Does Healthcare Need a More Modern Way to Define and Measure EHR Interoperability?

For meaningful use and MACRA, the government uses an IEEE description of interoperability that pre-dates today's crop of EHRs. Whether that will carry the healthcare industry into the future, or not, is a matter of some debate.

KLAS executive vice president Taylor Davis said that measuring interoperability can get messy because the EHR market is currently immature. Industry experts and the federal government are divided on the best way to assess the state of the nation’s health IT interoperability. The Office for the National Coordinator for Health IT, for instance, has proposed using CIO surveys to gauge the status of interoperability among and between healthcare organizations.

Taylor DavisTo that end, ONC posted a Request for Information (RFI) on how to best assess interoperability that closed last month — just not before drawing some sharp comments from across the industry. In his response to the RFI, Gary Dickinson, director of healthcare standards at CentriHealth, said the CIO surveys won’t give a true picture of interoperability.

Dickinson, who is also co-chair of HL7’s EHR workgroup, suggested that ONC let the software tell the story, instead. EHRs aren’t currently programmed to audit how well data is transferred between EHRs or what takes place in that process. Dickinson speculated that health IT vendors aren’t likely to want to include this type of programming in their products, either, because it will shine a light on where interoperability is falling short...