DirectTrust was born out of The Direct Project, which began in 2010 as a grass-roots public/private partnership focused on creating a simple and low-cost mechanism for healthcare interoperability. The goal was to enable both secure health data exchange and reliable communication among EHRs and other systems. This effort resulted in the Direct Standard® for exchange, which was included in the government incentive program referred to as “Meaningful Use”.
As a result of the development and early deployment activities of the Direct Standard® in 2011, consensus developed that an organization would be required to establish and grow a “trust community” which could establish “Rules of the Road” for the new technology to scale. By the end of 2011, the first meeting of DirectTrust was held with the mission of providing policy and governance for the new trust framework. In April of 2012 the organization was incorporated as a trade association with the goal of developing, promoting and as necessary, enforcing the rules and practices needed to maintain security and promote confidence in a federated, national scale exchange community.
In 2013 and 2014 DirectTrust received support through an ONC Cooperative Agreement to advance the work of the trust framework. As a part of Stage 2 Meaningful Use and the ONC Certification Program, every certified EHR system incorporated Direct Secure Messaging into their products.
In 2019, we reached the landmark milestone of one billion messages exchanged , because of the technical investments made by the healthcare industry and the trust fabric established by DirectTrust. Additionally, DirectTrust became recognized as an American National Standards Institute (ANSI) Standards Development Organization, promptly convening several Standards Consensus Bodies.
In 2022, we celebrated our 10 year anniversary, including a decade of growth and evolution, but an everlasting commitment to trusted exchange, trust-in-identity, and community.
On January 5, 2023, the Electronic Healthcare Network Accreditation Commission (EHNAC) merged with and into DirectTrust with the intention of becoming the primary DirectTrust accreditation body. Founded in 1995 and with an origin story related to HIPAA, EHNAC has its own unique and storied history. Today, we are excited to operate as one organization, focusing on instilling trust in exchange through community and membership, standards development, accreditation, and other trust services.