California Health and Human Services

Link to California State Web Portal
Link to the California Web State Portal

What is the Data Exchange Framework?

Every Californian, no matter where we live, should be able to walk into a doctor’s office, a county social service agency, or an emergency room and be assured health and human services providers can access the information they need to provide safe, effective, whole person care—while keeping our data private and secure. 

This is the goal of California’s Health and Human Services Data Exchange Framework, a 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 programs beginning in 2024.

The data exchange framework is not a new technology or centralized data repository; instead, it’s an agreement across health and human services systems and providers to share information safely. That means every health care provider can access the information they need to treat you quickly and safely; health care, behavioral health and social services agencies can connect to each other to deliver what Californians need to be healthy; and our public health system can better assess how to address the needs of all communities.

Hundreds of experts and members of the public have spent the last year shaping a framework that delivers on these principles. On this website, learn more about the progress toward seamless data exchange that will improve Californians’ experience of health care, support California’s whole-person care transformation, and put consumers in the drivers’ seat with our health data.

On July 5, 2022, CalHHS released the Data Exchange Framework, Data Sharing Agreement, and initial set of Policies and Procedures. Please see the Data Exchange Framework section for more information. View the Executive Summary.

In the News

Health facilities to start sharing patient data with each other

  • Hospitals, public health agencies and other providers have no systematic way to share patient data among themselves, limiting their ability to monitor trends and work efficiently. Under the state’s new data-sharing requirement, a doctor or case worker could get immediate access to a patient’s full medical history, and patients could view their own records easily. Read more in this article from CalMatters.

A secure, trusted system of data exchange

  • “California has long been a leader in transforming health care, expanding coverage and improving access to care and social services for its residents. But to be successful, all of these initiatives require a reliable, secure, trusted system of data exchange so patients and providers can access the health information they need, wherever they are and whenever they need it.” Read more in this San Francisco Chronicle op-ed from Dr. Sandra Hernádez, CEO of the California Health Care foundation and HHS Data Exchange Framework Stakeholder Advisory Group Member.

Supporting whole-person care, health equity 

  • At the core of the data exchange vision is an “emphasis on health equity and center our health information efforts on the needs of Californians.” Read more in this California Health Care Foundation blog from John Ohanian, chief data officer and director for the Center for Data Insights and Innovation Office.
  • “This framework will be a pillar of support to our health system’s transition to providing whole-person care that addresses social determinants of health. It will be essential to the success of the state’s expansion of integrated care in Medi-Cal, to our major new homelessness initiatives, and to dozens of programs aimed at connecting health and social services, from the Cradle-to-Career California Data System to the Master Plan for Aging.” – Read more in this California Health Care Foundation blog from John Ohanian, chief data officer and director for the Center for Data Insights and Innovation Office.

Expert stakeholder advisory group 

  • News release announcing the formation of the Data Exchange Framework Stakeholder Advisory Group

Timeline

Initial Data Exchange Framework

By July 1, 2022, the state will establish a single data sharing agreement and common set of policies and procedures that will govern and require the exchange of health information among health care entities and government agencies in California. This effort will be guided by a Stakeholder Advisory Group, which will provide information and advice to CalHHS.

Public health/social services integration

By January 31, 2023, CalHHS and the California State Association of Counties will encourage as many county health, public health, and social services providers to connect to the Data Exchange Framework—with all state and local public health agencies exchanging health information in real time with participating health care entities.

Data sharing agreement

By January, 31, 2023, the Data Exchange Framework data sharing agreement will be executed by the following entities: General acute care hospitals, physician organizations and medical groups, skilled nursing facilities, health service plans and disability insurers, Medi-Cal managed care plans, clinical laboratories, and acute psychiatric hospitals.

Full implementation

By January 31, 2024, all participating entities will exchange health information or provide access to health information to and from every other entity in real time for treatment, payment, or health care operations.

Context

While parts of California’s health care system rely on coordinated, interoperable electronic systems, other parts rely on decentralized, manual, and siloed systems of clinical and administrative data exchange that is voluntary in many situations. This voluntary patchwork imposes burdens on providers and patients, limits the health care ecosystem from making material advances in equity and quality, and functionally inhibits patient access to personalized, longitudinal health records. Further, a lack of clear policies and requirements to share data between payers, providers, hospitals, and public health systems is a significant hindrance to addressing public health crises, as demonstrated by challenges inherent to the COVID-19 pandemic.

Despite the widespread availability of secure electronic data transfer, a small but important minority of Californians’ medical information is stored or shared on paper. When that medical information is shared between providers, much of it happens by mail, fax, or, most likely, by the patients themselves, who frequently carry their records from appointment to appointment. While electronic health information exchange cannot replace provider-patient communication, it can greatly improve the completeness of patient records, which has a significant effect on health and wellness outcomes, as past history, current medications, and other information are jointly reviewed during appointments.

Social and economic factors distinct from medical care are powerful predictors of health outcomes and disease burden throughout a person’s life. From a population health perspective, this means that evidence-based policies that affect the broader conditions in which people are born, grow, and live can exert a powerful influence on health and well-being. From an operational perspective, data-driven efforts to better coordinate human and social supports with the medical and health care sectors provide opportunities to deliver services that are more client centered, efficient, effective, and tailored.

