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Digital Health Infrastructure for Futuristic Health Systems
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Lisa Lewis Deputy National Coordinator for Operations and COO Office of the National Coordinator for Health IT (ONC)
Interoperable Health Care System
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Emergency Response
Hospitals
Outpatient Facilities
EHRs
Apps/Tech
Providers
Pharmacies Genomics
Research
Specialized Care
Public Health
Labs
HIEs
{APIs}
Empowered Patients
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Hospitals EHR Developers
Pharmacies
Payers
Federal, State, and Local Governments
Research/Innovation Patients & Caregivers
Providers Labs
Outpatient Providers Apps/
Technology
Medications
Genomics
21st Century Cures Act
• Increase Innovation and Competition
• Reduce Burden and Advance Interoperability
• Promote Patient Access
• Reduce Information Blocking
https://www.healthit.gov/NPRM
ONC’s Proposed Rule to Improve the Interoperability of Health Information
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Industry Innovations
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Trusted Exchange Framework & Common Agreement (TEFCA)
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Provide a single “on-ramp” to nationwide connectivity
Electronic Health Information (EHI) securely follows you when and
where it is needed
Support nationwide scalability
GOAL 3 GOAL 2 GOAL 1
TEFCA Exchange Purposes
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Business Planning and
Development*
Public Health*
Treatment* Individual
Access Services
Benefits Determination
Utilization Review*
Quality Assessment & Improvement*
Exchange Purposes
*Only applies to HIPAA covered entities and business associates
@ONC_HealthIT @HHSONC
Questions?
TEFCA Overview
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RCE provides oversight and governance for QHINs.
QHINs connect directly to each other to facilitate nationwide interoperability.
Each QHIN represents a variety of Participants that they connect together, serving a wide range of Participant Members and Individual Users.
PARTICIPANT MEMBERS AND INDIVIDUAL USERS
PA R T I C I PA N T S