File #: A 25-024    Name: Epic Nexus QHIN
Type: BoS Agreement Status: Health Department - Consent
File created: 1/24/2025 In control: Board of Supervisors
On agenda: 2/11/2025 Final action:
Title: Approve and authorize the Director of Health Services or designee to sign an Epic Nexus QHIN Participation Agreement Attestation, authorizing participation by the County of Monterey Health Department, Clinic Services Bureau, as a member of the Oregon Community Health Information Network (OCHIN), Inc., in the Epic Nexus Qualified Health Information Network (“QHIN”), enabling the County to participate in full network-to-network exchange of health information via the Trusted Exchange Framework & Common Agreement (TEFCA), a common agreement of health information networks nationally created by the U.S. Department of Health & Human Services Assistant Secretary for Technology Policy (ASTP).
Attachments: 1. Board Report, 2. Attestation, 3. Participation/Subparticipant Terms of Participation (Exhibit to the Epic Nexus QHIN Participation Agreement, 4. Agreement (primary Agreement between Epic Nexus and OCHIN Inc.), 5. Exhibit- Business Associate Agreement, 6. Completed Board Order Item No. 9
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Title
Approve and authorize the Director of Health Services or designee to sign an Epic Nexus QHIN Participation Agreement Attestation, authorizing participation by the County of Monterey Health Department, Clinic Services Bureau, as a member of the Oregon Community Health Information Network (OCHIN), Inc., in the Epic Nexus Qualified Health Information Network (“QHIN”), enabling the County to participate in full network-to-network exchange of health information via the Trusted Exchange Framework & Common Agreement (TEFCA), a common agreement of health information networks nationally created by the U.S. Department of Health & Human Services Assistant Secretary for Technology Policy (ASTP).

Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
Approve and authorize the Director of Health Services or designee to sign an Epic Nexus QHIN Participation Agreement Attestation, authorizing participation by the County of Monterey Health Department, Clinic Services Bureau, as a member of the Oregon Community Health Information Network (OCHIN), Inc., in the Epic Nexus Qualified Health Information Network (“QHIN”), enabling the County to participate in full network-to-network exchange of health information via the Trusted Exchange Framework & Common Agreement (TEFCA), a common agreement of health information networks nationally created by the U.S. Department of Health & Human Services Assistant Secretary for Technology Policy (ASTP).

SUMMARY/DISCUSSION:
OCHIN, the County of Monterey Clinical Services Bureau Electronic Health Record vendor, is taking steps to participate in the Trusted Exchange Framework and Common Agreement (TEFCA). This government-sponsored exchange framework for health care data interoperability will provide a single on-ramp to a wide variety of data exchange uses for OCHIN, our members, and exchange partners. In addition to its many benefits for members, implementing TEFCA is also required by Epic through their Conn...

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