Barriers and Facilitators of Health Information Exchange (HIE) Adoption in the United States

HIE is growing in the United States because HIE is an important priority under the Meaningful Use stage II requirements. However, only a small percent of U.S. Hospitals engaged in HIE with unaffiliated providers and large variation existed among states. In order to understand potential HIE Adoption Recommendations, we reviewed the literature on barriers and facilitators of HIE adoption in the United States. Our search yielded 669 articles, 48 meeting our inclusion criteria. In general, we found several organizational and end user HIE adoption barriers as well as facilitators. Therefore, policy-makers, healthcare organizations, vendors, and clinic staffs need to work closely and innovatively in order to overcome all of these barriers and utilize facilitators to expedite nationwide HIE adoption, minimize data breach, and eventually, achieve continuity of care.