Interoperability & Standards

Advancing a connected health system through common standards, reliable exchange, and high-quality data.

A modern, data-driven healthcare system depends on the ability to securely exchange accurate information across providers, health plans, pharmacies, laboratories, public health agencies, technology vendors, and patients. Despite significant investments in health information technology, healthcare data often remains fragmented across disparate systems, limiting care coordination, increasing administrative burden, and impeding innovation.

The emergence of artificial intelligence, advanced analytics, and digital health tools has made interoperability even more critical. Applications require access to high-quality, standardized, and trustworthy data from multiple sources to generate reliable insights and support clinical and operational decision-making. Without common standards and seamless data exchange, organizations risk creating isolated data silos, inconsistent results, and reduced confidence in data-driven technologies.

HDGC focuses on advancing interoperability, promoting consistent standards, and strengthening data integrity to support a connected healthcare ecosystem capable of delivering better outcomes, supporting care coordination, reducing administrative complexity, greater efficiency, and responsible innovation.

The Issue

For decades, healthcare organizations adopted electronic health record (EHR) systems largely independently, resulting in a patchwork of technologies, proprietary data formats, and inconsistent approaches to information exchange. While digitization improved access to patient records within individual organizations, data often could not move easily across systems or care settings. Federal initiatives have accelerated EHR adoption and encouraged electronic data exchange.

However, despite this progress, significant challenges remain, including:

  • Variability in data standards and implementation.
    Inconsistent data quality across sources.
  • Technical and operational barriers to data exchange.
    Administrative complexity associated with sharing information.
  • Growing demands from AI, value-based care, population health, and consumer-facing health technologies.


As healthcare becomes increasingly interconnected, ensuring data is both interoperable and trustworthy has become a strategic imperative.

Policy
Considerations

Promote widespread implementation of nationally recognized standards to ensure health information can be consistently exchanged and understood across systems.

  • Expand adoption of existing interoperability standards (such as HL7 FHIR).
  • Encourage consistent use of standardized clinical vocabularies and terminologies.
  • Support alignment across federal and private-sector interoperability initiatives.
  • Develop implementation guidance that reduces variability in standards adoption.

Interoperability is only valuable if exchanged data is accurate, complete, and reliable. HDGC supports the establishment of data quality measurement and reporting frameworks.

  • Promote standardized approaches to data validation and provenance.
  • Encourage mechanisms that identify and correct incomplete or inconsistent data.
  • Support development of best practices for maintaining data integrity throughout the data lifecycle.

Data sharing must balance accessibility with privacy, security, and trust.

  • Promote secure exchange architectures and modern cybersecurity protections.
  • Encourage consistent identity management and authentication frameworks.
  • Support governance models that clarify responsibilities across exchanging entities.
  • Strengthen transparency regarding how shared data is used, accessed, and maintained.

AI performance depends on interoperable, high-quality, and standardized data. HDGC supports the creation and maintenance of a data infrastructure that is prepared for the capacity and ability of AI technologies.

  • Establish standards for AI-relevant data quality and metadata.
  • Encourage development of interoperable AI and analytics frameworks.
  • Promote consistent documentation of data lineage and provenance.
  • Support standards that facilitate responsible data sharing for AI development and validation.

Administrative barriers can impede the efficient movement of information needed for patient care and innovation. Efforts to reduce these burdens and enable information exchange can enable the system to best deliver care.

  • Streamline data exchange requirements across stakeholders.
  • Encourage automated, standards-based exchange mechanisms.
  • Address operational barriers that inhibit timely sharing of health information.
  • Promote policies that facilitate appropriate, patient-centered access to health data.

Relevant News, Letters & Events

Confidentiality Coalition and HLC response to Health Data, Technology and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity (HTI-5) proposed rule
The Healthcare Leadership Council and the Confidentiality Coalition submitted comments on the proposed HTI-5 rule supporting efforts to reduce unnecessary regulatory burdens while emphasizing that...
HLC and Confidentiality Coalition response to the White House Office of Science and Technology Policy “Regulatory Reform for Artificial Intelligence” RFI
The Healthcare Leadership Council (HLC) and the Confidentiality Coalition respond to the White House Office of Science and Technology Policy’s Request for Information on regulatory...
HLC and Confidentiality Coalition response to House Energy and Commerce Committee Data Privacy Working Group RFI
The Healthcare Leadership Council (HLC) and the Confidentiality Coalition urge Congress to create a federal, comprehensive, harmonized data privacy and security law that preempts state...
HLC and Confidentiality Coalition Response to RFI on AI
The Healthcare Leadership Council (HLC) and the Confidentiality Coalition provide formal comments to the National Science Foundation and NITRD in response to a Request for...
HLC and Confidentiality Coalition comments to CMS on the NPRM entitled, “HIPAA Security Rule to Strengthen the Cybersecurity Protected Health Information
The Healthcare Leadership Council (HLC) and the Confidentiality Coalition support strengthening cybersecurity for electronic protected health information (ePHI) but argue that the proposed HIPAA Security...
Confidentiality Coalition letter to the National Telecommunications and Information Administration on privacy, equity and civil rights.
The Confidentiality Coalition argues that HIPAA should remain the main privacy framework for health data, with a national privacy law to cover health data HIPAA...