ONC Reports on Progress on Advancing Nationwide, Trusted Health Information Networks
The HHS Office of the National Coordinator for Health Information Technology (ONC) has provided an update to Congress on the progress that has been made on the access, exchange, and use of electronic health information through trusted health information networks (HINs) and health information exchanges (HIEs).
HealthIT is integral to healthcare delivery, and it has become even more so since the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. Across the United States, hundreds of physician offices, hospitals, and health systems now use ONC-certified healthIT to access, process, store, and exchange electronic health information (EHI) and ONC reports significant progress in the past year toward nationwide interoperability, and connecting nationwide, trusted HINs.
According to the ONC report, 85% of hospitals have electronically queried or found patient health information through various methods; 64% of hospitals reported using nationwide networks that enable data exchange across different healthIT systems in 2021, around half of physicians searched for or queried patient health information via their EHR when seeing a new patient in 2021, and HINs are one of the most common methods used by hospitals to electronically send and receive summary of care cards.
There are, however, barriers to progress. As explained to Congress in a February 2023 report, those barriers have resulted in uneven progress across healthcare and have affected the ability to realize the full potential of certified health IT. In 2021, 72% of hospitals reported challenges exchanging data across different EHR vendor platforms, 54% faced challenges developing customized interfaces, 57% faced challenges matching and identifying the correct patient between systems, and in 2022, around three-quarters of hospitals experienced at least one challenge to electronic public health reporting.
HIN’s and NIEs each have limitations, which are being addressed through the Trusted Exchange Framework and Common Agreement (TEFCA). TEFCA simplifies network participation by providing a way for healthcare providers, health plans, and patients to make a single connection to access EHI on a nationwide scale, and TEFCA supports a broader range of exchange purposes, including treatment, payment, healthcare operations, public health, government benefits determination, and individual access services.
ONC published version 1.1. of TEFCA in November 2023, and in December, five organizations completed the TEFCA onboarding process and were officially designated as Qualified Health Information Networks (QHINs), and a further two organizations were designated as QHINs in February 2024.
ONC anticipates more organizations will be designated as QHINs in the coming year and reports that most hospitals are aware of TEFCA and plan to participate. ONC expects TEFCA will scale significantly and will create a pathway for modern information sharing and patients will experience the benefits, especially those that have multiple healthcare providers as it will make it much easier to efficiently access and manage their own health information, although virtually everyone that uses the healthcare system will benefit from connected HINs eventually, said ONC.
ONC thanked Congress for its commitment to the 21st Century Cures Act, which envisioned TEFCA, and recommended support for the implementation of the health IT provisions of the Cures Act.
