Data Exchange Framework Information Hub
The California Health and Human Services Agency’s Data Exchange Framework (DxF) is the first-ever, statewide data sharing agreement that will accelerate and expand the exchange of health information among health care entities, government agencies, and social service organizations beginning in 2024.
DxF implementation is a multi-year process that has involved extensive stakeholder engagement. With stakeholders, the California Health and Human Services Agency’s Center for Data Insights and Innovation (CDII) has published a Data Sharing Agreement (DSA) and associated Policies and Procedures (P&Ps) that explain the “rules of the road” for data sharing in California and will be continuously updated as needs change and standards evolve. There is also a mandate that certain specified entities sign the Data Sharing Agreement by January 31, 2023 and begin sharing data by January 31, 2024.
The DxF Info Hub was created through the DxF Multi-Association Education Initiative, a partnership involving America’s Physician Groups, California Academy of Family Physicians, California Quality Collaborative, California Association of Area Agencies on Aging, California Association of Health Facilities, California Association of Health Information Exchanges, and Insure The Uninsured Project to educate their members. Transform Health and BluePath Health, through Connecting for Better Health, provided facilitation and management support for this initiative.
Learn more about the Data Exchange Framework:
- Fact Sheet- 101 Overview of the DxF: Data Sharing Agreement and Policies & Procedures (January 2024 Update)
- Data Exchange Framework Implementation Toolkit
- ITUP DxF Fact Sheet
- Roadmap- Signing the Data Sharing Agreement and Implementing the Data Exchange Framework
- DxF Deep Dive 3- Purposes for Sharing Data Presentation and Video
- DxF Deep Dive 2- Information Blocking Presentation and Video
- DxF Deep Dive 1- Privacy and Security Safeguards Presentation and Video
- Learn more about the Data Exchange Framework on the CDII Website
- Read the Final Data Sharing Agreement
- California Academy of Family Physicians DxF Funding Opportunities Videos
- Fact Sheet – Understanding the Funding Opportunities to Support Data Sharing Agreement Signatories
- To learn more, take our 1 minute Data Exchange Framework Awareness Survey
- To learn more, take our 5 minute Data Exchange Framework Tutorial and Assessment
- Workshop Recording- CA DxF Signatory Grants and How to Apply
What are people saying about the DSA?
“One of the biggest challenges that we have as an organization is making sure we have the appropriate data. That we have discrete, contiguous data on the members that we support and make that available to physicians that we support. And this is just another great effort to try to get to that place--where we don't have a little bit of this and a little bit of that in different formats all over the place.”
“This is not ‘any-to-any’ connectivity, this is all to all. And the concept is that if someone is generating health and social services information...we’re going to be able to exchange information amongst each other for the good of the patient.”
“…whether physical, social, or behavioral, the reality is data exchange is a tool for the ages. Through the DxF, the rapid exchange of health care information will be critical in advancing broader public health.”
“This will provide us a whole 360 view of all the care services that that person is receiving and, most importantly, allow us to share that wonderful data that we collect. It's not just medical data that's out there. We believe health happens at home, and [through the data exchange framework], we can make a major impact to those medical requirements or chronic issues that are happening at the medical level.”
“AAAs are positioned to contract with health care payers and providers to build an integrated service delivery system for older adults. We're in a position now where we're all beginning to see the value of integrating social and health care services for older adults, and crucial to that is having an effective data sharing system.”
“We can't expect patients to honor county lines for their care. That's unreasonable. It's not going to happen. So, we have to share between county lines, between managed care organizations, and utilize HIOs to ensure CBOs have a place at the table. Let's make whole person care real with whole person information.”
“The California Association of Health Facilities supports the Data Exchange Framework because we believe a shared commitment across provider types is critical in providing compassionate and informed care. The health care needs of California’s older adults span health and human services provider networks, and we need a data exchange framework that will support the provision of unique, whole-person care.”
