It's a Canadian grading standard to identify how far along you are in adopting electronic health records. They look at how many areas of the organization are electronic. They look at the level of complexity of the systems, how integrated those are, and they score you.
The major areas that affect the scoring most are when you get into things like physician order entry, where physicians can order medications directly on the computer system, which improves safety significantly. They require you to have a number of systems in place to score at the highest level.
As an organization, we're a little higher than most in our region, but we're probably where most are. A significant investment is required to get to the top of the scale and you need to have a very clear plan to get there. We have that, but right now we're probably two-thirds of the way through.