EMR Adoption Model

I first knew about a standard for tracking adoption of electronic medical records(EMR) applications within hospitals and health systems while reading from a recent news article of an IT blog about how Advocate South Suburban Hospital, a Hazel Crest hospital in Illinois, USA was awarded a Stage 6 status based on this model. This prompted me to find out more about this model.

The EMR Adoption Model(EMRAM) is a methodology and algorithms to automatically score by evaluating the progress in a hospital’s IT-enabled clinical transformation status using EMRs.

EMRAM was developed in 2005 by HIMSS Analytics which is a wholly owned, not-for-profit subsidiary of the Healthcare Information and Management Systems Society (HIMSS) using the HIMSS Analytics® Database originally derived from the Dorenfest IHDS+ Database™ in July, 2004.

Founded 51 years ago, HIMSS and its related organisations are headquartered in Chicago with additional offices in the United States and in Europe. Nearer home, HIMSS Analytics launched its Asian operations from their HIMSS Asia Pacific office located in Singapore. As on 14 June 2011, four Singapore hospitals have been awarded the Stage 6 EMRAM Award. No update is available for Malaysian hospitals from this link.

This HIMSS Analytics Database exclusive to HIMSS Analytics, is a comprehensive collection of data from thousands of institutions. It is a most comprehensive source for highly accurate healthcare provider IT market intelligence. The gathered data is used to create a realistic portrait of the health IT landscape – how hospitals are making the transition to paperless and what types of vendors and products they are using to get there.

Using this resourceful and authoritative database on EMR adoption trends, hospitals can track and review their progress in the levels of  their EMR capabilities ranging from limited ancillary department systems through a paperless EMR environment.

Hospitals need to complete eight stages using the EMRAM,

i.e Stage 0 when a hospital has not installed all of the three key ancillary department systems (laboratory, pharmacy, and radiology) through Stage 7. The intent is to reach Stage 7, which represents an advanced electronic patient record environment, where paper charts are not used at all to deliver patient care.

For more information, visit www.himss.org and www.himssanalytics.org (each link opens in a new tab of your current window).

Patient data breaches in the BYOD and BYOC era

Health information is becoming increasingly vulnerable to data breaches as hospital employees turn up for work with mobile devices such as smartphones and tablets and use consumer-friendly and easy-to-use cloud storage services.

This proliferation of mobile devices in the workplace and hooking up onto cloud storage services is among the factors most likely to cause a data breach at hospitals in the US(a worldwide phenomenon, I must add), as indicated by 31 percent of healthcare organisation respondents from the 2012 HIMSS Analytics Report: Security of Patient Data*.

Bringing your own device and using cloud storage services has led to the new digital lifestyle era at the workplace, and two new acronyms, BYOD(Bring Your Own Device) and BYOC(Bring Your Own Cloud)!

You know your own devices well, so what then is this cloud storage service?

Image credit: https://www.marconet.com/blog/what-is-the-cloud-and-how-should-you-use-it-infographic

Now that the graphic would have given to those others who prefer inspiration, but maybe “just an introduction” to the tech-savvy, I think it was enough to arouse leaders in workplaces that manage patient data to think about the possibilities of anyone who could use such free and easy cloud services for criminal uses, thus beware it’s highly probable that mobiles devices and the cloud could be used to breach health information security at any HIM/MR Department.

In a future blog, I shall take you further to discuss some best practices for hospital data security.

*The 2012 HIMSS Analytics Report: Security of Patient Data, the third installment of the bi-annual survey of healthcare providers nationwide, shows a steady rise in data breaches over the last six years, despite increasingly stringent regulatory activity surrounding reporting and auditing procedures, and heightened levels of compliance –  a report as commissioned by the information security practice of Kroll Advisory Solutions