EMR Adoption Model
HIMSS Analytics, the authoritative source on EMR Adoption trends, devised the EMR Adoption Model to track EMR progress at hospitals and health systems.
The EMRAM scores hospitals in the HIMSS Analytics Database on their progress in completing the 8 stages to creating a paperless patient record environment. Organized and shared with more than 5,200 healthcare providers throughout the US, Europe and Asia, this ranking can be used to work against in planning and executing EMR strategies.
![[chart]](images/emradoptionmodel-chart.jpg)
EMR Adoption Model Structure Ensures Objectivity
- All application capabilities within each stage must be operational before that stage can be achieved.
- All lower stages must have been achieved before a higher level will be considered as achieved.
- A hospital can achieve Stages 3-6 if it has met all of the application requirements for a single patient care service (e.g. single nursing floor, cardiology service).
- Using the rules above, additional points are given for the implementation of applications in stages higher than the one fully achieved by the healthcare organization. In this fashion, other implementation paths than those prescribed by the stages can be taken into consideration for correlation with quality and financial research.



