As the buzz grows around interoperability initiatives such as the Trusted Exchange Framework and Common Agreement (TEFCA), a provision under the 21st Century Cures Act that calls for establishing national data exchanges to make information flow more seamlessly, many of us envision a future of flawless care collaboration.We know that with true interoperable healthcare technology systems, integrated HIT can be leveraged to reduce medical errors, improve patient care and optimize epidemiological research. As such, we see the potential for a vastly improved healthcare industry that serves all stakeholders from doctors and their collaborative partners to patients in the value chain.Given the potential of total interoperability, our excitement is understandable. Many believe the establishment of a national registry for the purposes of data exchange should be the healthcare industrys ultimate goal, especially as we shift toward value-based care.Unfortunately, the reality is that total, ubiquitous interoperability within the context of a shared, national data registry is likely to fall short of these utopic visions and could even be harmful to independent HIT vendors and physician practices.

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