The California Data Exchange Framework Resource Page

What is the DxF? 

Overseen by the California Health and Human Services (CalHHS), the Data Exchange Framework (DxF) is the first-ever, data sharing agreement in California. It will require most healthcare providers in the state to share and exchange valuable patient data in a safe and secure manner by January 31, 2024.

What is the DxF Meant to Do? 

DxF will allow every healthcare provider in California to access the data they need to provide safe and effective care while addressing the needs of every community. Its goal is to break down “information silos” among providers, ensure accountability, and support whole person care. 

What are the Key Components of DxF?

There are a number of features that define the DxF, including: 

Duty to Exchange

When a DxF participant asks another participant to exchange “health and social services information” for the purposes of treatment,” “payment,” and certain “healthcare operations,” they must honor their request. While HIPAA allows sharing information for these purposes, a DXF makes it mandatory to do so.

Social Determinants of Health

In addition to traditional clinical information, the DxF must include details related to the social determinants of health, which are the non-medical factors that impact health outcomes, such as housing and food. 

Governance

The California Health and Human Services (CalHHS) is acting as the “governance entity” of the DxF. This organization is developing the policies and procedures while auditing compliance of the DxF.

What's Next for Providers? 

There has been a lot of headway made on the DxF. This is great news if you’re a provider as it means you’re close to having access to all of the valuable patient data you need to provide the highest quality care.

By January 31, 2023, the DXF agreement will be mandatory if you fall under one of these categories:

  • General acute care
    hospitals
  • Physician organizations and
    medical groups
  • Skilled nursing
    facilities
  • Health plans and
    disability insurers
  • Medi-Cal managed
    care plans
  • Clinical laboratories, 
    Acute psychiatric hospitals

You will be required to begin sharing information for treatment, payment, or healthcare operations by January 31, 2024. The exceptions to this are if you’re a physician practice with fewer than 25 physicians, a nonprofit clinic with fewer than 10 health care providers, or a specified hospital. If you meet this criteria, you won’t be required to share information until January 31, 2026. 

How Can Providers Prepare? 

As a provider, it’s in your best interest to monitor the release of the policy procedures and implementation of the DxF. 

In addition, it’s wise to determine how the DXF will affect your own policies, procedures, and practices. You might find that you need to make some modifications to how you operate in order to adhere to the framework. 

The California Health and Human Services Agency (CalHHS) announced the launch of a new Signing Portal that will allow health care providers, plans, and other health entities across the state to sign on to California’s first-ever Health and Human Services Data Sharing Agreement ahead of the state-mandated deadline on January 31, 2023.

Have questions about compliance? Contact LANES.

The Data Exchange Framework is an Opportunity for providers, patients, and health and human services

1.

As a payer, you will have better access to clinical and social data to help drive efficient investments in population health management.

2.

As a provider, this allows you to have real-time access to health and social services information across the state, at the point of care.

3.

As a patient, you are empowered to be a better participant with more access and control over your own health and care history.

4.

As a state, the DxF lays the foundation for the seamless exchange of health data that Californians’ need to access better, high quality healthcare.

The Data Exchange Framework

Requires and enables health information to be exchanged among healthcare organizations

Data Sharing Agreement

An agreement between participants to engage n the real-time exchange of health and human services data.

Policies & Procedures

Standards and governance of health information exchange implemented and managed by CalHHS.

Secure Digital Identity

Enables providers and public organizations to match shared clients while keeping identities and health records protected and secure.

Policies & Procedures

Qualified HIOs provide connection between healthcare and human service providers to share and access information statewide and beyond.

Countdown to DxF

1996
First HIO established in CA
1996
2014
California Trusted Exchange Network (CTEN) established
2-1-1 San Diego Launched
2014
Mar 2022
TEFCA Framework Launches
Jul 1, 2022
Data Exchange Framework Due
2022
Jan 31, 2024
Most Providers Implement Data Exchange Framework
2024
Jan 31, 2026
Remaining Providers Implement Data Exchange Framework
2026
2010
2010
Federal gov't awards $38.8M to CA for State HIE Cooperative Agreement
2017
2017
First volume of State Health Information Guidance (SHIG) published
2021
Jul 27, 2021
Governor signs AB-133 to establish CHHS Data Exchange Framework
Sep 1, 2021
Stakeholder Advisory Group Established
2023
Jan 31, 2023
Data Sharing Agreement by Health & Human Service Orgs
1996
1996
First HIO established in CA
2010
2010
Federal gov't awards $38.8M to CA for State HIE Cooperative Agreement
2014
2014
California Trusted Exchange Network (CTEN) established
2-1-1 San Diego Launched
2017
2017
First volume of State Health Information Guidance (SHIG) published
2021
Jul 27, 2021
Governor signs AB-133 to establish CHHS Data Exchange Framework
Sep 1, 2021
Stakeholder Advisory Group Established
2022
Mar 2022
TEFCA Framework Launches
Jul 1, 2022
Data Exchange Framework Due
2023
Jan 31, 2023
Data Sharing Agreement by Health & Human Service Orgs
2024
Jan 31, 2024
Most Providers Implement Data Exchange Framework
2026
Jan 31, 2026
Remaining Providers Implement Data Exchange Framework

We take great pride in connecting the healthcare community in greater Los Angeles. Therefore, we are strong supporters of DxF and are following it very closely. We encourage you to contact us to answer questions and sign up with LANES to ensure compliance

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