Hospital Digital Maturity
Current State Questionnaire

Please complete the sections for which you have readily available information. This questionnaire is intended for high-level content capture; more detailed data will be gathered collaboratively with our team. It is not expected that all sections are fully completed. If you have data readily available for sections requesting uploads, please include it. However, as noted, the expectation is to provide only what is currently accessible. Hands-on support is provided during formally signed project engagements, including project kickoff and throughout the engagement. As this is a preliminary questionnaire and no official contract or Statement of Work (SOW) is currently in place, this response is intended for high-level informational purposes only.

38 Sections

EMRAM + INFRAM Aligned

Multi-site Ready

COMPLETION

0%

01

Section 1

Organizational & Governance Detail

0 / 8 ▾

1.1 Organizational Structure

Decision Authority Model

Centralized Federated Hybrid

Leadership Roles Present

CIO CDO CNIO CMIO

Organizational Chart — Upload or Describe

📎

Click to upload org chart (PDF, image, or Word)

IT & Clinical Informatics Committees — Names

Committee Mandate & Decision Rights

1.2 Digital Strategy

Digital Health Strategy Document — Upload

📄

Attach Digital Health Strategy document

Strategic Pillars

Funding Model (CapEx vs OpEx Split)

Annual Digital Budget

Formal Benefits Realization Framework?

Yes No

Benefits Realization Framework Details

02

Section 2

EMR Platform — Detailed System Inventory

0 / 10 ▾

2.1 Core EMR System

Vendor

Product Name

Version (Exact Build)

Hosting Model

On-prem Private Cloud SaaS

Database Platform

Number of Active Users

Concurrent Sessions Supported

2.2 EMR Module Inventory

ℹ Complete all deployed modules. Leave row blank if module is not deployed.

Module	Vendor	Version	Integrated (Y/N)	Notes
Clinical Documentation
CPOE
Pharmacy
Emergency Dept (ED)
ICU
Oncology
Other (specify)

2.3 Customization & Configuration

% System Customized vs Out-of-Box

Number of Custom Forms / Templates

Governance for Change Requests

Release Management Process

03

Section 3

Clinical Workflows — Detailed Mapping

0 / 5 ▾

3.1 End-to-End Workflow Mapping

ℹFor each workflow, document: step-by-step process, systems involved, manual vs digital steps, bottlenecks, and average time per step.

Patient Admission (ED → Inpatient)

Systems Involved

Manual vs Digital Steps (%)

Average Time per Step (mins)

Step-by-Step Process & Bottlenecks

Physician Documentation Workflow

Systems Involved

Manual vs Digital Steps (%)

Average Time per Step (mins)

Step-by-Step Process & Bottlenecks

Nursing Shift Workflow

Systems Involved

Manual vs Digital Steps (%)

Average Time per Step (mins)

Step-by-Step Process & Bottlenecks

Medication Administration Workflow

Systems Involved

Manual vs Digital Steps (%)

Average Time per Step (mins)

Step-by-Step Process & Bottlenecks

Discharge Process

Systems Involved

Manual vs Digital Steps (%)

Average Time per Step (mins)

Step-by-Step Process & Bottlenecks

3.2 Workflow Standardization

Workflows Standardized Across Sites?

Yes No Partial

Workflows Aligned with Clinical Pathways?

Yes No Partial

Variability by Department

04

Section 4

CPOE & Order Management

0 / 6 ▾

% Orders Entered Electronically — Physicians

% Orders Entered Electronically — Nurses

Number of Standardized Order Sets

Turnaround Time: Order to Execution

Order Sets Evidence-Based?

Yes No Partial

Governance Model for Order Set Updates

Downtime Procedures for Order Entry

05

Section 5

Clinical Decision Support (CDS) — Deep Dive

0 / 8 ▾

5.1 CDS Architecture

CDS Engine — Vendor/Product

Rules Repository Location

Integration Method

Embedded External Engine

5.2 CDS Rules Inventory

Total Number of Active CDS Rules

Medication Safety Rules (count)

Clinical Pathway Rules (count)

Preventative Care Rules (count)

5.3 Alert Performance

Alert Override Rate (%)

False Positive Rate

Frequency of CDS Review Cycles

Governance Process for Tuning Alerts

06

Section 6

Medication Management — Closed-Loop Detail

0 / 8 ▾

6.1 Pharmacy Systems

Vendor / Product / Version

Integration Method with EMR

Data Sync Type

Real-time Batch

6.2 Closed-Loop Workflow

ℹDetail the workflow: Prescription → Verification → Dispensing → Administration → Documentation

Barcode Usage Points

Human Intervention Points

Error Detection Mechanisms

6.3 Automation

Automated Dispensing Cabinets — Vendor / Model

ADC Integration Method

Smart Pumps Integration

Medication Tracking Accuracy (%)

07

Section 7

Lab, Radiology & Diagnostics

0 / 8 ▾

7.1 Laboratory

LIS Vendor / Version

Interface Type

HL7 API Both

Turnaround Time — STAT

Turnaround Time — Routine

% Orders Electronic vs Manual

7.2 Radiology

PACS Vendor / Version

RIS Vendor / Version

Image Storage Solution

AI-Assisted Diagnostics Deployed?

