Workgroup for Electronic Data Interchange (WEDI)


At a Glance
  • Status: Active Consortium
  • Year Launched: 1991
  • Initiating Organization: Workgroup for Electronic Data Interchange (WEDI)
  • Initiator Type: Government
  • No disease focus
  • Location: North America
Workgroup for Electronic Data Interchange

Abstract

The Workgroup for Electronic Data Interchange (WEDI) is the leading authority on the use of health information technology (IT) to improve healthcare information exchange in order to enhance the quality of care, improve efficiency, and reduce costs of the American healthcare system. Formed in 1991 by the Secretary of Health and Human Services (HHS), WEDI was named in the 1996 Health Insurance Portability and Accountability Act (HIPAA) legislation as an advisor to HHS and continues to fulfill that role today. Serving as a private and public industry solution to critical healthcare problems, WEDI is a coalition composed of a cross-section of the healthcare industry: doctors, hospitals, health plans, laboratories, pharmacies, clearinghouses, dentists, vendors, government regulators, and other industry stakeholders.

Mission

WEDI is a private and public industry solution to critical healthcare problems. Its members join together with one thing in common — to make the American healthcare system more efficient. Its vision is to  improve the quality of healthcare through effective and efficient information exchange and management.

WEDI brings together multiple stakeholders and drives industry consensus. Through an extensive workgroup structure, open public forums, Policy Advisory Groups (PAGs), and Technical Advisory Committees (TACs), WEDI collects input from all stakeholders and distills those thoughts into pinpoint recommendations for change. WEDI’s stakeholders represent solutions to today’s public and private business needs and interchange challenges. Together, they are laying the groundwork for the future of healthcare information exchange.

WEDI’s mission is to provide multi-stakeholder leadership and guidance to the nation’s healthcare system on how to use and leverage the industry’s collective technology, knowledge, expertise, and information resources to improve the administrative efficiency, quality, and cost-effectiveness of healthcare information.

Consortium History

Created by the HHS secretary in 1991 and named in the HIPAA legislation as an advisor to the HHS secretary, WEDI continues to be the source for information, education, and innovation in health IT for the leading health plans, providers, vendors, and government agencies.

Structure & Governance

WEDI is governed by a Board of Directors and contains many committees. For a full list of committees, see WEDI’s website at http://www.wedi.org/forms/committee/CommitteeFormPublic/search?action=find

WEDI is named in the HIPAA legislation as an advisor to the HHS secretary. In fulfilling that obligation, WEDI works through two vehicles to collect input from the industry in order to formulate an industry perspective on key issues, including PAGs and TACs.

PAGs are best thought of as a public forum where industry is able to review a proposed or final regulation and where the healthcare industry has an opportunity to collectively provide industry consensus and recommendations on a given policy. PAGs can be held both face-to-face or virtually. In a PAG, votes are registered and only one representative can vote per company. Although member and nonmembers can participate in the PAG, votes are restricted to WEDI members only.

The PAG facilitators (WEDI volunteers) then take the votes and comments and create a findings document that is reviewed by the WEDI Board of Director’s policy committee and voted upon by the full WEDI Board of Directors. Those recommendations are then sent on to the HHS secretary.

TACs are also public forums but are typically used to provide feedback to other organizations outside of HHS. TACs can be in-person or face-to-face, and votes are taken in the form of a straw poll.

The TAC facilitators (WEDI volunteers) then take the votes and comments and create a findings document that is reviewed by the WEDI Board of Director’s policy committee and voted upon by the full WEDI Board of Directors. Those recommendations are then sent on to the appropriate organization based on what was reviewed (e.g., a particular standard, operating rule).

Data Sharing

The Health Information Exchange (HIE) Workgroup was formed to establish an HIE-based WEDI workgroup to address the unique requirements associated with the implementation and operational support of technical- and business-related activities under the governance of HIE organizations.  Stakeholders include healthcare providers, HIE organizations, vendors, state government agencies, and regional nonprofits with responsibility for implementation of HIT-related healthcare reform (including the HIE Cooperative Agreement). 

The HIE Workgroup intends to reach out to accountability care organization (ACO)/HIE governance bodies, Office of the National Coordinator for Health Information Technology (ONC), Centers for Medicare & Medicaid Services (CMS), health plans, and consumers.  The goals of the HIE Workgroup include standardization and interoperability, security, privacy, medical record coding requirements, governance, and sustainability. The HIE Workgroup works closely with the Security & Privacy Workgroup as it relates to HIE privacy and security standards, protocols, practices, and related topics to closely coordinate activity related to overlapping HIE workgroup efforts.

Impact/Accomplishment

WEDI contains topic-based workgroups on the following topics: ACO-bundled payments, patient-matching identification, health records – management systems, health ID card, transactions – electronic data interchange, operating rules, privacy – security, cloud computing, mobile devices, HIEs, and International Classification of Diseases (ICD)-10. 

