Not all health information exchanges have successfully bridged the interoperability gap. A recent KLAS report on HIE vendors evaluated how well they deliver on their promises.
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KLAS ranked the Epic Care Everywhere platform as the top product in its research, scoring highest for customer relationships and functionality. According to the report, Epic hospitals have "virtually no setup" -- the functionality is built into the Epic EMR software and is easy to turn on, use, and connect with other Epic providers without additional expense. The report added that Epic works well for Epic-to-Epic exchanges, but its ability to share data with other EMRs isn't widely adopted and it doesn't work well with non-Epic systems; some Epic customers supplement with other HIE solutions. One user explained to KLAS that patients referred to specialists can't have their record reviewed by the referring physician, since the community isn't "Epic-focused," and, in turn, they need to see records outside the Epic system. The report mentioned clients would also like to see improvements in some functionality, including patient consent and better analytic capability.