On January 5, 2018, the Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) released a draft Trusted Exchange Framework and Common Agreement (TEFCA), outlining a common set of principles for trusted exchange of health data and interoperability between health information networks (HINs) and proposing a Common Agreement aimed at operationalizing the principles for data exchange in an effort to drive interoperability. ONC released the draft framework in compliance with provisions of the 21st Century Cures Act, which was enacted in December 2016.
The draft framework is part of an effort “to scale interoperability nationwide by providing a single ‘on-ramp’ to allow all types of healthcare stakeholders to join any health information network they choose and be able to participate in nationwide exchange, regardless of what health IT developer they use, health information exchange or network they contract with, or where the patients’ records are located.”
Comments on the draft framework are due to ONC by February 20, 2018. ONC will post comments on its website. ONC will consider comments on the draft framework as it develops a final TEFCA product, which will be posted on the ONC website and published in the Federal Register.