In December 2012, the WEDI Foundation leadership commissioned an update to the 1993 WEDI Report in order to provide an opportunity to evaluate progress on recommendations made in the earlier report, reflect on lessons learned, determine whether recommendations for administrative simplification made 20 years prior were still germane today, and identify immediate future needs. WEDI, in its HIPAA statutory role as advisor to the HHS secretary, could bring together healthcare stakeholders to address critical health IT implementation issues and provide guidance on HIE issues that were again confronting the nation. In short, the goal was for the WEDI Foundation (WEDI’s separate 501(c)(3) organization) and WEDI to help the healthcare industry further improve its information exchange processes in order to lower costs, improve healthcare delivery, and lead to better healthcare outcomes for patients.

Points of Contact

1984 Isaac Newton Square, Suite 304
Reston, VA 20190
phone: 202-618-8792
fax: 202-684-7794
email: wedi@wedi.org

Sponsors & Partners

(ISC)² 

AAHAM 

AAPC

Ability 

ACAG Consulting L.L.C.

Accident Fund Insurance Company of America

AdminaStar Federal

ADP, LLC 

Aetna 

Affinity Health Plan

AHCCCS 

AIDS Healthcare Foundation 

AIM Healthcare Services, Inc.

Alameda Alliance for Health 

Alliance Behavioral Healthcare 

Allina Hospitals and Clinics

Alpha II, LLC 

Altarum 

American Dental Association 

American Hospital Assn./HH&N

American Hospital Association 

American Medical Association 

American Medical News

American Society for Automation in Pharmacy 

America’s Health Insurance Plans 

AngMar Medical Holdings

Anthem BC of California

Anthem BCBS of Colorado

Anthem BCBS of Connecticut

Anthem BCBS of Indiana

Anthem BCBS of Kentucky

Anthem BCBS of Maine

Anthem BCBS of Missouri

Anthem BCBS of Nevada

Anthem BCBS of New Hampshire

Anthem BCBS of Ohio

Anthem BCBS of Virginia

Anthem BCBS of Wisconsin

Anthem BCBS 

Apgar and Associates, LLC 

APWU Health Plan

AR Department of Health & Human Services 

Argus Health Systems, Inc. 

Ark Blue Cross Blue Shield

Arkansas BCBS

athenahealth, Inc. 

Availity, LLC 

Axiom Systems Inc. 

BCBS of Alabama 

BCBS of Arizona 

BCBS of Illinois

BCBS of Kansas 

BCBS of Massachusetts

BCBS of Michigan 

BCBS of Minnesota 

BCBS of New Mexico

BCBS of North Carolina 

BCBS of North Dakota

BCBS of Oklahoma 

BCBS of South Carolina 

BCBS of Tennessee 

BCBS of Texas

Blue Care Network of Michigan

Blue Cross Blue Shield Association 

Blue Cross Blue Shield of Louisiana 

Blue Cross of Northeastern PA

Blue Shield of CA 

BMC Healthnet Plan

Bon Secours

Boost Payment Solutions, LLC 

Boundary Information Group 

California Health & Human Services 

CalOptima 

Calvet 

Cambia Health Solutions 

Capital Blue Cross

CAQH 

CareFirst 

CareMedic Systems, Inc. 

CareMore Medical Enterprises 

CareOregon

Cariten Healthcare 

Catamaran 

Centene Corporation 

Centers for Disease Control & Prevention

Centers for Medicare & Medicaid Services

CHCS Services, Inc.

Cherokee Nation

Chief Business Office Veterans Health Administration HIPAA Project Management Office

Christiana Care

Christiana Care Health System 

CHRISTUS Health 

CIGNA Government Services 

CIGNA Health Care

CIGNA HealthCare of Arizona

CIGNA Voluntary

Citrix Systems, Inc. 

ClaimRemedi 

ClearDATA 

CMS-Office of Enterprise Management

CNO Services LLC 

Cognosante, LLC 

Colorado Department of Health Care Policy and Financing 

Community Health Choice 

Community Health Network of Connecticut 

Community Health Systems 

Commonwealth of PA Department of Public Welfare

Conexia 

Connecticut Health Insurance Exchange 

Cooperative Exchange 

Cornichon Healthcare Select, LLC

Corphealth, Inc. 

