The ONC recently released a report on the “National Health Information Exchange and Interopability Landscape” highlighting health information exchange trends from office based physicians and hospitals, individuals and state HIE program grantees. The report found growth in exchange capability and activity, but also show there is still substantial room for improvement.
Data sources for the report include:
– Meaningful Use data
– National survey data
– National EHR survey
– AHA Health IT Supplement
– ONC Survey of Clinical Laboratories
– Self reported data by state HIE program grantees
Here are ten key trends/findings on health information exchange activity from this report:
1. Prior to Stage 2 Meanignful Use, 4 in 10 physicians electronically exchange; however outside exchange is limited
2. Majority of physicians who electronically exchange data with other providers report quality and efficiency benefits
3. Hospital exchange with outside providers has grown significantly since 2008
4. Prior to MU Stage 2, 40-50 percent of hospitals had the capability to query and send secure messages
5. In 2013, about one-third of physicians exchnged different types of data
6. In 2012, 5 in 10 physicians receive discharge summaries routinely, but only 25% receive it electronically
7 Prior to MU Stage 2, hospital exchange with outside providers varied by type of data
– 70% of hospitals reported they had the capability to send care summaries in a structured format (CCR, CDA, or CCD)
– 49% of hospitals reported they had the capability to send care summaries to an outside organization using a different EHR
8. Almost half of hospitals send ED notifications— though primarily to affiliated PCPs
9. Individuals are consistently experiencing gaps in information exchange with approximately 1 in 3 indivduals experienced at least one gap in heath information.
10. Among the 28% of the U.S. adult population given access to their online medical record, almost half viewed their information.
– Click here to download the full report