At ViVE 2025 in Nashville, DirectTrust’s Kathryn Ayers Wickenhauser, Chief Strategy Officer, and Scott Stuewe, President and CEO, took to the stage to explore one of healthcare’s most foundational, but often overlooked, pillars of interoperability: technical trust. In this dynamic session, they offered a behind-the-scenes look at how identity proofing, public key infrastructure (PKI), and certificate governance form the backbone of trusted health information exchange.
From Direct Secure Messaging to query-based exchange, and now Facilitated FHIR®, the conversation connected the dots between secure digital identities and scalable, standards-based data sharing. Kathryn and Scott walk through the real mechanics of certificate issuance, how trust is established across networks, and what’s coming next — including efforts to bring these capabilities into broader care settings through automation and accreditation.
Whether you’re deep in the weeds of interoperability or just beginning to explore the space, this session offers valuable insights into how trust is built — and how it can scale.
Watch the full session below: