

TEFCA GOALS
NATIONWIDE INTEROPERABILITY

PATIENT ACCESS
Patients must be able to access their health information electronically without any special effort.

POPULATION-LEVEL DATA EXCHANGE
Population-level Data Exchange Providers and payer organizations accountable for managing benefits can receive population-level health information allowing them to analyze population health trends, outcomes, and costs; identify at-risk populations and track progress on quality improvements initiatives.

OPEN AND ACCESSIBLE APIs
The health information technology (health IT) community should have open and accessible application programming interfaces (APIs) to encourage entrepreneurial, user-focused innovation to make health information more accessible and to improve electronic health record (EHR) usability.
ONC's Trusted Exchange Framework aims to create a technical and governance infrastructure that connects Health Information Networks together through a core of Qualified Health Information Networks.
PART A: GUIDING PRINCIPLES
General principles that provide guardrails to engender trust between Health Information Networks.

Adhere to recognized standards, policies, best practices, and procedures
STANDARDIZED

Conduct all exchange openly and transparently
TRANSPARENT

Exchange electronic health information with all stakeholders across the continuum of care even when they are business competitors
COLLABORATE

SAFE & SECURE
Exchange information securely in a manner that promotes patient safety and ensures data integrity

ACCESS
Ensure patients and caregivers have easy access to their electronic health information regardless of location or legacy IT

ACCOUNTABILITY
Exchange multiple records at one time to identify outcomes and trends to reduce costs and improve the health of the population
RECOGNIZED COORDINATING ENTITY
The RCE will act as a governance body that will operationalize the Trusted Exchange Framework by incorporating it into a single, all-encompassing Common Agreement


COMMON AGREEMENT
The RCE will incorporate the Part B requirements into a single Common Agreement

OPERATIONS
The RCE will be tasked with operationalizing the Trusted Exchange Framework
PART B: TERMS AND CONDITIONS
A minimum set of terms and conditions ensure that common practices are required to participate in the Trusted Exchange Framework.