One of the overarching goals of the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, which was part of the American Recovery and Reinvestment Act, was to require providers to move from paper to electronic documentation in order to make it easier to exchange patient information and coordinate care. Additionally, emergency medical services (EMS) also make critical contributions under the most difficult circumstances, which means that the information they accumulate is vital to understanding the patients full health picture. One of the barriers to enabling this last mile of interoperability is the cost factor.

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