US EMR Adoption ModelSM
Stage Cumulative Capabilities 2012
Final
2013
Q1
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 1.9% 1.9%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 8.2% 9.1%
Stage 5 Closed loop medication administration 14.0% 16.3%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 14.2% 14.4%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 38.3% 36.3%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 10.7% 10.1%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 4.3% 4.2%
Stage 0 All Three Ancillaries Not Installed 8.4% 7.8%
Data from HIMSS AnalyticsTM Database © 2013 N = 5,458 N = 5,441
Canada EMR Adoption ModelSM
Stage Cumulative Capabilities 2012
Final
2013
Q1
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 0.3% 0.3%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 2.3% 2.2%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 33.8% 33.6%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 25.3% 26.9%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.8% 14.8%
Stage 0 All Three Ancillaries Not Installed 23.0% 21.7%
Data from HIMSS AnalyticsTM Database © 2013 N = 640 N = 640