The Office of National Coordinator (ONC) for Health Information Technology has proposed a new rule to support seamless and secure access, exchange and use of Electronic Health Information (EHI), which would require the patient electronic access to this EHI be made available at no cost. The rule puts into practice the key provisions in the 21st Century Cures Act and aims to alleviate few challenges attributable to practices that ONC considers are likely to interfere with access, exchange or use of EHI. This whitepaper talks about the scope and impact that the proposed rule aims for.

1. Sanjay Patil is a Healthcare IT consultant with top-tier consult-
ing experience in successfully delivering large scale custom
development projects, application integration, content
management ,portal solutions and implementation of health
care business solutions. He has been actively involved in
Meaningful Use and is passionate about creating IT solutions
for providers w.r.t different regulatory programs. He has
worked in delivering solutions across all product lines such as
EMR, EHR ,Care Co-ordination, Patient Engagement.
ONC’s proposed rule
on Interoperability
and Information
Blocking

2. Copyright © 2019 Nalashaa
Background..............................................................................................
What does the proposed rule say about .............................................
information blocking?
Reinforcing information blocking..........................................................
What are the Health IT certification rules?...........................................
Prohibitions implied by ONC to information blocking........................
Technology Impact..................................................................................
Conclusion................................................................................................
Go Through
Page 1
Page 2
Page 2
Page 3
Page 4
Page 4
Page 5

3. 5 Copyright © 2019 Nalashaa
If you would like to bounce off your
thoughts on this,
let’s have a conversation.
Connect with
the experts!
About Us
At Nalashaa, we partner with healthcare organizations, from startups
to established firms, and work with them to build solutions with
engaging user experiences that reduce organizational cost and risk.
Our healthcare and technology expertise, along with our flexible
engagement models, make us a great fit for developing the quality
technology solutions while reducing time to market and costs.
555 US Highway 1 South, Suite 170, Iselin, NJ 08830, USA
732-602-2560 X 200
Reach Us:
www.nalashaahealth.com
APIs must offer the following functionalities:
Data response;
Search support;
App registration;
Secure connection,
Authentication and authorization (lever
aging OpenID Connect Core).
(g)(7) and (g)(9) to remain as it is.
Patients should get “persistent access” to their
health information without having to re-authenti
cate for a proposed minimum period of three
months.
Health IT developers that have a Health IT Module with
capabilities that give access and exchange of EHI
would be best suitable to participate in TEFCA and in a
place to provide connection services to HINs.
Conclusion
By supporting secure access and discouraging information
blocking, the rule supports the access and exchange of patient's
EHI. This effort from ONC looks promising in advancing the adop-
tion of APIs, with FHIR being pivotal to the anticipated interopera-
bility. Of course, the technology vendors will need to extend their
support to providers in the US healthcare ecosystem to enable a
successful implementation of this rule, when it comes to life. How
quickly and completely the HIT vendors make the necessary
capabilities available to their providers will determine the extent
of alleviation of information blocking prevalent today.