Health Affairs May 3, 2021
Julia Adler-Milstein, Anjali Garg, Wendi Zhao, and Vaishali Patel

Abstract

After more than a decade of investment in electronic health information exchange (HIE), the Office of the National Coordinator for Health Information Technology is advancing a national framework—the Trusted Exchange Framework and Common Agreement—to connect islands of electronic data sharing. This national framework creates new potential opportunities and challenges for state and local health information organizations (HIOs). We undertook our sixth national HIO survey to assess the current state of HIOs and to newly examine anticipated responses to the Trusted Exchange Framework and Common Agreement. We identified eighty-nine operational HIOs, down from...

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