Chilmark Advisory Service Interoperability Domain Monitor (January 2018)
A primer on what is in the first draft of ONC’s proposed TEFCA, including intended use cases, unaddressed but important issues, how it may interact with other regulations, and who benefits.
- Congress required ONC to set rules for trusted exchange and information blocking among providers, payers, and other interested healthcare stakeholders.
- ONC’s proposal mirrors how existing networks such as Carequality, CommonWell, NATE Trust, and DirectTrust work
- ONC glosses over the patient defections that make providers leery of liquid data
- Although voluntary, ONC’s proposal says nothing about the costs to comply with this proposed regulation and where they will fall.
- ONC highlights some important use cases that past effects ignored
- ONC must set rules for data blocking and decide if TEFCA has any relevance to those rules
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