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EMR Adoption Model Scores




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

Please note that we have made important changes to the EMR Adoption Model which impacts the Stage 7 evaluations. These changes have been in place since September 14, 2009 and will effect EMRAM scoring moving forward. Minor clarifications were also made to Stages 2 and 3. The modifications are summarized here for your convenience.

EMR Scores by Hospital Type, 4th Quarter 2009

Expand for US»

Hospital Type Segment

Mean

Min

Max

Median

Number
Academic/Teaching
3.7836
0.1650
7.0710
3.3770
296
NonAcademic
2.6903
0.0000
7.0630
3.1470
4,939
General Medical/Surgical
3.0282
0.0000
7.0630
3.2150
3,156
Others
2.3332
0.0000
7.0710
3.0550
2,079
Rural
1.8593
0.0000
6.0080
2.0710
1,171
Urban
3.0094
0.0000
7.0710
3.2150
4,064
IDS
3.0017
0.0000
7.0710
3.2160
3,134
Independent Hospital
2.3800
0.0000
7.0310
3.0640
2,101
Critical Access
1.8494
0.0000
6.0080
2.0630
1,291

Expand for Canada »

Hospital Type Segment

Mean

Min

Max

Median

Number
Academic/Teaching
1.9906
0.0000
4.3060
2.1390
74
NonAcademic
1.5066
0.0000
6.0230
2.0150
586
General Medical/Surgical
1.5358
0.0000
6.0230
2.0470
551
Others
1.6876
0.0000
4.3060
2.0150
109

EMR Scores by Bed Size, 4th Quarter 2009

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Bed Segment

Mean

Min

Max

Median

Number
0-100 Beds
2.1999
0.0000
7.0310
2.2070
2,675
101-200 Beds
3.0949
0.0050
7.0630
3.2170
986
201-300 Beds
3.3780
0.0400
7.0630
3.3070
624
301-400 Beds
3.4009
0.0330
7.0710
3.3040
397
401-500 Beds
3.5128
0.1750
7.0470
3.3320
227
501-600 Beds
3.6051
3.6051
7.0310
3.3480
141
600+ Beds
3.8236
2.0550
7.0310
3.3630
185

Expand for Canada»

Bed Segment

Mean

Min

Max

Median

Number
0-100 Beds
1.3720
0.0000
6.0230
1.0640
449
101-200 Beds
1.7738
0.0000
3.2070
2.0950
79
201-300 Beds
1.7133
0.0000
3.2230
2.0595
44
301-400 Beds
2.0367
0.0000
4.1400
2.1550
41
401-500 Beds
2.2904
0.0050
4.3060
2.6235
18
501-600 Beds
2.4115
0.2350
3.2120
3.0320
11
600+ Beds
2.6321
1.0640
4.1950
3.0440
18

EMR Scores by Region, 4th Quarter 2009

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Regions
(U.S. Census Defined)

Mean

Min

Max

Median

Number
East North Central
2.9981
0.0050
7.0710
3.2135
816
East South Central
2.5713
0.0000
6.0710
3.0960
448
Middle Atlantic
3.0805
0.0050
7.0390
3.2080
493
Mountain
2.3731
0.0000
6.0230
3.0880
417
New England
3.4212
0.1110
6.0710
3.2920
203
Pacific
2.9186
0.0000
7.0630
3.1400
583
South Atlantic
3.0769
0.0000
7.0310
3.3040
781
West North Central
2.3753
0.0000
7.0310
3.0615
698
West South Central
2.3163
0.0000
6.0560
3.0150
796

All Hospitals, 4th Quarter 2009

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All Hospitals

Mean

Min

Max

Median

Number
Total
2.7522
0.0000
7.0710
3.1560
5,235

Expand for Canada»

All Hospitals

Mean

Min

Max

Median

Number
Total
1.5609
0.0000
6.0230
2.0470
660


EMR Scores by State/Province, 4th Quarter 2009

Expand for US»

