36% of administrators continue to struggle with EHR interoperability

As a result of the implementation of varying electronic health record (EHR) systems, 36 percent of medical record administrators struggle with the exchange of patient health records with providers with differing EHR platforms. Findings were published April 20 in a report by Black Book Market Research.


The report included responses from 3,040 hospital EHR users.

Key findings included:

  • 36 percent of medical record administrators struggled with the exchange of patient health records to other healthcare providers with differing EHR platforms, a slight improvement from 41 percent in 2016.
  • 24 percent of administrators were unable to use meaningful patient data they received electronically from outside sources not within a siloed EHR system.
  • 85 percent of network physicians believed the task of interoperability between healthcare providers lay with their core EHRs to initiate the sharing of information to improve population health, precision medicine and value-based payment models.
  • 62 percent of hospitals were not utilizing patient information from outside their EHR system, because outside data is not available in their systems’ workflow.
  • 72 percent of medical administrators reported the incoming patient information was not presented in a useful format, a 5 percent increase in 2017.
  • 30 percent of hospital-based physicians reported the data they viewed cannot be trusted when it was sent between different systems from outside providers.
  • 22 percent of hospital IT managers reported observing EHR alternative vendors in 2019.

“In 2018, 57 percent of hospital network physician practices operating on assorted EHRs report they continue to lack the financial and technical expertise to adopt complex interoperability which are compulsory to attain higher reimbursements built into value-based care initiatives by both public and private payers,” said Doug Brown, managing partner of Black Book Research. “There will be new entrants into the healthcare technology and EHR space like Google and Amazon who have little hospital technology-based experience but are bringing new processes and transparency, as well as increased competition.”