The rate of provider organizations achieving deep interoperability has doubled since 2017. The overall rate leaves much to be desired, but signs of progress are visible. Thanks to connections to national networks and more proactive vendor support, roughly two-thirds of provider organizations often or nearly always have electronic access to needed records. This has led to a natural increase in the number of providers who report they can automatically or easily locate those records. But perhaps the most meaningful change has been how easily records are available in the clinical view. Organizations that were previously unable to move beyond the access and location stages of interoperability say vendor development of functionality and usability has made viewing these records much easier. Many are increasingly optimistic that this change will allow record exchange to have a greater impact on patient care in the future.