We have written numerous times applauding Dr. Blumenthal and the ONC for pointing out the importance of Health Information Exchange and interoperability in the context of bringing healthcare into the digital age. However, it is not totally clear that the dollars are actually making it to backend systems and that the main focus has been on patient and physician interfaces for collecting data.
In the end, there are some very simple things that need to be understood in order to achieve interoperability:
Patients are no doubt important, and they are the raison d’etre for the HITECH Act, but how well will they be served when their doctor’s Patient Management System or EHR cannot connect to the regional HIEs? Or if one patient medical record cannot be shared across hospitals?
To date, millions of dollars have been awarded as grants to regional HIEs and state coalitions to implement and enhance how healthcare systems connect, but there is no real plan for making this happen. This is not a criticism of the people who are trying to find a solution to their problem, but it shows that the current solutions for achieving interoperability are not up to the requirements and healthcare IT professionals need new solutions and ideas.
The backend systems that will provide interoperability are the backbone of HIE. Without interconnectivity between all healthcare systems, HITECH is a castle built on sand.
So the question to you is: how will Healthcare Interoperability be achieved?