Increasing interoperable exchange using certified health electronic health records (EHRs), and other information technology (IT) has the potential to improve health outcomes, enhance effiency and reduce costs. Towards that end, public policy has supported the widespread adoption and use of certified, interoperable electronic health records (EHRs). The health IT provisions of the 21st Century Cures Act of 2016 (Cures Act) seek to address specific barriers to interoperable exchange of information through: (1) health IT certification criteria that enable the use of modern standards to make it easier to share information; (2) provisions that discourage information blocking activities to ensure information sharing is an industry priority; and (3) network governance approaches that ease information sharing across health information exchange networks. Using nationally representative survey data, this data brief presents the state of interoperability among office-based physicians as of 2019, providing a baseline prior to compliance deadlines related to these key Cures Act provisions. To establish that baseline, we describe current levels of health information exchange (HIE) among physicians and physicians’ experiences with interoperability, including benefits and barriers. We also examine engagement in various aspects of interoperability and variation in interoperability by physician practice characteristics and the type of data exchanged.
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