1. Current State of Interoperability
Michael Matthews
March 14, 2019

2. Overview Definition Looking back Observations Glass half full
Glass half empty
Challenges and opportunities
Q&A

3. 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

4. Looking back…to 2009 VA HIMSS

5. Looking back…a vision

6. Glass half full: EHR adoption

7. Glass half full: basic exchange capabilities

8. Glass half full: eHealth Exchange

9. Glass half full: eHealth Exchange

10. Glass half full: Carequality

11. Glass half full: PULSE

12. Glass half full: medications and eRX

13. Glass half full: more automated transactions

14. Glass half empty: all stakeholders engaged
LTPAC
Behavioral health
Community organizations
Consumers / patients

15. Glass half empty: provider-to-provider

16. 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

17. Q&A