Dan Golder, DDS, MBA, Impact Advisors. This session examines the April 2019 update to the Draft Specifications for TEFCA – the “Trusted Exchange Framework and Common Agreement.” This proposed rule builds on HHS’ earlier proposed rule on TEFCA, and Dan reviews this new proposed rule, some of its important provisions, and how it may influence and shape our interoperability landscape in the future. Highlights include key changes from the Initial Draft TEFCA Specifications and considerations of potential impacts to healthcare organizations and providers, TEFCA components, and the Top 5 things that providers and health care organizations should be doing now to prepare for TEFCA. (Part I was presented June 12, 2018.)