Electronic Medical Record Adoption Model


Facilitate your progress toward paperless.

HIMSS Analytics has created the EMR Adoption Model, an 8-stage model that allows you to track your progress against healthcare organizations across the country and view all scores in the HIMSS Analytics® Database. Schedule your Stage 7 site visit now.

How do I get my score?

Free to all providers, EMRAM scores may be obtained through participation in the HIMSS Analytics Annual Study.

How do I increase my score?

Let the team who created EMRAM walk you through each stage and create a custom path using your organization’s resources and timteline to help you reach your goal. Ask about our EMRAM Gap Analysis.

Where do I go from here?

Continuous improvement isn't optional in healthcare - it's necessary. Even elite Stage 7 organizations continue to evolve. The DELTA Model can help you determine how well your data is working for you, and the Continuity of Care Maturity Model can show how close you are to delivering true interconnected healthcare.

United States EMR Adoption Model℠

STAGE 2015 Q2 2015 Q3
Stage 7 3.7% 4.1%
Stage 6 23.6% 25.4%
Stage 5 32.3% 34.6%
Stage 4 13.2% 10.3%
Stage 3 18.2% 17.3%
Stage 2 3.6% 3.4%
Stage 1 1.9% 1.8%
Stage 0 3.3% 3.1%
N = 5464 N = 5454

Canada EMR Adoption Model℠

STAGE 2015 Q2 2015 Q3
Stage 7 0.2% 0.2%
Stage 6 0.9% 0.9%
Stage 5 1.1% 3.1%
Stage 4 3.4% 1.7%
Stage 3 30.9% 31.3%
Stage 2 30.7% 31.3%
Stage 1 14.2% 14.1%
Stage 0 18.6% 17.5%
N = 641 N = 640

United States Ambulatory EMR Adoption Model℠

STAGE 2015 Q3
Stage 7 7.79%
Stage 6 10.56%
Stage 5 6.85%
Stage 4 0.96%
Stage 3 11.14%
Stage 2 23.56%
Stage 1 35.69%
Stage 0 3.46%
N = 35,364

“The EMR Adoption Model has been of vital importance to me to help substantiate our EMR progress to my constituents.”

Susan R. Cerrone


Roger Williams Medical Center

EMRAM Stage Criteria

Get a detailed look at what each Stage of the EMR Adoption Model entails. Download the PDF preview for a full overview.

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Stage 7 Case Studies

About the Case Studies

Stage 7 healthcare organizations demonstrate superior implementation and utilization of health IT systems. Their achievement has resulted in the true sharing, information exchange and immediate delivery of patient data to improve process performance, quality of care and safety.

These case studies provide insight and guidance that others can emulate. They are also a summary of each organization’s journey to the top of the EMR Adoption Model.

About the Case Studies

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HIMSS Analytics CapSite Database


When you’re in a marathon vendor selection process, the executed contracts and proposals in the CapSite Database can be a shortcut to the finish line. Search thousands of documents, including terms & conditions to help you find the right fit.


With thousands of executed contracts and proposals from over 1,600 vendors, you're able to approach purchasing decisions well-versed in Terms & Conditions and pricing.


Sometimes defending your purchasing decision is more difficult than making it. Find peers’ contracts, proposals and RFPs for similar purchases in the CapSite Database and use the details to build your case.

“We use HIMSS Analytics Benchmarking Reports to influence stakeholders, drive the innovation process and optimize our IT strategy.”

Bridget Barnes


Oregon Health & Science University

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The HIMSS Analytics DELTA Powered™ Suite

Collecting data is only half of the equation.

In the era of Big Data, your healthcare organization has access to more information than ever before - but what are you doing with it? HIMSS Analytics’ DELTA Powered Suite helps you assess your healthcare organization’s analytical maturity.

What can analytical optimization do for me?

The DELTA Powered suite helps healthcare organizations understand where they currently are with regard to analytics maturity and develop a structured path to maximize the use of analytics enterprise-wide.

How does it work?

Via an online survey, participants rank the importance and effectiveness to which your organization uses analytics, intelligence applications and data to inform decision-making.

You receive a custom benchmarking report that includes DELTA scoring which can be used to map your organization’s progression to analytical maturity.

What does my DELTA score mean?

Based on the results of the online Analytics Assessment, scores are associated with Levels 1 – 5 on the DELTA Powered Maturity Roadmap. DELTA scores provide a baseline and help guide your organization to analytical maturity.

DELTA PoweredTM Analytics Maturity


"By knowing our EMR Adoption Model Score, we could more accurately chart our course for achieving meaningful use."

Jean Meiergerd


St. Francis Memorial Hospital

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Continuity of Care Maturity Model

Going beyond EMRAM

Created to help optimize outcomes for health systems and patient alike, the Continuity of Care Maturity Model goes beyond Stage 7 of the Electronic Medical Record Adoption Model (EMRAM)℠.

This global maturity model addresses the convergence of interoperability, information exchange, care coordination, patient engagement and analytics with the ultimate goal of holistic individual and population health management.

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HIMSS Analytics Continuity of Care Maturity Model

Stage 7 Knowledge driven engagement for a dynamic, multi-vendor, multi-organizational interconnected healthcare delivery model
Stage 6 Closed loop care coordination across care team members
Stage 5 Community-wide patient record using applied information with patient engagement focus
Stage 4 Care coordination based on actionable data using a sematic interoperable patient record
Stage 3 Normalized patient record using structural interoperability
Stage 2 Patient-centered clinical data using basic system-to-system exchange
Stage 1 Basic peer-to-peer data exchange
Stage 0 Limited to no e-communication

Annual Study

Together we can shape tomorrow.

The Annual Study collects information relating to software, products, hardware inventory, and clinician use of health IT. Aggregate data is de-identified and shared with other healthcare organizations that also complete the study to help encourage collaboration and advance the industry overall.

Participation gives you access to the benefits below and provides your organization with the tools to move ahead.


The HIMSS Analytics Electronic Medical Record Adoption Model (EMRAM)℠ was created to track healthcare organizations’ progress towards achieving a paperless patient record environment. Hospitals and ambulatory care facilities are scored based on their level of a EMR adoption from Stage 0 through Stage 7.

Hospital Profiles

Hospital Profiles allow you to view a succinct inventory of your organization’s information technology, as well as general hospital statistics ranging from number of physicians and licensed beds to total number of patient days.

Benchmarking Reports

These reports compare your organization's operations to peers based on IT budget, staffing and service levels. Benchmarking reports also include comparisons of clinical application portfolio capabilities using HIMSS Analytics EMRAM scoring algorithms.

HIMSS Analytics Database

The HIMSS Analytics Database gives you access to the most accurate and current market intelligence available. Invaluable data including software, hardware and infrastructure portfolios of every hospital in the U.S., is at your fingertips.

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