Health Data
Interoperability
in the U.S.
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.
HIO (HIE) organizations
73%
participate*
only participate
in one
44%
of hospitals had
a basic EHR in 2012
This was an
Increase
from only
90/0
in 2008"
Types of HlOs Participated in:
State'
29%
local/regional
HIO run by
ION
5x
Hospitals with both an EHR system and HIO participation
increased fivefold between 2008 and 2012*
Exchanging health data with external, unaffiliated providers has
increased significantly, yet many challenges remain.
Participating in HIOs
said it improved
access to patient
information*
said it improved
patient safety*
In 2012,
of hospitals exchanged
clinical data with
unaffiliated amublatory
care providers**
said it provided
time savings
for physicians*
only
exchanged information
with other
hospitals outside their
organization**
of hospitals exchanged
data with providers
outside their
organization in 2012*
This was a
41%
Increase
since
2008"
The use of Direct Project protocol has increased significantly
because it is a Core Objective in Meaningful Use Stage 2.
How Is Data Being Exchanged in HIOs?
44%
Portal access*
40%
Direct Project*
11%
Other*
Organization-
specific exchange
reqs*
Individual
users enabled
for Direct
exchange
Query-based
exchange*
Direct
transactions
increased
since 2012* **
increased
Organizations
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**
enabled for
Direct
exchange
increased
since 2012***
since 2012* **
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).
*** Ahier, B. (2014, January) DirectTrust, Inc. Year End Report to ONC, EHIEGP Cooperative Agreement.
Corepoint
HEALTH
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