Tessa Quinn
HIMSS Analytics has been tracking the adoption of EMR technologies within hospitals since 2005, using the EMR Adoption Model (EMRAM). This model, which runs from Stage 0 to Stage 7, measures the extent to which a hospital utilizes its EMR functions. Hospitals are scored on criteria such as digital imaging, interoperability, and data security. Achieving HIMSS Stage 7 recognition is challenging, and as of 2018, only a handful of hospitals, including Martin Luther King Jr. Community Hospital and Mercy Hospital St. Louis, had attained this distinction.
| Characteristics | Values |
|---|---|
| Name of Hospitals | Martin Luther King Jr. Community Hospital, Mercy Hospital St. Louis |
| Year of Recognition | 2018, 2020 |
| Type of Hospital | Community Hospital |
| Number of Hospitals at HIMSS Stage 7 | 2 |
| Scoring Standard | Digital imaging, interoperability, data security, blood product administration scanning, barcode scanning for patient identification and medication administration |
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What You'll Learn
Martin Luther King Jr. Community Hospital
The Healthcare Information and Management Systems Society (HIMSS) Analytics tracks the adoption of electronic medical records in hospitals and scores them on an eight-point scale, from Stage 0 to Stage 7. As of 2017, only 6.4% of American hospitals had reached Stage 7, the highest level of health IT use.
MLKCH began preparing for HIMSS Stage 7 in July 2017, treating the process as a formal project. They convened a multi-disciplinary Stage 7 prep team and designated a project manager to lead the effort. The team collaborated with the hospital's EMR vendor to guide preparation efforts and conducted a detailed review of the Acute Care EMRAM Stage 7 Reviewer's Guide. They also leveraged existing projects and resources to meet the challenges of Stage 7 and successfully passed the HIMSS Analytics evaluation visit.
The hospital's advanced electronic medical record (EMR) system was implemented as a strategic choice to address the shortage of physicians in the community and improve access to healthcare. With the EMR system, the hospital can coordinate patient health information with all a patient's providers, reducing the need for patients to travel to unnecessary or repetitive appointments. This system also enables the hospital to deliver on its mission to provide compassionate, collaborative, and quality care, improving the health of the community.
MLKCH's achievement of HIMSS Stage 7 is a testament to its commitment to technological innovation and strategic investments. By utilizing digital tools and systems, the hospital has been able to enhance the quality of care, protect patient safety, and improve the patient experience.
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Mercy Hospital St. Louis
HIMSS Analytics, a global healthcare technology market intelligence, research, and standards organization, has recognized Mercy Hospital St. Louis as a Stage 7 healthcare system. This recognition is based on the Electronic Medical Record Adoption Model (EMRAM), which measures the degree to which a hospital utilizes its EMR functions, including digital imaging, interoperability, and data security.
As a teaching and research facility, Mercy Hospital St. Louis also contributes to advancing healthcare for future generations. They provide access to national clinical trials through Mercy Research and offer various community classes, support groups, and educational seminars. Additionally, they were the first Missouri hospital recognized by J.D. Power and Associates' Distinguished Hospital Program for "Outstanding Patient Experience" in maternity care.
While the exact number of HIMSS Stage 7 hospitals is unclear, Mercy Hospital St. Louis is one of them, recognized for its comprehensive range of services, commitment to patient care, and contributions to healthcare advancement.
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Digital transformation
Digital health transformation is driven by the rapid development of e-health and digitalisation, with technologies such as the Internet of Things, cloud computing, artificial intelligence, and telemedicine playing a significant role. This transformation allows for the creation of a more patient-centric culture, with improved healthcare choices and experiences. For example, electronic health records enable physicians to develop tailored treatments based on patient-specific data, such as medical histories and genetic profiles. Additionally, digital transformation can address disparities in healthcare accessibility through telemedicine, making remote monitoring possible in various specialties.
HIMSS, a global advisor and thought leader in healthcare digital transformation, offers maturity models that provide strategic pathways for healthcare organisations to advance in key areas. These models cover areas such as infrastructure, analytics, coordination of care, and clinical documentation. In 2019, HIMSS recognised 47 healthcare organisations worldwide that achieved Stage 7 validations for their efforts in advancing health and wellness through health information and technology. Stage 7 represents the highest level of maturity in the adoption and utilisation of electronic medical record (EMR) functions.
To achieve digital transformation, healthcare facilities require professionals with a combination of business or management expertise and technology specialisation. This integration ensures that transformative initiatives are effectively led and implemented. By embracing digital transformation, healthcare managers can enhance their success and improve the quality of care delivered to patients.
