HIMSS Analytics

In today’s ever-changing technological environment, healthcare providers are constantly expected to evolve and mature their technological capabilities to provide more advanced care for their patients. With these changes, today’s healthcare staff also require a digital environment that is secure and makes it possible to provide high-quality care at any location, anytime. The notion of always being connected is ever-present, putting pressure on the healthcare system as a whole to keep their technology up to date in order to provide the best possible care for their patients. Without a robust IT infrastructure, providers cannot implement or adopt new technological innovations and thus patient care improvements are stalled.

In October 2018, HIMSS Analytics introduced the Infrastructure Adoption Model (INFRAM), an eight stage (0-7) model for technology infrastructure adoption and maturity. The objective of INFRAM is to provide a framework that assists healthcare organizations in assessing and advancing capabilities and technology implementations as related to the organization’s infrastructure. The model focuses on five domains to evaluate where organizations are in their infrastructure maturity: security, data center, mobility, transport and collaboration.

Since the launch of the model, of the health systems evaluated, the average score is 3.66.


To achieve a given stage, an organization must score 70% or better for overall accomplishment for that stage and all previous stages. For example, if an organization has achieved above 70% for Stage 1 through 4, but not for Stage 5, the organization will have achieved an INFRAM Stage 4. 


Most organizations surveyed fell within INFRAM Stage 4.


An average score has also been calculated for each focus area of the model, to gauge prevalence and overall adoption trends; security has the highest average score at 4.22 and collaboration has the lowest score at 2.46. 


Through these results, the industry is able to realize the gaps and/or deficiencies in healthcare organizations’ infrastructure. By working with the INFRAM they’re able to build a roadmap for infrastructure maturity and adoption. The INFRAM was designed to help facilitate change and innovation within the healthcare system, so that providers are able to give the best possible care to their patients. Infrastructure is the foundation of a hospital system; without a sound and strong infrastructure, other improvements that ultimately aid patient care cannot be able to be implemented.

By utilizing INFRAM, healthcare providers can improve care delivery, reduce cyber and infrastructure risk, and create a pathway for infrastructure development tied to business and clinical outcomes. In addition to the evaluation of the site’s current infrastructure state, the INFRAM offers healthcare providers a roadmap to infrastructure maturity that will guide their improvement process. Is your organization interested in uncovering your INFRAM score and moving toward Stage 7? Get your INFRAM score today to see where you stand.