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Thursday, September 28, 2023

ONC’s Trusted Trade Framework and Frequent Settlement (TEFCA) Pronounces First Cohort of Members


On January 19, 2022, the U.S. Division of Well being and Human Companies (HHS) Workplace of the Nationwide Coordinator for Well being Info Know-how (ONC) printed the Trusted Trade Framework and Frequent Settlement (TEFCA) for well being data change. The Trusted Trade 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 Frequent Settlement beneath TEFCA developed the infrastructure mannequin and governing strategy for customers in several networks to securely share primary scientific data with one another—all beneath generally agreed-to expectations and guidelines, no matter which community they occur to be in. TEFCA’s primary purpose is to encourage interoperability throughout the nation by creating uniform insurance policies and technical necessities to control knowledge 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 in the end appointed The Sequoia Challenge, 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 authorized as certified well being data networks (QHINs). The authorized HINs include CommonWell Well being Alliance, eHealth Trade, Epic TEFCA Interoperability Companies, Well being Gorilla, Kno2, and KONZA Nationwide Community. These six potential QHINs agreed to the identical knowledge sharing infrastructure, which permits them to hook up with each other and allows their contributors, together with offers, payers, and public well being businesses, to change well being data nationwide. This primary cohort of potential QHINs will bear onboarding over the course of the 12 months. The ONC plans to announce further QHINs as they’re authorized by the RCE.

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

  • enable networks to securely share and entry knowledge
  • make a core set of information accessible for networks beneath the Frequent Settlement
  • curtail the necessity for entities to affix a number of HINs and agreements which is able to lower prices and enhance effectivity
  • create a standard set of privateness and safety necessities for HINs and IT builders to guard affected person knowledge

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

To study extra about TEFCA, latest actions and future implications take heed to Business Views on the Trusted Trade Framework and Frequent Settlement right here.

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