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While the numbers of this graphic are encouraging, several barriers remain before the industry will realize interoperability, including some criteria defined in Meaningful Use Stage 2. These obstacles are detailed in a new, yet-to-be-released white paper by HIMSS Analytics titled, “Current State of Health Data Interoperability in the U.S.: Trends, Challenges and Strategies for Success.” To obtain information for the report, HIMSS Analytics conducted a focus group of CIOs and healthcare IT directors. To obtain a complimentary copy of the new HIMSS Analytics report, simply visit the Corepoint Health booth at HIMSS14. Stop by booth 6451 for an engaging health IT and interoperability conversation with Team Corepoint!
Citation preview
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***