> When any country mentioned hits the population of a small or medium US state, let us know how it goes.

I don't know "how it goes" but Poland has the population of a large US state.

I stand corrected, chat bot agrees, it's most like Ohio or Illinois in population and GDP.

> Ohio has long been a national leader in EHR adoption, with nearly 5,000 primary care physicians signed up through the Ohio Health Information Partnership—more than any other state as of around 2011.[1] Cincinnati-based HealthBridge operates one of the largest and most robust regional Health Information Exchanges (HIEs) in the U.S., servicing over 30 hospitals and 7,500 physicians across multiple states.[1]

> In Ohio, a qualitative 2022 study surveyed provider and leadership perspectives on interoperability, finding high adoption rates: 96% of Medicaid‑PI‑eligible providers and hospitals had adopted EHR systems; non‑eligible providers reported adoption at 72%.[2] Epic Systems dominates the state as the top EHR vendor—used by 37% of Medicaid‑PI recipients and over 56% of other providers; smaller practices more often use NextGen, eClinicalWorks, etc.[2]

> The 2021 Illinois Health IT Survey, based on 175 respondents representing ~3,800 providers, shows 100% EHR adoption among respondents—up from 61% in 2011.[3] Participation in an HIE rose from 32% in 2016 to 51% in 2021.[3]

> For Illinois, key barriers reported: lack of provider Direct message addresses, reluctance of referring providers to accept messages (58%), and vendor cost constraints (46%).[3] Top reported improvements: decreased medication errors (64%), improved throughput (60%), and better reporting and referrals (60% and 57%).[3] The most difficult challenge: meeting program objectives (37%), followed by implementation cost and time (22%).[3]

Overall chat bot indicates Poland has unique patient IDs so no record duplication compared to poor US implementations, high interop within P1 compared to poor interop between US vendors, and good patient data access compared to poor implementation by US vendors. Chat bot gave little about burnout but mentioned Polish and US AI developments under way. I would assume there's poor interop between Poland and other EU states, likely much worse than the US IMHO. Not really any mention of other topics like clinician workflow, burnout, and productivity re Poland.

[1] https://www.healthpolicyohio.org/files/publications/hitprime...

[2] https://pmc.ncbi.nlm.nih.gov/articles/PMC10007006/

[3] https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecoll...