Commenting today on the Office of the National Coordinator for Health Information Technology鈥檚 Trusted Exchange Framework and Common Agreement Draft 2, the AHA said it is generally supportive of the overall concept of the agreement and agency鈥檚 goal to create a voluntary network-of-networks that would enable hospitals to join one network and access all of their trading partners.
 
鈥淥NC鈥檚 responsiveness to comments on the agency鈥檚 first draft of the TEFCA, including the addition of this second round of comments and a 鈥榳alk before we run鈥 approach, is beneficial to help ensure that this goal can be met in a manner that is workable and useful for all parties involved,鈥 AHA wrote.
 
鈥淢ore specifically, we support ONC鈥檚 removal of the population-level data requests until such time as the standards and deeper levels of trust exist, and the selection of a non-profit organization to serve as the Recognized Coordinating Entity. We also appreciate ONC鈥檚 clarification that HIPAA takes precedence over TEFCA. We are, however, concerned that ONC鈥檚 approach to the TEFCA has the potential to disrupt efforts already underway, which have grown since the first iteration of the TEFCA was released, and we are concerned that ONC may stifle progress. In addition, we are concerned with the removal of Fast Healthcare Interoperability Resource from the standards stack that Qualified Health Information Networks would be required to support.鈥
 

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