Current State of Interoperability Michael Matthews March 14, 2019
Overview Definition Looking back Observations Glass half full Glass half empty Challenges and opportunities Q&A
Interoperability: a definition According to section 4003 of the 21st Century Cures Act, the term 'interoperability,' with respect to health information technology, means such health information technology that— enables the secure exchange of electronic health information with, and use of electronic health information from, other health information technology without special effort on the part of the user; allows for complete access, exchange, and use of all electronically accessible health information for authorized use under applicable State or Federal law; and does not constitute information blocking as defined in section 3022(a)." Source: HealthIT.gov
Looking back…to 2009 VA HIMSS
Looking back…a vision
Glass half full: EHR adoption
Glass half full: basic exchange capabilities
Glass half full: eHealth Exchange
Glass half full: eHealth Exchange
Glass half full: Carequality
Glass half full: PULSE
Glass half full: medications and eRX
Glass half full: more automated transactions
Glass half empty: all stakeholders engaged LTPAC Behavioral health Community organizations Consumers / patients
Glass half empty: provider-to-provider
Challenges and opportunities Patient matching Cybersecurity State-to-state variation Evolving regulations Consumerism Inertia Genomics and precision medicine Clinical research eCQM APIs Consumerism Value-based care
Q&A