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

The Numbers are in

TEFCA Exchange is Ramping Up!

There are nearly 7,000 TEFCA Connections in the RCE Directory from 1,123 QHINs, Participants, and Subparticipants.*

More than 3.4 Million documents shared since go-live in December 2023.

Featured Announcement

August 6, 2024

New TEFCA SOPs and Updated Resources Released

“We’re very excited to publish the final Public Health and Health Care Operations Exchange Purpose Implementation SOPs today,” said Mariann Yeager, CEO of The Sequoia Project and RCE lead.
Upcoming Informational Call

January 21, 2025

12:00 p.m. – 1:30 p.m. ET
Previous Informational Call

November 19, 2024

Agenda
  • TEFCA Exchange Basics – 5 min
  • TEFCA Timeline Review – 2 min
  • XP Vetting Process SOP – 5 min
  • TEFCA Security – 35 min
    • Why it Matters
    • TEFCA Security Requirements
    • Exchange Purposes Implementation SOP: Individual Access Services (IAS)
    • QHIN Technical Framework (QTF)
    • TEFCA Security Incident Reporting
  • Educational Resources and FAQs – 5 min
  • Questions & Answers (Q&A)

Latest resources

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 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

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. 

What can we help you find?

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