In order for organisations to measure their improvements in the field and also to compare against others locally and globally HIMSS Analytics®
constructed EMRAM, an eight-tiered model, with attainment stages 0 - 7, detailing specific measures for the adoption and use of Electronic Medical Record (EMR) functions and notably those that support optimised patient care through technology and are needed in order to achieve a paperless environment.
Stage 6 of this ladder indicates that the organisation should achieve “technology enabled medication, blood products, and human milk administration; risk reporting; full clinical decision support”.
HIMSS EMRAM stage 6 organisations
now include Cambridge University Hospitals NHS Foundation Trust (CUH) as one of only three stage 6 validated NHS organisations in the UK.
describes the validation announcement on November 1st 2018 and credits Epic (the Trust’s electronic patient record system). Details of their adoption this year of the international best practice of medication administration via barcode were also given (and constitute scanning a wristband barcode on the patent and also the barcode on medication).
Renal Consultant and Chief Clinical Information Officer, Dr Afzal Chaudhry was quoted in this CUH news
article as saying: “We are absolutely delighted to be validated and would like to thank our hard-working staff and our Epic colleagues for making this happen. Clinical decision support combined with electronic prescribing is helping prevent at least 850 significant adverse medication reactions a year with allergy-related alerts triggering a change in prescriptions, and we have reduced sepsis mortality by 42 per cent with electronic alerts designed and built by ourselves within our Epic system. Today over 99 per cent of all our clinical activity is recorded in a patient’s health record within Epic, in real-time, using integrated computers, laptops, handheld and mobile devices.”
HIMSS Analytics Regional Director for Europe and Latin America, John Rayner is quoted here as saying: “It was a real pleasure to return to Cambridge after three years to successfully revalidate the Trust against the international EMRAM standards. This organisation has made enormous progress since their initial go live in 2014. I can see genuine value and benefit to patient safety and to the overall quality of clinical care following their move from paper to electronic records. They are making good use of electronic clinical decision support and there are well calibrated alerts and warnings in their Epic system to improve the quality of inpatient medication prescribing, and an extensive array of order sets to enhance and improve the standardisation of clinical care - a good hospital with dedicated clinicians and staff.”