A Health Podyssey

Julia Adler-Milstein on tracking the evolution of health information exchange


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The HITECH Act, part of the broad American Recovery and Reinvestment Act of 2009, ushered in major changes for health care's information and informatics landscape. The legislation may best be known for "meaningful use" requirements attached to hospital and/or physician funding to support the adoption of electronic health records (EHRs).

The law also greatly boosted health information exchanges, or networks that share clinical information across different health care settings.

On today's episode of A Health Podyssey, Dr. Julia Adler-Milstein, director of the Center for Clinical Informatics and Improvement Research at the University of California San Francisco, joins Health Affairs Editor-in-Chief Alan Weil to discuss a survey of health information exchange organizations she and colleagues published in the May 2021 issue of Health Affairs.

The survey reveals a level of maturity in the field of health information exchange, but a few critical issues continue to threaten the ability to achieve the potential and promise of EHRs.

Listen to Alan Weil interview Julia Adler-Milstein on the evolution of health information exchange organizations, TEFCA, and health data governance.

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A Health PodysseyBy Health Affairs

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