Health Information Exchange (HIE) Participant Newsletter

February 2025

New DxF Policy & Procedures Published

The California Data Exchange Framework (DxF) Implementation Initiative (CDII) has finalized an amendment to the Data Elements to Be Exchanged policy, now published as Version 1.2 following public comment closure in early January 2025.


  • Version 1.2 aligns DxF Participants’ data exchange requirements with the US Core Data for Interoperability (USCDI) version mandated by the ASTP/ONC Health IT Certification Program, effective January 1, 2026.
  • Version 1.1 remains active through December 31, 2025, requiring exchange under USCDI v2.


Both versions are available on the CDII DxF webpage under the Policies and Procedures section.

What is USCDI, and Why Does It Matter for Your Practice?


As healthcare data sharing evolves, staying compliant and connected is more important than ever. One of the key standards that is foundational to this change is the U.S. Core Data for Interoperability (USCDI)—but what exactly does that mean for your practice?


What is USCDI? USCDI is a national standard that defines the minimum set of health data that must be shared between providers, health systems, and patients to ensure seamless, accurate, and secure exchange of information. This includes:

  • Clinical notes
  • Medications & allergies
  • Lab results & vital signs
  • Procedures & imaging reports
  • Health insurance & demographics


Each year, the Office of the National Coordinator for Health IT (ONC) updates USCDI to include new data elements, ensuring interoperability keeps pace with modern healthcare needs.


Why It Matters Now: As part of the California Data Exchange Framework (DxF), all participants are required to exchange data in accordance with USCDI standards.



What Should You Do? Check with your EHR vendor to ensure your system supports the required USCDI version. If your EHR system isn’t set up for the correct USCDI version, your practice could face interoperability issues, making it harder to exchange patient records smoothly.


By aligning with the USCDI requirements, your practice ensures better patient care, smoother data exchange, and full compliance with evolving healthcare regulations.

DxF Grantees Milestone 1 Attestation

Due by March 31, 2025

All Round 3 DxF Grantees (awarded in 2024) must complete Milestone 1 by the March 31, 2025 Progress Report deadline.


To successfully complete Milestone 1 for the Data Exchange Framework (DxF) Grant reporting, participants are required to submit a Signed Attestation document that confirms the participant has:


1) Secured contracts with Health Information Technology (HIT) vendors,

2) Hired personnel, and/or

3) Allocated internal resources to the project.


These expenses should account for at least 50% of the grant budget. An Attestation template is available on the DxF Grants Connect Progress Report Portal

DxF Grantee Office Hours on March 7


To assist with reporting, PCG is hosting the DSA Signatory Grantee Office Hours on Friday, March 7, 2025 from 12:00 - 1:00 PM


What to Expect:

  • Live demo on submitting progress reports in the DxF Grants Portal
  • Q&A on milestones, reporting, and payments


Register now to attend the Grantee Office Hours session.


Sequoia Project Resources

  • Interoperability Matters – Information Sharing Toolkit: The Sequoia Project has released the Information Sharing Toolkit, a resource supporting compliance with the Information Blocking Rule (IBR).

 

  • Moving Toward Computable Consent: Public Feedback Opportunity A newly published whitepaper explores privacy, consent, and interoperability challenges. Feedback is open until February 21, 2025.


✅ Data quality & completeness

✅ Clinical context & usability

✅ Interoperability for better integration into provider workflows

Connecting for Better Health (C4BH)

Announces 2025 Priorities

At the February 13th meeting, C4BH hosted Marilee Benson, President of Zen Healthcare IT, to discuss the Trusted Exchange Framework and Common Agreement (TEFCA). C4BH also highlighted federal and state policy developments including USCDI V6, DxF updates, and California State Legislation Tracking. Click the link to access a recording of the meeting.


Health Information Exchange (HIE)

In the News


📰 California Passes New Law Regulating AI in Healthcare

Bill AB 3030 (Effective January 1, 2025) mandates that AI-generated patient care communications must include a clear disclaimer and advise patients to consult human providers for clarification.

🔗 Read More: Digital Watch


📰 HHS Unveils AI Strategic Plan with New Guidance & Funding

The U.S. Department of Health & Human Services (HHS) is increasing support for AI-driven healthcare initiatives.

🔗 Full Article: Fierce Healthcare


📰 What California’s Health Data Sharing Moves Mean for the U.S.

California’s DxF rollout could shape national health data-sharing policies.

🔗 Read More: Healthcare Innovation

North Coast Health Improvement and Information Network (NCHIIN)


Contact Us:

DxF Project Manager

Email: tschaible@nchiin.org

Phone: (707) 443-4563 ext. 111      

Website: www.nchiin.org


Stay connected with us for more updates!