Health Gorilla’s Pursuit of a Qualified Health Information Network (QHIN) Designation

Health Gorilla has announced our intention to become the first designated QHIN* in the U.S. under the Trusted Exchange Framework and Common Agreement (TEFCA). 

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Our vision

In the first quarter of 2022, Health Gorilla will be applying to become one of the first Qualified Health Information Networks (QHIN) Under TEFCA

Being designated as a QHIN* will enable Health Gorilla to expand on the interoperability solutions that we already have in place with our suite of industry-leading APIs and software products that power fundamental healthcare workflows and secure exchanges of data.

As a QHIN, Health Gorilla will securely exchange data with other QHINs, connect our existing and future participants to a robust healthcare network, and partner with Health Information Networks (HINs) that will be required to connect to and exchange data with QHINs.

How We Prepared for our QHIN Designation

For the last five years, Health Gorilla has operated successfully under the constantly evolving federal regulations for health IT. We have built a robust and secure health information exchange platform and we are one of the only organizations with membership in CommonWell, Carequality, and eHealth Exchange, which has and will continue to benefit health care providers, the rapidly growing digital health community, and other QHINs.

Health Gorilla’s proprietary platform and robust data engine make us uniquely positioned to fulfill all six permitted exchange purposes described in the Common Agreement. Health Gorilla’s platform and FHIR-based APIs facilitate the exchange of health information nationally for permitted purposes and we are integrated with most major EMR systems and diagnostic vendors, all of which connects payers, labs, providers, patients, and public health officials with aggregated health data.

Health Gorilla addresses the need for individual access by supporting identity proofing and connecting individuals with access to their information. Our recent entrance into the life insurance market addresses the process of Benefits Determination, securely providing life insurance underwriters, re-insurers, and risk assessors with HIPAA-compliant, permission-based access to structured and complete medical records.

We were an early adopter of FHIR, and have built a FHIR-native data platform with substantial analytical capabilities that is compliant with FHIR R4 profiles to ensure scalable medical record retrieval. Our library of APIs and software products that power fundamental healthcare workflows and data exchange scenarios enables an easy “on-ramp” to the national exchange of data and makes Health Gorilla uniquely positioned to apply to become a QHIN.

*No organizations are currently "designated" as QHINs under the Trusted Exchange Framework and Common Agreement (TEFCA) model. However, Health Gorilla intends to go through the formal qualification process as those requirements and the application process are finalized.

EXCHANGE PURPOSES

What are the proposed exchange purposes for the Common Agreement?

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Treatment

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Payment

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Health Care Operations

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Public Health

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Benefits Determination

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Identity Access Service

OFFERINGS

What Health Gorilla Will Offer as a QHIN

Health Gorilla is committed to supporting legal, functional, and technical requirements for those health information networks designated as QHINs, and brings a robust process engine that supports:  

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HIGH PROCESSING Capabilities

High capacity networks to broker the exchange of transactions

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Advanced data Processing

Flexible platform that supports a broad range of standards, including FHIR, HL7, C-CDA, and IHE Profiles

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Comprehensive network

Comprehensive master patient index (MPI) and record locator services (RLS)

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Identity verification

IAL2 verification and identity proofing for providers and patients

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Security as top priority

Trustworthy platform ensures the security of all participants with SOC-2 Type 2, HIPAA, and pending HITRUST certifications

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Industry compliance

Governance program to ensure the highest level of compliance with industry regulations and certify exchange purposes of Participants and Sub-participants

What are the Benefits of Data Exchange Through a Designated QHIN?

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    Expanded exchange purposes for flow of information
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    Fewer barriers to connection and greater access to information
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    Increased access to a broader range of provider types and health care organizations
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    Decreased number of one-off connections and reduced intricacies of data exchanges
Additional Resources

About QHIN, TEFCA, and 21 Century Cures ACT

In an effort to make this information more widely available and understandable we have created a set of documents to help the healthcare community understand and navigate the changes coming in the first quarter of 2022.

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