Health Information Exchange (HIE)

Health Information Exchange Governance

ONC’s overarching goal for health information exchange is for information to follow a patient where and when it is needed, across organizational, vendor, and geographic boundaries.

ONC is committed to a range of activities to support existing governance initiatives and advance governance goals of nationwide health information exchange to:

  • Increase interoperability;
  • Increase trust among all participants to mobilize trusted exchange to support patient health and care; and
  • Decrease the cost and complexity of exchange.

Current and planned activities include:

  • Exemplar Health Information Exchange Governance Entities Cooperative Agreement Program. This grant program will allow ONC to work collaboratively with entities already involved in governance of health information exchange to encourage the continued development and adoption of policies, interoperability requirements, and business practices that will increase the ease of electronic health information exchange, reduce implementation costs, and assure the privacy and security of data being exchanged.
  • The National eHealth Collaborative, through a cooperative agreement, will convene key stakeholder governance entities to address cross cutting governance issues among various exchange approaches. These entities, whose decisions establish policies and practices for a given community of exchange partners, will work to identify key issues and common problems in the governance of health information exchange and the best ways to address them.
  • ONC will publish a series of governance guidelines for effective and trusted electronic health information exchange. Through this effort, ONC hopes to guide emerging governance models on the policies and practices that should be considered as part of their approach to governance.
  • ONC will establish a monitoring program to ensure the governance goals are being addressed.
  • Materials and Recordings from Listening Sessions and Public Hearing