Commentary: Draft Trusted Exchange and Common Agreement (TEFCA)

On February 16th, 2018, JPHIT submitted comment to the Office of the National Coordinator of Health Information Technology (ONC) on the draft Trusted Exchange and Common Agreement (TEFCA).  Following significant advances in the adoption and use of health information technology promoted by the HITECH Act of 2009, the TEFCA is intended to be an important step toward an interoperable health system nationwide. ONC is mandated by Congress under the 21st Century Cures Act to develop the TEFCA.

JPHIT’s commentary on the draft TEFCA covers several areas that concern public health data and information exchange within the health information ecosystem. Specifically, the following topics:

  1. The Potential of the TEFCA for Public Health
  2. A Significant Obstacle to the TEFCA Potential
  3. TEFCA Policy Issues
  4. TEFCA Standards and Scale

Overall, JPHIT believes that the TEFCA holds great potential to advance the ability of public health agencies to conduct mission-critical services with electronic health data exchanged with health care delivery systems. There are, however, ways to modify the draft TEFCA to better promote this potential for public health. Learn about these and more in the commentary available for download here.