Interoperability

Portrait of Jordan Everson

Raising the Bar on Interoperability – A Decade of Data Show that “Sometimes” Isn’t Good Enough

Jordan Everson | June 17, 2024

A decade ago, as EHRs were rapidly implemented across the country, ONC sought to make sure these newly implemented technologies were interoperable. Since 2014, ONC has tracked progress toward widespread interoperability among hospitals and physicians by measuring their engagement in four domains of health information exchange: electronically finding, sending, receiving, and integrating patient health information. As shown in the figure below, US hospitals experienced widespread progress toward interoperability with 70% of hospitals reporting that they ‘sometimes’ or ‘often’ engaged in all four domains in 2023,

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Portrait of Micky Tripathi

Building TEFCA

Micky Tripathi | February 13, 2023

A little over a year ago, we announced the completion of a critical 21st Century Cures Act requirement by publishing the Trusted Exchange Framework and Common AgreementSM (TEFCASM). This milestone established a clear infrastructure model and governing approach for nationwide health information exchange.

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Portrait of Ryan Argentieri

USCDI+ In Action! ONC and HRSA launch USCDI+ Initiative to support UDS Modernization

Ryan Argentieri | August 29, 2022

A few months ago, the Office of the National Coordinator for Health Information Technology (ONC) launched the USCDI+ initiative to support the identification and establishment of domain or program-specific datasets that will operate as extensions to the existing United States Core Data for Interoperability (USCDI). Recently, our colleagues at the Health Resources and Services Administration (HRSA) saw an opportunity to leverage USCDI+ and we have now launched a new USCDI+ collaboration to support HRSA’s Uniform Data System (UDS) reporting through the UDS Modernization Initiative.

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Portrait of Chelsea Richwine

Electronic Public Health Reporting among Hospitals & Physicians in the Year Prior to the Pandemic: Implications for Health Equity & Pandemic Response

Chelsea Richwine | August 18, 2022

The pressures of the COVID-19 pandemic revealed gaps in the nation’s public health infrastructure that pose challenges to effective communication between health care providers and public health agencies.  According to ONC analyses of nationally representative survey data from hospitals and physicians collected in 2019, over 70% of hospitals experienced at least one major challenge with electronic public health reporting and less than 1 in 5 primary care physicians—and about a quarter of pediatric and internal medicine primary care physicians—reported electronically exchanging data with public health agencies.

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Portrait of Steven Posnack

Top Six Changes in the ISA 2020 Reference Edition

Steven Posnack | January 9, 2020

Can you believe it’s already 2020? We may still be a few years away from flying cars, but we’ve made a lot of progress since 2010. The Interoperability Standards Advisory (ISA), too, has changed a lot since the first publication in 2015 – from a static, 13 page document, to an interactive website covering close to 200 “interoperability needs” spanning clinical care, public health, administrative transactions, research, consumer access, and more.

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