HIMSS Analytics honors Saint Peter’s with Stage 6 recognition
Release date: 8/22/2014
HIMSS Analytics honors Saint Peter’s with Stage 6 recognition
NEW BRUNSWICK, N.J. - HIMSS Analytics announced today that Saint Peter’s University
Hospital, a member of Saint Peter’s Healthcare System, has achieved Stage 6 on
the EMR (electronic medical records) Adoption ModelSM (EMRAM).
developed the EMR Adoption Model in 2005 as a methodology for evaluating the
progress and impact of electronic medical record systems for hospitals in the
HIMSS Analytics™ Database. Tracking
their progress in completing eight stages (0-7), hospitals can review the
implementation and utilization of information technology applications with the
intent of reaching Stage 7, which represents an advanced electronic patient
Stage 6 hospitals
- Have made significant executive commitments and
investments to reach this stage.
- Appear to have a significant advantage over competitors
for patient safety, clinician support, clinician recruitment, and
competitive marketing for both consumers and nurse recruitment.
- Have almost fully automated/paperless medical records
when they have implemented their IT applications across most of the
inpatient care settings.
- Are either starting to evaluate their data for care
delivery process improvements or have already documented significant
improvements in this area.
- Have made investments that are within reach of most
hospitals and recognize the strategic value of improving patient care with
- Have begun to create strategic alignments with their
medical staff to effectively utilize information technology to improve the
patient safety environment
- Are well positioned to provide data to key
stakeholders, such as payers, the government, physicians, consumers, and
employers, to support electronic health record environments and health
Stage 6 hospitals also have achieved
a significant advancement in their IT capabilities that positions them to
successfully address many of the current industry transformations such as
meaningful use criteria in the American Recovery and Reinvestment Act, claims
attachments for the Health Insurance Portability and Accountability Act, pay
for performance, and government quality reporting programs.
Getting to Stage 6 was an iterative process for Saint
Peter’s University Hospital that began in 2009 when Saint Peter’s committed to
implement one of the most advanced and far-reaching electronic health record
implementations in New Jersey. Saint Peter’s has since worked with its clinical
staff and physicians to improve the quality of care by installing a hospital-wide
rapid rounding and results viewer, computerized physician order entry,
bar-coded medications administration at the bedside, advanced analytics, and
more. With each implementation Saint Peter’s has advanced up the electronic
health record adoption scale of the governing body, the Health Information
Management Systems Society. Saint Peter’s has been awarded Stage 6 recognition
as a result. The definition of Stage 6 electronic health record adoption
means that the electronic medical record contains full physician documentation
with structured templates and discrete data, and that this has been implemented
for at least one inpatient care service area for progress notes, consult notes,
discharge summaries, or problem list and diagnosis list maintenance.
Saint Peter’s achieved Stages 1 through 5 to reach Stage 6.
“This has been an exhaustive process,” said Frank DiSanzo, chief
information and strategy officer for the healthcare system, “as is evinced by
the fact that only 15 percent of the more than 5,000 hospitals in the United
States have achieved Stage 6 or greater.”
“HIMSS Analytics congratulates Saint Peter’s University
Hospital for leading the way toward health IT adoption,” said John Hoyt, FACHE,
FHIMSS, executive vice president, HIMSS Analytics. “Stage 6 represents a level of sophistication
that only 825 U.S. hospitals have reached to date.”
Each stage encompasses specific benchmarks for completion. Those stages are:
Stage 1: All three major ancillary
clinical systems are installed (i.e., pharmacy, laboratory and radiology).
Stage 2: Major ancillary clinical systems
feed data to a clinical data repository (CDR) that provides physician access
for reviewing all orders and results. The CDR contains a controlled medical
vocabulary and the clinical decision support/rules engine (CDS) for rudimentary
conflict checking. Information from document imaging systems may be linked to
the CDR at this stage. The hospital may be health information exchange (HIE)
capable at this stage and can share whatever information it has in the CDR with
other patient care stakeholders.
Stage 3: Nursing/clinical documentation
(e.g. vital signs, flow sheets, nursing notes, electronic medical administration
record (eMAR) is required and is implemented and integrated with the CDR for at
least one inpatient service in the hospital; care plan charting is scored with
extra points. The eMAR application is implemented. The first level of clinical
decision support is implemented to conduct error checking with order entry
(i.e., drug/drug, drug/ food, drug/lab conflict checking normally found in the
pharmacy information system). Medical image access from picture archive and
communication systems (PACS) is available for access by physicians outside the radiology
department via the organization’s intranet.
Stage 4: Computerized practitioner order entry
(CPOE) for use by any clinician licensed to create orders is added to the
nursing and CDR environment along with the second level of clinical decision
support capabilities related to evidence-based medicine protocols. If one
inpatient service area has implemented CPOE with physicians entering orders and
completed the previous stages, then this stage has been achieved.
Stage 5: The closed loop medication
administration with bar coded unit dose medications environment is fully
implemented. The eMAR and bar coding or other auto identification technology,
such as radio frequency identification (RFID), are implemented and integrated
with CPOE and pharmacy to maximize point of care patient safety processes for
medication administration. The “five rights” of medication administration are verified
at the bedside with scanning of the bar code on the unit that does medication
and the patient ID.
Stage 6: Full physician documentation with
structured templates and discrete data is implemented for at least one
inpatient care service area for progress notes, consult notes, discharge
summaries or problem list and diagnosis list maintenance. Level three of
clinical decision support provides guidance for all clinician activities
related to protocols and outcomes in the form of variance and compliance
alerts. A full complement of radiology PACS systems provides medical images to
physicians via an Intranet and displaces all film-based images. Cardiology PACS
and document imaging are scored with extra points.
Stage 7: The hospital no longer uses paper
charts to deliver and manage patient care
About Saint Peter’s
Saint Peter’s Healthcare System
Inc., parent company of the Saint Peter’s healthcare delivery system, is
comprised of Saint Peter’s University Hospital, a 478-bed acute-care teaching
hospital; Saint Peter’s Foundation, the fundraising arm of the hospital; and
Saint Peter’s Health and Management Services Corp., which oversees the system’s
outpatient facilities. These include the CARES Surgicenter; New Brunswick
Cardiac Cath Lab; Community Care Services Inc.; the Margaret McLaughlin
McCarrick Care Center Inc., a residential skilled nursing facility in Somerset;
and Saint Peter’s Adult Day Center in Monroe Township. Saint Peter’s Healthcare
System is sponsored by the Roman Catholic Diocese of Metuchen. For more
information about Saint Peter’s Healthcare System, please visit www.saintpetershcs.com or call 732-745-8600.
About HIMSS Analytics
Analytics is a wholly owned not-for-profit subsidiary of the Healthcare
Information and Management Systems Society (HIMSS). The company collects
and analyzes healthcare data related to IT processes and environments,
products, IS department composition and costs, IS department management
metrics, healthcare trends and purchase-related decisions. HIMSS Analytics
delivers high quality data and analytical expertise to healthcare delivery
organizations, healthcare IT companies, state governments, financial companies,
pharmaceutical companies, and consulting firms.
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