eHealth Exchange

eHealth Exchange President Jay Nakashima Is Recognized as 2025 Federal 100 Award Recipient

eHealth Exchange, one of the nation’s largest health information networks, proudly announces that Jay Nakashima, eHealth Exchange president, is a 2025 Federal 100 Award recipient. This prestigious recognition honors government and industry leaders who have made significant contributions to federal IT, driving innovation and improving public sector technology.

Under Nakashima’s leadership, eHealth Exchange has played a pivotal role in enhancing nationwide health information exchange (HIE), supporting critical federal agencies including the Department of Defense (DOD), Department of Veterans Affairs (VA), the Food and Drug Administration (FDA), Indian Health Service (IHS), and the Social Security Administration (SSA). Since taking the helm, Nakashima has overseen remarkable growth in data exchange with transactions on the network skyrocketing from 20 million to more than 25 billion annually.

Nakashima’s dedication to fostering collaboration between the public and private sectors has transformed health information exchange in the United States. In 2024, Nakashima’s efforts significantly advanced the adoption of Fast Health Interoperability Resources® (FHIR®)-based health data exchange, reducing reliance on outdated fax technology and ensuring that federal agencies and public health organizations have seamless access to vital patient data.

Key 2024 initiatives include:

  • Public Health Advancement: Strengthened electronic case reporting (eCR) among the Centers for Disease Control and Prevention (CDC), laboratories, and public health agencies nationwide, integrating eCRs into the Trusted Exchange Framework and Common Agreement™ (TEFCA™) as one of its first public health use cases.
  • FDA Collaboration: Coordinated with the FDA to enable real-time, FHIR-based adverse event notifications, ensuring a smooth transition to new platform and system requirements.
  • TEFCA Implementation: Led efforts to bring two HIEs and nationwide public health agencies onto TEFCA, including making IHS the first federal agency to select eHealth Exchange as its Qualified Health Information Network® (QHIN™).
  • Payer Engagement: Encouraged electronic data exchange between payers and providers ahead of the 2026 Centers for Medicare & Medicaid Services (CMS) mandate (CMS-0057-F) for electronic prior authorization processing, earning a KLAS Points of Light and Peak Award for implementation excellence.

“I am truly honored to be recognized with a Federal 100 Award,” said Jay Nakashima. “This achievement is a reflection of the incredible teamwork, dedication, and innovation of those I have the privilege to work alongside. I am grateful for the opportunity to contribute to our shared public good mission and for the support of my colleagues, mentors, and peers. Thank you for this recognition—it is both humbling and inspiring.”

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About eHealth Exchange

eHealth Exchange, a 501(c)3 non-profit dedicated to public good, is the oldest and largest health information network in the country and is most well known as the principal way the federal government exchanges clinical data among federal agencies and with the private sector. Recognized for certified data quality, trusted governance, transparency, and its commitment to privacy, eHealth Exchange facilitates the secure exchange of patient records for more than 250 million patients and processes roughly 21 billion data exchanges annually. Vendor-agnostic, with a broad public health focus, eHealth Exchange provides connectivity for more than 30 electronic health record systems, 58 regional and state HIEs, 75 percent of U.S. hospitals, 85 percent of dialysis centers, 70,000 medical groups, and payers in 34 states – as well as countless urgent care centers, surgery centers, and clinical laboratories. Five federal agencies (Department of Veterans Affairs, Department of Defense, Indian Health Service (IHS), Food and Drug Administration, and Social Security Administration) also participate in the network to share patient information with private-sector partners as well as other federal agencies. Active in all 50 states, eHealth Exchange connects to other national health information networks today via Carequality and now TEFCA as a Designated QHIN. See: https://ehealthexchange.org / @ehealthexchange.

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