Uniting Healthcare: Strategic Policies for EHR Interoperability

The adoption of Electronic Health Records (EHR) and Health Information Technology (HIT) is essential for creating a more integrated, efficient, and patient-centered healthcare system. Despite progress, the issue of interoperability—the seamless exchange and use of information across EHR systems—remains a significant challenge. These barriers limit healthcare providers' access to comprehensive patient data, impacting care quality and operational efficiency. This dissertation investigated the role of policy interventions in addressing EHR interoperability challenges within the U.S. healthcare system. It examined how administrative and financial policies have hindered or supported progress toward seamless data exchange, focusing on legislation like the HITECH Act and the implementation of Fast Healthcare Interoperability Resources (FHIR) standards. Using a qualitative meta-synthesis approach, the study systematically reviewed peer-reviewed articles, policy documents, and reports from the past 15 years, identifying three primary barriers: inconsistent policy enforcement, financial constraints, and leadership challenges. The study proposed policy modifications to address these barriers, including stronger enforcement, sustained financial support, and leadership training. This dissertation contributes to the discourse on healthcare technology and policy, offering actionable recommendations to improve EHR interoperability, enhance patient care, and influence future policymaking in the U.S. healthcare system. The study concludes that addressing the identified barriers—through stronger policy enforcement, sustained financial support, and leadership development—is essential for achieving EHR interoperability.

Keywords: EHR interoperability, policy interventions, HITECH Act, healthcare technology, U.S. healthcare system