Rural hospitals struggle to keep up as electronic health records advance

Many rural hospitals and clinics rely on older electronic health record (EHR) systems to store patient documents and hospital data, but because larger hospitals tend to use more updated systems, the older platforms can’t communicate with “modern application programming or advanced data-sharing capabilities,” Liz Carey reports for The Daily Yonder.

The inability to securely share medical records between older vs. modern systems is called the “interoperability crisis,” and it’s stretching rural hospital staff to their thinnest. Only 64% of rural hospitals have adopted newer EHR systems, compared to 74% of urban hospitals.

Rural hospitals typically have only one to two technology workers, they may lack reliable broadband infrastructure, and upkeep of digital systems is expensive. Rural hospitals and communities that have been marginalized also consistently receive less federal funding than their urban counterparts. These disparities can "put rural healthcare facilities at a disadvantage," Carey writes.

Those gaps will cause "fragmented care," or lead to increased costs when physicians have to repeat tests and scans because they can’t access prior diagnostic images or results,” said Angela Chubb, senior manager of quality and regulatory advisory services at Nordic, a global health and technology consulting company.

The technology gaps also mean rural hospitals must work harder to recoup insurance reimbursement. Newer electronic health record systems allow more efficient data transfer among various state and national organizations for funding review. But data managers in many rural hospitals said providing those reports with smaller staffs and with less technological resources requires more labor. Often, the same information has to be re-formatted multiple times for different organizations’ standards.

Chubb told Carey that policy makers need to communicate with rural hospitals to better understand the solutions that will work in specific rural areas. “All rural communities ... are different. They all function based on their needs, based on their community needs, based on their provider needs, their demographics, their locations. It’s really how can these organizations structure the process that makes sense for them.”