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

Health Gorilla intends to apply to become one of the first designated QHINs in the U.S. under the Trusted Exchange Framework and Common Agreement (TEFCA).


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

A QHIN designation would enable Health Gorilla to expand our interoperability solutions, allowing organizations to comply with TEFCA cost-effectively while powering national data exchange. 

If designated as a QHIN, Health Gorilla would securely exchange data with other QHINs, connect current and future participants to a robust healthcare network, and reduce the technical burden of integrating with individual exchanges.

Health Gorilla’s QHIN Application Status

Pre-Application Phase
Application Submission
Application Review
Designation and Post-Production Testing
Production QHIN Exchange

How We Prepared for our QHIN Designation

For the past five years, Health Gorilla evolved our product offerings to meet federal regulations for health IT. We have built a robust and secure health information exchange platform, which is connected to CommonWell Health Alliance, eHealth Exchange, and the Carequality framework. This platform is leveraged by leading healthcare providers and technology companies, enabling faster, more cost-efficient data access. 

Patient360 is our core data exchange platform, available as a web-based application and FHIR-based API. Patient360 supports a diverse set of clinical use cases, satisfying the treatment, payment, health care operations, benefits determination, and public health exchange purposes, allowing all healthcare stakeholders to seamlessly access and exchange data. 

My360 supports the Individual Access Services (IAS), which enables individuals to securely access their comprehensive health records using IAL-2 compliant methods. Any patient can share their electronic health record (EHR) data with providers or other trusted organizations via our mobile app or API-integrated product.

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 data 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 successfully and sustainably serve as one of the first QHINs.

*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 application process as the process and requirements are finalized.

Our Team Helped Establish the Infrastructure for U.S. Interoperability

Since beginning our pursuit of a QHIN designation, we have assembled a team of interoperability experts who have held leadership roles at ONC, Carequality, Commonwell Health Alliance, The Sequoia Project, and more.

Dave Cassel
SVP of Operations, former Executive Director of Carequality
Steven Lane, MD, MPH
Chief Medical Officer, The Sequoia Project Board of Directors, HITAC Committee
Jitin Asnaani
Board member, former Executive Director of Commonwell

What Health Gorilla Would Offer as a QHIN

Health Gorilla is committed to supporting legal, functional, and technical requirements for those health information networks certified as QHINs.

As a Health Gorilla QHIN participant, organizations would be able to leverage:

  • High capacity networks to broker the exchange of transactions
  • A flexible platform that supports a broad range of standards, including FHIR, HL7, C-CDA, and IHE Profiles
  • Streamlined onboarding and robust technical support 
  • Future products to support upcoming exchange purposes
  • A comprehensive security program, ensuring the security of the Health Gorilla Platform and participants 
  • An industry-leading governance program to ensure the highest level of compliance with industry regulations

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

  • Expanded purposes for exchange of information
  • Fewer barriers to connection and greater access to information
  • Access to a broader range of provider types and health care organizations
  • Decreases in one-off connections and reduction in the intricacies of data exchanges

What are the proposed exchange purposes for the Common Agreement?

Health Care Operations
Public Health
Benefits Determination
Individual Access Service

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