US EMR Adoption ModelSM
Stage Cumulative Capabilities 2013
Q3
2013
Final
Stage 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP 2.2% 2.9%
Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 11.1% 12.5%
Stage 5 Closed loop medication administration 20.9% 22.0%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 15.1% 15.5%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 31.9% 30.3%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 8.4% 7.6%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 3.5% 3.3%
Stage 0 All Three Ancillaries Not Installed 6.9% 5.8%
Data from HIMSS AnalyticsTM Database © 2014 N = 5,437 N = 5,458
Canada EMR Adoption ModelSM
Stage Cumulative Capabilities 2013
Q3
2013
Final
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% 0.6%
Stage 5 Closed loop medication administration 0.2% 0.0%
Stage 4 CPOE, Clinical Decision Support (clinical protocols) 3.8% 3.8%
Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 32.0% 32.2%
Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable 29.1% 29.1%
Stage 1 Ancillaries - Lab, Rad, Pharmacy - All Installed 14.5% 14.5%
Stage 0 All Three Ancillaries Not Installed 20.0% 19.8%
Data from HIMSS AnalyticsTM Database © 2014 N = 640 N = 640