The well-publicized Trusted Exchange Framework and Common Agreement (TEFCA) proposal from the Office of the National Coordinator (ONC) contains some very good ideas. For example, providers should indeed have ready access to all health information for their patients. Patients should also have easy access to their health information wherever it resides. But one major criticism of the TEFCA proposal is that it doesn’t address how to enable the nationwide patient matching that is the cornerstone of the entire system. The current generation of matching technology will never be accurate enough to serve on a nationwide scale.
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