The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) declares it a national objective to achieve widespread interoperability through the use of certified electronic health records (EHR) and requires the Department of Health and Human Services (HHS) to measure the extent to which this objective is being met. Assessing the proportion of health care providers who electronically engage in the four domains of interoperability (sending, receiving, finding, and integrating health information received from outside sources) and use that information to inform clinical decision-making provides a means to assess progress towards reaching that objective. Using nationally representative surveys conducted in 2015 and 2017, this brief describes interoperability across office-based physicians, including who providers exchange information with; the types of information exchanged; and how interoperability varies among physicians.
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