Stage

Cumulative capabilities

A

B

C

1

All three ancillaries (Laboratory, Radiology, Pharmacy) are installed

P

P

P

2

Clinical Data Repository (CDR) is available

P

P

P

Controlled Medical Vocabulary and Clinical Decision Support/Rules (CDS) Engine (rudimentary) is there

P

P

P

Document Imaging (May be) is available

P

*

P

Health Information Exchange (HIE) Capable with other health care providers (May be) is available

P

P

P

3

Nursing/Clinical (vital signs, flow sheets, nursing notes) documentation is available

P

P

P

The Electronic Medication Administration Record (EMAR) application is implemented

*

*

*

CDSS (drug/drug, drug/food, drug/lab conflict checking) is available

*

*

*

PACS is available outside of Radiology

*

*

*

4

Computerized Practitioner Order Entry (CPOE) for use by any clinician is available

*

*

*

Second Level of Clinical Decision Support (related to evidence based medicine protocols) is available

*

*

*

5

Closed loop medication administration (A full complement of radiology) PACS system is there

*

*

*

6

Full physician documentation with structured templates and discrete data (for at least one inpatient care service area) is implemented

*

*

*

Full (level 3) of CDSS (protocols and outcomes) is available

*

*

*

The closed loop medication administration is implemented

*

*

*

7

Complete EMR (Mixture of discrete data, document images, and medical images) is available

*

*

*

Data warehousing (patterns of clinical data to improve quality of care and patient safety and care delivery efficiency) is available

*

*

*

Clinical information (i.e. CCD) can be readily shared

*

*

*

The hospital demonstrates summary data continuity for all hospital services

*

*

*