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The EMR Adoption ModelSM (EMRAM) identifies and scores hospitals using an 8 step scale that charts the path to a fully paperless environment.
| United States EMR Adoption Model SM | |||
| Stage | Cumulative Capabilities | 2011 Q3 | 2011 Q4 |
|---|---|---|---|
| Stage 7 | Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP | 1.1% | 1.2% |
| Stage 6 | Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS | 4.4% | 5.2% |
| Stage 5 | Closed loop medication administration | 7.1% | 8.4% |
| Stage 4 | CPOE, Clinical Decision Support (clinical protocols) | 13.2% | 13.2% |
| Stage 3 | Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology | 46.1% | 44.9% |
| Stage 2 | CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable | 12.6% | 12.4% |
| Stage 1 | Ancillaries - Lab, Rad, Pharmacy - All Installed | 5.9% | 5.7% |
| Stage 0 | All Three Ancillaries Not Installed | 9.6% | 9.0% |
| Data from HIMSS Analytics® Database ©2012 | N = 5299 | N = 5337 | |
| Canada EMR Adoption Model SM | |||
| Stage | Cumulative Capabilities | 2011 Q3 | 2011 Q4 |
|---|---|---|---|
| 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 | 0.5% | 0.5% |
| Stage 5 | Closed loop medication administration | 0.2% | 0.2% |
| Stage 4 | CPOE, Clinical Decision Support (clinical protocols) | 2.3% | 2.3% |
| Stage 3 | Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology | 34.5% | 36.5% |
| Stage 2 | CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable | 22.0% | 20.4% |
| Stage 1 | Ancillaries - Lab, Rad, Pharmacy - All Installed | 14.4% | 14.5% |
| Stage 0 | All Three Ancillaries Not Installed | 26.2% | 25.6% |
| Data from HIMSS Analytics® Database ©2012 | N = 641 | N = 641 | |
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