Advancing Nationwide Interoperability of Electronic Health Information with TEFCA™
We’re working collaboratively and inclusively to create the nation’s framework for secure health information exchange
205
Million
Documents Shared
TEFCA Exchange is Ramping Up!
There are 11,419 organizations live on TEFCA (QHINs, Participants, and Subparticipants) representing over 60,000 unique connections to clinicians, hospitals, clinics, post-acute care/long-term care facilities, public health authorities, and more. See our TEFCA Map.
More than 205 million documents shared since go-live in December 2023.
Featured Announcement
Draft QHIN™ Technical Framework Version 2.1 Released for Public Feedback
Previous Informational Call
December 16, 2025
Agenda
- Agenda Review
- ASTP Welcome
- Recognized Coordinated Entity (RCE) Updates
- TEFCA Exchange Basics
- TEFCA Topics in Change Management
- Government Benefits Determination
- Educational Resources
- Q&A
Latest resources
TEFCA Milestones & New Documents Released
Common Agreement v2.0
21st Century Cures Act (Cures Act)
About the Recognized Coordinating Entity® (RCE®)
The RCE is responsible for developing, implementing, and maintaining the Common Agreement component of the Trusted Exchange Framework and Common Agreement™ (TEFCA™). The Common Agreement establishes the baseline technical and legal requirements for health information networks to share electronic health information via TEFCA.
TEFCA Questions?
What is TEFCA and why is it important?
Learn how TEFCA will help enable nationwide exchange of electronic health information across disparate health information networks (HINs).
How does TEFCA work and who is involved?
How can I get involved or participate?
Have additional questions about TEFCA? We are the TEFCA experts, feel free to Contact Us
ASTP Awards The Sequoia Project a 5-Year TEFCA RCE Contract
The Sequoia Project, a leading advocate for health information exchange and health IT interoperability, was chosen by ASTP (formerly named ONC) to continue as the Recognized Coordinating Entity (RCE) to support the implementation of the Trusted Exchange Framework and Common Agreement (TEFCA). Read the Press Release
"The Sequoia Project and our RCE team are extremely proud of TEFCA’s progress to date, and we look forward to bringing its promise and benefits to reality soon. We couldn’t have gotten this far without close collaboration with ONC and the candidate QHINs (Qualified Health Information Networks)"
Mariann Yeager
CEO - The Sequoia Project
Hear From The Sequoia Project CEO
What does it take to become a QHIN?
Take a look at our most recent video describing what it takes to become a QHIN, and stay tuned for additional videos coming soon.
The Designated QHINs have been announced!
RCE is proud to introduce the designated Qualified Health Information Networks.
