Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

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Who’s at the Forefront of U.S. Health Information Exchange?

- Which U.S. states are leading the way in health information exchange? HealthITInteroperability.com consulted the Office of the National Coordinator for Health IT (ONC)’s interactive dashboard to uncover the vanguard states in six areas of measurement, based on data from a 2014 American Hospital Association (AHA) survey of non-federal acute care hospitals.

ONC’s Health IT Dashboard allows the user to view the percentage of hospitals in each state that reported having the ability to exchange summary-of-care records and lab results outside their health system. The interactive tool provides separate breakouts for summary-of-care and electronic lab result exchange in three areas each: with any providers, with other hospitals and with ambulatory providers. To set the “leadership” bar, we filtered for states in which more than 75 percent of hospitals reported having the specified exchange capability.

One caveat to note is that we found geographically small or non-populous states often achieved high percentages, perhaps at least partially due to small numbers of hospitals within their borders. For an alternate view, we cross-referenced the most populous states (based on U.S. Census Bureau data) and pulled those results.

Our high-level takeaways:

  • Sharing lab results electronically with outside providers is the most achievable health information exchange task among those measured, with 69 percent of hospitals nationally reporting that capability. Nineteen states surpassed the 75 percent threshold.
  • Sharing lab results electronically with other hospitals is the hardest task among those measured, with only 54 percent of hospitals nationally reporting that capability and just three states surpassing the 75 percent threshold.
  • States east of the Mississippi River dominate the vanguard list in every category measured. Conversely, western states tend to struggle.
  • Ohio is a state to watch, reporting at or near the top in every measure among most populous states.
  • California, the most populous state, ranks below the national average in five of the six categories measured.

Here’s a look at the performance of states in each category.

Exchanging summary-of-care records with any outside providers
AHA’s survey found that 64 percent of hospitals nationally could exchange summary-of-care records with any providers outside their health system. The states that exceeded 75 percent of hospitals:

New Hampshire – 88 percent

North Dakota – 85 percent

Virginia – 85 percent

Rhode Island - 83 percent

Delaware – 80 percent

Georgia – 80 percent

South Dakota – 80 percent

Vermont - 80 percent

Oregon – 79 percent

Minnesota – 78 percent

Ohio – 77 percent

Colorado - 76 percent

The bottom five states for this measure:

New Mexico – 30 percent

Missouri – 34 percent

Wyoming - 40 percent

Idaho – 42 percent

Nevada – 42 percent

Here’s how the 10 most populous states fared on this measure (population rank in parentheses):

Georgia (8) – 80 percent

Ohio (7) – 77 percent

Florida (3) – 75 percent

Pennsylvania (6) – 73 percent

Michigan (10) – 70 percent

North Carolina (9) – 67 percent

California (1) – 64 percent

Illinois (5) – 62 percent

New York (4) – 61 percent

Texas (2) – 56 percent

Exchanging summary-of-care records with other hospitals
AHA’s survey found that 55 percent of hospitals nationally could exchange summary-of-care records with hospitals outside their own health system. Only four states exceeded 75 percent of hospitals:

South Dakota – 80 percent

Vermont – 80 percent

North Dakota – 79 percent

Virginia – 78 percent

States struggling with this measure:

New Mexico – 17 percent

Wyoming – 18 percent

Rhode Island – 21 percent

Alaska – 23 percent

Missouri – 23 percent

Here’s how the 10 most populous states fared on this measure:

Ohio (7) – 71 percent

Georgia (8) – 67 percent

Pennsylvania (6) – 59 percent

North Carolina (9) – 58 percent

Michigan (10) – 57 percent

Florida (3) – 56 percent

New York (4) – 55 percent

California (1) – 54 percent

Illinois (5) – 53 percent

Texas (2) – 50 percent

Exchanging summary-of-care records with ambulatory providers
AHA’s survey found that 57 percent of hospitals nationally could exchange summary-of-care records with ambulatory providers outside their health system. Only four states exceeded the 75 percent threshold:

