{"id":"https://openalex.org/W3175890237","doi":"https://doi.org/10.1093/jamia/ocab083","title":"Impact of the 2015 Health Information Technology Certification Edition on Interoperability among Hospitals","display_name":"Impact of the 2015 Health Information Technology Certification Edition on Interoperability among Hospitals","publication_year":2021,"publication_date":"2021-04-16","ids":{"openalex":"https://openalex.org/W3175890237","doi":"https://doi.org/10.1093/jamia/ocab083","mag":"3175890237","pmid":"https://pubmed.ncbi.nlm.nih.gov/34179983"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocab083","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocab083","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8363795","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5073111919","display_name":"Yuriy Pylypchuk","orcid":"https://orcid.org/0000-0003-2574-3903"},"institutions":[{"id":"https://openalex.org/I2802377633","display_name":"Office of the National Coordinator for Health Information Technology","ror":"https://ror.org/02fm3sv87","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I2802377633"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Yuriy Pylypchuk","raw_affiliation_strings":["Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA","institution_ids":["https://openalex.org/I2802377633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027159562","display_name":"Wesley Barker","orcid":"https://orcid.org/0000-0002-7379-7220"},"institutions":[{"id":"https://openalex.org/I2802377633","display_name":"Office of the National Coordinator for Health Information Technology","ror":"https://ror.org/02fm3sv87","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I2802377633"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wesley Barker","raw_affiliation_strings":["Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA","institution_ids":["https://openalex.org/I2802377633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016539281","display_name":"William Encinosa","orcid":null},"institutions":[{"id":"https://openalex.org/I4210134615","display_name":"Health and Human Services Agency","ror":"https://ror.org/03wg52r81","country_code":"US","type":"government","lineage":["https://openalex.org/I4210134615"]},{"id":"https://openalex.org/I82994568","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I82994568"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William Encinosa","raw_affiliation_strings":["Department of Health and Human Services, Agency for Healthcare Research and Quality, Rockville, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health and Human Services, Agency for Healthcare Research and Quality, Rockville, Maryland, USA","institution_ids":["https://openalex.org/I82994568","https://openalex.org/I4210134615"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5047713247","display_name":"Talisha Searcy","orcid":null},"institutions":[{"id":"https://openalex.org/I2802377633","display_name":"Office of the National Coordinator for Health Information Technology","ror":"https://ror.org/02fm3sv87","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I2802377633"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Talisha Searcy","raw_affiliation_strings":["Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, Washington, DC, USA","institution_ids":["https://openalex.org/I2802377633"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5073111919"],"corresponding_institution_ids":["https://openalex.org/I2802377633"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":0.2552,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.66938657,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":95},"biblio":{"volume":"28","issue":"9","first_page":"1866","last_page":"1873"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8001999855041504,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8001999855041504,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.019600000232458115,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.011099999770522118,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interoperability","display_name":"Interoperability","score":0.9477625489234924},{"id":"https://openalex.org/keywords/certification","display_name":"Certification","score":0.8362282514572144},{"id":"https://openalex.org/keywords/health-information-exchange","display_name":"Health information exchange","score":0.7467191219329834},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.59450364112854},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5823532938957214},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.5393566489219666},{"id":"https://openalex.org/keywords/cross-domain-interoperability","display_name":"Cross-domain interoperability","score":0.4965077042579651},{"id":"https://openalex.org/keywords/health-records","display_name":"Health records","score":0.4887235164642334},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.4527845084667206},{"id":"https://openalex.org/keywords/information-exchange","display_name":"Information exchange","score":0.43426260352134705},{"id":"https://openalex.org/keywords/data-exchange","display_name":"Data exchange","score":0.41164109110832214},{"id":"https://openalex.org/keywords/semantic-interoperability","display_name":"Semantic interoperability","score":0.402495801448822},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3534609079360962},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3258424997329712},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.30044305324554443},{"id":"https://openalex.org/keywords/health-information","display_name":"Health information","score":0.16354572772979736},{"id":"https://openalex.org/keywords/telecommunications","display_name":"Telecommunications","score":0.12111389636993408},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.1094159185886383}],"concepts":[{"id":"https://openalex.org/C20136886","wikidata":"https://www.wikidata.org/wiki/Q749647","display_name":"Interoperability","level":2,"score":0.9477625489234924},{"id":"https://openalex.org/C46304622","wikidata":"https://www.wikidata.org/wiki/Q374814","display_name":"Certification","level":2,"score":0.8362282514572144},{"id":"https://openalex.org/C2778759051","wikidata":"https://www.wikidata.org/wiki/Q5691085","display_name":"Health information