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What is interoperability in healthcare?

Written by Gugu Ntsele | Feb 12, 2025 3:50:17 PM

The National Institute of Health describes interoperability as “‘The ability of two or more systems or components to exchange information and to use the information that has been exchanged.’” 

 

Why interoperability matters

Without interoperability, patients who need to see multiple specialists could face a disconnected and confusing experience. Interoperability helps prevent: 

  • Duplicate tests and procedures
  • Increased healthcare costs
  • Medical errors due to incomplete information
  • Delayed treatment decisions
  • Poor patient experience
  • Inefficient care coordination

An American Medical Association report states that healthcare interoperability enables care coordination by allowing multiple healthcare providers to exchange and understand patient information in real time. This is particularly crucial for transient patient populations and those with multiple chronic conditions who interact with various providers. The system supports alternative payment arrangements and helps reduce overall healthcare costs by eliminating duplicate tests and procedures. Healthcare organizations can better participate in quality improvement initiatives while meeting their regulatory and public health reporting requirements through efficient data flow between different departments and systems.

Read also: How does email ensure interoperability?

 

Levels of healthcare interoperability

The Healthcare Information and Management Systems Society guide on Interoperability in Healthcare outlines the four levels of interoperability: 

  • Foundational (Level 1): Establishes the interconnectivity requirements needed for one system or application to securely send and receive data.
  • Structural (Level 2): Defines the format, syntax and organization of data exchange including at the data field level for interpretation.
  • Semantic (Level 3): Provides for common underlying models and codification of the data including the use of data elements with standardized definitions from publicly available value sets and coding vocabularies, providing shared understanding and meaning to the user.
  • Organizational (Level 4): Includes governance, policy, social, legal and organizational considerations to facilitate the secure, seamless and timely communication of data. These components enable shared consent, trust, and integrated end-user processes and workflows.

 

Challenges in achieving interoperability

According to Paul Kovalenk's article in Forbes, the core interoperability challenges include:

 

Legacy systems and data silos

Many healthcare providers still rely on legacy systems that were never designed to communicate with one another. These outdated systems create “data silos,” making it difficult for information to be shared between departments within the same organization, let alone between different organizations.

 

Data privacy and security concerns

Interoperability also raises concerns around data privacy and security. Healthcare data is among the most sensitive types of personal information, and breaches can have devastating consequences. The need to comply with regulations like HIPAA adds another layer of complexity to achieving interoperability, as data-sharing practices must be designed to safeguard patient privacy while still enabling efficient information exchange.

 

Integration costs

For smaller healthcare organizations, the cost of integrating new systems or updating legacy systems to meet modern interoperability standards can be staggering. These organizations often operate on tight budgets, meaning that other priorities—such as patient care—take precedence over costly IT overhauls.

 

Solutions to healthcare interoperability

Some solutions include: 

  • Adoption of APIs and microservices - By implementing APIs, healthcare organizations can create a bridge between legacy systems and newer platforms without a complete system overhaul.
  • Leveraging cloud technology - Cloud-based platforms allow healthcare providers to store and access patient data in real time from anywhere while ensuring data is properly encrypted and secure. 
  • Implementation of AI And machine learning - Artificial intelligence (AI) and machine learning (ML) have the potential to solve some of the most complex interoperability challenges by intelligently parsing unstructured data and converting it into usable formats. 
  • Partnerships and collaborations - Interoperability requires strong partnerships and collaborations between healthcare organizations, technology vendors and regulatory bodies to create universal standards and solutions. 

Learn more: HIPAA compliant email 

 

FAQs

How does interoperability impact healthcare costs?

By eliminating redundant tests, reducing administrative inefficiencies, and improving care coordination, interoperability can help lower overall healthcare costs.

 

What role does HIPAA play in healthcare interoperability?

HIPAA regulates how patient data is shared, ensuring that interoperability solutions maintain strong privacy and security protections while enabling seamless data exchange.

 

Can interoperability help in emergency situations?

Yes, interoperability allows emergency healthcare providers to quickly access a patient’s medical history, allergies, and prior treatments, leading to faster and more informed care.