agenda

Annual Meeting Agenda

Please follow this page for agenda updates including full descriptions and speakers. Session details and times subject to change.

Can’t make it in person? The mainstage sessions will be livestreamed.

Mainstage Sessions

9:00 AM ET - 9:15 AM ET
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Tom Keane

9:15 AM ET - 10:15 AM ET
10:15 AM ET - 10:30 AM ET
10:30 AM ET - 11:30 AM ET

Technology is erasing the line between everyday life and clinical care. Between passive wearables monitoring 24/7 and instant diagnostics on your phone, patients are becoming agents of their own health. Unlocking this technologically based future will take all of us - including providers, payers, and innovators - working together to design what can be.

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Sarah Szanton

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Kyle Zebley

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Ben Wiegand

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Mark Atalla



11:30 AM ET - 1:00 PM ET

Breakout Sessions I

1:00 PM ET - 2:00 PM ET

Join the USCDI team for an overview of the data elements in the recently released USCDI Draft Version 7.

1:00 PM ET - 2:00 PM ET

Diagnostic images, such as X-rays, CT scans, MRIs, and ultrasounds, are an important part of many people’s electronic health records. However, patients and health care providers still face challenges specific to access, exchange, and use of these diagnostic images across different health care settings.

ASTP/ONC recently released a request for information and is seeking public input on whether the adoption of technical standards and certification criteria would improve how diagnostic images are accessed, exchanged, and used through certified health IT. Feedback will help inform potential future rulemaking.

Join the ASTP team to share your thoughts on diagnostic imaging.

1:00 PM ET - 2:00 PM ET

As TEFCA continues to take shape, organizations and agencies across the healthcare landscape are recognizing its value in achieving secure trusted health data exchange. This session will provide an overview of TEFCA’s current state of exchange, highlighting why diverse participants have joined the TEFCA Network and how their engagement is advancing their interoperability goals. Hear about the benefits of participation and the next steps around TEFCA’s growth and impact in this coming year.

1:00 PM ET - 2:00 PM ET

Join us for an hour-long refresher course on information blocking. Get back up to speed on all things information blocking-related in preparation for our IB Bootcamp 201 sessions to follow. If you’re already an IB expert, feel free to check out one of our breakout sessions during this time and the join IB 201 at 2:15.




2:00 PM ET - 2:15 PM ET

Breakout Sessions II

2:15 PM ET - 3:45 PM ET

TEFCA’s growth is driven by continued collaboration among partners through participation in governance and working groups. This session will cover updates from ASTP/ONC and the RCE on priorities and initiatives set to strengthen and scale TEFCA participation.

2:15 PM ET - 3:45 PM ET

We have seen progress on specific interoperability metrics, like the rate of health care providers who electronically send, receive, find, and integrate information from external sources, but also persistent friction to achieve nationwide interoperability. The session will examine data from several sources that measure the interoperability experience across the care continuum and provide new insight on the progress made and barriers that remain. We will also discuss ongoing and emerging opportunities to address this friction and invite attendees to discuss their own experiences to help frame session takeaways and inform ways we can better measure and take action on these barriers.


2:15 PM ET - 3:45 PM ET
2:15 PM ET - 5:00 PM ET

Take a deeper dive into specific information blocking topics, including:

- The Preventing Harm Exception

- Where do we go from here? Learn about topics such as recently released IB FAQs, IB regulatory proposals, IB enforcement, and more.

- IB Data and Hospital/Health Information Organization (HIO) Experiences: Explore updated data on complaints submitted to the Report Information Blocking Portal, and hear about hospital and HIO responses to surveys of experiences they state could be possible information blocking.

- IB Office Hours: Submit your IB questions to us – tell us what you’d like to know and how ASTP/ONC can support IB education and enforcement!

Please note: this is an extended session and will last until 5:00.



3:45 PM ET - 4:00 PM ET

Breakout Sessions III

4:00 PM ET - 5:00 PM ET

As TEFCA gains momentum, expanding reach to rural settings remains a priority. This session will explore opportunities for engaging rural health providers and Critical Access Hospitals (CAHs) to create stronger pathways for participation in TEFCA.


4:00 PM ET - 5:00 PM ET

What’s next for digital health? This session will provide a clear-eyed look at the innovations on the horizon, examining how emerging technologies are reshaping care delivery, data exchange, and patient engagement, and what it all means for healthcare organizations navigating rapid change.

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Rachel Schilling

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Katie Schmitz

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Alex Hatzis

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Trish Stroman

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Stephen Konya

4:00 PM ET - 5:00 PM ET

This listening session will provide a forum to address policy and technical considerations for boosting health IT adoption and interoperability among mental health and substance use service providers. Topics will include patient access, care coordination, EHR design features unique to behavioral health, and connections to existing systems. This session will serve to inform the public roundtable on using health IT to improve mental health and substance use care outcomes, required under the SUPPORT for Patients and Communities Reauthorization Act (Sec. 211), that will be hosted by ASTP in the spring.

