Member News

Welcome to DirectTrust  

The DirectTrust network of 38 HISPs and 17 CA/RAs now serves over 33,000 health care organizations using over 200 certified EHRs.  They have provisioned over 650,000 individual Direct addresses for health professionals who are exchanging 100s of thousands of secure Direct messages and attachments nationwide each month to improve transitions of care and care coordination.  With the new federal interoperability requirements for EHRs to be Direct enabled, the network will expand and these numbers continue to increase during 2015.  

Whether you are a health care professional, medical practice, health plan, hospital, pharmacy, clinical lab, or individual patient/consumer, there are DirectTrust members ready to onboard you with Direct exchange services right now.  

As of early January, 2015, there are 30 EHNAC-DirectTrust accredited HISPs, and an additional 18 HISPs in EHNAC-DirectTrust accreditation candidate status. Thirty-seven (39) of these HISPs are participants in the DirectTrust anchor bundle, offering their subscribers a broad network of secure Direct connectivity both locally and nationally, via EHRs,HIEs, and web portals.  To find a DirectTrust network service provider ready to serve your community, see this page, and feel free to contact us at with your questions and comments.  Expect Direct!

DirectTrust is an independent non-profit trade association created by and for participants in the Direct community, our common goal being to establish and maintain a national Security and Trust Framework in support of Direct exchange. We define the Trust Framework as a set of technical, legal, and business standards, expressed as policies and best practices recommendations, which members of the trust community agree to follow, uphold, and enforce. Based on this Trust Framework, DirectTrust has partnered with EHNAC to offer an Accreditation Program for HISPs and other trusted agents involved in Direct exchange, and has launched a Trust Anchor Bundle Distribution Service for accredited entities' use.  

Members of DirectTrust now include over 120 representatives from Health Internet Service Providers (HISPs), Health Information Exchanges (HIEs), Certificate Authorities (CAs), consultants, state agencies, and EHR vendors, as well as health care providers and provider organizations who are their purchasers and subscribers. We support both provider-to-provider Direct exchange as well as patient-to-provider Direct exchange.

In March, 2013, DirectTrust was awarded an ONC Cooperative Agreement to further our work in accreditation, trust anchor distribution services, and ongoing governance of the DirectTrust community. The Cooperative Agreement was renewed for a second year by ONC on March 25, 2014.  A part of the Exemplar Health Information Exchange Governance Program, the purpose of the grant award is to "increase interoperability, decrease cost and complexity, and facilitate trust among participants using Direct for health information exchange of personal health information for health care improvements"

DirectTrust operates in a manner consistent with the governance rules for the Direct Project and the NwHIN promulgated by HHS, ONC, and the mandates of the HITECH Act. DirectTrust is competitively neutral, and we welcome new participants.