North Dakota – 85 percent

Rhode Island – 83 percent

Virginia – 83 percent

New Hampshire – 81 percent

States struggling with this measure:

New Mexico – 30 percent

Oklahoma – 31 percent

Idaho – 32 percent

Missouri – 32 percent

Maine – 35 percent

Wyoming – 35 percent

Here’s how the 10 most populous states fared on this measure:

Ohio (7) – 72 percent

Florida (3) – 71 percent

Georgia (8) – 70 percent

Pennsylvania (6) – 68 percent

Michigan (10) – 68 percent

North Carolina (9) – 58 percent

Illinois (5) – 55 percent

California (1) – 53 percent

New York (4) – 51 percent

Texas (2) – 48 percent

Sharing lab results with any outside providers
AHA’s survey found that 69 percent of hospitals nationally could electronically share lab results with any providers outside their health system. Nineteen states — 13 of them east of the Mississippi — exceeded the 75 percent threshold:

Delaware – 100 percent

Rhode Island – 100 percent

Virginia – 91 percent

Ohio – 84 percent

Pennsylvania – 84 percent

Massachusetts – 82 percent

Maryland – 81 percent

Indiana – 80 percent

Vermont – 80 percent

Arkansas – 79 percent

Colorado – 78 percent

Florida – 78 percent

Georgia – 78 percent

Oregon – 78 percent

Kentucky – 77 percent

New Mexico – 76 percent

North Dakota – 76 percent

South Carolina – 76 percent

Utah – 76 percent

States struggling with this measure:

Nevada – 34 percent

Wyoming – 36 percent

Mississippi – 48 percent

Montana – 49 percent

Here’s how the 10 most populous states fared on this measure:

Pennsylvania (6) – 84 percent

Ohio (7) – 84 percent

Florida (3) – 78 percent

Georgia (8) – 78 percent

Michigan (10) – 75 percent

New York (4) – 74 percent

Illinois (5) – 69 percent

North Carolina (9) – 69 percent

California (1) – 61 percent

Texas (2) – 58 percent

Sharing lab results with outside hospitals
AHA’s survey found that 54 percent of hospitals nationally could electronically share lab results with hospitals outside their health system. Only three states exceeded the 75 percent threshold:

Delaware – 100 percent

Vermont – 80 percent

Oregon – 76 percent

States struggling with this measure:

Wyoming – 13 percent

Nevada – 26 percent

Arizona – 28 percent

West Virginia – 30 percent

Alaska – 34 percent

Missouri – 35 percent

Mississippi – 39 percent

Here’s how the 10 most populous states fared on this measure:

Ohio (7) – 75 percent

Georgia (8) – 70 percent

New York (4) – 65 percent

Michigan (10) – 58 percent

Pennsylvania (6) – 55 percent

Florida (3) – 54 percent

North Carolina (9) – 51 percent

California (1) – 49 percent

Texas (2) – 49 percent

Illinois (5) – 41 percent

Sharing lab results with ambulatory providers
AHA’s survey found that 64 percent of hospitals nationally could electronically share lab results with ambulatory providers outside their health system. Nine states exceeded the 75 percent threshold:

Delaware – 100 percent

Rhode Island – 100 percent

Virginia – 88 percent

Massachusetts – 82 percent

Ohio – 80 percent

Pennsylvania – 80 percent

Florida – 77 percent

New Mexico – 76 percent

North Dakota – 76 percent

States struggling with this measure:

Mississippi – 33 percent

Nevada – 34 percent

Wyoming – 36 percent

Maine - 41 percent

Montana – 45 percent

Kansas – 46 percent

Nebraska – 47 percent

Idaho – 48 percent

Here’s how the 10 most populous states fared on this measure:

Pennsylvania (6) – 80 percent

Ohio (7) – 80 percent

Florida (3) – 77 percent

Michigan (10) – 71 percent

Georgia (8) – 70 percent

New York (4) – 66 percent

Illinois (5) – 63 percent

North Carolina (9) – 63 percent

California (1) – 57 percent

Texas (2) – 51 percent

 

 

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