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Interoperability
Achieving HIMSS Stage 7 status is a significant accomplishment for any hospital, as it recognises their ability to leverage technology to enhance patient care and overall healthcare IT. One of the key requirements for hospitals to attain this status is to establish interoperability with other healthcare providers. This involves the seamless exchange of patient information across different care settings, which promotes continuity of care and reduces the risk of medical errors due to incomplete or inaccurate data.
By achieving interoperability, HIMSS Stage 7 hospitals can streamline workflows, reduce errors, and enhance communication among healthcare professionals. This results in improved patient care and increased efficiency. Additionally, the seamless exchange of information enables better coordination of patient treatment across different healthcare providers, ensuring that patients receive consistent and continuous care.
To achieve interoperability, HIMSS Stage 7 hospitals implement electronic medical records (EMRs) and electronic health records (EHRs) that are compatible and can communicate with each other. This allows for the secure and efficient transfer of patient information, including medical history, medications, allergies, and laboratory results. Hospitals at this stage also employ advanced technologies such as computerized physician order entry (CPOE) and clinical decision support systems (CDSS) to further enhance interoperability and improve patient outcomes.
While achieving HIMSS Stage 7 status is an impressive feat, it is important to recognise that it is a challenging process that requires significant time and resources. According to research, many hospitals may not attain this status until 2035 unless there are major policy changes or technological advancements within the healthcare IT ecosystem. However, the benefits of interoperability and improved patient care that come with HIMSS Stage 7 designation serve as a strong incentive for hospitals to embrace digital transformation and strive towards this advanced level of healthcare technology utilisation.
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Patient safety
HIMSS Stage 7 hospitals have transitioned to a fully electronic health record environment, eliminating the use of paper records. This digital transformation brings numerous benefits that directly and indirectly impact patient safety. Firstly, the seamless exchange of patient information across different care settings becomes possible, reducing the chances of medical errors arising from incomplete or inaccurate data. For instance, barcode scanning for patient identification and medication administration, as implemented in some HIMSS Stage 7 hospitals, ensures accurate patient and medication matching, thus enhancing patient safety.
Secondly, the abundance of data from various sources, coupled with advanced analytics capabilities, enables HIMSS Stage 7 hospitals to make data-driven decisions. This helps identify trends, predict disease outbreaks, and develop personalized treatment plans, ultimately improving patient outcomes and safety. For instance, case studies from a HIMSS Stage 7 hospital highlighted quality in medication management, population health, and proactive intervention in critical patient care, all contributing to enhanced patient safety.
Moreover, achieving HIMSS Stage 7 status demonstrates a hospital's commitment to innovation and excellence in healthcare information technology (IT). This reputation enhances trust among patients, healthcare professionals, and industry stakeholders. It also serves as a benchmark for other healthcare organizations, encouraging them to improve their digital capabilities and adopt best practices in patient safety and care. As of 2020, 47 healthcare organizations worldwide had achieved HIMSS Stage 7 validations, with 175 hospitals in the United States alone, signifying their dedication to digital transformation and patient safety.
In conclusion, HIMSS Stage 7 hospitals are at the forefront of utilizing health information technology to enhance patient safety. By embracing digital transformation, these hospitals improve data exchange, enable data-driven decision-making, and establish themselves as innovators in healthcare IT. This, in turn, inspires other healthcare organizations to strive for similar advancements, collectively raising the standards of patient safety and care.
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Frequently asked questions
HIMSS stands for Healthcare Information and Management Systems Society. It is a subsidiary of HIMSS Analytics, which has been tracking the adoption of EMR technologies within hospitals since 2005.
The EMR Adoption Model is an eight-stage (Stage 0 to Stage 7) roadmap developed by HIMSS Analytics to measure the degree to which a hospital utilizes its EMR functions. Hospitals are scored on standards related to digital imaging, interoperability, and data security, among other capabilities.
As of 2018, only one community hospital, Martin Luther King Jr. Community Hospital, has achieved HIMSS Stage 7, the highest level of IT adoption. Mercy Hospital St. Louis is another hospital that has been recognized by HIMSS Analytics as a Stage 7 healthcare system.
Achieving HIMSS Stage 7 enables hospitals to present their achievements to a wide audience and serves as a validation of their IT capabilities. It also allows hospitals to leverage digital health transformation tools such as patient portals, telehealth, predictive analytics, and medical AI to improve patient care and outcomes.