COUNTY OF DUNN - DUNN COUNTY DEPARTMENT OF HUMAN SERVICES

County of Los Angeles Department of Mental Health

Coventry Workers’ Comp Services

CSC Healthcare

CSC 

DaVita 

Defense Health Agency

DELL Services

Delta Dental of Arkansas 

Delta Dental of California 

Delta Dental of Colorado 

Delta Dental of Idaho 

Delta Dental of Iowa 

Delta Dental of Kentucky 

Delta Dental of Michigan 

Delta Dental of New Jersey 

Delta Dental of New Mexico 

Delta Dental of Oklahoma 

Delta Dental of Rhode Island 

Delta Dental of Virginia 

Delta Dental of Wisconsin 

Delta Dental Plans Association 

Department of Vermont Health Access

Department of Veterans Affairs 

Dept of Health Care Services - Ofc of HIPAA Compliance

District of Columbia Department of Health Care Finance 

DoD Health Affairs 

DST Health Care 

Edifecs 

eHealth Ohio 

EHG-DentalXChange 

EHNAC 

Eldorado Computing, Inc. 

EmblemHealth

Emdeon Business Services

Emdeon Corporation 

EMEDIX Reimbursement Solutions 

Emerging Health Information Technologies

Empire Blue Cross Blue Shield

Epic 

Excellus BCBS 

Express Scripts, Inc. 

Fallon Community Health Plan 

Federation of American Hospitals

First Choice Health 

First Pacific Corporation 

Florida Agency for Health Care Administration 

Florida Blue

Florida Division of Workers’ Compensation

Florida Medicaid

Food and Drug Administration 

Fortinet 

GEHA 

Geisinger Health Plan

Geisinger Health System 

Gillette Childrens Specialty Healthcare

Greater New York Hospital Association

Great-West Healthcare

Greenway Clearinghouse

Group Health Incorporated 

Harvard Pilgrim Health Care

Hawaii Medical Service Assoc.

Health & Human Services Agency - OHii

Health Care Service Corporation

Health Information Exchange Office

Health Language 

Health Net of California 

Health Net, Inc. 

Healthaxis 

Healthcare Billing & Management Association

Healthcare Extranets LLC 

HealthCare Information Management, Inc. 

Healthcare Management Administrators 

HealthPartners

HealthPlus of Michigan 

Healthtrio 

Hewlett Packard 

HHS Office for Civil Rights

Highmark BC/BS 

Highmark Health Services 

Highmark Medicare Services

HighPoint Solutions

Hillsborough County 

HIMSS

HIPAA COW 

Horizon BCBSNJ 

HP Enterprise Services

HTMS

Humana, Inc. 

IBM Global Business Services

IBM Security Services

IBM 

IBM/Genelco

Illinois Department of Healthcare and Family Services

IN Office Medicaid Policy & Planning

Independent Health

Indian Health Service

Indiana State Dept. of Health

inMediata 

InstaMed Communications 

Inter Valley Health Plan 

Intermountain Healthcare 

Intracorp

Iowa Medicaid Enterprise 

Johns Hopkins Health System 

Johns Hopkins Healthcare/EHP

Johns Hopkins Information Technology

Johns Hopkins University

Jopari Solutions 

Kaiser Foundation Health Plan of Ohio

Kaiser Foundation Health Plan 

Kaiser Permanente 

Kansas DCHS

Kentucky Cabinet for Health and Family Services 

Kunz, Leigh & Associates

L.A. Care Health Plan 

LabCorp 

Lantana Consulting Group

Liberty Medical Supply, Inc. 

Los Angeles County, Department of Mental Health

Louisiana Department of Health & Hospitals

Louisiana Department of Health & Hospitals/Office of Mental Health 

MAHP

Maricom Systems Inc. 

Marshfield Clinic

Maryland Health Benefit Exchange

Maryland Health Care Commission

Maryland Medical Care Programs 

MassHealth

MasterCard 

Mayo Clinic 

Med USA 

Medica Health Plan

Medical Group Management Association 

Medical Mutual of Ohio 

Medical Services Administration of Puerto Rico

Medicity, Inc.

MedImpact Healthcare Systems 

Memorial Sloan-Kettering

Mercy Health Plans 

Mercy Health System

MercyCare

MGMA Connexion

Michigan Department of Community Health

Michigan Public Health Institute

Minnesota Department of Health

Minnesota Department of Human Services Legal Management Office 

Minnesota Department of Human Services 

Minnesota Dept. of Labor & Industry

Missouri Department of Mental Health

Missouri Office of Administration- ITSD

Mitchell & McCormick, Inc. 

Mitchell International, Inc. 

MITRE Corp 

MO HealthNet Division

Moda Health Plan, Inc. 

Montefiore Medical Center 

Moserhaus Consulting, LLC 

Mphasis Ltd.

MVP Health Care 

NAACOS 

NACHA - The Electronic Payments Association 

NALC Health Benefit Plan

NAMM California

NASCO

National Council for Prescription Drug Programs 

National Government Services 

Navicure, Inc. 

