Talk:EHealth Exchange

Article name

This article is misnamed. It should be titled "Nationwide Health Information Network", not "National..." as it currently is. — Preceding unsigned comment added by 158.111.4.25 (talk) 07:23, 15 January 2008 (UTC)

That's OK, but for most NwHIN is just going to confuse people. The name NHIN has been the standard and widely used term since 2006.

If needed, we can redirect NwHIN->NHIN — Preceding unsigned comment added by 98.207.93.61 (talk) 11:15, 6 June 2013 (UTC)

Concur. Needs to change to be aligned with overall VLER strategy. 65.210.93.190 (talk) 00:39, 9 June 2009 (UTC)

 Done  – ukexpat (talk) 14:23, 10 September 2009 (UTC)

Rewrite

I don't know why the article was deleted. This is a very important project involving a significant portion of the public and private sector in the US. It is a key part of planned usability and cost saving in the new proposed healthcare initiative. Please discuss it first before deleting the article. Philggg (talk) 22:12, 24 September 2009 (UTC)

• The article as it stood was a word-for-word copyvio of http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_877368_0_0_18/WhatIsTheNHIN.pdf. The job of Wikipedia is to provide an encyclopedic treatment of a topic, not to duplicate government gobbledygook. Please rewrite the article to tell us what the "real deal" is with this topic. Abductive (reasoning) 04:45, 25 September 2009 (UTC)

No, as a US government website, its contents are public domain, see this page. Now having said that, the tone and content needs some work, but it is not a copyvio. – ukexpat (talk) 14:09, 25 September 2009 (UTC)

I don't care if it is copyvio or not, being a copy alone is unencyclopedic. Abductive (reasoning) 21:59, 28 September 2009 (UTC)

I completely rewrote it. I also indicated the difference between this project and the similar sounding "National Health Information Network" which is completely different. Philggg (talk) 16:07, 28 September 2009 (UTC)

Groovy. Thanks. Abductive (reasoning) 21:59, 28 September 2009 (UTC)

Redirect

This page should not be generically redirecting to HHS as it is a major project. Fixing redirect. Timtom27 (talk) 21:02, 4 August 2012 (UTC)

Rewrite notice

Is there anyone else who is on this article? Please let me know. Otherwise, I will rewrite it using the outline described below. At present this article has multiple issues.

Outline

I am an expert on this topic and I would like to help improve this article.

This wikipedia page should address the following FAQs from stakeholders:

Patients

• (scenario) how will this make my visit to the doctor's office any different?
• (scenario) how will I send copies of my health record to my doctor?
• (criticism) who can access my private medical history and medication lists?

Physicians

• (benefits) what will the this do that my current EMR system doesn't do already?
• (criticism) I already spend too much time filling out forms, wont this just interrupt my clinical duties?

Payers

• (benefits) how will we reduce duplicate tests and procedures?
• (criticism) how much are we going spend vs save?

Public health

• (benefits) how can we use this to monitor safety?
• (criticism) didn't we try something similar before with the Biosense program and it didn't work?

Pharma

• (benefits) will the network help us to do Clinical Trials?
• NIH director reports average drug costs ~$1B and 13 years

Proposed outline

• Motivation (by examples)
  • reduce costs: reduce duplicate lab tests and costly procedures
  • improve care: provide doctors with the complete patient medical history
  • improve medication safety: monitor Adverse Drug Events
  • monitor public health outbreaks (biosurveillance)
  • references to complete list of "meaningful use" cases defined by ONC
    • note: average reader wont care about the details of the meaningful use criteria, only what it means to them
• History
  • Regional Health information exchange and HIE use cases (AHIC, HITSP)
  • First funded national pilot use cases ONC summary
    • Labs and EHR data exchange
    • Consumer Empowerment (PHR+EHR interop)
    • Biosurveillance Requirements
  • Next phase of pilot projects (ONC)
    • Direct
    • CONNECT
  • Recovery Act ONC projects
    • "Query Health" ONC Standards , Pilots
    • Strategic Health Advanced Research Projects ONC SHARP Awards
    • FDA sentinel (medication safety)
• Current status
  • Rate of adoption of EHR systems in the US
  • Expected timeline for national adoption
• Cost
  • Cost estimates for Hospital EMR integration
  • Savings ( fewer repeated lab tests and procedures)
• Privacy
  • Different interpretations of HIPAA across states and hospitals, and use cases
  • HITECH act increases penalties for unauthorized disclosure, misuse possible
  • Patient controlled privacy settings
  • Hospital responsibilities
  • Congressional testimony by famed privacy advocate and MIT professor
• Policies
  • For patients (privacy, consumer empowerment)
  • For hospitals and care providers
    • increased responsibilities to both share and protect patient records (hipaa, hitech, onc)
    • Hospitals as independent (competing) business entities
    • Protecting against conflict of interest of insurance providers
• Technology
  • General architecture mirrors that of the existing internet, "network of networks", links old and new HIE
  • High level list requirements HealthIT.gov
    • Security (digital signatures, encryption, auth, audit logging)
    • Network (patient matching, protocol specifications[ref?])
    • Data (Labs, Dx, Rx, Px, allergies, ...)
• Use Scenarios
  • Summary list of use cases during clinical care
    • Meaningful use (Just link, dont detail)
  • Summary of intended non-clinical care uses
    • public health (CDC)
    • medication safety (FDA)
    • quality improvement (AHRQ)
    • population research (NIH)

