Health Affairs June 25, 2019
Five years into the nation’s 10-year interoperability roadmap, where do we stand? For new draft regulations just out from the Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid Services (CMS), what is our polestar? Are we halfway there yet?
In 2015, the ONC’s Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap outlined the steps necessary to implement a nationwide “learning health system” by 2024. This system would be capable of improving individual and population health, empowering consumers, driving innovation, addressing health disparities, advancing precision medicine, and supporting value-based care and reimbursement. The 21st Century Cures Act—bipartisan congressional legislation passed in 2016—reinforces the aims of the roadmap by requiring, for example,...