What does “interoperability” mean? How will we know we have achieved it? The answers to these questions depend on who you ask and what their incentives are.
It’s common for hospitals to have efficient interoperability among their internal systems, such as their registration, billing, scheduling, and EMR systems. It’s also common for hospitals to have efficient interoperability between their billing system and the payers who reimburse their services. From a hospital IT department’s perspective, interoperability may be a problem, but it’s one that has known solutions and mature tools. That’s largely because hospitals have business incentives to connect their systems internally and externally.
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