US EMR Adoption ModelSM
Stage Cumulative Capabilities 2013
Final
2014
Q1
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 2.9% 3.1%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 12.5% 13.3%
Stage 5 Closed loop medication administration 22.0% 24.2%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 15.5% 15.7%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 30.3% 27.7%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 7.6% 7.2%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 3.3% 3.2%
Stage 0 All Three Ancillaries Not Installed 5.8% 5.6%
Data from HIMSS AnalyticsTM Database © 2014 N = 5,458 N = 5,449
Canada EMR Adoption ModelSM
Stage Cumulative Capabilities 2013
Final
2014
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 0.6% 0.6%
Stage 5 Closed loop medication administration 0.0% 0.5%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.8% 3.6%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.2% 32.5%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 29.1% 28.9%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.5% 14.5%
Stage 0 All Three Ancillaries Not Installed 19.8% 19.4%
Data from HIMSS AnalyticsTM Database © 2014 N = 640 N = 640