HITECH was specifically designed to facilitate better healthcare through EHR interoperability among providers. But, seven years and more than $30 billion in incentives later, meaningful interoperability is still lacking, according to the ONC’s report to Congress in December 2015.

Despite the near universal consensus that continuity of care is critical to better outcomes and reduced costs, effective information exchanges remain elusive. Of the five issues the ONC report cites, two stand out as principal obstacles.

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