Yes No

7.3 Diagnostic Integration

Number of Integrated Diagnostic Systems

Real-Time Data Availability in EMR?

Yes No

08

Section 8

Interoperability — Technical Detail

0 / 8 ▾

8.1 Integration Engine

Vendor

Version

Number of Interfaces

Message Volume per Day

8.2 Standards Implementation

HL7 v2 Interfaces Count

FHIR APIs Deployed (count)

SMART on FHIR?

Yes No

8.3 External Integration

HIE Participation

National Platform Integration (e.g., NPHIES)

Data Latency

Real-time Near real-time Batch

10

Section 10

Network Infrastructure (INFRAM Deep Dive)

0 / 8 ▾

10.1 Core Network

Vendor

Core Model Numbers

Firmware / Software Versions

Architecture

Spine-leaf Traditional core

10.2 Capacity

Core Uplink Speeds

Access Layer Speeds

Oversubscription Ratios

10.3 Performance

Network Utilization — Peak

Network Utilization — Average

Latency Metrics

Packet Loss Metrics

11

Section 11

Wireless — Clinical-Grade Detail

0 / 6 ▾

Wireless Vendor

Controller Model

Wi-Fi Standard

Wi-Fi 5 Wi-Fi 6 Wi-Fi 6E Mixed

Coverage (% of Clinical Areas)

Density Planning Methodology

Roaming Performance Metrics

12

Section 12

Data Center & Cloud Architecture

0 / 7 ▾

12.1 Infrastructure

Hypervisor

Server Models

Storage Platform

SAN NAS Object Hybrid

Backup Solution

12.2 DR & Resiliency

DR Site Location

Failover Testing Frequency

Last DR Test Date

DR Test Success Rate (%)

13

Section 13

Cybersecurity — Detailed Controls

0 / 8 ▾

Security Framework Implemented

Identity Management Platform

MFA Deployment (% Users)

SIEM Platform

Network Segmentation Implemented

IT Network OT Network Medical Devices

Compliance Frameworks

IEC 80001 ISO 27001 NIST Other

Incident Response Plan — Upload

🔒

Attach Incident Response Plan document

14

Section 14

Medical Device & IoT Integration

0 / 6 ▾

Number of Connected Medical Devices

Integration Platform

Real-Time Streaming into EMR?

Yes No

Alarm Management Workflows

RTLS

RTLS Vendor

RTLS Use Cases

Staff Tracking Asset Tracking Patient Tracking

15

Section 15

End User Computing & Identity

0 / 6 ▾

Total Endpoint Inventory Count

Device Types by % (Desktops / Laptops / Thin Clients / Mobile)

SSO Platform

Identity Federation

Session Roaming Capability?

Yes No

Login Time (Average Seconds)

16

Section 16

IT Operations — Maturity Detail

0 / 5 ▾

ITSM Tool

Incident Response Times (P1/P2/P3)

Change Success Rate (%)

Monitoring Tools (NOC/SOC)

Automation in Operations?

Yes No

17

Section 17

Training & Adoption — Quantified

0 / 5 ▾

% of Staff Trained on EMR

Training Hours per User

Super-User Program?

Yes No

User Satisfaction Scores

Adoption Barriers

18

Section 18

Innovation & Future Capabilities

0 / 4 ▾

AI Use Cases Deployed / Planned

Robotics Initiatives

Digital Twin Capabilities

Smart Hospital Capabilities

19

Section 19

Evidence Requirements (Mandatory for Validation)

0 / 5 ▾

⚠The following evidence types are mandatory for EMRAM/INFRAM validation. Upload or confirm availability for each domain.

Screenshots of Systems

🖥

Upload system screenshots (PDF, images, or ZIP)

Workflow Diagrams

📊

Upload workflow diagrams

Policy Documents

📋

Upload relevant policy documents

System Configuration Exports

⚙

Upload configuration exports

KPI Reports

📈

Upload KPI reports

20

Section 20

Maturity Self-Assessment & Target State

0 / 1 ▾

ℹFor each domain, provide: Current State (detailed), Gaps identified, Target State, and Target Timeline.

