List of TEFCA QHINs Grows to Seven

The Office of the National Coordinator for Health Information Technology has increased the number of designated Qualified Health Information Network (QHIN) organizations to seven with the addition of CommonWell Health Alliance and Kno2.

Both organizations were announced as candidate QHINs last February to implement TEFCA, which was envisioned by the 21st Century Cures Act to support nationwide interoperability, but were not officially designated until now.

The other organizations officially designated as QHINs after successfully completing the TEFCA incorporation process are:
• eHealth exchange
• Epic Nexus
• Gorilla Health
• Medical allies

TEFCA became operational in December 2023. The Common Agreement, published in September 2021, includes six exchange purposes that organizations must support to be designated as a QHIN. The purposes of the exchange include Treatment, Payment, Health Care Operations, Public Health, Benefit Determination, and Individual Access Services.

ONC said CommonWell Health Alliance and Kno2 can immediately begin supporting data sharing under the policies and technical requirements of the Common Agreement along with the other designated QHINs.

“These additional QHINs expand the reach of TEFCA and provide additional connectivity options for patients, healthcare providers, hospitals, public health agencies, health insurers, and other licensed healthcare professionals,” said Micky Tripathi, Ph.D. , national health information technology coordinator. in a sentence. “On behalf of ONC, I want to congratulate CommonWell Health Alliance and Kno2 on their achievement.”

“This designation is a natural extension of our mission and progress to date.” CommonWell Health Alliance CEO Paul Wilder said in a statement. “We are honored to come together as QHIN, along with many industry members and partners, to reinforce our commitment to improving health data sharing and contributing to the realization of TEFCA. I thank everyone who helped us get to this point: our founding members who had the foresight to launch CommonWell in 2013, our current members, the ONC, the Recognized Coordinating Entity, and the other QHINs.”

CommonWell noted that it continues to grow. In September 2023 it announced a new technical services provider, ELLKAY, and an architecture for a new network platform. In January it welcomed new members Innsena, ModuleMD and RedCapCloud, two of which plan to join directly to the new CommonWell platform. Two new additional service adopters, including Invaryant and Solace, are planned to be incorporated directly into the new platform. Signature Performance joins as one of CommonWell’s newest general members and plans to become a service adopter by the end of 2024.

Version 2.0 of the TEFCA Common Agreement, which is expected to include improvements and updates to require support for FHIR-based transactions, is under development and is expected to be adopted by QHINs in the first quarter of 2024.

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