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Glossary

TEFCA and QHINs

The Trusted Exchange Framework and Common Agreement is the federal framework for nationwide health information exchange under the 21st Century Cures Act. Qualified Health Information Networks are the networks designated to exchange under it for their participants; the first were designated in December 2023.

Also Trusted Exchange Framework and Common Agreement, Qualified Health Information Network, QHIN

TEFCA is the federal government’s answer to the question Carequality answered privately: how do networks that do not share a vendor or a contract exchange with each other? The 21st Century Cures Act of 2016 told the Office of the National Coordinator to produce a common agreement; The Sequoia Project was named the Recognized Coordinating Entity to run it; and the framework went live when the first Qualified Health Information Networks were designated in December 2023.

A QHIN is a network that has signed the Common Agreement and passed the RCE’s onboarding. Its participants, and their sub-participants, exchange with every other QHIN’s participants under one set of terms. The exchange purposes include treatment, payment, health care operations, public health, government benefits determination and individual access, each with its own rules on who must respond. Treatment, as under Carequality, is the purpose with the broadest obligation to respond.

For an agency the framework changes little in the near term and a great deal eventually. The organizations it can reach today are the ones on Carequality and CommonWell, several of which are now QHINs, so a network query already reaches them. What TEFCA adds is a governance structure with the federal government behind it, a path for networks that never joined the private frameworks, and the prospect of required responses for purposes beyond treatment, which is where a records request from a non-treating organization currently stops.

Where it is defined

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Send your details and the calendar opens right here. Book thirty minutes and we will walk a record through the view you would actually use, or skip the call and we will come back in writing.

  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.

Or call sales directly at 404-777-5772

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