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

889

Million

Documents Shared

The Numbers are in

TEFCA Exchange is Ramping Up!

There are 21,086 organizations live on TEFCA (QHINs, Participants, and Subparticipants) representing over 81,000 unique connections to clinicians, hospitals, clinics, post-acute care/long-term care facilities, public health authorities, and more. See our TEFCA Map. More than 889 million documents shared since go-live in December 2023.

Featured Announcement

June 27, 2025

Draft QHIN™ Technical Framework Version 2.1 Released for Public Feedback

The RCE is seeking stakeholder input online through July 28 at 11:59pm ET, and hosting a public review webinar on July 7th.

Upcoming Informational Call

May 19, 2026

12:00 p.m. – 1:00 p.m. ET

Previous Informational Call

April 21, 2026

Agenda

Welcome & Agenda Review
ONC Welcome
Recognized Coordinating Entity (RCE) Updates
TEFCA Exchange Basics
Policy Updates
- Focus on TEFCA IAS Exchange Purposes Implementation SOP
- Topics in Change Management
Educational Resources
Q&A

Key resources

Online Resource

TEFCA Milestones & New Documents Released

PDF Resource

Common Agreement v2.0

Congressional Resource

21st Century Cures Act (Cures Act)

Who Are We?

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?

We've Got the Answers

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?

Learn how health care providers, patients, payers, state agencies, public health professionals, and other stakeholders will be able to use TEFCA.

How can I get involved or participate?

TEFCA allows for multiple points of entry and is inclusive of many different types of health care stakeholders. Participation is a vital component to TEFCA's success.

Have additional questions about TEFCA? We are the TEFCA experts, feel free to Contact Us

ONC 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 the Office of National Coordinator for Health Information Technology (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)"

Hear From The Sequoia Project CEO

RCE Video Series

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.

Meet the QHINS

The Designated QHINs have been announced!

RCE is proud to introduce the designated Qualified Health Information Networks.