Ethan Rhodes
The Healthcare Information and Management Systems Society subsidiary HIMSS Analytics has developed an eight-stage EMR Adoption Model (EMRAM) that measures the degree to which a hospital utilizes its EMR functions. EMRAM was designed to provide a scale of measurement for healthcare organizations to assess clinical outcomes, patient engagement, and the use of electronic medical records (EMR) technology. Hospitals are scored on standards related to digital imaging, interoperability, and data security, among other capabilities. As of 2015, only 26% of US hospitals tracked by HIMSS Analytics had achieved Stage 6, with 1,411 hospitals reaching this level. This year, HIMSS Analytics has recognized 170 hospitals for reaching Stage 6, bringing the total number of hospitals at this stage to 795.
| Characteristics | Values |
|---|---|
| Number of hospitals that have reached HIMSS Stage 6 | 170 (as of 2023) |
| Percentage of US hospitals that have reached HIMSS Stage 6 | 10% |
| Percentage of UK hospitals that have reached HIMSS Stage 6 | 0.6% |
| Number of hospitals that have reached HIMSS Stage 6 as of 2015 | 1,411 |
| Number of hospitals that have reached HIMSS Stage 6 as of 2019 | 681 |
| Hospitals that have reached HIMSS Stage 6 | Martin Luther King, Jr. Community Hospital (MLKCH), Alameda Health System (AHS), Morristown (N.J.) Medical Center, Outer Banks Hospital, and more |
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US vs UK hospitals
The HIMSS EMRAM model is a scale of measurement for healthcare organisations to assess clinical outcomes, patient engagement, and the use of electronic medical records (EMR) technology. The model intends to guide hospitals through its stages, helping to improve the delivery of better healthcare at a more affordable cost. The model was initially developed in the US, but it has also become highly relevant to the UK's Frontline Digitisation initiative.
In the US, 10% of hospitals have reached HIMSS Level 6 or 7, while in the UK, only about 0.6% of hospitals have reached this level. This discrepancy has been addressed by the UK's Frontline Digitisation initiative, which aims to help NHS organisations achieve HIMSS EMRAM Level 5 by March 2025. However, some argue that helping all NHS organisations reach Level 5 is more beneficial than assisting a few organisations in achieving Level 6 or 7, as there may be diminishing returns at the higher levels.
The HIMSS EMR Adoption Model (EMRAM) is an eight-stage (0-7) roadmap developed by HIMSS Analytics to evaluate the progress and impact of electronic medical record systems for hospitals. Hospitals are scored on standards related to digital imaging, interoperability, and data security, among other capabilities. Stage 6 hospitals have achieved significant advancements in their IT capabilities, positioning them to address industry transformations such as meaningful use criteria and government quality reporting programs.
In the US, as of October 2015, only 26% of hospitals tracked by HIMSS Analytics had achieved Stage 6, with 1,411 hospitals reaching this level. One example of a Stage 6 hospital is the Martin Luther King, Jr. Community Hospital (MLKCH) in Los Angeles, which achieved this status shortly after its opening in July 2015. MLKCH officials planned to apply for Stage 7 in 2016, as Stage 6 was the highest level possible for them at the time due to data eligibility requirements.
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Benefits of Stage 6
The HIMSS Stage 6 certification is a significant milestone for any healthcare organization, and it comes with a multitude of advantages. This certification serves as a testament to an organization's dedication to exceptional healthcare IT infrastructure and sets a benchmark for other institutions striving for excellence in this field.
One of the key benefits of achieving HIMSS Stage 6 is the enhanced operational capabilities it brings. This includes improved patient outcomes through efficient and reliable IT systems, as well as streamlined operations leading to cost savings and increased efficiency. For example, auto-population capabilities eliminate duplicate data entry, improving efficiency, particularly for nursing staff. Additionally, shared documentation views and task management features enhance communication between physicians and nurses, leading to better care coordination.
Furthermore, Stage 6 certification demonstrates a commitment to advanced digital healthcare and patient safety. This is achieved through structured clinical documentation, standardized medical terminology, and seamless integration with existing hospital information systems. The implementation of comprehensive clinical documentation platforms ensures structured data capture, enabling better data utilization and supporting collaborative care planning. Additionally, proactive clinical alerts at the point of care enable faster and more informed decision-making, further improving patient safety and reducing errors.
HIMSS Stage 6 also enhances data security and compliance with healthcare regulations. This is accomplished through the implementation of advanced IT systems that provide robust support for clinical and operational processes, including strong cybersecurity measures and efficient data management practices. By achieving high availability and interoperability across different systems, healthcare organizations can ensure better data protection and meet healthcare industry standards.
While HIMSS Stage 6 offers numerous benefits, organizations often don't stop there and continue striving for HIMSS Stage 7, the highest level of the INFRAM framework. This next step involves refining their infrastructure further to anticipate and adapt to evolving healthcare needs, integrating innovative technologies, and maintaining their lead in healthcare IT excellence.
