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 | * | * | * |