Data Exchange Framework

 

Implementation Advisory Committee

 

Implementation Advisory Committee Meeting #1 (9/21/2022, 10:00 am – 12:30 pm)

Implementation Advisory Committee Meeting #2 (11/3/2022, 10:00 am – 12:30 pm)

Meeting Attendance Options
In person:
Clifford L. Allenby Building
1215 O Street
Sacramento, CA 95814,
Sacramento 1181 Conference Room (11th Floor)

Join by smart phone, tablet or computer
To call in (listen only): 888 788 0099 (Toll Free)
Webinar ID: 979 4305 1559

Implementation Advisory Committee Meeting #3

(12/20/2022, 10:00 am – 12:30 pm)

 

Implementation Advisory Committee Meeting #4 (2/2/2023, 9:00 am – 11:30 am)

 

Implementation Advisory Committee Meeting #5 (3/16/2023, 9:00 am – 11:30 am)

 

      • Chair
        • John Ohanian, Chief Data Officer, CalHHS and Director, CDII
      • Members
        • Norlyn Asprec, County Health Executives Association of California
        • Joe Diaz, California Association of Health Facilities
        • David Ford, California Medical Association
        • Aaron Goodale, MedPoint Management
        • Lori Hack, California Association of Health Information Exchanges
        • Cameron Kaiser, County of San Diego
        • Troy Kaji, Contra Costa Regional Medical Center and Health Centers
        • Andrew Kiefer, Blue Shield of California
        • Paul Kimsey, California Department of Public Health
        • Linnea Koopmans, Local Health Plans of California
        • Matt Legé, Service Employees International Union California
        • DeeAnne McCallin, California Primary Care Association
        • Amie Miller, California Mental Health Services Authority
        • Ali Modaressi, Los Angeles Network for Enhanced Services
        • Jonathan Russell, Bay Area Community Services
        • Cary Sanders (2022 delegate for Kiran Savage-Sangwan), California Pan-Ethnic Health Network
        • Cathy Senderling-McDonald, County Welfare Directors Association
        • Ryan Stewart, CommonSpirit Health
        • Felix Su, Manifest MedEx

Data Sharing Agreement and Policies & Procedures Subcommittee

 

Data Sharing Agreement Policies and Procedures Subcommittee Meeting #1 (9/23/2022, 9:30 am – 12:00 pm)

Meeting Attendance Options
*This meeting will be held virtually.

To join by smart phone, tablet or computer
To call in (listen only): 888 788 0099 (Toll Free)
Webinar ID: 933 0500 5362

Data Sharing Agreement Policies and Procedures Subcommittee Meeting #2 (10/25/2022, 10:00 am – 12:30 pm)

Meeting Attendance Options
*This meeting will be held virtually.

To join by smart phone, tablet or computer
To call in (listen only): 888 788 0099 (Toll Free)
Webinar ID: 933 0500 5362

Data Sharing Agreement Policies and Procedures Subcommittee Meeting #3 (12/15/2022, 9:00 am – 11:30 am)

Meeting Attendance Options
*This meeting will be held virtually.

To join by smart phone, tablet or computer
To call in (listen only): 888 788 0099 (Toll Free)
Webinar ID: 933 0500 5362

Data Sharing Agreement Policies and Procedures Subcommittee Meeting #4 (1/26/2023, 9:00 am – 11:30 am)

Meeting Attendance Options
*This meeting will be held virtually.

To join by smart phone, tablet or computer
To call in (listen only): 888 788 0099 (Toll Free)
Webinar ID: 933 0500 5362

Data Sharing Agreement Policies and Procedures Subcommittee Meeting #5 (3/9/2023, 9:00 am – 11:30 am)

Meeting Attendance Options
*This meeting will be held virtually.

To join by smart phone, tablet or computer
To call in (listen only): 888 788 0099 (Toll Free)
Webinar ID: 933 0500 5362

The official roster of the subcommittee membership will be released following the meeting on September 23rd, 2022

Data Exchange Framework Grants Listening Sessions

  • DxF Grants Listening Session #1
  • DxF Grants Listening Session #2
  • DxF Grants Listening Session #3

Data Exchange Framework Public Webinars

DxF Public Webinar #1 (9/13/2022)

DxF Public Webinar #2 (10/24/2022, 1:45 PM – 3:00 PM PT)

DxF Public Webinar #3 (11/22/2022, 11:15 AM – 12:30 PM PT)

 

 

Public Comment

 

In May 2022, CalHHS released drafts of the Data Exchange Framework (DxF), Data Sharing Agreement (DSA), initial set of Policies & Procedures (P&Ps), and Strategy for Digital Identities for public comment. Public comment closed in June 2022. Draft versions of the documents released for public comment, as well as public comment received, can be found in the respective tabs of this section. Final versions of the documents were released in July 2022, incorporating comment received during the formal public comment period as well as during nine-months of public workgroup discussion by the Stakeholder Advisory Group, DSA Subcommittee, and members of the public. Final versions of the documents can be found above in the ‘Data Exchange Framework’ section.

Strategy for Digital Identities 

  1. DxF Strategy for Digital Identities 

 

Archived Meeting Information and Materials

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