11 Introduction In the following paragraphs EMR stands for the Electronic Medical Record System as defined in this paragraph. Maturity models of healthcare information systems and technologies. The concept of the ‘maturity’ of information systems has been developed to determine the adoption and use of information systems. Richard Nolan is considered the principal architect of the Information Systems Technology (IST) maturity approach. 9 IST maturity models fit in various types of organizations. There are several examples of maturity models focused on different areas of the organization and IST. 10 This study will use the so-called Electronic Medical Record Adoption Model (EMRAM) of HIMSS (Healthcare Information and Management Systems Society). This maturity model (Figure 1) is specifically developed to measure the maturity of information systems in hospitals.11 Figure 1 - The EMR adoption model of HIMSS for hospitals. It is important to mention that this EMRAM model explores which software the hospital has installed and whether the hospital actually uses the functionality offered by this software. HIMSS calls this ‘adoption and use’. The model has the advantage of being an accepted model for hospitals in the USA, Canada, and Europe. More than 15.000 1
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