About eHealth Exchange
For more than two decades, eHealth Exchange has pioneered healthcare data interoperability.
Our Purpose
Founded through a federal initiative, we are now an independent, nonprofit entity dedicated to improving patient care, reducing costs, streamlining disability benefit claims, and improving public health capabilities through secure, trusted, and interoperable health information exchange.

Our Leadership Team
Guided by the Coordinating Committee and Board of Directors, our leadership team has dedicated their careers to the public good.

Jay Nakashima
President

Dennis Sherba
Vice President of Operations & Staff

Mike Yackanich
Vice President, Technology Operations

Kathryn Bingman
Vice President of Interoperability Adoption

Cait Riccobono
General Counsel

Pat Russell, RN
Director Policy & Governance

Mike McCune
Program Director, Solutions Engineering

Tina Feldmann
Marketing Director
Our Board Members
eHealth Exchange board representatives provide oversight to the financial, legal, risk, and strategic aspects of the corporation, a well-balanced set of individuals whose expertise represent the diverse participation across the network.

Chair
Pam Matthews
East Tennessee Health Information Network (ETHIN)

Vice Chair
John Kansky
Indiana Health Information Exchange

Treasurer
Patti Cuartas, PA-C
Mount Sinai Health System

Secretary
Lisa Bari
Civitas Networks for Health

Paul Biondich, MD
Indiana University School of Medicine & Regenstrief Institute

Michael Marchant
Sutter Health

J.T. Lane
Association of State & Territorial Health Officials (ASTHO)

Doug Dietzman
Blue Cross Blue Shield Association

Bryant Thomas Karrass, MD, FACMI
Washington State Department of Health

Jay Nakashima
President eHealth Exchange - (ex officio)

Our approach to governance
eHealth Exchange is committed to open, transparent operation and governance. Our comprehensive approach to governance includes volunteer committees to manage our network participation and Qualified Health Information Network® (QHIN™) obligations under the Trusted Exchange Framework and Common Agreement™ (TEFCA™).
Network Governance
Our Coordinating Committee provides the needed governance, oversight, management, and support of the trust fabric for eHealth Exchange participants.
QHIN Governance
Established to meet TEFCA obligations, this committee oversees strategic, operational, and management issues related to the eHealth Exchange and provides governance to our QHIN participants.
Our Passion
At eHealth Exchange, our unwavering commitment to innovation drives us to continually enhance the secure and seamless exchange of health information nationwide.
Our dedication to advancing interoperability is exemplified with active leadership participation in committees, connectathons and the implementation of FHIR-based solutions, demonstrating our proactive approach to adopting cutting-edge technologies.
By fostering collaboration and embracing technological advancements, eHealth Exchange is transforming the healthcare landscape, ensuring that vital health information is accessible when and where it’s needed most.










Our History
eHealth Exchange has unique roots, having begun as a federal initiative under the Department of Health and Human Services (HHS). Now an independent, non-profit health information network, eHealth Exchange is among the nation’s largest health information exchanges.
2024

The eHealth Exchange QHIN is live on TEFCA with two regional and state HIEs, nationwide public health for electronic case reports (eCRs), as well as individual query use cases, and the Indian Health Service becomes the first federal agency to join TEFCA, selecting eHealth Exchange as their QHIN.
eHealth Exchange recognized by KLAS Research for being an influential convener advancing HL7® FHIR® to automate prior authorizations through Networked FHIR connections between providers, payers and other QHINs.
2023

eHealth Exchange is among the first to achieve TEFCA QHIN designation. The network grows to 20 billion transactions annually, and eHealth Exchange launches provider-payer incentive programs to accelerate HL7 FHIR adoption.
2022

Network surpasses 1 billion transactions per month, achieves HITRUST and NIST cybersecurity certifications, and FHIR R4 exchange is live in all 50 states.
2021

Food & Drug Administration (FDA) joins eHealth Exchange for FHIR Adverse Events, a public health use case to facilitate transmission of vaccine-related adverse events to the FDA.
Becomes the only nationwide network validating content quality and usability.
2020

Indian Health Service joins network. Participants begin submitting eCRs, including COVID-19 notifications, to public health agencies nationwide and successfully completes a FHIR exchange pilot program for opioids and other controlled substances.
2019

Launches new hub-and-spoke platform, a centralized system that serves as a shared gateway across participants and other networks.
2018

eHealth Exchange spins off from The Sequoia Project as an independent nonprofit organization exchanging 20 million annual transactions.
2015

Participants begin exchanging Direct Secure Messages under the Data Use and Reciprocal Support Agreement (DURSA), the first of its kind multi-party trust agreement.
2012

HHS transfers stewardship of NwHIN to The Sequoia Project to prepare the network to stand alone as an independent entity in the private sector. While under The Sequoia Project, the network was renamed eHealth Exchange and continued its rapid growth.
2009

First production exchange connected the Social Security Administration and MedVirginia, and within two years, the network had grown to 23 participants, including three federal agencies.
2006

HHS initiates efforts to develop Nationwide Health Information Network (NwHIN).