eHealth Observatory


eHealth Value Framework for Clinical Adoption and Meaningful Use

This framework was developed to conceptualize how the value of eHealth is influenced by investments, dynamic interactions among contextual factors for adoption, and the lag times for adoption and impact. The framework draws upon several established models including the Infoway Benefits Evaluation Framework[1], Clinical Adoption Framework[2], Clinical Adoption Meta Model[3], COACH EMR Adoption and Maturity Model[4], HIMSS EMR Adoption Model[5], Meaningful Use Criteria[6], and IS Business Value Model[7].


simple investment adoption value

Figure 1: Simplified eHealth Value Framework Diagram

At the core of this framework are five components:

  • Investment Dimension
  • Adoption Dimension
  • Value Dimension
  • Adoption Lag Time: the time to adopt a system which includes planning, developing/configuring, implementing, training, etc.
  • Impact Lag Time: the time it takes for the system to become part of the workflow, after which impacts begin to be seen

Click on each of the dimensions in Figure 1 for more details.

The complete framework:


Figure 2: eHealth Value Framework Diagram (click to enlarge)



[1] Lau F, Hagens S, Muttitt S. A proposed benefits evaluation framework for health information systems in Canada. Healthcare Quarterly 2007; 10(1):112-6,118.

[2] Lau F, Price M, Keshavjee K. From benefits evaluation to clinical adoption – Making sense of health information system success. Healthcare Quarterly 2011;14(1):39-45.

[3] eHealth Observatory: Clinical Adoption Meta Model.

[4] COACH. Canadian EMR Adoption and Maturity Model. February 2013.

[5] HIMSS: HIMSS EMR Adoption Model.

[6] Blumenthal D, Tavenner M. The "meaningful use" regulation for electronic health records. The New England Journal of Medicine 2010; 363(6): 501-504.

[7] Schryen G. Revisiting IS business value research: what we already know, what we still need to know, and how we can get there. European Journal of Information Systems 2013; 22:139-169.

[8] Lau F, Price M, Bassi J. Toward a coordinated electronic health record (EHR) strategy for Canada. White Paper Working Draft presented at the Queen's Health Policy Change Conference Series, May 2014, Toronto, Ont.

[9] Price M, Lau F. The clinical adoption meta-model: a temporal meta-model describing the clinical adoption of health information systems. BMC Medical Informatics and Decision Making 2014; 14: 43.


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eHealth Value Framework for Clinical Adoption and Meaningful Use by The eHealth Observatory is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.