There are six common principles that are at the heart of the Trusted Exchange Framework (TEF). “Today`s Updated Trusted Exchange Framework and Common Agreement took into account the more than 200 comments we received on our previous project and reflected a comprehensive collaboration with our federal partners,” said Don Rucker, National Health Information Technology Coordinator. “The future joint agreement, which will be made possible by the actions we are taking today, will provide the governance necessary to meet the interoperability requirements of different interest groups, including patients, health care providers and health plans. The NCE and each QHIN would reach a common agreement. With NCE, which provides supervision of the framework. Ensure that operational activities comply with ONC requirements. The agreement would include several “top-down flow” clauses. These apply to QHIN agreements with participants or participants. Each level of the structure would operate in accordance with the six TEF principles.
In the Cures Act, ONC is responsible for creating or selecting a TEFCA to allow exchanges on different networks. In the new ONC project, the stated objectives for TEFCA are: 1) Minimum Conditions (MRTC) – These are the basic conditions that Qualified Health Information Networks (QHINs) will meet. 2) Mandatory Additional Operating Conditions (ARTCs) – These focus on the operational maintenance requirements of the agreement. A recognized coordinating body (CEN) will develop CETs. Audit and approval are the responsibility of the ONC. 3) QHIN Technical Framework (QTF) – The technical and functional requirements for the exchange of the IUE between the QHIN. The NCE and THE ONC will work with stakeholders to update and maintain the QTF. There are plans to develop a framework that will reduce the need for so many electronic exchange methods for stakeholders.
The QHIN Technical Framework (QTF) provides additional information on the technical requirements for the exchange of information between QHIN. In 2019, the ONC has awarded a cooperation agreement to the Sequoia project, which will serve as a recognized coordinating body (CEN) for the development, updating, implementation and maintenance of the Common Agreement and the Technical Framework for Qualified Health Information (QTF). Learn more about this announcement. These are the binding conditions that bind those who decide to sign the common agreement. In accordance with MRTC Project 2, the joint agreement provides for greater privacy and security protection for all groups that decide to participate. This also applies to companies that are not covered by the Health Insurance and Bank Accounts Act (HIPAA).