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Office of the National Coordinator for Health Information Technology (ONC)

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ONC Drops Pursuit Of NwHIN Governance

Mary Mosquera | Government Health IT | September 10, 2012

The Office of the National Coordinator for Health IT has dropped pursuit of a regulation for establishing “rules of the road” for the nationwide health information network (NwHIN) based on feedback it has received. Read More »

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ONC EHR Reporting Program RFI: A Public Health Perspective

By Noam H. Arzt, Ph.D. | September 12, 2018

On August 24, 2018, the Office of the National Coordinator for Health Information Technology (ONC) released a Request for Information (RFI) related to the EHR Reporting Program. This RFI is required by the 21st Century Cures Act and its primary purpose is to gather ideas and suggestions related to how ONC might provide better information about Certified EHR Technology (CEHRT). Apparently, the initial intention was to create a "star rating" like the type used in Consumer Reports to use to rate EHRs, but that seems to have been abandoned in favor of some kind of measurement system. But it is far from clear exactly how this would be done.

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ONC Expanding Blue Button Capabilities

Sean McCalley | Federal News Radio | October 24, 2012

The Blue Button initiative has already let more than one-million veterans and active-duty troops download their personal health records. But the Office of the National Coordinator for Health Information (ONC) has a larger audience in mind. Read More »

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ONC Finally Releases TEFCA—What it Might Mean to Public Health

By Noam H. Arzt, Ph.D. | January 31, 2022

On January 18, 2022 the Office of the National Coordinator for Health Information Technology (ONC) finally released version 1 of the Trusted Exchange Framework,  Common Agreement and the QHIN (Qualified Health Information Network) Technical Framework (QTF). Several years in the making, these documents represent the latest attempt at initiating a national health information exchange in the United States. This project is being managed by ONC’s Recognized Coordinating Entity (RCE), The Sequoia Project, and was inspired by both the HITECH Act and 21st Century Cures Act.

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ONC Gets It Mostly Right with TEFCA 2.0

By Noam H. Arzt, Ph.D. | April 25, 2019

On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft of its Trusted Exchange Framework and Common Agreement (TEFCA) for comment. The initial version was released more than a year ago in January 2018 (see my original blog). As before, this is in response to a requirement imposed by Congress in the 21 Century Cures Act. After a somewhat lengthy (but well written) introduction, the document contains three parts (compared to just two parts the first time around)...

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ONC Head Dr. Donald Rucker Addresses open API's, Interoperability and Usability During WEDI Keynote

Press Release | Workgroup for Electronic Data Interchange (WEDI) | August 23, 2017

Earlier this month, the Workgroup for Electronic Data Interchange (WEDI), the nation’s leading nonprofit authority on the use of health IT to create efficiencies in healthcare information exchange and a trusted advisor to the U.S. Department of Health and Human Services (HHS), held its 2017 Summer Forum which featured keynote addresses by Donald W. Rucker, MD, head of the Office of the National Coordinator for Health Information Technology (ONC/HHS) and Madhu Annadata, director, Division of National Standards, Centers for Medicare & Medicaid Services (CMS)...

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ONC HIE Framework A Guide And 'Living Document'

Anthony Brino | Government Health IT | May 3, 2013

The Office of the National Coordinator for Health IT has published a governance framework for health information exchange aimed at helping HIEs and other health organizations “align their work with national priorities.” Read More »

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ONC HITAC Public Health Data Systems Task Force Releases Recommendations

By Noam H. Arzt, Ph.D. | November 18, 2022

On November 10, 2022 the Office of the National Coordinator for Health Information Technology’s (ONC) Health Information Technology Advisory Committee (HITAC) accepted and approved the recommendations of its ad hoc Public Health Data Systems Task Force. As discussed in an earlier post, the Task Force has been meeting since August 2022 and was charged with examining how improvements might be made in ONC certification rules for criteria related to public health data submission. In addition, and perhaps for the first time, the task force was also charged with developing recommendations related to the public health side of the equation: how public health data systems and/or standards might improve to ensure a smoother flow of information with clinical care. Read More »

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ONC Holds A Key To The Structural Deficit

Adrian Gropper | The Health Care Blog | April 7, 2013

It’s called Blue Button+ and it works by giving physicians and patients the power to drive change. Read More »

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ONC HTI-1 NPRM Through Public Health Eyes

By Noam H. Arzt, Ph.D. | May 31, 2023

On April 18, 2023, the Office of the National Coordinator for Health Information Technology (ONC) published for comment the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule which proposes new  provisions from the 21st Century Cures Act and makes updates to the ONC Health IT Certification Program (Certification Program). Weighing in at over 500 pages (the pre-release version), this proposed rule provides some refinements to existing ONC programs, corrections to others, and extensions to yet other provisions. ONC provides additional materials about this proposed rule, including fact sheets, blog posts, and records from topical webinars on their website. Note especially the information provided about a joint ONC-CDC sponsored informational webinar which took place on May 24, 2023, and is available for playback on the site.

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ONC Interoperability Meeting Raises More Questions Than Answers

Adrian Gropper | The Health Care Blog | July 25, 2017

ONC’s first public event under the new administration was very well organized and run. Eight leading health information exchange incumbents were able to describe their current approaches and plans, the patient advocate position was clearly stated, and a nice synthesis of the issues raised by the trusted framework approach to interoperability was prepared by a consulting organization. Much to ONC’s credit, they went out of their way to provide access and public comment to an extent that is unprecedented in my experience. Slides and recordings will be posted soon and a 30-day comment period runs through August 24. Kudos to ONC...

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ONC Issues New Guidance For More Reliable EHRs

Mike Miliard | Government Health IT | January 17, 2014

The Office of the National Coordinator for Health IT hopes to make electronic health records safer through a new suite of checklists and recommended practices designed to help care providers and affiliated organizations optimize EHR safety. Read More »

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ONC Kicks Off Blue Button Video Contest

Mary Mosquera | Government Health IT | October 2, 2012

The Office of the National Coordinator for Health IT launched its Blue Button video competition Oct. 1 to create awareness of consumers having easy online access to their health information, and to motivate them in how they might use it. Read More »

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ONC Launches Health IT Playbook

Joyce Frieden | MedPage Today | September 26, 2016

As healthcare providers work to implement electronic health records (EHR), the Office of the National Coordinator for Health Information Technology (ONC) has developed a resource aimed at helping them. The Health IT Playbook, which the ONC is launching today, is aimed at helping solo providers, and those in small and medium-sized practices, get the most out of their health information technology, Thomas Mason, MD, ONC's chief medical officer, told MedPage Today in an exclusive interview...

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ONC Launches Public Health Data Systems Task Force

By Noam H. Arzt, Ph.D. | September 18, 2022

In August 2022 the Office of the National Coordinator for Health Information Technology (ONC) launched the 2022 Public Health Data Systems Task Force as a subcommittee of the Health Information Technology Advisory Committee (HITAC). The task force will meet through the beginning of November to present recommendations continuing and building upon the work of the 2021 task force. Members of the task force include individuals from various levels of government, relevant public health associations, and industry partners. Specifically, the task force is focused on the certification criteria for EHR products certified under the ONC Health IT Certification Program that cover transmission of data from EHRs to public health in these domains...

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