Variation in Interoperability among U.S. Non-federal Acute Care Hospitals in 2017
- PMID: 39808043
- Bookshelf ID: NBK610656
Variation in Interoperability among U.S. Non-federal Acute Care Hospitals in 2017
Excerpt
Monitoring the state of interoperability is important to assess current policies and identify ways to advance the electronic exchange of health information. In this data brief, we describe the progress hospitals made in four interoperability domains – sending, receiving, finding, and integrating electronic health information. The data brief shows that engagement in interoperability varies among small, rural, and critical access hospitals (CAHs). These hospitals often possess infrastructure that lags behind their counterparts (1). Yet, small, rural, and CAHs deliver vital health care to diverse subpopulations. We also present data on reported barriers to interoperability and hospitals’ rates of availability and use of electronic health information at the point of care.
Sections
- Hospitals engaged in all four domains of interoperability increased by 41 percent since 2016
- Hospitals engaged in all four interoperability domains were over three times more likely to have information available at the point of care compared to hospitals that only sent and received summary of care records
- Nearly 3 in 10 small, rural, and CAHs can send, receive, find, and integrate summary of care records
- The percent of small, rural, and CAHs using all four domains of interoperability increased between 2016 and 2017 by at least 50 percent
- Hospitals that often used patient health information received electronically increased to 23 percent between 2016 and 2017
- Difficulty integrating information into their EHR was the most common reason reported by hospitals for not using health information received electronically from sources outside their health system
- The most common barrier to electronic exchange reported by hospitals was difficulty locating providers' addresses when sending information
- Summary
- Definitions
- Data Source and Methods
- References
- Acknowledgements
- Appendix
References
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- Johnson C., Pylypchuk Y. & Patel V. (November 2018) Methods Used to Enable Interoperability among U.S. Non-Federal Acute Care Hospitals in 2017, no.41. Office of the National Coordinator for Health Information Technology: Washington DC.
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- Acute Care Hospitals Are More Interoperable Than Ever but New Challenges Lie Ahead. Blog Post. Office of the National Coordinator for Health Information Technology: Washington DC.
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- 21st Century Cures Act, section 4006. https://www.gpo.gov/fdsys/pkg/PLAW-114publ255/pdf/PLAW-114publ255.pdf.
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