Promoting Interoperability Program in Electronic Health Record Roadmap: A Scoping Review Study; برنامه ی بهبود تعامل پذیری در نقش هی راه پرونده الکترونیک سلامت: یک مطالعه ی مرور دامنه



Mohammadzadeh N ; Javanmard Z ; Bahador F
Source: Journal of Payavard Salamat Published:2025

Abstract

Background and Aim: Today, with the digitalization of many healthcare processes, healthcare organizations strive to implement electronic health records (EHR) as effectively as possible. In this regard, the Meaningful Use (MU) program of EHRs was introduced in the United States. However, due to the existing challenges in this program and in order to accelerate the adoption of EHRs and reduce barriers, the Promoting Interoperability (PI) program was introduced by the Centers for Medicare and Medicaid Services (CMS). This study was conducted with the aim of reviewing the various dimensions of the PI within the EHR roadmap and examining strategies to overcome the obstacles of the MU program. Materials and Methods: This scoping review was conducted in 2024. To assess the PI program, relevant articles were searched on PubMed, Scopus, and Web of Science databases, as well as electronic documents from CMS, without any time restrictions until March 2024. The searches employed the primary keywords “EHR,” “Meaningful Use,” “Promoting Interoperability,” and their synonyms. Additionally, a manual search was performed using the Google Scholar search engine to ensure comprehensive retrieval of all pertinent literature. Subsequently, articles and documents meeting inclusion criteria were selected, and their main characteristics were extracted. Results: The review revealed that the PI program introduces substantial changes in EHR program requirements, objectives, and scoring methods. The core objectives of this program include: 1. electronic prescribing, 2. health information exchange, 3. provider-to-patient information transfer, and 4. public health and clinical data exchange. Furthermore, the program emphasizes additional requirements to enhance the quality of implementation, promote better sharing of EHR data, and improve clinical quality. Conclusion: The Promoting Interoperability program has the potential to enhance patient health outcomes and reduce healthcare costs. Moreover, it is expected to gain increasing significance for hospitals as they adopt innovative healthcare delivery and payment models. © 2025 Elsevier B.V., All rights reserved.