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There are certain challenges considered as principal barriers to health information exchange, here are few examples:

Interoperability: The ability of computer systems and software to exchange and make use of information. Interoperability in health care information systems provides benefits to the customer. For example helps in safeguarding patient data, useful in research studies, improves staff productivity, and gives a better experience to patients (Vest JR,2014). Therefore, it is one of the primary concerns for health information systems. However, information blocking and standardization remain the biggest obstacle to health care interoperability.

Financial stability: Financial barriers are considered the main issue that involves costs associated with developing, implementing, and optimizing health IT to comply with health care program requirements that frequently change (Rudin R,2011). Therefore, the primary role of financial management is to manage money and risk in any way that helps to achieve the financial goals of an organization. In addition, solid financial management provides efficient health care to the patient. So, financial stability is required to perform consistently in the health care sector.

Competitive concern: The competitive environment within health care systems and health information networks inhibit the helpful and meaningful exchange of data. The goal of health information exchange is to facilitate the access and retrieval of clinician data to provide safe, more timely, efficient, effective. Public health authorities also use it for the analysis of the healthy population. Due to the disruption of the above, the health information system does not smoothly facilitate the patient development progress.

Health care providers’ experience: Federal documentation and administrative requirements that prioritize billing and payment over patient care. Federal reporting requirements prioritize quality measures that are not meaningful or relevant: Health IT system design and usability issues, including unrealistic clinical workflows and standardization across different systems.


Vest JR, Kern LM, Campion TR Jr, Silver MD, Kaushal R. Association between a health information exchange system and hospital admissions. Appl Clin Inform. 2014;5(1):219–231

Rudin R, Volk L, Simon S, Bates D. What affects clinicians’ health information exchange usage? Appl Clin Inform. 2011;2(3):250–262pmid:22180762

Koppel R, Lehmann CU. Implications of an emerging EHR monoculture for hospitals and healthcare systems. J Am Med Inform Assoc. 2015;22(2):465–471


Although health information exchange (HIE), both the data exchange itself and the organizations that facilitate this exchange, is still in its easily stages of development, a significant number of barriers have emerged that could potentially threaten HIE from getting off the ground, let alone sustaining its growth. Who owns data is a problem for many healthcare and health IT professionals. Whether ownership belongs to government, providers, or patients, it carries with it a host of concerns. Getting information to move successfully between provider as well as state and federal agencies represents the top challenge to health information organizations (HIOs). Although these organizations have proven the ability to receive information, they have realized that a lack of consensus in terms of standards prevents them from pushing data effectively and economically. A lack of interoperability represents the second major barrier to progress in health IT adoption, use, and exchange. The ONC report identifies three challenges contributing to a lack of health IT interoperability. As noted by ONC, these challenges are “interrelated.” For example, hospitals report limited EHR capabilities — either the lack of EHR technology or capable EHR technology — as the leading causes of limitations in health information exchange. For the latter, questions about health IT safety and usability have raised the need for stakeholders to come together and share best practices. For its part, the federal agency views collaborative efforts as the means to ensure that health IT use does not negatively impact patient safety.


Richter, B., & Dixon, B. (2020). Drivers and Barriers to the Use of Health Information Exchange Amongst Clinicians in the Emergency Department. Proceedings of IMPRS, 3.

Rahurkar, S., Dixon, B. E., & Menachemi, N. (2016). Drivers and Barriers to Adoption. Health Information Exchange, 41–57.


The growing demand for health information exchange improves the safety, quality, and efficiency of healthcare delivery. With Health information exchange, healthcare organizations and professionals can access patients’ tests, reports, encounters, and summary EHRs from other providers. This may support decision-making, inform them on additional medications, help avoid repeated testing, avoiding unnecessary utilization and reduce healthcare costs.

This will also help disseminate healthcare resources based on their demand and engaging patients based on their personal health information. At the national level, interoperability in HIE is crucial in improving rural health, effective response to public health crises, and enhanced public health research. The goals for sustainable health exchange differ from one level to another, and the solutions vary from one state to another (Wald JS,2015).These may go in terms of the level of information to be exchanged at each level, its level of confidentiality, and how it is used. Health Information Exchange aims to ensure safer and more effective health care tailored to patient needs regardless of the information exchange goals.

The role of state governments in determining the future of Health Information Exchanges (HIEs) within the U.S. health care system is becoming significant. As one of the country’s largest health care payors, state governments along with employers, providers, regulators, and federal government agencies can exert considerable influence over the multiple stakeholders required to fund, develop, implement, and sustain HIE networks. Benefits of state and national level interactions: It enables a more effective response with diverse stakeholders working as a coordinated body. Also, it elevates better visibility into all aspects of the patient care life cycle, from diagnosis to the outcome. In addition, the networks providers extend presence throughout the coverage area and enhance the adoption of the latest technology to improve patient safety, quality of care, and patient outcomes. It also provides capabilities of multiple agencies for network component reuse and leverages private and public assets that are critical to funding.


Confidentiality in adolescent health care: ACOG committee opinion, number 803. Obstet Gynecol. 2020;135(4):e171–e177

Wald JS, Haque SN, Rizk S, et al. Enhancing health IT functionality for children: the 2015 children’s EHR format. Pediatrics. 2018;141(4):e20163894

Rudin R, Volk L, Simon S, Bates D. What affects clinicians’ health information exchange usage? Appl Clin Inform. 2011;2(3):250–262pmid:22180762

Koppel R, Lehmann CU. Implications of an emerging EHR monoculture for hospitals and healthcare systems. J Am Med Inform Assoc. 2015;22(2):465–471

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