ONC’s Trusted Change Framework and Frequent Settlement (TEFCA) Broadcasts First Cohort of Individuals


On January 19, 2022, the U.S. Division of Well being and Human Companies (HHS) Workplace of the Nationwide Coordinator for Well being Info Expertise (ONC) revealed the Trusted Change Framework and Frequent Settlement (TEFCA) for well being info trade. The Trusted Change Framework established a set of non-binding, foundational ideas for belief insurance policies and practices to assist facilitate trade amongst well being info networks (HINs). The Frequent Settlement beneath TEFCA developed the infrastructure mannequin and governing method for customers in numerous networks to securely share fundamental medical info with one another—all beneath generally agreed-to expectations and guidelines, no matter which community they occur to be in. TEFCA’s essential aim is to encourage interoperability throughout the nation by growing uniform insurance policies and technical necessities to control information sharing and to make sure that all members can entry real-time well being info. For a extra detailed breakdown of the construction and performance of TEFCA see Crowell’s earlier publish.

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 Mission, Inc. to function the Acknowledged Coordinating Entity (RCE). A couple of 12 months 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 authorised as certified well being info networks (QHINs). The authorised HINs encompass CommonWell Well being Alliance, eHealth Change, Epic TEFCA Interoperability Companies, Well being Gorilla, Kno2, and KONZA Nationwide Community. These six potential QHINs agreed to the identical information sharing infrastructure, which permits them to connect with each other and allows their members, together with supplies, payers, and public well being businesses, to trade well being info nationwide. This primary cohort of potential QHINs will endure onboarding over the course of the 12 months. The ONC plans to announce further QHINs as they’re authorised by the RCE.

Since TEFCA participation is voluntary, the extent of its influence is proscribed 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 knowledge accessible for networks beneath the Frequent Settlement
  • curtail the necessity for entities to hitch a number of HINs and agreements which can lower prices and enhance effectivity
  • create a typical set of privateness and safety necessities for HINs and IT builders to guard affected person information

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

To be taught extra about TEFCA, current actions and future implications take heed to Business Views on the Trusted Change Framework and Frequent Settlement right here.


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