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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 on their progress in completing the 8 stages to creating a paperless patient record environment. 

View current Stage 7 Hospitals

View current Stage 6 Hospitals

Stage 6 case study: Newport Hospital.

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

1st Quarter, 2009 EMR/SEHR Adoption Model Scores - Based on 5,170 U.S. Hospitals with a minimum score of 0.000 and maximum score of 7.0230

EMR Scores by Hospital Type, 1st Qtr 2009
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Hospital Type Segment

Mean

Min

Max

Median

Number
Academic/Teaching
3.4827
0.1720
7.0230
3.2720
296
NonAcademic
2.3073
0.0000
7.0230
2.2220
4,874
General Medical/Surgical
2.6611
0.0000
7.0230
3.0720
3,161
Others
1.9239
0.0000
7.0230
2.0780
2,009
Rural
1.5129
0.0000
6.0230
2.0150
1,303
Urban
2.6650
0.0000
7.0230
3.0720
3,867
IDS
2.5788
0.0000
7.0230
2.3620
3,077
Independent Hospital
2.0745
0.0000
6.0230
2.1540
2,093
Critical Access
1.4844
0.0000
6.0230
2.0150
1,258

EMR Scores by Bed Size, 1st Qtr 2009
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Bed Segment

Mean

Min

Max

Median

Number
0-100 Beds
1.8070
0.0000
7.0150
2.0750
2,617
101-200 Beds
2.6937
0.0050
7.0230
3.0790
986
201-300 Beds
3.0304
0.0250
7.0230
3.2090
619
301-400 Beds
2.9913
0.0400
7.0230
3.2070
405
401-500 Beds
3.2418
0.1900
6.0230
3.2520
216
501-600 Beds
3.3302
0.0780
6.0230
3.2510
143
600+ Beds
3.4138
0.2050
6.0230
3.2670
184

EMR Scores by Region, 1st Qtr 2009
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Regions
(U.S. Census Defined)

Mean

Min

Max

Median

Number
East North Central
2.5371
0.0000
7.0230
2.3720
811
East South Central
2.2515
0.0000
6.0230
2.2005
446
Middle Atlantic
2.6753
0.0000
6.0230
3.0560
500
Mountain
2.0612
0.0000
6.0000
2.1455
406
New England
3.1935
0.0550
6.0230
3.1920
207
Pacific
2.4528
0.0000
7.0230
2.2790
573
South Atlantic
2.7005
0.0000
6.0230
3.0720
775
West North Central
1.9232
0.0000
6.0230
2.0940
685
West South Central
2.0389
0.0000
6.0230
2.1090
767

All Hospitals, 1st Qtr 2009
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All Hospitals

Mean

Min

Max

Median

Number
Total
2.3746
0.0000
7.0230
2.2685
5,170

EMR Scores by State, 1st Qtr 2009
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United States

Mean

Min

Max

Median

Number
Alaska 2.3078 0.0050 4.1260 3.0720 17
Alabama 2.2388 0.0000 6.0230 2.2215 104
Arkansas 1.8183 0.0050 6.0230 2.0700 83
Arizona 2.5406 0.0050 6.0000 3.1280 76
California 2.5185 0.0000 7.0230 2.2620 378
Colorado 2.2857 0.0150 5.1170 2.3240 85
Connecticut 3.3446 0.1450 6.0230 3.2880 34
District of Columbia 2.7973 2.1540 3.4090 3.0870 7
Delaware 2.6672 2.0150 3.3370 2.2490 9
Florida 2.6829 0.0000 6.0150 3.0790 234
Georgia 2.4293 0.0000 6.0230 2.3590 155
Hawaii 1.4196 0.0000 4.1570 1.2740 25
Iowa 2.0630 0.0000 4.1940 2.1770 119
Idaho 1.9337 0.0000 5.0720 2.1170 41
Illinois 2.6756 0.0000 7.0230 3.0720 197
Indiana 2.6702 0.0500 6.0230 3.0720 130
Kansas 1.4288 0.0000 6.0230 1.0750 127
Kentucky 2.4514 0.0000 6.0230 2.1655 106
Louisiana 2.1131 0.0000 6.0150 2.0940 139
Massachusetts 3.1428 0.2800 6.0230 3.1280 84
Maryland 3.1108 0.0100 6.0150 3.1260 49
Maine 3.3788 0.0550 6.0230 3.2365 38
Michigan 2.4219 0.0050 6.0230 2.2525 156
Minnesota 2.3105 0.0000 6.0230 2.2685 132
Missouri 2.5980 0.0000 6.0230 3.1275 126
Mississippi 1.7354 0.0000 6.0230 2.0540 95
Montana 1.0463 0.0000 3.3260 0.1095 56
North Carolina 2.6833 0.0100 5.1100 2.4030 118
North Dakota 1.1374 0.0000 3.3220 0.1100 44
Nebraska 1.5382 0.0000 5.0640 2.0150 87
New Hampshire 2.9046 0.1260 5.0790 3.2305 26
New Jersey 2.7379 0.0450 6.0230 3.1390 87
New Mexico 2.1578 0.0050 4.1390 2.0940 37
Nevada 2.2238 0.0100 5.0720 2.1960 39
New York 2.6949 0.0050 6.0230 2.4320 215
Ohio 2.4806 0.0150 6.0150 2.6845 192
Oklahoma 1.7082 0.0000 6.0080 2.0660 114
Oregon 2.4103 0.0700 6.0230 2.4590 61
Pennsylvania 2.6265 0.0000 6.0230 3.0280 198
Rhode Island 3.7830 0.1720 6.0230 3.3130 11
South Carolina 2.8526 0.0600 6.0230 3.2140 67
South Dakota 1.4842 0.0050 3.4170 2.0225 50
Tennessee 2.4583 0.0000 6.0230 2.2800 141
Texas 2.1449 0.0000 6.0150 2.1750 431
Utah 2.1630 0.0000 3.4090 2.1370 46
Virginia 3.1249 0.0100 6.0230 3.2440 85
Vermont 2.7017 1.0710 4.2540 3.2025 14
Washington 2.5185 0.0000 6.0230 3.0560 92
Wisconsin 2.4214 0.0050 6.0230 2.2735 136
West Virginia 2.3362 0.0560 6.0150 2.2800 51
Wyoming 1.7516 0.0100 3.2620 2.1050 26
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EMRAM Trended, Summary
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EMRAM Trended 2008 Final Q1 2009
Stage 7 0.3%
0.3%
Stage 6 0.5%
0.8%
Stage 5 2.5%
3.6%
Stage 4 2.5%
2.8%
Stage 3 35.7%
37.0%
Stage 2 31.4%
32.1%
Stage 1 11.5%
9.0%
Stage 0 15.6%
14.5%
Total Hospitals n = 5166 n = 5170

 

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.