middle Atlantic

2.4652

2.2830

496

Mountain

1.8224

2.0940

389

New England

2.5996

2.3295

208

Pacific

1.9156

2.0790

577

South Atlantic

2.3878

2.2800

758

West North Central

1.5455

2.0150

679

West South Central

1.7496

2.0780

733

Canada

0.2200

0.2200

1

Puerto Rico

1.5325

2.0225

4

EMR Scores by State

State

Mean

Median

n
Alaska
2.1356
2.2310
17
Alabama
2.0502
2.1355
102
Arkansas
1.6739
2.0150
78
Arizona
2.3176
2.1960
71
California
1.8780
2.0620
382
Colorado
1.9225
2.1170
78
Connecticut
2.9428
3.1015
34
District of Columbia
2.6749
2.3150
7
Delaware
2.5850
2.6590
8
Florida
2.3362
2.2470
223
Georgia
2.2280
2.2250
153
Hawaii
1.3294
1.2890
25
Iowa
1.7642
2.0760
118
Idaho
1.5901
2.0615
40
Illinois
2.3423
2.2250
199
Indiana
2.3127
2.3690
123
Kansas
1.0530
0.1020
127
Kentucky
2.0871
2.1460
105
Louisiana
1.7632
2.0460
132
Massachusetts
2.5860
2.3170
85
Maryland
2.7740
3.0790
48
Maine
2.4986
2.2340
38
Michigan
2.2209
2.1790
146
Minnesota
1.8421
2.0940
131
Missouri
2.2675
2.2140
122
Mississippi
1.4419
1.1610
97
Montana
0.9301
0.0495
56
North Carolina
2.5051
2.3190
117
North Dakota
0.8134
0.0230
44
Nebraska
1.3511
1.0750
86
New Hampshire
2.2119
2.3140
26
New Jersey
2.7355
3.1470
82
New Mexico
1.9516
2.0950
38
Nevada
1.9966
2.1960
37
New York
2.4180
2.2665
220
Ohio
2.2689
2.1960
185
Oklahoma
1.4149
1.4730
113
Oregon
1.9458
2.0905
60
Pennsylvania
2.4044
2.2100
194
Rhode Island
3.3241
3.2360
11
South Carolina
2.4087
2.2780
66
South Dakota
0.7357
0.1240
51
Tennessee
2.3356
2.1540
139
Texas
1.8519
2.1090
410
Utah
2.3130
2.3280
43
Virginia
2.6639
3.1390
85
Vermont
2.2729
2.2855
14
Washington
2.1682
2.1800
93
Wisconsin
2.0619
2.0940
130
West Virginia
1.9022
2.0940
51
Wyoming
1.2005
1.0585
26

View current Stage 6 Hospitals

EMR stages

 

If you are a healthcare provider and would like more information on how to obtain your hospital’s EMR score, e-mail us or call us at 866-546-2900.