The clinical adoption meta-model: a temporal meta-model describing the clinical adoption of health information systems

Table 1 Dimensions and Aspects of the CAMM, each dimension can have several more detailed aspects that can be considered

Dimension	Aspects	Example indicators
1 – Availability	- System availability	- Percentage of uptime of an EMR
	- User access	- Number of users with accounts for a Personal Health Record.
	- Content availability	- Months of dispensing data for a dispensing record.
2 – System use	- Use	- Number of log ins/user/month
2 – System use	- User experience	- Survey of user experience.
3 – Clinical behaviour	- General capacity	- Number of patients seen per day in office.
3 – Clinical behaviour	- Specific behaviours	- Rates of blood pressure screening
4 – Clinical outcomes	- Patient outcomes	- Change in blood pressure
	- Provider outcomes
	- Organizational outcomes	- Nosocomial infection rates
	- Population outcomes	- Rates of obesity
	- Cost outcomes	- Changes in relative cost curves for an organization

Indicators can be developed based on the aspects for each dimension, as relevant to the particular HIS and the context of the adoption.

ISSN: 1472-6947