Joint Health Information Exchange

Launched in April 2020 by the Federal Electronic Health Record Modernization (FEHRM) office, the joint health information exchange (Joint HIE) builds upon the success of the Department of Defense (DoD) and Department of Veterans Affairs (VA) HIE work.

Q16:

How safe and secure is the sharing of my information?

A:

The joint HIE fully complies with the most rigorous privacy and security standards. Participating provider organizations who exchange health data with DOD, VA, USCG and NOAA Corps signed the Data Use and Reciprocal Support Agreement (DURSA) or CommonWell Health Alliance’s End User License Agreement (EULA)—both comprehensive, trust agreements—before exchanging data with the joint HIE.

Q17:

How can I participate in the joint HIE?

A:

This service is part of your healthcare benefit. You are automatically enrolled. So, if you wish to participate no other action is necessary.

Q18:

Do I have to participate in joint HIE?

A:

For readiness purposes, active duty service members must participate in the health information exchange process. All other beneficiaries may choose to opt out of this benefit if they prefer.

Q19:

How do I opt out of the sharing my data with participating provider organizations?

A:

If you are considering opting out, please visit your primary care provider to discuss the benefits of participating in the joint health information exchange. Please be aware that you will need to opt out on both sides of the exchange process (i.e., federal and participating provider organization).

DOD Beneficiaries

If you would like to opt out, select, complete, and print the joint HIE Opt-Out Letter Template from the TRICARE.mil website. Then, sign and mail the letter via the United States Postal Service to the address provided on the form. Since participating provider organizations have varied rules, beneficiaries or Veterans will need to contact their providers to learn how to opt out of the joint health information exchange. If you choose to opt out, you may choose to opt back in at any time.

Veterans

If you would like to opt out, complete and submit VA Form 10-10164 to your facility’s Release of Information Office (ROI). You may also submit this form online via My HealtheVet.

Since participating provider organizations have varied rules, beneficiaries or Veterans will need to contact their providers to learn how to opt out of the joint health information exchange. If you choose to opt out, you may choose to opt back in at any time.

Q20:

What if I change my mind?

A:

If you choose to opt out and then change your mind, you can request to opt back in at any time. Most people benefit from sharing their medical information with healthcare providers, especially in the case of emergencies in which you or your loved one is not physically able to share your necessary information. Veterans may opt back in at any time before or after automatic sharing begins.

DOD Beneficiaries 

DOD beneficiaries who opt out and then change their minds can request to opt back in at any time. Simply download and complete the joint HIE Opt-Back-In Letter Template, then print, sign and mail it to the address provided on the document.

Veterans

Veterans who decide they would like to be opted back into the sharing of their health information will need to complete and submit VA Form 10-10163 to their facility’s Release of Information office (ROI).They may also opt in via My HealtheVet.

Q21:

Does my participating provider organization have the same opt out process?

A:

Participating provider organizations have varied rules regarding health information exchange program participation, as guided by state law. Please contact your provider to learn how to opt in or out of their health information exchange process.

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