While there are regional and national interoperability hubs like CommonWell working at scale across the country, the Office of the National Coordinator for Health IT’s (ONC) recent Trusted Exchange Framework and the Common Agreement (TEFCA) aims at pushing the health IT industry to certify these hubs as highly scalable, highly secure utility grade systems and connect them via standardized exchange practices and patient search capabilities. TEFCA is asking entities that meet the set of qualifications it is now drawing up to become Qualified Health Information Networks (QHINs), which will work to connect with other QHINs to vastly expand interoperability across the United States. What does this mean for CommonWell and its members? CommonWell intends to be in the first wave of QHINs and is eagerly awaiting the final agreement including [...]