United States

Mean

Min

Max

Median

Number
Alaska 2.4579
0.0050
4.1390
3.1240
 17
Alabama 2.6135
0.0000
5.0960
3.0800
 103
Arkansas 2.2418
0.0050
6.0550
2.0870
 85
Arizona 2.7355
0.0050
5.1650
3.1560
 80
California 3.0028
0.0000
7.0630
3.1320
 386
Colorado 2.6307
0.0050
5.1490
3.1855
 84
Connecticut 3.8377
1.0390
6.0630
3.4150
 33
District of Columbia 2.1558
0.0000
4.2770
3.1640
 11
Delaware 3.4942
2.1550
5.1120
3.3390
 9
Florida 3.0890
0.0050
6.0560
3.3240
 234
Georgia 2.7965
0.0000
6.0630
3.2070
 155
Hawaii 1.9702
0.0050
6.0470
2.0940
 25
Iowa 2.7058
0.0000
5.1490
3.1115
 118
Idaho 2.2698
0.0000
5.0480
2.1790
 43
Illinois 3.1618
0.0100
7.0710
3.1840
 197
Indiana 3.0953
0.0050
6.0550
3.2390
 129
Kansas 1.8145
0.0000
6.0310
2.0850
 137
Kentucky 2.6456
0.0350
5.1490
3.0815
 106
Louisiana 2.2656
0.0000
6.0560
2.1620
 139
Massachusetts 3.3802
0.2100
6.0710
3.2670
 81
Maryland 3.5229
0.0100
6.0630
3.3190
 49
Maine 3.4549
0.2030
6.0390
3.3175
 38
Michigan 2.8805
0.0050
6.0710
3.1840
 159
Minnesota 2.7241
0.0000
6.0630
3.1390
 133
Missouri 2.8590
0.0050
7.0310
3.1800
 127
Mississippi 2.0463
0.0000
6.0710
2.0860
 97
Montana 1.2831
0.0000
3.3270
1.0040
 56
North Carolina 3.1242
0.0050
5.1350
3.3210
 120
North Dakota 1.8347
0.0000
5.1490
2.0150
 43
Nebraska 1.9567
0.0000
5.1350
2.0860
 87
New Hampshire 3.0317
0.1110
5.0790
3.1910
 26
New Jersey 3.1583
0.0100
5.1490
3.2715
 86
New Mexico 2.5575
0.0000
6.0230
2.1280
 40
Nevada 2.4574
0.0000
4.2670
3.1560
 40
New York 3.0951
0.0050
6.0710
3.1570
 209
Ohio 2.9304
0.0150
5.1490
3.2270
 195
Oklahoma 2.0420
0.0000
6.0470
2.1150
 119
Oregon 3.0582
0.0290
6.0560
3.1720
 62
Pennsylvania 3.0314
0.0050
7.0390
3.2190
 198
Rhode Island 3.7207
0.1650
6.0550
3.3210
 11
South Carolina 3.0945
0.0450
5.1490
3.3200
 67
South Dakota 2.1805
0.0000
5.0950
3.0000
 53
Tennessee 2.8440
0.0000
6.0710
3.1560
 142
Texas 2.4180
0.0000
6.0550
3.0750
 453
Utah 2.3375
0.0000
3.4230
2.2900
 47
Virginia 3.5291
0.0650
7.0310
3.3350
 85
Vermont 3.0729
1.0710
5.1490
3.1755
 14
Washington 2.8151
0.0000
6.0390
3.2030
 93
Wisconsin 2.9036
0.0050
7.0310
3.2250
 136
West Virginia 2.6827
0.0050
5.0640
3.1310
 51
Wyoming 2.5865
0.0150
5.0850
3.1400
 27
Proprietary & Confidential to HIMSS AnalyticsTM LLC

Expand for Canada»

Canada

Mean

Min

Max

Median

Number
Alberta
2.5762
1.1150
3.2120
3.0240
96
British Columbia
2.0533
0.0100
6.0230
2.0790
81
Manitoba
0.5619
0.0000
4.3060
0.0770
67
New Brunswick
2.4125
0.1320
3.1560
3.0560
20
Newfoundland and Labrador
2.7527
0.2690
4.1840
3.0800
30
Northwest Territories
0.1560
0.1540
0.1620
0.1540
4
Nova Scotia
2.5404
2.0560
3.2230
2.1550
33
Nunavut
1.0000
1.0000
1.0000
1.0000
1
Ontario
1.4730
0.0000
4.1950
1.1200
145
Prince Edward Island
2.0727
2.0150
2.1310
2.0710
7
Quebec
1.0331
0.0000
3.1920
0.0810
114
Saskatchewan
0.2771
0.0000
2.0920
0.0225
60
Yukon Territory
0.0650
0.0000
0.1300
0.0650
2
Proprietary & Confidential to HIMSS AnalyticsTM LLC

EMRAM Trended, Summary

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EMRAM Trended Q3 2009 Q4 2009
Stage 7 0.3% 0.7%
Stage 6 0.5% 1.6%
Stage 5 2.5% 3.8%
Stage 4 2.5% 7.4%
Stage 3 35.7% 50.9%
Stage 2 31.4% 16.9%
Stage 1 11.5% 7.2%
Stage 0 15.6% 11.5%
Total Hospitals n = 5166 n = 5235

Expand for Canada»

EMRAM Trended Q3 2009 Q4 2009
Stage 7 0.0% 0.0%
Stage 6 0.2% 0.2%
Stage 5 0.2% 0.0%
Stage 4 0.8% 1.1%
Stage 3 8.6% 28.8%
Stage 2 38.4% 22.7%
Stage 1 15.5% 11.7%
Stage 0 36.4% 35.6%
Total Hospitals 664 660

EMRAM, Year Over Year

Expand for US»

EMRAM Trended 2008 2009
Stage 7 0.3% 0.7%
Stage 6 0.5% 1.6%
Stage 5 2.5% 3.8%
Stage 4 2.5% 7.4%
Stage 3 35.7% 50.9%
Stage 2 31.4% 16.9%
Stage 1 11.5% 7.2%
Stage 0 15.6% 11.5%
Total Hospitals n = 5166 n = 5235

 

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.


Gap Analysis of ARRA Goals/Measurements to EMR Adoption Model and the New Ambulatory EMR Adoption Model This PowerPoint presentation provides a gap analysis evaluation for both hospitals and clinics relative to goals and measures for 2011, 2013, and 2015.

Ambulatory EMR Adoption Model
This document provides the stages of capabilities for ambulatory EMR solutions as clinics move toward complete EMR capabilities for ambulatory services.