Domain	Current State (Detailed)	Gaps Identified	Target State	Timeline
Governance
EMR / Clinical
Interoperability
Analytics & Data
Infrastructure
Security
RTLS / IoT
Innovation / AI

23

Section 23

Smart Clinical Workflows — End-to-End Integration

0 / 4 ▾

ℹFor each use case, detail: Systems involved, Automation vs manual steps, Response times, and Outcome improvements achieved.

Code Blue Workflow (End-to-End)

Systems Involved

Automation vs Manual Steps

Response Times

Outcome Improvements

Patient Admission to Discharge Automation

Systems Involved

Automation vs Manual Steps

Response Times

Outcome Improvements

OR Scheduling & Turnover Workflow

Systems Involved

Automation vs Manual Steps

Response Times

Outcome Improvements

Bed Management & Environmental Services

Systems Involved

Automation vs Manual Steps

Response Times

Outcome Improvements

25

Section 25

Mobile Staff Enablement

0 / 6 ▾

25.1 Staff Mobility Platform

Devices Used

Smartphones Tablets Wearables

OS Platforms

MDM / MAM Solution

25.2 Clinical Mobility

25.3 Workflow Efficiency

Time Saved per Clinician (if measured)

Reduction in Workstation Dependency

28

Section 28

Staff Duress & Safety Systems

0 / 5 ▾

Duress System Vendor

Technology Type

RTLS-based Wearable Mobile App

Response Time Metrics

Response Workflows

Integration With

Security Communications Platform

29

Section 29

Video Management System (VMS)

0 / 6 ▾

VMS Vendor

Version

Number of Cameras

Use Cases

Security Monitoring Clinical Observation (e.g., Behavioral Health) AI Analytics (Motion Detection)

VMS Integrated With

Access Control RTLS Orchestration Platform

30

Section 30

Access Control Systems

0 / 4 ▾

Vendor

Credential Types

Badge Mobile Biometric

Integration With

HR Systems Security Systems

Real-Time Lockdown Capability?

Yes No

31

Section 31

Building Automation Systems (BAS)

0 / 4 ▾

BAS Vendor

Systems Integrated in BAS

HVAC Lighting Energy Management

Integration with Clinical Workflows?

Yes No

Smart Room Capabilities

32

Section 32

Intercom & Public Address Systems

0 / 3 ▾

Intercom System Vendor

Integration With

Nurse Call Security

Emergency Broadcast Capability

34

Section 34

Cybersecurity — Advanced Operations

0 / 5 ▾

SOC Maturity Level

Threat Detection Tools

Incident Response Automation?

Yes No

Phishing Simulation Programs?

Yes No

Ransomware Preparedness Plan

35

Section 35

AI, Automation & Advanced Analytics

0 / 6 ▾

35.1 AI Use Cases

Clinical Decision Support AI

Imaging AI

Operational AI (Bed Flow, Staffing)

35.2 Automation

Robotic Process Automation (RPA) Used?

Yes No

Automated Workflows Across Departments

35.3 Governance

AI Governance Framework in Place?

Yes No

Ethical Oversight?

Yes No

36

Section 36

Digital Command Center / Operations Center

0 / 5 ▾

Command Center Implemented?

Yes No Planned

Data Sources Integrated

Real-Time Dashboards

Operational KPIs Tracked

Decision Support Capability

37

Section 37

Smart Room / Smart Hospital Capabilities

0 / 4 ▾

Smart Patient Rooms Implemented?

Yes No Pilot

Smart Room Features

Environmental Control Patient Infotainment Integrated Communication

Integration with EMR and Workflows

Additional Smart Hospital Capabilities

38

Section 38 — Critical

Enterprise Integration Maturity

0 / 3 ▾

38.1 Integration Depth Assessment

System	Integrated (Y/N)	Real-Time (Y/N)	Workflow Enabled (Y/N)	Notes
EMR
RTLS
Nurse Call
VMS
BAS

38.2 Maturity Indicators

Environment Description

Siloed Systems Partially Integrated Fully Orchestrated

Event-Driven Architecture Present?

Yes No

API-First Strategy Implemented?

Yes No

39

Section 39

Performance Metrics & Outcomes

0 / 5 ▾

📊Provide measurable outcomes demonstrating digital maturity impact.

Reduction in Patient Wait Times

Reduction in Equipment Search Time

Nurse Response Time Improvements

Alarm Fatigue Reduction

Staff Productivity Improvements

OPT

Optional Module

Site-by-Site Breakdown (Multi-Hospital Clusters)

0 / 2 ▾

ℹFor multi-hospital clusters, complete sections 2–15 per site. Use this section to capture inter-site variability and standardization gaps.

List of Sites in Scope

Variability & Standardization Gaps Across Sites

Integration Maturity by Site

Site-Specific Documentation — Upload

🏥

Upload site-specific documentation