Interoperability Case Study: Atrium Health

Atrium Health, formerly known as Carolinas Health System, was the first organization in North and South Carolina to achieve HIMSS EMRAM Stage 7 in both the acute and ambulatory environments, signifying the highest levels of Electronic Medical Record adoption, and positioning Atrium Health in the top 5 percent of healthcare organizations nationwide. Currently, 11 hospitals and more than 380 practices are Stage 7 validated. The full list of validated Stage 7 providers is available on the HIMSS Analytics webpage.

As reported by, Atrium Health and Novant Health reached an agreement to exchange patient health data between their Cerner and Epic EHR technologies in 2017. This patient health data is exchanged through Cerner’s Health Information Exchange (HIE) and the Sequoia Project’s eHealth Exchange. The interoperability established between Cerner’s CommonWell Health Alliance and Epic, which exclusively supported Carequality, has served to push the healthcare industry closer to true interoperability and minimize information blocking.

For this case study, Jonathan Sherman, FACHE, Information & Analytics Services Director at Atrium Health, was interviewed about the processes, roles, technology, and change management approach used during the organization’s interoperability implementation. He also discussed lessons learned and a look forward to where Atrium Health might further advance and increase their interoperability capabilities to serve patients.