Transforming Healthcare Starts with a Connected California

The DxF empowers health entities to provide the best possible care by creating new connections and efficiencies between health and social services entities, improving the completeness of patient records.

Many health entities are required by law to take the first step to joining the DxF by signing the Data Sharing Agreement (DSA)—an agreement to share information quickly, securely, and appropriately while following a common set of terms, conditions, and obligations set forth in shared Policies and Procedures (P&Ps).

If you are involved in the implementation process of the Data Exchange Framework and need additional information on IAC or DSA P&P Subcommittee meetings, visit the CDII DxF Implementation and Guidance website.

How to Join the DxF

January 31, 2023

Sign the DSA

Join the shared commitment to providing safe, effective, whole-person care and creating a connected, healthy California for all.

Sign The DSA

Feb 1, 2023 - Jan 30, 2024

Get Connected

Signatories must have the technological capabilities to engage in the Data Exchange Framework. Signing the DSA may also enable entities to qualify for grants to support implementation.

January 31, 2024

Begin Sharing

The DxF will create a more connected, efficient, healthcare system—enabling health and social services to provide the best possible care to the Californians they serve.

Physician practices of fewer than 25 physicians, rehabilitation hospitals, long-term acute care hospitals, acute psychiatric hospitals, critical access hospitals, and rural general acute care hospitals with fewer than 100 beds, state-run acute psychiatric hospitals, and any non-profit clinic with fewer than 10 providers.

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The Data Exchange Framework is a giant leap forward for healthcare in California—access to information makes care safer and always serves to enhance quality, enabling providers to deliver the care that patients need.
— William Isenberg, MD, PhD, Chief Medical Officer of Sutter Health

How to Sign the DSA

What to expect when signing the DSA

  1. Review the Data Sharing Agreement (DSA) and its Policies and Procedures.
  2. Determine who at your organization is authorized to sign an agreement.
  3. Determine if any subordinate organizations will be included.
  4. Gather applicable California state license numbers and Employee Identification Number (EIN).
  5. Read the user instructions to sign the DSA.

Obligations for Participants after signing the DSA

After signing, DxF DSA Signatories will be required to exchange health and social services information or provide access to health information to and from every other signatory in real time as specified in the DSA and its Policies and Procedures (P&Ps). Many Signatories will be required to begin exchanging health and social services information on or before January 31, 2024. Some organizations1 will have until January 31, 2026 to begin exchanging this information.

Participants can engage in the DxF through a Qualified Health Information Organization (QHIO), through another Intermediary that provides data exchange, or through the use of the Participant’s own technology.

To support successful implementation, grants are available to DxF Signatories. The grants program includes Educational Initiative Grants, QHIO Onboarding Grants, and Technical Assistance Grants. Learn more about DxF Grants here.

1The following organizations have until January 31, 2026 to begin exchange: physician practices of fewer than 25 physicians, rehabilitation hospitals, long-term acute care hospitals, acute psychiatric hospitals, critical access hospitals, and rural general acute care hospitals with fewer than 100 acute care beds, state-run acute psychiatric hospitals, and any nonprofit clinic with fewer than 10 healthcare providers. (Cal. Health and Safety Code § 130290(b)(2).).

Watch webinars and request more information

CDII hosts an Information is Power webinar series to provide details about the DxF, its impact, and its various components, including: the DSA, P&Ps, the QHIO Program, grants, and more.

Webinars provide additional education on the DxF programs, discuss DxF updates, and provide support for organizations during implementation.

  • Webinar 1: What is the Data Exchange Framework?
  • Webinar 2: The DxF DSA and P&Ps: An Overview
  • Webinar 3: DxF Grant Program Overview & DSA Signature Portal Demonstration
  • Webinar 4: What is a QHIO? How do I sign the DSA? And other DxF Program Updates
  • Webinar 5: The Impact of Data Exchange Under the DxF & Key Program Updates
  • Webinar 6: DxF Data Sharing Agreement Fact vs. Fiction, DxF Grant Applications, & QHIO Applications
  • Webinar 7: How the DxF Supports CalAIM & Other DxF Program Updates
  • Webinar 8: Applying for Data Exchange Framework Grants & Other DxF Program Updates
  • Webinar 9: Data Sharing Agreement (DSA) Signatory Grants Town Hall
  • Webinar 10: Demystifying Data Exchange Framework (DxF) Exchange Scenarios
  • Webinar 11: Demystifying the DxF: Real World Exchange Scenarios
  • Webinar 12: DxF Round 3 Grants and DxF Exchange Scenario
  • Webinar 13: QHIO Program Launch and Grant Opportunities
  • Webinar 14: DxF Year End Review and Look Ahead
  • Webinar 15: DxF Participant Directory Walkthrough

Please submit questions about the DxF to: cdii@chhs.ca.gov

Additional Resources