President's column: interoperability--the 30% solution: from dialog and rhetoric to reality

Abstract

The purpose of the Messages from AMIA section is to provide a forum for AMIA to inform and involve its current and potential members about the goals and the directions of the association. These messages, which reflect the directions and opinions of AMIA leaders only, are intended to inspire members and readers to connect with the association on strategic objectives and activities. See also www.amia.org/presidents-page. Over the last decade, the members of AMIA have been at the forefront of calls for interoperability. But, our advocacy has been a call for interoperability, not a demand . The time has come for healthcare leaders to move from passive dialog and rhetorical support of interoperability toward active engagement with the public, government, and private industry to create the reality of interoperability. Clearly, advantages and benefits would accrue to society, our children, our parents, and ourselves if we were to finally see the full realization of our investment in health information technology by fostering interoperability. The statistics are stark. Fully 20% of preventable medical errors in the USA are caused by the lack of immediate access to health information according to the US Department of Health and Human Services.1 In addition, one of every seven primary care visits is compromised because of missing medical information.2 Furthermore, an independent review of physician treatment plans suggests that decision-making could be improved for 14% of admissions, where many of the benefits would have delayed manifestations.3 In yet another study, it is estimated that only 55% of adults in the USA receive the care recommended by the best protocols and guidelines.4 Finally, the main reason for …