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Personal health records: is rapid adoption hindering interoperability?
Jana Studeny1, Alberto Coustasse2
1Jana Studeny, RN-BC, MSHI, is a graduate of the Healthcare Informatics Program at Marshall University in Huntington, WV.
Perspectives in Health Information Management
|September 13, 2014
Summary
Meaningful Use criteria necessitate health record interoperability, but progress is hindered by slow patient adoption and the creation of disparate personal health record (PHR) systems. Deadlines for incentive payments are inadvertently creating data silos, impeding interoperability goals.
Area of Science:
- Health Informatics
- Health Information Management
- Digital Health
Background:
- The Meaningful Use criteria emphasize the need for health record interoperability.
- A universal definition for personal health records (PHRs) remains elusive.
- Standardized code sets exist for specific health entities, but integration is lacking.
Purpose of the Study:
- To explore factors hindering and promoting interoperability standards for PHRs.
- To describe the current state of interoperability progress in relation to PHRs.
Main Methods:
- Systematic review methodology.
- Analysis of 61 research articles.
Main Results:
- Interoperability is lagging due to slow patient adoption.
- Rapid development of disparate systems to meet Meaningful Use stages requirements.
- Early PHR development predates mandates for system integration.
- Deadlines for Meaningful Use incentive payments contribute to PHR data silos.
Conclusions:
- Current Meaningful Use implementation strategies are creating data silos.
- High-level PHR interoperability is being hindered by existing practices.
- Further research is needed to address PHR interoperability challenges.
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