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Information-blocking trends following regulatory action.

Jordan Everson1, Daniel Healy1

  • 1Department of Health and Human Services, Office of the Assistant Secretary for Technology Policy, Washington, DC 20201, United States.

Journal of the American Medical Informatics Association : JAMIA
|January 30, 2025
PubMed
Summary
This summary is machine-generated.

Practices interfering with patient health information exchange decreased after regulations, but substantial information blocking persists. Continued enforcement of these rules is vital for improving health data flow.

Keywords:
health information exchangehealth systemhospitalsinteroperability

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Area of Science:

  • Health Informatics
  • Health Policy
  • Healthcare Management

Background:

  • Information blocking regulations were implemented to ensure seamless patient health information exchange.
  • Understanding the prevalence and trends of potential information blocking is crucial for evaluating regulatory impact.

Purpose of the Study:

  • To assess the prevalence and trends of practices that hinder patient health information exchange (potential information blocking).
  • To evaluate these trends two years after the implementation of information-blocking regulations.

Main Methods:

  • Utilized data from the American Hospital Association Information Technology (IT) Supplement and a national survey of health information organizations (HIOs).
  • Described rates and methods of potential information blocking from hospital and HIO perspectives in 2023.
  • Compared 2023 data with previous years to identify trends.

Main Results:

  • In 2023, 27% of hospitals observed potential information blocking, a decrease from 42% in 2021.
  • Potential information blocking by health IT developers was observed by 30% of HIOs, down from 50% in 2015.
  • Price and strategic affiliations were identified as key methods of potential information blocking.

Conclusions:

  • Perceived rates of potential information blocking have decreased, suggesting some impact of regulations.
  • Despite decreases, substantial potential information blocking continues to negatively affect health information exchange.
  • Continued robust enforcement of information-blocking regulations is recommended.