It wasn’t always so, but today we have technology available to exchange health information anywhere there’s an internet connection. What’s slowing us from doing so at nationwide scale is trust. The frictions are human and institutional. They cannot be addressed exclusively with technology. 
Let’s look at the policy triangle that affects each network participant’s sharing posture. On the first side, there’s the HIPAA Privacy Rule that permits but does not require responses to network queries for treatment purposes.

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The “T” in Trusted Exchange Framework and Common Agreement™ (TEFCA™) is an important part of what drives our work. So too is the public-private engagement we have created over the past seven years. As we launched TEFCA last year we did so with the expectation that we would need to make iterative adjustments over time to help it grow. That’s why we’ve recently released a new standard operating procedure (SOP) to guide how organizations seeking to participate in specific “Exchange Purposes” within TEFCA are vetted (see: Vetting Process SOP).  

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