HealthIT.gov December 1, 2025
It wasn’t always so, but today we have technology available to exchange health information anywhere there’s an internet connection. What’s slowing us from doing so at nationwide scale is trust. The frictions are human and institutional. They cannot be addressed exclusively with technology.
Let’s look at the policy triangle that affects each network participant’s sharing posture. On the first side, there’s the HIPAA Privacy Rule that permits but does not require responses to network queries for treatment purposes. On the second side of the policy triangle, there’s the information blocking regulations, which change the “you can share” electronic health information posture to a general expectation that “you will share.” The Trusted Exchange Framework and Common Agreement™ (TEFCA™) is the third...
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