misalignment of requirements
See the following -
Black Book Releases Research on "The Interoperability Tangle"...HIE Replacements, Middleware and FHIR
2,012 provider HIE users and 2,300 payer HIE users, as well as 4,100 prospective HIE users of all user types were polled to understand the importance of interoperability in their strategic planning initiatives, as well as their ongoing and new challenges in areas such as connectivity and data exchange. Between Q3 2015 and Q1 2016, the survey recorded growing HIE user frustration over the lack of standardization and readiness of unprepared providers and payers...“Every stakeholder in the healthcare delivery process cannot establish the infrastructure needed to support interoperability, as evidenced by 83% of physician practices responding and 40% of hospitals, that currently admit they are still in the planning and catch up stages of sending and sharing secure, relevant data, “ said Doug Brown, Managing Partner of Black Book.
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