— Preceding unsigned comment added by 98.207.93.61 (talk) 12:50, 6 June 2013 (UTC)

Conflict of interest disclosure and proposed major update

Per Wikipedia:Conflict of interest and Wikipedia:Paid-contribution disclosure, I am disclosing that I am an employee of The Sequoia Project. The Sequoia Project has an organizational relationship with eHealth Exchange (eHealth Exchange was an initiative of The Sequoia Project until 2018, and The Sequoia Project now serves as ONC's Recognized Coordinating Entity for TEFCA, a framework in which eHealth Exchange participates). This constitutes a potential conflict of interest under Wikipedia policy.

I believe the current article is significantly out of date and may contain inaccuracies, including an outdated description of the relationship between eHealth Exchange and The Sequoia Project. Rather than editing the article directly, I am posting proposed replacement text here for community review in accordance with COI guidance.

I welcome independent review, modification, or rejection of any portion of the proposed text. My goal is to improve accuracy and ensure the article reflects reliably sourced, up-to-date information.

Key changes proposed:

• Update the description of the relationship between eHealth Exchange and The Sequoia Project to reflect their separation in 2018
• Add the December 2023 QHIN designation under TEFCA
• Update the list of participating federal agencies
• Add supported standards (e.g., FHIR), with sourcing
• Replace outdated or dead references with current, reliable sources

PART 2: PROPOSED ARTICLE TEXT

{{Short description|Health information exchange network in the United States}}

eHealth Exchange

Founded	2018 (as independent nonprofit)
Type	501(c)(3) nonprofit organization
Headquarters	Vienna, Virginia, U.S.
Key people	Jay Nakashima (president)
Website	ehealthexchange.org

eHealth Exchange is a U.S. health information exchange network that enables electronic sharing of health information among participating organizations. It originated from the federal Nationwide Health Information Network (NHIN/NwHIN) initiative and was later operated in the private sector before becoming an independent nonprofit organization in 2018.

In December 2023, eHealth Exchange was designated as a Qualified Health Information Network (QHIN) under the Trusted Exchange Framework and Common Agreement (TEFCA), a nationwide interoperability framework overseen by the Office of the National Coordinator for Health Information Technology (ONC).

History

Nationwide Health Information Network (NHIN/NwHIN)

The eHealth Exchange network traces its roots to the Nationwide Health Information Network (NHIN/NwHIN), a U.S. Department of Health and Human Services initiative associated with ONC to support interoperable health information exchange.

Transition to private-sector stewardship (2012)

In 2012, stewardship of the NHIN Exchange was transitioned to a private-sector nonprofit entity (Healtheway, Inc.), which later became known as The Sequoia Project.

Independence (2018)

In 2018, eHealth Exchange became a separate organization independent from The Sequoia Project.

TEFCA QHIN designation (2023–present)

ONC designated eHealth Exchange as one of the initial QHINs when TEFCA became operational in December 2023.

Governance and participation

Participation in eHealth Exchange is governed through a multilateral legal and policy framework known as the Data Use and Reciprocal Support Agreement (DURSA).

Federal agency participation

According to eHealth Exchange, federal participants include the United States Department of Veterans Affairs, United States Department of Defense, Indian Health Service, the Food and Drug Administration, and the Social Security Administration.

See also

• Trusted Exchange Framework and Common Agreement
• The Sequoia Project
• Carequality
• Health information exchange

Mblackmo (talk) 00:51, 26 February 2026 (UTC)

@Mblackmo: Thank you for making an effort to disclose your COI and follow an appropriate process! I suggest using the Wikipedia:Edit Request Wizard for your next request, because that'll help broadcast the request to editors who may be up for helping (although there's a long backlog, so sometimes it can still take a long time to get a reply). Dreamyshade (talk) 16:31, 8 August 2026 (UTC)