Mainstage Sessions

8:45 AM ET - 9:00 AM ET
9:00 AM ET - 9:25 AM ET

Over the past year, adoption of the Trusted Exchange Framework and Common Agreement (TEFCA) has accelerated, reflecting growing trust in nationwide exchange networks and meaningful progress toward more seamless data sharing. CMS has launched an exciting initiative to accelerate solutions that plague health information exchange, and have recruited over 600 organizations to contribute. Join us for this fireside chat that brings together ASTP/ONC’s Tom Keane and CMS’s Amy Gleason for a timely conversation on how TEFCA is scaling in practice and how CMS’ Health Tech Ecosystem is strengthening interoperability across the healthcare system.

Moderated by Ryan Howells, the discussion will explore the current state of TEFCA, how the framework has matured through real-world implementation, and how the CMS Health Tech Ecosystem is addressing key challenges related to trust, governance, and nationwide exchange. Speakers will also highlight how TEFCA is designed to complement—rather than compete with—the broader CMS health technology ecosystem, reinforcing alignment across federal interoperability efforts.

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Tom Keane

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Amy Gleason

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Ryan Howells

9:25 AM ET - 10:25 AM ET
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Tom Keane

10:25 AM ET - 10:40 AM ET
10:40 AM ET - 11:30 AM ET

Breaking down data silos and enabling health data to move safely and securely is in the best interest of patients and providers. Panelists will discuss real-world implementation examples demonstrating how data liquidity across diverse care settings empowers patients by giving them control over their health data and empowers providers by giving them access to a more complete clinical history of their patients. The conversation will also cover the state of TEFCA today and what patients and providers should expect from a healthcare system as data becomes more and more interoperable.

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Sam Kardaal



11:30 AM ET - 1:00 PM ET

Breakout Sessions IV

1:00 PM ET - 2:00 PM ET

This session will provide an overview of how TEFCA works from a technical perspective, review technology changes that have been made in 2025, discuss security issues and updates, and describe new items that will be coming out in the future such as proposed changes in Individual Access Services, creating FHIR Metrics, and Service Level Agreements.

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Chris Muir

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Alan Swenson

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David Pyke

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Johnathan Coleman

1:00 PM ET - 2:00 PM ET

Healthcare interoperability is entering a transformative era as APIs evolve from simple data retrieval to bidirectional, AI-enabled data exchange. This breakout session explores how bulk access APIs, write capabilities, and emerging agentic AI protocols are advancing health data exchange beyond traditional point-to-point integrations toward intelligent, context-aware, and autonomous data flows.

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Dan Gottlieb

1:00 PM ET - 2:00 PM ET

ASTP released the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity (HTI-5) Proposed Rule on December 22, 2025. The HTI-5 Proposed Rule includes deregulatory actions that update the ONC Health IT Certification Program to: (1) reduce burden on health IT developers by streamlining ASTP/ONC’s voluntary Health IT Certification Program by removing redundant requirements; (2) revise definitions to better promote electronic health information access, exchange, and use so that patients’ access to their data is not blocked; and (3) advance a new foundation of AI-enabled interoperability solutions through modernized standards and certification. In addition, the proposed rule enables ASTP/ONC to reset the Certification Program’s regulatory scope and establish a new foundation on which to build Fast Healthcare Interoperability Resources (FHIR®)-based API requirements in the future.

In this information session, the ASTP team will provide an overview of the HTI-5 proposed rule.

1:00 PM ET - 2:00 PM ET

HHS recently released a request for information seeking broad public input on how the department can accelerate the adoption and use of artificial intelligence as part of clinical care for all Americans. Through this RFI, HHS is inviting stakeholders to provide feedback on how the department can use its regulatory, reimbursement, and research & development levers to enable AI adoption to propel the American health care system forward. HHS is seeking broad engagement on how it can accelerate adoption, including how AI can improve patient and caregiver experiences and outcomes, reduce provider burden and improve quality of care, and reduce health care costs for consumers and government.

Following a mainstage conversation in the morning about AI in clinical care, join the ASTP team to share your thoughts.

Breakout Sessions V

2:30 PM ET - 3:30 PM ET

This session will showcase how emerging technologies are transforming healthcare research and clinical trials through FHIR-based interoperability, APIs, and improved data exchange between clinical and research settings. Panelists will discuss decentralized clinical trials and the role of the Vulcan Interoperability Project (VIB) in enabling more efficient, scalable, and patient-centered research. The session highlights practical implementation insights and policy considerations shaping the future of interoperable clinical research.

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Ashita Batavia

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Mitra Rocca

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James McDermott

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Craig Lipset

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Erika Kim

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Stephen Konya

2:30 PM ET - 3:30 PM ET

For those seeking more insight into TEFCA implementation, this session offers open discussions and Q&A opportunities. We will explore implementation methods and experiences and give you a chance to deepen your understanding of how TEFCA really works.

Meeting Details

February 11-12, 2026,
Washington, DC

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