Shared Nationwide Interoperability Roadmap PDF

Shared Nationwide Interoperability Roadmap: The Journey to Better Health and Care
The nation relies on Health IT to securely, efficiently and effectively share electronic health information with patient
consent to achieve better care, smarter spending and healthier people. Interoperability will transform our health system
from a static one to a learning health system that improves individual, community and population health.
Where
We Are
94%
78%
of non-federal acute
care hospitals use a
certified EHR to
collect electronic
data about patients.1
1 in 3
of office-based
physicians use an
EHR system to
collect electronic
patient data.1
Number of consumers
burdened with providing their
own health information when
seeking care for a medical
problem (such as a test
result or medical history).2
62%
In 2013, more than six in

ten hospitals electronically
exchanged health
information with providers
outside of their system.3
STATE LINE
Most states have different laws and regulations making it
difficult to share health information across state lines.
The typical primary
care physician has to
coordinate care with
Taking a leisurely
Only half of hospitals can

electronically search for
critical health information
from outside sources
(such as in an emergency
or office visit).5
physicians
working in 117 practices.7
IN
By the end of 2017

The majority of individuals
and providers can send,
receive, find, and use a common
set of clinical information.
Where We
Are Going
for evidence to go from

research to practice.4
51%
229
other
The number of providers a typical Medicare

beneficiary sees annually.6
17 years
SPEED BUMPS TO INTEROPERABILITY
YEARS
Health information
is not sufficiently
standardized
Aligning
payment
incentives
Misinterpretation
and differences in
existing privacy laws
DETERMINANTS OF HEALTH
80%-90%
of office-based
providers
electronically
share patient information
with other providers.9
1 in 8
the number of Americans

in 2013 who tracked a
health metric like blood
pressure or weight using
some form of technology.8
of health determinants are NOT

related to health care.
Diet and
Exercise
Social
Lack
of
trust
14%
Environmental
Health
Care System
Economic
IN
YEARS
By the end of 2020

Connecting an expanded set of users and data sources through the use
of #mHealth and #wearables. Advances in the sharing and use of
patient-generated health data leads to consumer empowerment,
person-centered care, active individual health management and
greater information sharing with the public health community.
DRAMATICALLY REDUCE THE

TIME IT TAKES FOR EVIDENCE
FROM RESEARCH TO BECOME
COMMON PRACTICE
Healthier
People
By the end of 2024
IN
10
(thus better evidence-based diagnosis,

treatment and personalized medicine)
YEARS
Smarter
Spending
CO
N
Research Rd
Sources:
1. ONC Report to Congress, October 2014
http://www.healthit.gov/sites/default/files/rtc_adoption_and_exchange9302014.pdf
LEARNING
HEALTH
SYSTEM
2. http://www.healthit.gov/sites/default/files/consumeraccessdatabrief_9_10_14.pdf
3. http://healthit.gov/sites/default/files/oncdatabrief17_hieamonghospitals.pdf
4. Balas, E.A., Boren, S.A., Yearbook of Medical Informatics, 2000
5. http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Electronic-Query-Capability.php
6. Pham HH, Schrag D, O'Malley AS, Wu B, Bach PB. Care patterns in Medicare and their implications for pay for
performance. N Engl J Med2007;356:1130-1139. http://www.nejm.org/doi/full/10.1056/NEJMsa063979
7. Pham HH, OMalley AS, Bach PB, Saiontz-Martinez C, Schrag D. Primary care physicians links to other physicians
through Medicare patients: the scope of care coordination. Ann Intern Med. 2009; 150:236-42
8. Pew Research Center. Tracking for Health. January 2013. Accessed from:
http://www.pewinternet.org/files/old-media//Files/Reports/2013/PIP_TrackingforHealth%20with%20appendix.pdf
9. Health affairs, August Issue; first author: Furukawa M
Public Health Pl
E
CL
Better
Care
EARNING
L
S
U
O
U
CY
IT N
A Learning Health System

reduces the time from evidence
to practice. This enables
ubiquitous connectivity, improves
population health and helps
researchers analyze data from a
variety of sources.
Privacy Blvd
Connecting an expanded set of data sources

and care settings, over time, such as:
Human Services
Schools
Prisons
Emergency responders
Home and Community
Nursing homes
Laboratory and
ancillary
Specialists
To learn more about interoperability,

visit www.healthit.gov/interoperability.

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Shared Nationwide Interoperability Roadmap: The Journey to Better Health and Care

In 2013, more than six in

Only half of hospitals can

By the end of 2017

for evidence to go from

The number of providers a typical Medicare

SPEED BUMPS TO INTEROPERABILITY

the number of Americans

of health determinants are NOT

By the end of 2020

DRAMATICALLY REDUCE THE

By the end of 2024

(thus better evidence-based diagnosis,

A Learning Health System

Connecting an expanded set of data sources

To learn more about interoperability,

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