“Who doesn’t hate being asked over and over again the same questions by multiple health care teams? And worse, filling in those paper forms? Why can’t all that data be in one place? Well, soon it can if we all share what data we have with anyone, anywhere who needs to see it. This is the beginning of true continuity of care and a longitudinal record.”
“Effective access to actionable data improves our ability to provide better care. Doctors want to see data with integrity and attention to patient privacy. Yet there's no turning back from data exchange and I'm excited to see how we can improve these systems towards better community health.”
“Health information exchange should be like a utility – like power, water, gas – something easily accessible for everyone, everywhere. I hope that we put in the effort, time, and resources to get it right so that more Californians do not have to think about it to get the care that they need.”
“The Data Exchange Framework has the potential to advance patient-centered, equitable care across California by accelerating the exchange of data between providers, health plans, and social service organizations. We cannot move toward value-based care without data exchange, as it is critical for improving the integration of behavioral health and physical health care through cross-system collaboration to meet Californians’ needs.”
“It’s really critical for us to know what the patient is going through. If we are not aware of a patient’s inability to pay for their insulin, or even their access to facilities like refrigeration to keep that insulin, then we’re losing the whole purpose for their care...We need a better and robust data exchange. The challenge, however, is we’re disconnected, and as an independent practice, it’s hard for us to commit to resources or budgets to bring that patient information together. I think California’s health care reform initiatives, like the DxF, will help us go in the right direction. But it’s not a one-person or one-practice effort—the DxF can really only succeed when all of our providers, agencies, and health systems work together to advance public health.”
“The California Association of Health Facilities is a supporter of the Data Exchange Framework (DxF). Given the recent announcement about additional funding made available for implementation, we look forward to continuing our work with provider types and creating data-sharing systems that will best support California’s older adult populations.”
“The free exchange of ADTs is how we save a lot of lives in California, particularly senior lives. If we have vulnerable populations—folks who have addiction issues, folks who have social needs, housing needs, the ADT pipeline is how we provide those wraparound services to get them the care they need.”
“Health Net is excited to witness the initial positive impact of the Data Exchange Framework on California's healthcare ecosystem. By encouraging providers, hospitals and health plans to leverage this unified framework, we envision a future where population health management models dramatically improve health outcomes and the patient experience.”
“Choice Medical Group are strong advocates for the California Data Exchange Framework (DxF). The DxF will empower healthcare providers to securely exchange critical patient data, leading to efficient and effective care. Value based care or individualized optimization of health cannot succeed without it. We are fervent supporters of healthcare interoperability, and the DxF allows for a major step forward. We believe this initiative can break down data-sharing barriers and provide healthcare providers and patients alike with countless new opportunities.”
Choice Medical Group
"Now is the time to remove blind spots in care through digital transformation. Enabling meaningful collaboration across care teams and supporting access to real-time data insights is fundamental to PointClickCare's mission. We're supportive of the California Data Exchange Framework and look forward to seeing the increase in care collaboration as more organizations expand their data sharing capabilities."
"The California Data Exchange Framework is a roadmap for patient and health provider access to a protected longitudinal health record that delivers on the promise of secure information exchange. The platform organizes health information from multiple sources and secures privacy and confidentiality. It is refreshing to see the vision for this framework promoting improved provider efficiency, patient safety, and personalized care that aim for equity for all."
"Cambridge Healthcare Services has 35 skilled nursing facilities (SNFs). We were working through the procedure to sign the Data Sharing Agreement (DSA), but the process to register each SNF separately in the CalHHS DSA Signing Portal was onerous. With the support of the Multi-Association DxF Initiative, we were connected with the California Association of Health Information Exchanges (CAHIE), who offered us a more efficient technological process for uploading all our subordinate facilities into the signing portal."
Do you have a story to tell about the DSA’s impact on your practice, your community-based organization, or in your community? Tell us about it. Someone from our organization will follow up with you for details.
Upcoming meetings and events:
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The first step towards implementing the Data Exchange Framework is signing the Data Sharing Agreement.
