CTEN

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The California Trusted Exchange Network is a critical component of California’s strategy for statewide, inter-organizational health information exchange. It combines a multiparty data sharing agreement, a common set of policies and procedures, and a lightweight technical infrastructure to create a trusted environment for safe and secure sharing of health information.

Participant

Contact Email

Since

Alameda County Care Connect (ACCC)

Cheryl@candcadvisors.com

Alameda County Care Connect (ACCC) CEO Health Roads

rajib@health-roads.com



California Department of Health Care Services


12/20/2018

California EMS Authority

leslie.witten@emsa.ca.gov

wittenrood@att.net

8/18/2017

Dignity Health

ryan.sommers@commonspirit.org

ryan.sommers@dignityhealth.org

4/16/2021

Los Angeles Network for Enhanced Services (LANES)

ali.modaressi@lanesla.org

1/25/2019

Manifest MedEx

mimi.hall@manifestmedex.org

11/20/2015

NCHIN (North Coast Health Information Network)

rdenouden@humboldtipa.com

OCPRHIO

pbudilo@ocprhio.org

8/1/2014

Orange County Partners for Health HIE

mmatull@coalitionoc.org

7/17/2020

SacValley MedShare

john.helvey@sacvalleyms.org

12/21/2018

San Diego Health Connect

srenick@sdhealthconnect.org

8/1/2014

San Mateo County Connected Care

tmuccia@smcgov.org

3/15/2019

Santa Cruz HIO

dchavez@santacruzhie.org

8/1/2014

Sutter Health

willikr@sutterhealth.org

10/1/2019

UC Davis Health

vbansi@ucdavis.edu

3/16/2018

More information on CTEN Participants and the types of exchange they conduct on the CTEN is available here.

Joining the CTEN

The CTEN is designed to be more efficient, more agile, and more flexible than national networks while remaining compatible with them. Unlike most other networks, the CTEN allows its participants to define the method and technical standards they will use to share health information. To join the CTEN:

Review obligations for trusted statewide exchange on the CTEN found in the CalDURSA and CTEN policies

Identify transactions of interest used by current CTEN Participants, or describe a new transaction

Complete a CTEN Application and testing with other CTEN Participants

More detail is available on the complete CTEN Onboarding Process, or send email to cten@ca-hie.org schedule an introductory call.

Participating in eHealth Exchange and Carequality

CAHIE has onboarded to eHealth Exchange and Carequality, and extends access to these nationwide networks to CTEN Participants. More detail on how to become an eHealth Exchange and/or Carequality participant through CTEN is coming soon. In the mean time, send email to cten@ca-hie.org for more information.

Cost of Participation

Onboarding to the CTEN for CAHIE members is $4,000 if using the MMPA, $5,000 if not using the MMPA. Onboarding for nonmembers is $10,000.

CAHIE currently bears the cost of operating the CTEN. Beginning January 1, 2020, participation fees to offset these costs will be $250 quarterly for CAHIE members, $500 quarterly for nonmembers.

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CTEN Policies

The CTEN is governed by a common set of policies and procedures maintained by the California Interoperability Committee (CIC), a committee of the CTEN participants. See our Events page for a schedule of monthly CIC meetings which are open to all.

California Data Use and Reciprocal Support Agreement

The California Data Use and Reciprocal Support Agreement (CalDURSA) is a multi-party data sharing agreement that establishes common policies, procedures, and operational practices necessary for trusted statewide health information sharing in California. More information on the CalDURSA is available here.

The CalDURSA is compatible with the DURSA maintained by eHealth Exchange, allowing organizations to easily participate in both the CTEN and eHealth Exchange. It is also designed to work well with the Model Modular Participants Agreement (MMPA), a model agreement between HIOs and their exchange participants used by several California HIOs. If you are interested in adopting or developing a participant agreement that is compatible with the CalDURSA, consider starting with the MMPA.

CTEN Policies and Procedures

Unlike other trust frameworks, the CTEN is generalized to support any transaction that shares health information for purposes of treatment, payment, or health care operations.

See CTEN Policies and Procedures for a listing of the current policies and procedures describing how the CIC performs its duties, the obligations of CTEN Participants, and the procedures for onboarding to the CTEN.

Carequality Terms of Service

A CTEN Participant’s participation in eHealth Exchange is governed by the terms of the CalDURSA, which already includes flow-down requirements from the Data Use and Reciprocal Support Agreement (DURSA) that governs the eHealth Exchange. Participation in Carequality requires that a CTEN Participant agree to additional Terms and Conditions imposed by Carequality that are embodied in the Carequality Terms of Service.

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