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The Meaningful Use program, alternative payment models, artificial intelligence and technical and policy shifts have spurred innovative approaches to data exchange. However, hospitals are finding that there is more than one way to achieve interoperability, and some are experimenting with several different pathways at once.

SSM Health, a 20-hospital Catholic not-for-profit health system in the Midwest, has pursued multiple avenues to facilitate data exchange by joining health information exchanges (HIEs) in Missouri, Oklahoma and Wisconsin, tapping into Carequality’s Interoperability Framework, and using Direct Messaging. It was the first health system to go live with Surescripts’ national locator service and shares patient data with both the Department of Defense and the Veterans Administration’s virtual electronic health record program, known as VLER.