44%Portal access*

Health Data Interoperability in the U.S.

* HIMSS Analytics. Barriers, Challenges and Opportunities with Information Sharing in HIEs: Output/Print Environments. 2013.

** Furukawa MF, Patel V, Charles D, Swain M, Mostashari F. Hospital electronic health information exchange grew substantially in 2008–12. Health Aff (Millwood). 2013;32(8):1346–54.

*** Ahier, B. (2014, January) DirectTrust, Inc. Year End Report to ONC, EHIEGP Cooperative Agreement.

HIO (HIE) Organizations

Types of HIOs Participated in:

Participating in HIOs

How Is Data Being Exchanged in HIOs?

The lowest rates of exchange were for medication lists and clinical care summaries by hospitals that had less than a basic EHR system and did not participate in an HIO.**

73%participate*

57%only participate

in one HIO*

29%local/regional

HIE**

57%State*

19%HIO run by

IDN

52%said it improvedaccess to patient

information*

20%said it improvedpatient safety*

12%said it provided

time savingsfor physicians*

58%of hospitals exchanged

data with providers outside their

organization in 2012*

Only

36%exchanged information

with other hospitals outside their

organization**

In 2012,

51%of hospitals exchanged

clinical data with unaffiliated amublatory

care providers**

44%of hospitals had

a basic EHR in 2012

40%Direct Project*

34%Organization-

specific exchange reqs*

32%Query-based

exchange*

11%Other*

This was a

41%increase

since 2008**

This was anincrease

from only

9%in 2008**

Providers are laying the proper IT foundation for interoperability, including implementing EHR technology, integrating internal applications, and creating or participating in a health information organization (HIO) or health information exchange (HIE) organization.

Exchanging health data with external, unaffiliated providers has increased significantly, yet many challenges remain.

The use of Direct Project protocol has increased significantly because it is a Core Objective in Meaningful Use Stage 2.

Hospitals with both an EHR system and HIO participation increased fivefold between 2008 and 2012.*

Organizationsenabled for

Directexchangeincreased

since 2012***

Individualusers enabled

for Directexchangeincreased

since 2012***

Directtransactionsincreased

since 2012***