1. Executive Summary: eHealth Exchange Hub
March 2019
©Copyright 2019 The eHealth Exchange. All rights reserved. Confidential.

2. Single Connection to the Nation
The eHealth Exchange developed a strategic roadmap to maximize value and support sustainable growth, with its first priority being enhancing the current eHealth Exchange architecture by implementing a centralized platform solution to be known as the “Hub”.
Instead of each eHealth Exchange Participant creating and maintaining separate connections with other Participants, your organization is now asked to create a single connection to the eHealth Exchange Hub so the Hub can connect Participants to one another.
The Hub provides your organization:
Simpler, less expensive way to exchange within our nationwide eHealth Exchange network
Simple, inexpensive solution to exchange patient information with healthcare organizations who are not part of the eHealth Exchange network, but who exchange within other networks such as Carequality-enabled networks (ex. Commonwell, eClinicalWorks, Epic Care Everywhere, and many others)
Connection with the Patient Unified Lookup System for Emergencies (PULSE) platform to facilitate patient care during disasters
Platform to facilitate future potential capabilities (ex. PDMP exchange, Image exchange, Population-level exchange)
©Copyright 2019 The eHealth Exchange. All rights reserved. Confidential.

3. Introducing: The Hub
Exchange is increasing rapidly for a variety of reasons:
Standard of Care
Pulling Patient Histories to coordinate care Expected (not optional)
Going to start seeing lawsuits for not searching if Errors or Omissions
Value-Based Care
Reduced Duplication
Shared Patient Responsibility
New Capabilities
Plug & Play & Network-to-Network (Carequality)
RLS (search w/o guessing)
Images
FHIR promise
Data Consistency has improved, so data more valuable
Regulation (Cures, Info Blocking exceptions rule, TEF
Affordability (Connect to 1 home network, access multiple Carequality networks)
©Copyright 2019 The eHealth Exchange. All rights reserved. Confidential.

4. How Does Hub Security Work?
The eHealth Exchange has applied its secure by design architecture, Federal Bridge Certification Authority (FBCA) operational policies and procedures, and a leading edge PKI production assessment process, to the Hub via:
Governance (the DURSA)
Certificate Trust
Operating Policies and Procedures
Auditing
Technical Specifications
eHealth Exchange Staff
Security-Focused Standards
Encryption at Rest and In-Transit
Reduced Cyber Threat Attack Surface Area
Cryptographic Signatures
Encryption of PHI In-Transit
©Copyright 2019 The eHealth Exchange. All rights reserved. Confidential.

5. Hub Fees
There will be no charge for any Participant to respond to queries other Participants have routed to the Hub.
95% of eHealth Exchange Participants will not be asked to pay any new fees to initiate queries with other Participants routed to the Hub.
Instead, to cover a portion of vendor fees, an annual Hub technology fee will be charged to the Participants initiating the most queries since they receive the most benefit by no longer having to maintain so many point to point connections.
©Copyright 2019 The eHealth Exchange. All rights reserved. Confidential.

6. Non-Technical Actions/Information Needed
What Do I Need To Do?
Submit Technical
Information
Non-Technical Actions/Information Needed
Test Patient
IP Address(es)
Firewall Whitelisting
Pre-Fetch Queries
Initiated Search Timeouts (optional)
Provide eHealth Exchange Updated Contacts
Sign Amended Participation Agreement
Attend eHealth Exchange Meetings for more information
Your organization was provided with a Hub Connectivity To-Do Checklist containing items that need to be returned to us by Friday, April 5, 2019.
©Copyright 2019 The eHealth Exchange. All rights reserved. Confidential.

7. How Can I Obtain More Information?
Website – Registration for the secured Participant-only section is fast & easy
Monthly Participant Web Meetings – Typically the 3rd Thursday of Each Month at 1 pm ET
Hub Web Meetings – Typically Tuesdays at 1pm ET & Thursdays at 4pm ET
– Any time if you have a specific question and cannot attend the Hub Web meetings
Annual eHealth Exchange Meeting – December 4-6, 2019 at the Gaylord National Resort & Convention Center (Washington DC)
©Copyright 2019 The eHealth Exchange. All rights reserved. Confidential.