Evidence map›Paper›PMID 36826979›Full record

ArticleJMIR medical informatics2023

Perspectives on Challenges and Opportunities for Interoperability: Findings From Key Informant Interviews With Stakeholders in Ohio.

Daniel M Walker, Willi L Tarver, Pallavi Jonnalagadda, Lorin Ranbom, Eric W Ford, Saurabh Rahurkar

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Article in JMIR medical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. A problem of Epic proportion.PLOS digital health · 2026
    Article
  4. Article
  5. Health interoperability across phenotypes of family physician practices.Journal of the American Medical Informatics Association : JAMIA · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel M WalkerDepartment of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, United States.ORCID https://orcid.org/0000-0001-5434-3162
Willi L TarverThe Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, OH, United States.ORCID https://orcid.org/0000-0001-7667-5758
Pallavi JonnalagaddaThe Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, OH, United States.ORCID https://orcid.org/0000-0002-2322-3229
Lorin RanbomGovernment Resource Center, College of Medicine, The Ohio State University, Columbus, OH, United States.ORCID https://orcid.org/0000-0003-3926-4612
Eric W FordDepartment of Healthcare Organization and Policy, School of Public Health, University of Alabama, Birmingham, AL, United States.ORCID https://orcid.org/0000-0002-7885-0019
Saurabh RahurkarThe Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, OH, United States.ORCID https://orcid.org/0000-0001-8597-3087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInteroperability-the exchange and integration of data across the health care system-remains a challenge despite ongoing policy efforts aimed at promoting interoperability.

objectiveThis study aimed to identify current challenges and opportunities to advancing interoperability across stakeholders.

methodsPrimary data were collected through qualitative, semistructured interviews with stakeholders (n=24) in Ohio from July to October 2021. Interviewees were sampled using a stratified purposive sample of key informants from 4 representative groups as follows: acute care and children's hospital leaders, primary care providers, behavioral health providers, and regional health information exchange networks. Interviews focused on key informant perspectives on electronic health record implementation, the alignment of public policy with organizational strategy, interoperability implementation challenges, and opportunities for health information technology. The interviews were transcribed verbatim followed by rigorous qualitative analysis using directed content analysis.

resultsThe findings illuminate themes related to challenges and opportunities for interoperability that align with technological (ie, implementation challenges, mismatches in interoperability capabilities across stakeholders, and opportunities to leverage new technology and integrate social determinants of health data), organizational (ie, facilitators of interoperability and strategic alignment of participation in value-based payment programs with interoperability), and environmental (ie, policy) domains.

conclusionsInteroperability, although technically feasible for most providers, remains challenging for technological, organizational, and environmental reasons. Our findings suggest that the incorporation of end user considerations into health information technology development, implementation, policy, and standard deployment may support interoperability advancement.

Indexed as

electronic health recordhealth information exchangehealth information technologyinteroperabilityusability

Identifiers

PMID36826979
PMCPMC10007006

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.