{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T04:31:50Z","timestamp":1754109110387,"version":"3.37.3"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T00:00:00Z","timestamp":1624838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000016","name":"Department of Health and Human Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Office of the National Coordinator for Health Information Technology, Agency for Healthcare Research and Quality"},{"DOI":"10.13039\/100000016","name":"Department of Health and Human Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Most nonfederal acute care hospitals use electronic health records (EHRs) certified by the Office of the National Coordinator for Health Information Technology. In 2015, the Office of the National Coordinator for Health Information Technology finalized the 2015 Health IT Certification Edition and adoption by hospitals began in 2016. We examine the impact of the 2015 Edition on rates of interoperable exchange among nonfederal acute hospitals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>The study applies a standard difference-in-differences design and a recently developed fixed effects estimator that relaxes the assumption of treatment effects being constant across groups and time. In the analysis, we identify separate effects of the 2015 Edition for hospitals that switched EHR developers and forecast hospitals\u2019 interoperability over 2015 Edition adoption rates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The adoption of the 2015 Edition increased hospitals\u2019 rates of interoperable exchange and especially benefited hospitals that switched EHR developers in the post-implementation period. Forecasting results indicate that if all hospitals adopted the 2015 Edition, 53% to 61% of hospitals would engage in interoperable health information exchange compared with the current rate of 46%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Hospitals\u2019 levels of interoperability have been rising over the last few years. Adoption of newer technology improved hospitals\u2019 interoperability and accounts for up to 12% of the rise in interoperability.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Certified technology is one mechanism to ensure providers use recent and safe technologies for interoperable exchange. Adoption of certified EHRs improves the nation\u2019s interoperable exchange; however, it has a clear limited effect. Other mechanisms are necessary for achieving comprehensive interoperable exchange.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocab083","type":"journal-article","created":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T20:44:13Z","timestamp":1618605853000},"page":"1866-1873","source":"Crossref","is-referenced-by-count":1,"title":["Impact of the 2015 Health Information Technology Certification Edition on Interoperability among Hospitals"],"prefix":"10.1093","volume":"28","author":[{"given":"Yuriy","family":"Pylypchuk","sequence":"first","affiliation":[{"name":"Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA"}]},{"given":"Wesley","family":"Barker","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA"}]},{"given":"William","family":"Encinosa","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services, Agency for Healthcare Research and Quality, Rockville, Maryland, USA"}]},{"given":"Talisha","family":"Searcy","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,6,28]]},"reference":[{"year":"2020","author":"Miri","key":"2021081407015241400_ocab083-B1"},{"issue":"6","key":"2021081407015241400_ocab083-B2","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1377\/hlthaff.2017.1321","article-title":"Four states with robust prescription drug monitoring programs reduced opioid dosages","volume":"37","author":"Haffajee","year":"2018","journal-title":"Health Aff (Millwood)"},{"issue":"2","key":"2021081407015241400_ocab083-B3","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1093\/jamia\/ocaa287","article-title":"Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers","volume":"28","author":"Madhavan","year":"2021","journal-title":"J Am Med Inform Assoc"},{"year":"2016","key":"2021081407015241400_ocab083-B4"},{"year":"2019","key":"2021081407015241400_ocab083-B5"},{"year":"2020","key":"2021081407015241400_ocab083-B6"},{"issue":"9","key":"2021081407015241400_ocab083-B7","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1093\/jamia\/ocy084","article-title":"Assessing the impact of health system organizational structure on hospital electronic data sharing","volume":"25","author":"Holmgren","year":"2018","journal-title":"J Am Med Inform Assoc"},{"issue":"12","key":"2021081407015241400_ocab083-B8","first-page":"e395","article-title":"US hospital engagement in core domains of interoperability","volume":"22","author":"Holmgren","year":"2016","journal-title":"Am J Manag Care"},{"issue":"4","key":"2021081407015241400_ocab083-B9","article-title":"Uncovering differences in interoperability across hospital size","volume":"7","author":"Pylypchuk","year":"2019","journal-title":"Healthc (Amst)"},{"issue":"3","key":"2021081407015241400_ocab083-B10","doi-asserted-by":"crossref","first-page":"100347","DOI":"10.1016\/j.hjdsi.2018.12.001","article-title":"Hospital adoption of interoperability functions","volume":"7","author":"Thompson","year":"2019","journal-title":"Healthc (Amst)"},{"issue":"6","key":"2021081407015241400_ocab083-B11","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1093\/jamia\/ocx135","article-title":"Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance","volume":"25","author":"Holmgren","year":"2018","journal-title":"J Am Med Inform Assoc"},{"issue":"6","key":"2021081407015241400_ocab083-B12","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1136\/amiajnl-2014-002883","article-title":"Are meaningful use stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA collaborative","volume":"21","author":"D'Amore","year":"2014","journal-title":"J Am Med Inform Assoc"},{"key":"2021081407015241400_ocab083-B13","first-page":"358","article-title":"Interoperability progress and remaining data quality barriers of certified health information technologies","volume":"2018","author":"D'Amore","year":"2018","journal-title":"AMIA Annu Symp Proc"},{"issue":"9","key":"2021081407015241400_ocab083-B14","doi-asserted-by":"crossref","first-page":"2964","DOI":"10.1257\/aer.20181169","article-title":"Two-way fixed effects estimators with heterogeneous treatment effects","volume":"110","author":"de Chaisemartin","year":"2020","journal-title":"Am Econ Rev"},{"key":"2021081407015241400_ocab083-B15"},{"key":"2021081407015241400_ocab083-B16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jbi.2018.07.009","article-title":"Data standards for interoperability of care team information to support care coordination of complex pediatric patients","volume":"85","author":"Ranade-Kharkar","year":"2018","journal-title":"J Biomed Inform"},{"issue":"3","key":"2021081407015241400_ocab083-B17","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/s10278-015-9845-x","article-title":"Implementation of certified EHR, patient portal, and \u201cDirect\u201d messaging technology in a radiology environment enhances communication of radiology results to both referring physicians and patients","volume":"29","author":"Reicher","year":"2016","journal-title":"J Digit Imaging"},{"key":"2021081407015241400_ocab083-B18","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jbi.2015.03.001","article-title":"DIRECT secure messaging as a common transport layer for reporting structured and unstructured lab results to outpatient providers","volume":"54","author":"Sujansky","year":"2015","journal-title":"J Biomed Inform"},{"key":"2021081407015241400_ocab083-B19","first-page":"62601","article-title":"2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications","volume":"80","year":"2015","journal-title":"Final Rule. Fed Regist"},{"year":"2018","key":"2021081407015241400_ocab083-B20"},{"key":"2021081407015241400_ocab083-B21"},{"issue":"4","key":"2021081407015241400_ocab083-B22","doi-asserted-by":"crossref","first-page":"322","DOI":"10.4258\/hir.2017.23.4.322","article-title":"Association between health information technology and case mix index","volume":"23","author":"Park","year":"2017","journal-title":"Healthc Inform Res"},{"issue":"11, Spec No. 17","key":"2021081407015241400_ocab083-B23","first-page":"eSP9","article-title":"The effects of health information technology adoption and hospital-physician integration on hospital efficiency","volume":"20","author":"Cho","year":"2014","journal-title":"Am J Manag Care"},{"issue":"4","key":"2021081407015241400_ocab083-B24","doi-asserted-by":"crossref","first-page":"288","DOI":"10.5034\/inquiryjrnl_48.04.02","article-title":"Health information technology and its effects on hospital costs, outcomes, and patient safety","volume":"48","author":"Encinosa","year":"2011","journal-title":"Inquiry"},{"year":"2018","author":"Goodman-Bacon","key":"2021081407015241400_ocab083-B25"},{"year":"2020","author":"de Chaisemartin","key":"2021081407015241400_ocab083-B26"},{"volume-title":"Statistical Software Components S458643","year":"2019","author":"de Chaisemartin","key":"2021081407015241400_ocab083-B27"},{"year":"2020","author":"Pylypchuk","key":"2021081407015241400_ocab083-B28"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/28\/9\/1866\/39731864\/ocab083.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/28\/9\/1866\/39731864\/ocab083.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T07:06:48Z","timestamp":1628924808000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/28\/9\/1866\/6310379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,28]]},"references-count":28,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,6,28]]},"published-print":{"date-parts":[[2021,8,13]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocab083","relation":{},"ISSN":["1527-974X"],"issn-type":[{"type":"electronic","value":"1527-974X"}],"subject":[],"published-other":{"date-parts":[[2021,9,1]]},"published":{"date-parts":[[2021,6,28]]}}}