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HomeHealth LawONC’s Trusted Alternate Framework and Widespread Settlement (TEFCA) Proclaims First Cohort of...

ONC’s Trusted Alternate Framework and Widespread Settlement (TEFCA) Proclaims First Cohort of Members


On January 19, 2022, the U.S. Division of Well being and Human Providers (HHS) Workplace of the Nationwide Coordinator for Well being Info Know-how (ONC) printed the Trusted Alternate Framework and Widespread Settlement (TEFCA) for well being data change. The Trusted Alternate Framework established a set of non-binding, foundational rules for belief insurance policies and practices to assist facilitate change amongst well being data networks (HINs). The Widespread Settlement beneath TEFCA developed the infrastructure mannequin and governing strategy for customers in several networks to securely share fundamental scientific data with one another—all beneath generally agreed-to expectations and guidelines, no matter which community they occur to be in. TEFCA’s most important aim is to encourage interoperability throughout the nation by growing uniform insurance policies and technical necessities to manage information sharing and to make sure that all contributors can entry real-time well being data. For a extra detailed breakdown of the construction and performance of TEFCA see Crowell’s earlier submit.

The event of TEFCA was mandated by the 21st Century Cures Act. In 2019, the ONC issued a Discover of Funding Alternative and finally appointed The Sequoia Venture, Inc. to function the Acknowledged Coordinating Entity (RCE). A few yr after the long-awaited TEFCA publication, ONC held an occasion on February 13th, 2023 to acknowledge the primary set of applicant organizations that had been accredited as certified well being data networks (QHINs). The accredited HINs encompass CommonWell Well being Alliance, eHealth Alternate, Epic TEFCA Interoperability Providers, Well being Gorilla, Kno2, and KONZA Nationwide Community. These six potential QHINs agreed to the identical information sharing infrastructure, which permits them to hook up with each other and permits their contributors, together with offers, payers, and public well being companies, to change well being data nationwide. This primary cohort of potential QHINs will endure onboarding over the course of the yr. The ONC plans to announce further QHINs as they’re accredited by the RCE.

Since TEFCA participation is voluntary, the extent of its impression is restricted by the variety of entities that apply for QHIN designation. With widespread community participation, TEFCA is meant to:

  • permit networks to securely share and entry information
  • make a core set of information obtainable for networks beneath the Widespread Settlement
  • curtail the necessity for entities to hitch a number of HINs and agreements which can lower prices and enhance effectivity
  • create a standard set of privateness and safety necessities for HINs and IT builders to guard affected person information

Crowell Well being Options (CHS) just lately hosted “Trade Views on the Trusted Alternate Framework and Widespread Settlement,” a podcast analyzing the development of knowledge change governance in our healthcare panorama, the importance and potential impression of TEFCA, the participation of HINs in TEFCA, and the evolution of information sharing and interoperability within the subsequent 10 years. Whereas TEFCA remains to be within the early levels, CHS appears ahead to monitoring the development of the framework and its impression on well being data change.

To study extra about TEFCA, current actions and future implications hearken to Trade Views on the Trusted Alternate Framework and Widespread Settlement right here.

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