exchange","level":4,"score":0.7467191219329834},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.59450364112854},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5823532938957214},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.5393566489219666},{"id":"https://openalex.org/C26805982","wikidata":"https://www.wikidata.org/wiki/Q17008183","display_name":"Cross-domain interoperability","level":4,"score":0.4965077042579651},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.4887235164642334},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4527845084667206},{"id":"https://openalex.org/C189693848","wikidata":"https://www.wikidata.org/wiki/Q6031064","display_name":"Information exchange","level":2,"score":0.43426260352134705},{"id":"https://openalex.org/C15845906","wikidata":"https://www.wikidata.org/wiki/Q1172338","display_name":"Data exchange","level":2,"score":0.41164109110832214},{"id":"https://openalex.org/C192800085","wikidata":"https://www.wikidata.org/wiki/Q5258530","display_name":"Semantic interoperability","level":3,"score":0.402495801448822},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3534609079360962},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3258424997329712},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.30044305324554443},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.16354572772979736},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.12111389636993408},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1094159185886383},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002568","descriptor_name":"Certification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002568","descriptor_name":"Certification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002568","descriptor_name":"Certification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocab083","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocab083","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:34179983","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34179983","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:8363795","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8363795","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:8363795","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8363795","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Partnerships for the goals","score":0.4300000071525574,"id":"https://metadata.un.org/sdg/17"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306085","display_name":"U.S. Department of Health and Human Services","ror":"https://ror.org/033jnv181"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W264673583","https://openalex.org/W2052345394","https://openalex.org/W2070697187","https://openalex.org/W2134011581","https://openalex.org/W2180305585","https://openalex.org/W2570773656","https://openalex.org/W2768571739","https://openalex.org/W2769592895","https://openalex.org/W2807338261","https://openalex.org/W2883731830","https://openalex.org/W2889428738","https://openalex.org/W2907870358","https://openalex.org/W2936663711","https://openalex.org/W2941500653","https://openalex.org/W2979586175","https://openalex.org/W3097823508","https://openalex.org/W6609871907","https://openalex.org/W6732201201","https://openalex.org/W6761512267"],"related_works":["https://openalex.org/W2109385585","https://openalex.org/W3209454962","https://openalex.org/W2913525168","https://openalex.org/W4367040610","https://openalex.org/W2621382554","https://openalex.org/W939442210","https://openalex.org/W2294923962","https://openalex.org/W3179006481","https://openalex.org/W4210681325","https://openalex.org/W2904129898"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Most":[1],"nonfederal":[2,63],"acute":[3,64],"care":[4],"hospitals":[5,45,108,138,153,162],"use":[6,217],"electronic":[7],"health":[8,167],"records":[9],"(EHRs)":[10],"certified":[11,227],"by":[12,44],"the":[13,16,25,28,36,51,54,85,97,104,126,144,155,172,186,204,230],"Office":[14,26],"of":[15,27,53,59,87,103,125,132,161,175,180,191,203,226],"National":[17,29],"Coordinator":[18,30],"for":[19,31,107,199,222,245],"Health":[20,32,38],"Information":[21,33],"Technology.":[22],"In":[23,96],"2015,":[24],"Technology":[34],"finalized":[35],"2015":[37,55,105,118,127,156],"IT":[39],"Certification":[40],"Edition":[41,56,106,119,128],"and":[42,76,94,113,135,197,219],"adoption":[43,120,124],"began":[46],"in":[47,143,165,206],"2016.":[48],"We":[49],"examine":[50],"impact":[52],"on":[57],"rates":[58,131],"interoperable":[60,133,166,223,232,248],"exchange":[61,134,169],"among":[62],"hospitals.":[65],"MATERIALS":[66],"AND":[67],"METHODS:":[68],"The":[69,123],"study":[70],"applies":[71],"a":[72,77,237],"standard":[73],"difference-in-differences":[74],"design":[75],"recently":[78],"developed":[79],"fixed":[80],"effects":[81,89,102],"estimator":[82],"that":[83,109,139,150],"relaxes":[84],"assumption":[86],"treatment":[88],"being":[90],"constant":[91],"across":[92],"groups":[93],"time.":[95],"analysis,":[98],"we":[99],"identify":[100],"separate":[101],"switched":[110,140],"EHR":[111,141],"developers":[112,142],"forecast":[114],"hospitals'":[115,130,195],"interoperability":[116,181,196],"over":[117,185],"rates.":[121],"RESULTS:":[122],"increased":[129],"especially":[136],"benefited":[137],"post-implementation":[145],"period.":[146],"Forecasting":[147],"results":[148],"indicate":[149],"if":[151],"all":[152],"adopted":[154],"Edition,":[157],"53%":[158],"to":[159,201,214],"61%":[160],"would":[163],"engage":[164],"information":[168],"compared":[170],"with":[171],"current":[173],"rate":[174],"46%.":[176],"DISCUSSION:":[177],"Hospitals'":[178],"levels":[179],"have":[182],"been":[183],"rising":[184],"last":[187],"few":[188],"years.":[189],"Adoption":[190,225],"newer":[192],"technology":[193,210],"improved":[194],"accounts":[198],"up":[200],"12%":[202],"rise":[205],"interoperability.":[207],"CONCLUSIONS:":[208],"Certified":[209],"is":[211],"one":[212],"mechanism":[213],"ensure":[215],"providers":[216],"recent":[218],"safe":[220],"technologies":[221],"exchange.":[224,249],"EHRs":[228],"improves":[229],"nation's":[231],"exchange;":[233],"however,":[234],"it":[235],"has":[236],"clear":[238],"limited":[239],"effect.":[240],"Other":[241],"mechanisms":[242],"are":[243],"necessary":[244],"achieving":[246],"comprehensive":[247]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2022,"cited_by_count":1}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}