PHR Ignite pilot. National Association for Trusted Exchange, ONC State Health Policy project. Final report
The National Association for Trusted Exchange (NATE) was officially incorporated in May 2013 with a vision to develop a scalable trust and policy framework to overcome barriers inhibiting the use of health information exchange (HIE). The group was originally formed as the Western States Consortium (WSC) with support from the State Health Policy Consortium (SHPC) project funded by the Office of the National Coordinator for Health IT (ONC) and received support from RTI International. The initial project focused on setting up the governance framework and policy requirements needed to allow providers to exchange information across State lines for treatment purposes using Direct Secure Messaging. By the end of the ONC-supported period of the WSC project, California and Oregon had officially signed a Memorandum of Understanding (MoU), and all eight participating States had approved a set of common policies for trusted exchange via Direct Secure Messaging (Direct). Since the completion of the initial project in 2012, 10 States have signed the MoU and additional States are indicating interest.
After its initial success, NATE sought to expand its framework and begin testing its ability to support other forms of exchange. Acknowledging the importance of consumer-mediated exchange, the NATE Personal Health Record (PHR) Ignite pilot aimed to reuse the provider-to-provider trust framework and test the ability to establish trusted relationships with untethered1 PHRs. This pilot was a vehicle for patients to send and receive data bidirectionally with providers in the trust framework via Direct. This report highlights the basic structure of the project and its processes and outcomes.