Interoperability and Health Information Exchange Federal Efforts

Building a strong foundation of health IT is critical to realizing the goal that care is delivered to every American using an electronic health record (EHR). To achieve this goal, the tools, the technologies, and the resources must exist so that every person has access to a long-term, comprehensive digital picture of their health over their lifespan.

With that in mind, federal agencies have put forward a number of initiatives to ensure that the right care is delivered at the right place and time to patients all the time. The following includes information on specific efforts to assist implementers and influencers on their journey toward achieving interoperability and related HIMSS resources and comments about these efforts.

To review all interoperability-related HIMSS policy responses, please visit the HIMSS Policy Center.

See how HIMSS is demanding action to drive interoperable exchange forward in the HIMSS Interoperability Call to Action.

21st Century Cures: Key Interoperability Provisions

The 21st Century Cures Act aims to enable interoperability through initiatives such as the Trusted Exchange Framework and Common Agreement (TEFCA), US Core Data for Interoperability (USCDI), Information Blocking Rules, and the EHR Reporting Program.

Interoperability Standards Advisory

The Interoperability Standards Advisory (ISA) represents a single, public list of standards and implementation specifications published by ONC.

Proposed Interoperability Standards Measurement Framework

The ONC Proposed Interoperability Standards Measurement Framework aims to measure the nation's status on the implementation and use of interoperability standards to better understand progress toward nationwide interoperability.

ONC Health IT Dashboard

The Health IT Dashboard is an Open Government initiative developed and maintained by the Office of the National Coordinator for Health IT (ONC). By utilizing this tool, you can learn more about Health IT and the ONC, as well as access a wide variety of dashboards including interactive data, downloadable information, and relevant statistics.

Historical Efforts

Many public agencies have been working to advance interoperability for several years.

With the passage of the HITECH Act in 2009, government involvement has increasingly grown in the adoption and use of health information technology as well as efforts to advance interoperability. See below for earlier efforts to address the need for interoperability across the healthcare ecosystem.

A Shared Nationwide Interoperability Roadmap

The ONC's roadmap laid out a plan in three, six- and ten-year increments to achieve the interoperability needed to enable a learning health system.

Learn More