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Hospital engagement in health care interoperability shows slow gains. While sending and receiving patient data improved slightly, integrating systems and using external data for care remain limited, hindering clinical decision-making.

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Area of Science:

  • Health Informatics
  • Health Services Research
  • Health Policy

Background:

  • Achieving an interoperable health care system is a key US policy objective.
  • Previous national data from 2014 indicated low hospital engagement in interoperability domains.
  • This study examines national trends using 2015 data.

Purpose of the Study:

  • To analyze national trends in hospital engagement across four key interoperability domains: finding, sending, receiving, and integrating electronic patient information.
  • To assess progress in interoperability from 2014 to 2015.
  • To evaluate the extent to which hospitals utilize external patient data in clinical decision-making.

Main Methods:

  • Analysis of national survey data from 2014 and 2015 on hospital interoperability.
  • Examination of engagement levels in four specific domains: finding, sending, receiving, and integrating electronic health information.
  • Assessment of the frequency of using external patient data for patient care.

Main Results:

  • Overall hospital engagement in all four interoperability domains increased slightly from 24.5% in 2014 to 29.7% in 2015.
  • Significant progress was observed in sending (8.1 percentage point increase) and receiving (8.4 percentage point increase) patient information.
  • No improvement was noted in integrating systems, and only 18.7% of hospitals frequently used external data for patient care.

Conclusions:

  • Hospital progress toward achieving health care interoperability is slow.
  • Current advancements primarily focus on data exchange (sending/receiving) rather than system integration or clinical usability.
  • There is a critical need to enhance the integration and utilization of external patient data to improve clinical decision-making and patient care.