TEFCA Comments Summary

Public Comments on the Trusted Exchange Framework and Common Agreement Draft 2

ONC received more than 100 comments on the Trusted Exchange Framework (TEF) Draft 2 during the public commenting period.

Draft 2 of the Trusted Exchange Framework and Common Agreement (TEFCA) outlines a common set of principles, terms, and conditions to support the development of a Common Agreement that would help enable nationwide exchange of electronic health information (EHI) across disparate health information networks (HINs).

Comments were submitted by a wide range of stakeholders including: health information networks/exchanges, health professional societies, providers of health services, health information technology developers, hospitals, public health entities, health care payers, health care quality organizations, state entities, health care suppliers of services, and patient advocates.

ONC will be updating the Trusted Exchange Framework, the Minimum Required Terms and Conditions, and the QHIN Technical Framework based on comments received by the deadline. There will be additional opportunities in the future for public input into the creation of the Common Agreement.

ONC thanks all of the organizations that submitted comments and looks forward to continued engagement on this work.

For those wishing to review comments submitted, please reference the table.

Name Sort descending Organization Organization Type Submission
Linda VanHorn iShare Medical Other Submission File
Manuel González Beth Israel Deaconess Care Organization Other Submission File
Mari Savickis CHIME & AEHIT Health Professional Societies Submission File
Mariann Yeager The Sequoia Project Other Submission File
Mark Savage University of California, San Francisco's Center for Digital Health Innovation Providers of Health Services Submission File
Martin Lupinetti HealthShare Exchange Health Care Suppliers of Services Submission File
Mary Beth Kurilo American Immunization Registry Association Public Health Entities Submission File
Mary Griskewicz Cigna Health Care Payers/Insurance Companies Submission File
Matt Reid American Medical Association Health Professional Societies Submission File
MERLE BUSHKIN MEDKAZ®, by HEALTH RECORD CORPORATION Health Information Technology Developers Submission File
Meryl Bloomrosen Premier Providers of Health Services Submission File
Michael Ellsworth Washington State Department of Health Public Health Entities Submission File
Michael Fraser Association of State and Territorial Health Officials (ASTHO) Public Health Entities Submission File
Michael Gagnon HealtHIE Nevada Providers of Health Services Submission File
Michael Mabry RadNet Providers of Health Services Submission File
Michael Prevoznik Quest Diagnostics Providers of Health Services Submission File
Michael Saito Epic Health Information Technology Developers Submission File
Natalie Williams American Academy of Pediatrics Health Professional Societies Submission File
Nick Bonvino Greater Houston Healthconnect Public Health Entities Submission File
Noam Arzt HLN Consulting, LLC Health Information Technology Developers Submission File
Patti Barnett Centene Corporation Health Care Payers/Insurance Companies Submission File
Paul Uhrig Surescripts LLC Other Submission File
Ragnhildur Ingibjargardottir Bjarnadottir Alliance for Nursing Informatics Health Professional Societies Submission File
Randy Schubring Mayo Clinic Providers of Health Services Submission File
Richard Gibson Health Record Banking Alliance Other Submission File
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