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EMRAM
The model measures the maturity of EMR workflows using global benchmarks, allowing hospitals to identify problem areas and implement fixes. It helps hospitals unify and safely share data from multiple sources, automate repetitive clinical and admin tasks, and integrate global best practices into existing EMR workflows. EMRAM helps hospitals improve patient care and the experience of their clinical teams.
The EMR Adoption Model has eight stages, from 0 to 7, with each stage helping hospitals improve the delivery of healthcare at a more affordable cost. Hospitals are scored on standards related to digital imaging, interoperability, and data security, among other capabilities. Stage 6 hospitals have achieved significant advancements in their IT capabilities, positioning them to address industry transformations such as meaningful use criteria and government quality reporting programs.
According to HIMSS Analytics, as of October 2015, only 26% of US hospitals tracked by them had achieved Stage 6, with 1,411 US hospitals reaching this level. In the UK, only 0.6% of hospitals have reached Level 6/7. Hospitals do not need to go through the program linearly and can focus on laying the groundwork for Level 5 before aiming for the more challenging Levels 6 and 7.
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Stage 6 hospitals
The Healthcare Information and Management Systems Society (HIMSS) Analytics developed the EMR Adoption Model (EMRAM) in 2005. It is an eight-stage (0-7) roadmap that measures the degree to which a hospital utilises its EMR functions. EMRAM assesses hospitals on their digital maturity and provides a roadmap for digital transformation. Hospitals are scored on standards related to digital imaging, interoperability, and data security, among other capabilities.
Achieving Stage 6 validation is a significant accomplishment for healthcare organisations. It signifies a commitment to leveraging technology to enhance patient care and organisational performance. Stage 6 hospitals have achieved a significant advancement in their IT capabilities, positioning them to successfully address many of the current industry transformations. As of October 2015, only 26% of US hospitals tracked by HIMSS Analytics had achieved Stage 6, with 1,411 US hospitals reaching this level.
In 2018, Beijing ChuiYangLiu Hospital in China, Humber River Regional Hospital and the Hospital for Sick Children Outpatient Services in Canada, and Martin Luther King, Jr. Community Hospital in Los Angeles, were all recognised as Stage 6 hospitals. In 2023, more than 70 health systems achieved Stage 6 validations, with the highest-ranked being China Medical University Hospital in Taichung, Taiwan.
While Stage 6 is an impressive accomplishment, it is not the highest level of achievement. Stage 7, the highest possible level, represents the adoption and effective use of an advanced electronic patient record system.
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Stage 6 criteria
The HIMSS (Healthcare Information and Management Systems Society) Maturity Model is a classification system that assesses the digital health capabilities of healthcare organisations. The model has eight stages, from 0 to 7, with each stage representing a level of advancement in the utilisation of electronic medical records (EMR) and other digital health technologies.
Stage 6 of the HIMSS Maturity Model signifies a high level of IT capability and digital transformation in a healthcare setting. Organisations at this stage have successfully addressed many industry transformations and are well-positioned to navigate future changes. They have advanced electronic medical record systems and are able to share data and coordinate care with other healthcare facilities. Stage 6 hospitals are also able to meet meaningful use criteria, such as those outlined in the American Recovery and Reinvestment Act, and participate in government quality reporting programs.
To achieve Stage 6, hospitals must undergo a rigorous assessment process conducted by HIMSS Analytics. This subsidiary of HIMSS evaluates the progress and impact of electronic medical record systems, tracking their implementation and utilisation of health information technology applications. Hospitals are scored on various standards, including digital imaging, interoperability, and data security. As of 2015, only 1,411 US hospitals out of 5,487 registered hospitals had attained Stage 6, according to HIMSS Analytics.
Progressing from Stage 6 to Stage 7 is considered a significant leap. At Stage 7, organisations deliver population-level insights and personalised care at scale, backed by evidence. They have achieved the adoption and effective utilisation of advanced electronic patient record systems, with a strong focus on analytics and using data to improve patient outcomes.
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Frequently asked questions
As of 2015, 1,411 US hospitals have reached stage 6 HIMSS, according to HIMSS officials. This number represents around 26% of US hospitals tracked by HIMSS Analytics.
Stage 6 hospitals have achieved significant advancements in their IT capabilities, allowing them to address industry transformations, such as meaningful use criteria and government quality reporting programs.
Most hospitals sit on the second-highest level of the EMR Adoption Model, which has eight stages (0-7). As of 2019, 681 hospitals have reached stage 6. In 2023, 170 hospitals were recognised for reaching stage 6.
The HIMSS EMRAM model is a scale of measurement for healthcare organisations to assess clinical outcomes, patient engagement, and the use of electronic medical records (EMR) technology. It aims to guide hospitals through its stages to improve the delivery of better healthcare at a more affordable cost.
