Abstract
In this chapter, we define interoperability simply as the electronic sharing of information among systems. We describe ten barriers to interoperability, including technical, financial, organizational, legal, and cultural factors that affect information-sharing, and provide a perspective on the policy and practical challenges of building infrastructure under the Health Information Technology Clinical Health Act (HITECH). We close by making some observations about what has been learned and how those lessons might apply to future policy goals.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Starr P. Remedy and reaction: the peculiar American struggle over health care reform. Revised edition. New Haven: Yale University Press; 2011.
Frisse ME, Tolva JN. The commerce of ideas: copyright in the digital era. Acad Med. 1996;71(1):45–53.
Benton T. Chapter 2: why interoperability is hard. In: Principles of health interoperability HL7 and SNOMED, health information technology standards. London: Springer; 2012. doi:10.1007/978-1-4471-2801-4_2.
Mittman R, Cain M. The future of the internet in health care: five-year forecast. Written by Institute for the Future for the California Healthcare Foundation. Menlo Park; 1999. Available at http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/F/PDF%20forecast.pdf. Accessed on 20 Nov 2014.
AHRQ. Health information technology portfolio. 2014. http://www.ahrq.gov/cpi/portfolios/health-it/November 2014. Accessed 6 Mar 2015.
Thune J et al. REBOOT: re-examining the strategies needed to successfully adopt health IT. 2014. http://www.thune.senate.gov/public/index.cfm/2013/4/gop-senators-release-white-paper-on-health-it-cite-concerns.
Middleton B, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. J Am Med Inf Assoc. 2013;20(e1):e2–8. doi:10.1136/amiajnl-2012-001458. Published online 25 Jan 2013.
Miller R, Miller BS. The Santa Barbara care data exchange: what happened? Health Aff. 2007. doi:10.1377/hlthaff.26.5.w568. http://content.healthaffairs.org/content/26/5/w568.abstract?keytype=ef&siteid=healthaff&ijkey=HDkWYA8whH7QA.
McGraw D, Leiter AB. Pathways to success for multi-site clinical data research. eGEMs. 2013;1:Article 13. doi:http://dx.doi.org/10.13063/2327-9214.1041. Available at: http://repository.academyhealth.org/egems/vol1/iss1/13.
Starr P. Smart technology, stunted policy: developing health information networks. Health Aff. 1997;16:91–105.
National Committee on Vital and Health Statistics (NCVHS). Information for health: a strategy for building the national health information infrastructure. 2001. Available at http://www.ncvhs.hhs.gov/nnhiilayo.pdf.
Frisse ME. Health information technology: one step at a time. 2009. Health Affairs. http://content.healthaffairs.org/content/28/2/w379.abstract. Published online before print March 2009, doi:10.1377/hlthaff.28.2.w379. Health Aff. 2009;28(2):w379–84.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Edmunds, M., Peddicord, D., Frisse, M.E. (2016). Ten Reasons Why Interoperability Is Difficult. In: Weaver, C., Ball, M., Kim, G., Kiel, J. (eds) Healthcare Information Management Systems. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-20765-0_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-20765-0_7
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-20764-3
Online ISBN: 978-3-319-20765-0
eBook Packages: MedicineMedicine (R0)