Deep Dive Insights

HDM COVERstories

HDM COVERstories

August/September 2023 COVERstory

Join HDM on a deep dive into information exchange. How far have we come? What is on the horizon?

Keeping those CHINs up

From the Editor:

Nearly 30 years ago, one of my first cover stories for Health Data Management (back in those magazine days) was on the potential role of community health information networks. It’s almost hard to imagine the challenges of those early efforts – and, if I recall correctly, the cost. In a fledgling effort in Chicago, for example, the price tag for connecting to that CHIN was multiple thousands of dollars.


Most of those early efforts struggled and failed. The dream of easily exchanging health information hasn’t faded, however. Progress is inexorably occurring, with the latest promised big advance is the Trusted Exchange Framework and Common Agreement. It’s taken technology advancing light years, the Internet becoming ubiquitous, standards finally taking hold, multiple “carrots,” some “sticks” and fed agencies ramping up the pressure – but all the cultivation of the land seems ready to make a difference.


Information exchange, done well, will provide big benefits for where healthcare is now. There’s rising awareness of the importance of patient engagement, risk sharing agreements, the high value of data connectedness, the need to achieve efficiency to assist clinicians and avoid burnout. Information sharing is at a crucial nexus, and TEFCA and related initiatives will be the next major step forward.

  • Fred Bazzoli, Editor in Chief

Key Takeaways

As you dive into this COVERstory, you'll learn:

  • 1. Where TEFCA stands today, and whether the initiative is on track for the remainder of this year.
  • 2.How TEFCA and QHINs fit into current healthcare trends, and what it seeks to achieve.
  • 3. How healthcare organizations need to adapt to and prepare for this new era of information sharing.  
  • 4. What challenges and questions remain for TEFCA and federal agencies.  
  • 5. How new organizations are forming to enable deeper levels of healthcare data and sharing.


Unlocking healthcare's interoperability potential: The TEFCA journey

TEFCA promises seamless health data exchange across providers, but will it deliver the dream of nationwide interoperability?... Read the article 


Revolutionizing health data: The emergence of HDUs

TEFCA is a major factor in paving the way for health data utilities and their potential to reshape healthcare information exchange... Read the article

Epic's interoperability quest: A key cog in the TEFCA framework

With a long history in cross-industry efforts and data exchange, Epic's entry into the TEFCA framework raises eyebrows and expectations alike... Read the article

Revolutionizing data usability: DUTR's semantic interoperability push

Sponsored by The Sequoia Project and AHIMA, the Data Usability Taking Root initiative seeks to redefine health data interoperability, focusing on quality, usability and meaning... Read the article

The security challenge: Privacy and safety in the national data exchange era

As pressure grows to easily move data between providers, payers and patients, there’s growing risk in protecting it in HIEs and personal devices...Read the article