NC DHHS/DIRM

NC DHHS-OMMISS

NC Division of Medical Assistance

NC Division of Public Health 

Nebo Systems, Inc. 

Nebraska Health & Human Services System 

Nebraska Medicaid

Neocore Partners, LLC 

Network Health, Inc.

Nevada County Behavioral Health

Nevada Medicaid

New Mexico Human Services Department

New York State Cancer Registry

New York State Medicaid

NextGen Healthcare 

Noblis 

Noridian Administrative Services, LLC 

Noridian Mutual, Inc.

North Carolina Dept. of Health & Human Services

North Dakota Department of Human Services-Information Technology Services, Medicaid Systems Operations

Northeast Delta Dental 

Office of Health Information Integrity 

Ohio Bureau of Workers’ Compensation 

Ohio Department of Medicaid

Ohio Dept. of Job & Family Services 

Oklahoma Health Care Authority 

ONC 

OneHealthPort 

Optimity Advisors 

Optum 

OptumHealth

OptumHealth Financial Services 

OptumHealth Specialty Benefits

Oracle

Oregon Health Authority 

Orlando Health, Inc. 

OSHPD 

Oxford Health Plans

PacifiCare

Passport Health

Passport Health Communications

Peninsula Regional Support Network

Pennsylvania Department of Public Welfare

Phreesia 

Physicians Health Plan of Northern Indiana 

Plexis Healthcare Systems, Inc. 

PNC Bank 

PNC Expack Network Services

Post-n-Track Corporation

ppoONE 

Practice Fusion, Inc. 

Practice Insight, LLC

Precyse Solutions

Premera Blue Cross

Presbyterian Health Services

PrimeWest Health 

PriorityHealth 

Proje Inc. 

Providence Health and Services 

Providence Health System

Pulse Systems Inc.

PwC 

QCSI

QuadraMed Corporation 

Qualis Health

Radiology Business Management Association 

RealMed, an Availity Company

Regence BCBS of Oregon

Regence BCBS of Utah

Regence Blue Shield of Idaho

Regence Blue Shield of Washington

RemitDATA 

Resolution Health, Inc.

San Francisco Health Plan

Schaller Anderson of Arizona 

Secure Exchange Solutions 

Select Health 

Sharp Healthcare

Siemens Healthcare 

Smart Data Solutions 

Social Security Administration

Society of Professional Benefit Administrators

South Carolina DHHS 

Southwest Life and Health 

Spectrum Health

State Farm Insurance 

State of Alaska 

State of California Department of Health Care Services 

State of California, DHS

State of Colorado

State of Idaho Department of Health and Welfare

State of Nevada, Division of Health Care Financing & Policy

State of Oregon, Workers Compensation Division 

State of Washington Department of Social & Health Services 

Substance Abuse & Mental Health Services Administration 

Sutter Physician Services 

Tacoma Fire Department

Tampa General Hospital

TASCET 

Tenet Healthcare Corporation 

Tesia Clearinghouse 

Texas Department of Insurance 

Texas Health and Human Services Commission 

Texas Health Resources 

Texas HHSC

The Federal Employee Program Operations Center

The Most Group, Inc. 

TIBCO Software, Inc. 

TM Floyd & Company 

TMG Health Inc. 

TMHP 

Tompkins County Mental Health Services

Transunion Healthcare

TRICARE Management Activity 

TriZetto Corporation 

Tufts Health Plan

UniCare

United Concordia 

United Medical Resources, Inc. a division of UnitedHealth Group 

UnitedHealth Group 

UnitedHealth Technologies

UnitedHealthcare

University of Maryland Faculty Physicians Inc.

University of Oklahoma

Upper Peninsula Health Plan

US Dept. of HHS, Nat’l Health Info. Infrastructure

UT MD Anderson Cancer Center

Utah Health Information Network 

Utah Medicaid

Utah Retirement Systems

Utah Retirement Systems/PEHP

UW Medicine 

UW Physicians 

VA Financial Services Center

VA Health Administration Center

Vanguard Health Systems

Verizon Information Technologies

Verizon Information Technologies, Inc.

VHA Chief Business Office

Virginia Department for Aging and Rehabilitative Services 

Virginia DMAS

WA Department of Labor and Industries

Washington Dental Service 

Washington University Medical School

Waukesha County Department of Health and Human Services

Webify Solutions, Inc.

WellCare Health Plans, Inc. 

Wellmark BCBS of South Dakota

Wellmark Blue Cross Blue Shield 

Wellmark BlueCross BlueShield of Iowa

WellPoint Inc.

WEX Inc. 

Wheatlands Administrative Services 

Wisconsin Medicaid

Workgroup for Electronic Data Interchange

WPS Insurance 

XIFIN 

ZirMed, Inc. 


Last Updated: 05/10/2016

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