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Glossary

Carequality

An interoperability framework, run by The Sequoia Project, under which networks, EHR vendors and other implementers agree to one set of legal and technical terms, so a participant in one can query records held by a participant in any other, for a permitted purpose such as treatment.

Also Carequality framework, Carequality implementer

Carequality is not a network a provider joins. It is the agreement between networks. An EHR vendor, a health information exchange or a records service becomes an implementer, signs the framework’s connected agreement, and from then on its participants can query, and be queried by, the participants of every other implementer. Epic, Oracle Health, athenahealth, eClinicalWorks and most of the large vendors connect their customers this way, which is why a single query can reach hospitals and practices that have never heard of the organization asking.

The framework fixes three things that otherwise have to be negotiated one hospital at a time:

  • The legal terms. One agreement, with the same obligations for everyone, in place of a data-sharing contract per pair of organizations. This is what EpicCare Link does not solve: each health system still signs its own agreement with each agency.
  • The permitted purposes. Treatment is the purpose nearly every participant responds to. The framework’s policies name others, with narrower response obligations, and a query must state which one it is made under; see treatment purpose of use.
  • The technical standard. Patient discovery and document query over the IHE profiles, returning C-CDA documents. The same request works against every responder.

For an agency the practical consequence is the one described under network query: a treating provider can ask every connected organization for a patient’s documents at once, and receive them, without a portal account at any of them. The framework is also how CommonWell participants and Carequality participants reach each other, and it sits alongside TEFCA, the federal framework that is growing beside it.

Where it is defined

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  1. Send your detailsTwo minutes. Your organization, name, email and phone, and the time records cost you; the rest is optional and helps us reply with something specific.
  2. Pick a timeThirty minutes, live, over synthetic records in the shape your team works in. No slides, and no discovery call before the demo.

Who this is for, and who it is not

  • Coverage comes firstVivlio retrieves from providers, hospitals and health systems it can reach through national exchange networks and direct connections. Name the facilities your patients come from on the form and we check coverage before anyone spends thirty minutes on a demo.
  • You can say what the chasing costsThe form asks how many hours a week your team loses to chasing records. If nobody can put a number near it, the case for Vivlio is not there yet, and we would rather say so than sell you a demo.
  • Patients and files at volumeThis is built for intake that runs every day. For one record, once, your patient can request it from the provider directly, and that will be faster than going through us.
  • Treatment, with the paperwork doneProduction access needs an NPI, a declared purpose of use and a signed BAA. Nobody swipes a card onto live PHI.

If none of those describe you, say so in the last field and we will come back in writing instead of booking a call.

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