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What you need to know about EMRAM/O-EMRAM in 2018

Starting in 2018, HIMSS Analytics Electronic Medical Record Adoption Model (EMRAM) and the outpatient version O-EMRAM have become international standards for digital maturity. The eight stages (0-7) cover a range of topics and is a progressively sophisticated roadmap for quality, safety and operational efficiency in healthcare.

Statistics show that clients with high EMRAM/O-EMRAM scores are also often recognized as top-performing organizations by the Joint Commission and Health Grades. High-scoring systems also tend to have improved mortality rates, greater cost efficiencies, fewer complications for top Diagnosis-Related Group (DRGs), increased levels of patient engagement and improved disease management.

Most organizations understand the value of achieving higher stages of EMRAM/O-EMRAM, but changing requirements can make it difficult to know where you stand.

Changes to acute standards in 2018

While the O-EMRAM standards have not changed, the EMRAM standards have. Some requirements have moved from higher stages to lower ones. There are several themes that have been affected; for example, patient-centric storage of DICOM (PACS) and Non-DICOM images, such as clinical photos. Other areas include physician documentation, bar coding for specimen collection and new, escalating security standards in stages 2-6. I cover these themes in greater detail in a recent webinar.

O-EMRAM standards haven’t changed in 2018. Validators continue to look at a wide range of requirements, including patient engagement, interoperability, governance, documentation and more.

4 steps you can take to advance your adoption

Currently, the average stage for U.S. organizations is Stage 5. No matter where you fall in the score distribution, most organizations are interested in advancing adoption for better outcomes. Here are some steps you can take:

1) What’s your number?

We encourage every organization to review your stage at HIMSS Analytics. Knowing where you stand will help determine your next steps.

2) Update older info.

If you feel your number is out of date, you can update it by taking the EMRAM/O-EMRAM survey. HIMSS Analytics will send the questionnaire with instructions for completing it.

3) Plan for an on-site assessment.

Learn about new requirements in 2018 and use the EMRAM/O-EMRAM roadmap to prepare for the validation process.

4) Engage Allscripts experts as needed.

We’re here to help and can meet you where you are in your EMRAM/O-EMRAM journey. We offer on-site assessments, Stage 6 to Stage 7 acceleration and an inclusive package to fill in the gaps with comprehensive support. Mock audits can also help identify areas in which you can improve your digital maturity.

 Allscripts has enjoyed partnering with clients to help them succeed and advance with EMRAM/O-EMRAM and other adoption models. With new workflows, they have achieved some remarkable outcomes. We look forward to more of these partnerships as part of our vision to build open, connected communities of health. To learn more about how Allscripts can help, click here.

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