The health IT holy grail of nationwide interoperability remains top of mind in theory yet miles away in practice. The daunting distance of the road ahead was thrown into sharp relief in early October, when Health Affairs published American Hospital Association (AHA) survey data from 2015 showing that two of three U.S. hospitals can’t locate, retrieve, send and/or meaningfully integrate the electronic medical records (EMRs) of patients who received care at other provider sites (Health Aff (Millwood). 2017 Oct 1;36(10):1820-1827).