Hospital Interoperability

Enabling the health systems to seamlessly connect, exchange, and interpret shared data

Overview

Hospital interoperability refers to the ability of hospitals, healthcare providers, and other organizations to seamlessly connect, exchange, and interpret shared data via computerized systems and software applications across organizations, regions, and countries. Even though many health systems share data, the context is often missing, resulting in insufficient actionable information. Interoperable systems can speak the same language, preserving the data in its original context, which allows end users to interpret and understand the data. 

These solutions primarily include clinical data exchange softwares, electronic health record (EHR)/application programming interface (API) integrators, and data interoperability platforms. 

*Note : Additional sections (such as market sizing, and incumbents) can be provided on request

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Overview

What are EHR systems? 

Before diving into hospital interoperability, we need to understand what Electronic Health Record (EHR) systems are and examine why they need to be interoperable. An EHR system is a digital database that can store patients' health records, replacing traditional paper filing systems. In addition to managing medical and treatment history, EHR systems can collect and provide information on demographics, other clinical data (lab results, diagnoses, and medications), administrative data (medical claims and insurance), and behavioral data. In short, EHR systems offer a simple and secure way to share patient information with authorized healthcare providers and organizations.
 Clinical workflow within an EHR system
Clinical workflow within an EHR system
Source: Created by SPEEDA Edge based on Altexsoft and several other sources
Most US hospitals (96% in 2021 compared to 12% in 2009) and physicians’ offices (72% in 2021 compared to 22% in 2009) currently have an EHR system. Despite this high adoption of EHRs, health systems currently face the following challenges:  
  • Clinical and non-clinical data are currently divided into silos with varying data standards, similar to the divisions in paper records, resulting in fragmented data and missed opportunities for preventative care and improved patient health outcomes. 
  • Outdated legacy health IT systems are incompatible with modern technology, delaying digital transformation efforts. 
  • Healthcare providers have reportedly restricted patient access to their EHRs, and EHR vendors have been accused of charging healthcare providers additional fees to access or export electronic health information. Interfering with the access to, exchange of, or use of patient information is known as information blocking. 
  • Using point-to-point integrations to connect different systems is costly to maintain and does not scale across an organization. In the US, most hospitals use at least 10 different systems to obtain a complete database of patient information, which can also result in higher healthcare costs instead of cost savings.
Due to these challenges, nearly 70% of all medical information exchanges were conducted through fax machines as recently as 2017 when EHR adoption was already 96% among hospitals. 

What is hospital interoperability?

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